Pyelonephritis cannot be cured by itself and needs timely treatment.
There are two types of pyelonephritis: acute and chronic. The clinical manifestations of acute pyelonephritis are related to the degree of infection, usually starting sharply, with frequent urination, urgency, painful urination, fever and chills, headache and lumbago as the main symptoms.
Chronic pyelonephritis is sometimes characterized by asymptomatic bacteriuria, and more than half of the patients have a history of acute pyelonephritis, followed by low-grade fever of varying degrees, intermittent frequency of urination, discomfort in urination, lumbar pain, and impaired renal tubular function, such as increased nocturia, hypogranulonephrosis, etc. The disease may progress to chronic pyelonephritis. Persistence of the disease may progress to chronic renal failure. During acute attacks, the patient’s symptoms are obvious and similar to acute pyelonephritis.
Pyelonephritis cannot be cured by itself. 80% of the causative organisms of acute pyelonephritis occurring for the first time in pyelonephritis are Escherichia coli, and treatment should be initiated immediately after urine bacteriological specimens are taken, and drugs effective against gram-negative bacilli should be preferred. 72 hours of apparent effect does not need to be changed, or else antibiotics should be changed in accordance with the results of the drug sensitivity.
The key to the treatment of chronic pyelonephritis is to actively search for and remove susceptibility factors. Treatment of acute exacerbations is the same as for acute pyelonephritis.
Patients with pyelonephritis should go to the hospital in time and receive standardized treatment under the guidance of professional physicians.