Pyelonephritis Screening

Jump to navigation Jump to search

Urinary Tract Infections Main Page

Pyelonephritis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pyelonephritis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocaridogram

X Ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Pyelonephritis Screening On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Pyelonephritis Screening

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Pyelonephritis Screening

CDC on Pyelonephritis Screening

Pyelonephritis Screening in the news

Blogs on Pyelonephritis Screening

Directions to Hospitals Treating Pyelonephritis

Risk calculators and risk factors for Pyelonephritis Screening

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]

Overview

There are no known screening tests for Pyelonephritis in normal population. Though Pregnancy is an indication for screening for the presence of bacteria in the urine as this may require aggressive treatment because of the associated higher chances of developing pyelonephritis and other complications. Unlike other settings where bacteria are found in the urine of an asymptomatic, non-pregnant woman, bacterial presence in pregnancy should be treated with antibiotics. Urologic surgery and research are other indications for screening patients for asymptomatic bacteriuria.[1]

Screening

Screening is recommended to detect bacteriuria during pregnancy. Bacteriuria in pregnancy is always treated unlike asymptomatic non-pregnant population. Careful choice of antibiotics is ensured to prevent adverse effects on the fetus or the mother. Urine culture is done to screen this population for bacterial presence.[1][2]

  • Routine blood cultures for pyelonephritis detection in pregnancy have not been found to be effective[4]

References

  1. 1.0 1.1 Glaser AP, Schaeffer AJ (2015). "Urinary Tract Infection and Bacteriuria in Pregnancy". Urol Clin North Am. 42 (4): 547–60. doi:10.1016/j.ucl.2015.05.004. PMID 26475951.
  2. Matuszkiewicz-Rowińska J, Małyszko J, Wieliczko M (2015). "Urinary tract infections in pregnancy: old and new unresolved diagnostic and therapeutic problems". Arch Med Sci. 11 (1): 67–77. doi:10.5114/aoms.2013.39202. PMC 4379362. PMID 25861291.
  3. Nicolle LE, Bradley S, Colgan R, Rice JC, Schaeffer A, Hooton TM; et al. (2005). "Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults". Clin Infect Dis. 40 (5): 643–54. doi:10.1086/427507. PMID 15714408.
  4. Gomi H, Goto Y, Laopaiboon M, Usui R, Mori R (2015). "Routine blood cultures in the management of pyelonephritis in pregnancy for improving outcomes". Cochrane Database Syst Rev (2): CD009216. doi:10.1002/14651858.CD009216.pub2. PMID 25679346.

Template:WH Template:WS