Chronic pyelonephritis recurrence can be cured

Condition analysis:
Suggestions: a) treatment
1. General treatment to find and remove the cause of chronic pyelonephritis susceptibility factors, the lifting of urinary tract obstruction, correct urinary tract malformations, improve immune function. Patients with renal impairment have to pay attention to maintaining water and electrolyte balance. Hypertensive patients, to step down treatment.
2. Antibiotic treatment of chronic pyelonephritis antibacterial drugs and acute pyelonephritis similar to the treatment of acute than difficult, once handled properly, not only poor efficacy, but also because of impaired renal function and prognosis. Chronic pyelonephritis antibacterial treatment principles:
(1) often need two types of drugs combined application, the necessary fashion can be combined with traditional Chinese and Western medicine treatment.
(2) course of treatment may be appropriate to extend, usually 2 to 4 weeks of treatment, if invalid or re-issued in the review, the choice of sensitive drugs can be divided into 2 to 4 groups of rotation applications, each group of 1 course of treatment, ~ 5 days, a total of 2 to 4 months. Such as long-term antimicrobial therapy is still ineffective or often relapse can be used low-dose long-term antibacterial treatment. (Sulfosamidazole) Dose, after taking urination every night before taking, can be long served to 6 to 12 months, and more to prevent recurrence, especially for re-infection caused by recurrence of chronic pyelonephritis is more effective.
(3) antibacterial treatment at the same time, especially in poor efficacy or frequent recurrence, must find and remove susceptibility factors.

(4) acute exacerbation of the drug with acute pyelonephritis.
3. Surgical treatment of refractory urinary tract infection, should be applied as far as possible surgical correction of urinary tract obstruction or deformity. Preoperative active antibiotic treatment, so that bacteria less than 1000 / ml, postoperative antibiotics, so as to avoid sepsis.
4. Cure criteria:
(1). Clinical cure symptoms disappeared, 72h after stopping, every 2 ~ 3d for urine and bacterial culture, 3 consecutive negative.
(2). Cured clinical cure, urine routine and bacterial culture monthly review 1 to 2 times, for six consecutive years were negative.
(B) prognosis
The prognosis of pyelonephritis depends to a large extent on whether the patient has a predisposing factor leading to morbidity. In addition to whether the timely and effective treatment. If there is no obvious predisposing factors, acute phase is easy to be cured, the chronic phase can also get better curative effect and easy to recur; the contrary, if there are obvious predisposing factors, acute phase is difficult to cure, chronic phase effect is worse, and Often recurrence, affecting renal function and poor prognosis. Appropriate treatment and close follow-up observation can also improve the prognosis.