The recurrence of pyelonephritis is usually caused by bacterial infection, when the condition is relatively mild, you can follow the doctor’s instructions to take quinolone antibiotics (such as oxfloxacin), semi-synthetic penicillin antibiotics (such as amoxicillin), cephalosporin antibiotics (such as cefuroxime), etc., and the condition is serious need to be combined with medication, intravenous medication.
1. Quinolone antibiotics: most of pyelonephritis is caused by Escherichia coli, this kind of drug has stronger effect on gram-negative bacteria, which is suitable for the treatment of pyelonephritis, and the commonly used drugs are oxfloxacin, levofloxacin, etc. However, if you are not familiar with quinolone antibiotics, you can use them to treat pyelonephritis. However, it is forbidden for those who are allergic to quinolones, patients under 18 years old, or pregnant and lactating women.
2. Semi-synthetic penicillin antibiotics: these drugs have broad-spectrum anti-bacterial effects and can be used for the treatment of pyelonephritis, but allergic reactions may occur during the process of medication, and penicillin allergy is prohibited for patients. Commonly used drugs are amoxicillin and so on.
3. Cephalosporin antibiotics: the antibacterial effect of the drug is strong, and the antibacterial spectrum is broader, patients who are allergic to cephalosporins are prohibited. Commonly used drugs are cefuroxime, cefixime and so on.
For recurrent pyelonephritis, especially complicated pyelonephritis, strong bactericidal antibiotics should be selected according to the results of drug sensitivity test on the basis of removing the predisposing factors (e.g., stones, obstruction, urinary tract abnormalities, etc.). For recurrent cases, long term low dose bacteriostatic therapy should be given.
All of the above medications should be used under the guidance of a doctor, avoid self-medication. Patients with recurrent pyelonephritis are advised to go to regular hospitals in time for treatment or therapy under the guidance of doctors.