STARTING ANTIMICROBAL PYELONEPHRITIS THERAPY BEFORE SURGICAL THERAPY OF THE URINARY BLADDER THERAPY
https://doi.org/10.21518/2079-701X-2016-9-92-95
Abstract
Acute pyelonephritis belongs to the wide-spread inflammatory diseases in the oncourological inpatient clinic. Escherichia coli continues to be the leading causal agent of urinary tract infections. Obstructive uropathies (including urinary bladder tumours), foreign bodies, vesico-ureteral reflux contribute to ascending development of the urinary tract infection. The choice of the antimicrobial drug in the majority of cases is done speculatively, on the basis of data about domineering causative agents and their regional resistance. In case of complicated pyelonephritis the duration of the antimicrobial therapy must be 7-14 (sometimes up to 21) days. The drugs of choice for the starting empirical therapy of the complicated pyelonephritis are fluoroquinolones (ciprofloxacin, ofloxacin and levofloxacin), ticarcillin/clavulanate, third generation cephalosporins, aminoglucosides, ertapenem.
About the Authors
A. D. KAPRIN
National Medical Research Radiological Center of the Ministry of Health of Russia, Moscow
Russian Federation
MD, Prof.
Russian Federation
MD, Prof.
A. A. KOSTIN
National Medical Research Radiological Center of the Ministry of Health of Russia, Moscow
Russian Federation
MD, Prof.
Russian Federation
MD, Prof.
N. V. VOROBYEV
National Medical Research Radiological Center of the Ministry of Health of Russia, Moscow
Russian Federation
PhD in medicine
Russian Federation
PhD in medicine
S. V. POPOV
National Medical Research Radiological Center of the Ministry of Health of Russia, Moscow
Russian Federation
PhD in medicine
Russian Federation
PhD in medicine
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Review
For citations:
KAPRIN AD, KOSTIN AA, VOROBYEV NV, POPOV SV. STARTING ANTIMICROBAL PYELONEPHRITIS THERAPY BEFORE SURGICAL THERAPY OF THE URINARY BLADDER THERAPY. Meditsinskiy sovet = Medical Council. 2016;(9):92-95. (In Russ.) https://doi.org/10.21518/2079-701X-2016-9-92-95
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