How is pyelonephritis diagnosed?

Written by Zhou Qi
Nephrology
Updated on September 18, 2024
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Pyelonephritis is an upper urinary tract infection, with over 95% caused by bacterial infections in areas such as the renal pelvis and calyces, leading to inflammation. As a type of bacterial infection, if a patient's urine routine shows leukocytes and there is percussion pain in the renal area, along with fever, these symptoms combined with the urine examination can essentially lead to a diagnosis. However, a definitive diagnosis requires a culture of clean-catch midstream urine. If the bacteria in two consecutive urine cultures exceed 100,000 per milliliter and are the same type, the patient can be clearly diagnosed with pyelonephritis.

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Written by Zhou Qi
Nephrology
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Acute Pyelonephritis Nursing Measures

Acute pyelonephritis, also known as an upper urinary tract infection, is a type of bacterial inflammation. In terms of care, patients should first focus on increasing their fluid intake. If the patient does not have urinary system stones, tumors, or other factors causing urinary obstruction—that is, if there is no kidney hydronephrosis—it is recommended that the patient's daily urine output be maintained at 2000-2500 milliliters. This means increasing fluid intake can help flush the urinary system, reducing bacterial growth and reproduction, which is beneficial for the treatment of pyelonephritis. Secondly, since the patient has acute inflammation, dietary considerations should include eating light, avoiding heavy and greasy foods as well as spicy and stimulating foods, and paying attention to perineal hygiene. Additionally, during episodes of fever, if the patient's body temperature is not very high, a warm water sponge bath can be given, especially focusing on the neck, armpits, and the root of the thighs, which can facilitate heat dissipation and is very beneficial for reducing body temperature.

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Is pyelonephritis easy to treat?

Pyelonephritis is generally not difficult to treat. Because the condition often appears quite aggressive, it is caused by bacteria entering the urinary system through the urethra, leading to an inflammatory response. Therefore, the primary treatment involves using antibiotics to kill the bacteria. Most of the bacteria causing pyelonephritis are Gram-negative rods, so antibiotics sensitive to Gram-negative rods are often chosen. After a treatment course of 10-14 days, the patient's condition is generally controllable and curable. However, there are also a few cases of chronic pyelonephritis, involving complex factors related to urinary tract infections, such as urinary tract malformations, urinary system stones, prostate hyperplasia, diabetes, etc., which make treatment more difficult. (Medication should be used under the guidance of a doctor.)

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Pyelonephritis is an infection of the kidneys

In fact, pyelonephritis is not really nephritis; it is actually a type of bacterial inflammatory infection. Bacteria can infect many parts of the body. If the urinary system is infected and it reaches the renal pelvis and calyces, it is referred to as pyelonephritis. Over 95% of pyelonephritis cases are caused by bacterial infections, and 70% are due to Escherichia coli. Generally, this bacteria enters the urinary system from the urethral opening and ascends to the renal pelvis and calyces, where it proliferates and causes an inflammatory response. The main clinical symptoms of the patient are fever and back pain, and the patient may also experience gross hematuria (visible blood in urine).

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Symptoms of recurring pyelonephritis

Pyelonephritis is an upper urinary tract infection. When the condition recurs, the initial symptoms are similar. Patients may also experience fever, and the temperature can rise quickly, even up to 40 degrees Celsius. There may also be a systemic inflammatory response, characterized by fatigue and loss of appetite, among other symptoms. Recurrence can also cause pain in the lumbar region, which may even radiate to the perineal area, and patients may also experience visible hematuria. In urinalysis, leukocytes or positive leukocyte esterase can be observed. These are the symptoms of recurring pyelonephritis.

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What foods to eat for pyelonephritis

Pyelonephritis is not nephritis, but a type of bacterial infection. Therefore, as a bacterial infection, there are no specific dietary restrictions for patients. Such patients should ensure adequate intake of fluids, with a recommended daily urine output of over 2000ml. This can help flush the urinary system and wash away some bacteria, reducing bacterial proliferation. Since it involves inflammation, it is advisable to follow a lighter diet, avoiding spicy, stimulating, and greasy foods, and focusing on easily digestible and warm foods.