AAUS guideline for acute uncomplicated pyelonephritis

Shigemura, Katsumi; Ishikawa, Kiyohito

doi:10.1016/j.jiac.2022.05.008

Cited by 1 publication

(2 citation statements)

References 35 publications

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“…Currently, the follow-up of acute pyelonephritis is not yet well standardized. Several guidelines recommend antibiotic therapy for 7 to 10 days in adults [18,19]. For trimethoprim, a 14-day course was recommended because there was no evidence for course lengths shorter than 14 days [18,19].…”

Section: Discussionmentioning

confidence: 99%

“…Several guidelines recommend antibiotic therapy for 7 to 10 days in adults [18,19]. For trimethoprim, a 14-day course was recommended because there was no evidence for course lengths shorter than 14 days [18,19]. A recent work showed how patients who were appropriately treated by empirical antibiotics had shorter hospital stays (8 vs. 10 days, p = 0.001) and lower medical costs than those who were inappropriately treated [20].…”

Section: Discussionmentioning

confidence: 99%

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Contrast-Enhanced Ultrasound Follow-Up for Acute Pyelonephritis Patients

Boccatonda,

Venerato,

D’Ardes

et al. 2023

Healthcare

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Contrast-enhanced ultrasound (CEUS) is increasingly used in clinical practice as the first diagnostic method in patients with suspected pyelonephritis rather than abdominal CT with contrast medium, especially in young subjects. We performed a retrospective analysis on patients in for whom a CEUS examination was utilized as a follow-up method after acute pyelonephritis as normal clinical practice. Through evaluating all patients, in terms duration between CEUS examination and normalization (healing) of the renal disease, we found that the mean duration is 25.9 days. Our ultrasound findings did not induce any therapeutic modifications, not even in the cases in which the examination was repeated several times. Therefore, setting up a CEUS follow-up examination after 25 days from the first diagnosis can reduce the number of repeated tests, benefitting patients and the healthcare system in terms of reducing costs.

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