APN how severe the treatment

Pyelonephritis light to the normal anti-bacterial treatment and after treatment to more than symptoms disappear, negative bacterial culture. However, serious or light pyelonephritis pyelonephritis handled fever and chills, low back pain, blood, as there are significantly higher white blood poisoning symptoms, such as whole body, muscle or can be given intravenous antibiotics. 80,000 units, such as gentamicin or tobramycin 1.5mg / kg, once every 8 hours; ampicillin 3.0 g or 3.0 g cefotaxime, 2 times a day; a Norfloxacin 400mg, twice daily . Can also be used to ampicillin, gentamicin, if necessary, added that if the treatment effect can not be based on the results of drug susceptibility to replace antibiotics. If not effect that consideration should be given concurrent renal or kidney abscess around, take line B, or super-CT examination in order to clear the development of inflammation, the choice of effective antibiotics, to be controlling symptoms in patients with 2 days after the effective use of oral antimicrobial drugs, Such as cotrimoxazole, norfloxacin, I furans Dan acid, and so on, 2 weeks to complete course of treatment. Severe acute pyelonephritis, such as the use of such conventional antibiotic treatment of 3 to 4 days, the urine can not be negative bacteria, and increase the clinical symptoms, severe shivering, suspected bacteremia, or even low blood pressure, respiratory alkalosis, Gram-negative bacteria are suspected sepsis, pyelonephritis is a complex, often multi-drug resistant pathogens of the gram-negative bacteria, the choice of semi-synthetic broad-spectrum penicillin, aminoglycosides, third-generation cephalosporin bacteria -Like, single-ring β-lactam antibiotics combined. In the condition allows, to determine whether there should be as soon as possible urinary tract obstruction, and so on. For urinary tract obstruction, urinary tract should be corrected in a timely manner poor drainage, otherwise the complexity of urinary tract infections difficult to cure. Some patients in the treatment process, the primary bacteria disappeared after treatment, but a new bacteria, or bacteria mutate itself, is the application of anti-bacterial drug resistance, so the need for repeated bacterial culture and drug sensitivity tests , According to the results of the examination and re-adjusting the antibiotics until the temperature is normal, the symptoms disappear, culture negative until after 2 weeks.