The chronic pyelonephritis treatment principles

Due to chronic pyelonephritis repeated attack, cause kidney inflammation and repair process alternating, connective tissue and scar formation, making poor local blood supply, antibiotics can not get lesions; local drainage impeded, difficult to remove bacteria, inflammation of grip, impaired renal tissue is not easy to repair. Renal damage in the restoration, has also been a repeated infection of important factors. Thus the treatment of chronic pyelonephritis the focus for the speedy elimination of pathogens, promote kidney damage as soon as possible. While actively seeking predisposing factors, and is in addition to, and are effective antimicrobial treatment premise. If the surgical treatment of benign prostatic hypertrophy, urinary tract obstruction is lifted, it can be more effective in the treatment of pyelonephritis. Antibiotic treatment of the principles of : (a) the choice of antibiotics for urinary periodic bacterial culture and colony counting. reference drug sensitivity tests results selection of the most sensitive antibiotics. As more stubborn bacteria to antibiotics 2-3 combination is better. (2) The course of treatment is the treatment of chronic pyelonephritis the key to success, not enough drug treatment, even if the original effective treatment, often unable to completely wipe out the bacteria, and train a resistant, pathogenic bacteria to breathe, once the conditions are appropriate, may relapse prolonged illness. Therefore, chronic pyelonephritis acute, acute pyelonephritis by the drug treatment principle, the total course of not less than four weeks. When clinical symptoms were controlled, there will be discontinued, the typical monthly review of conventional urine and urine bacterial culture, and a total of six months. If there are still bacteria in urine, can be long-term low-dose antibacterial treatment, specific methods for : every night before bed urination after a single oral dose of antibiotics, the dose of daily doses of 1/3-1/2. Antibacterials 3-4 choice for a group of species recycling, so that side effects can be minimized, but also the prevention of drug resistance have, also achieve better antibacterial effects. If the choice of co-trimoxazole, Amoxycillin, cephalosporins such as IV. Courses are not yet available four months, six months or even a year.