Acute Pyelonephritis

Overview

4.7 out of 5 (455 Reviews)

Credits

1.50

Post Assessment Questions

10

Start Date

1 Sep 2023

Last Review Date

28 Feb 2024

Expiration Date

31 Aug 2026

Estimated Time To Finish

90 Minutes


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Activity Description

Acute pyelonephritis is a bacterial infection causing inflammation of the kidneys. Pyelonephritis is generally a complication of an ascending urinary tract infection that spreads from the bladder to the kidneys. Certain populations, such as pediatric patients, renal transplant patients, and pregnant patients, warrant special attention. Symptoms usually include fever, flank pain, nausea, vomiting, burning with urination, increased urinary frequency, and urgency. It is important to differentiate acute pyelonephritis, a medical condition treated primarily with antibiotics, from pyonephrosis (obstructive pyelonephritis), a clinically similar condition that requires urgent surgical drainage of an obstructed, infected renal pelvis. The microbiology of pyelonephritis can be complex, and antibiotic resistance is common. The role of imaging is discussed, and suggested empiric antibiotics are identified. This activity outlines the clinical presentation, diagnosis, and management of acute pyelonephritis and highlights the role of the interprofessional team in caring for patients with the condition.


Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the clinical features and risk factors associated with acute pyelonephritis.

  • Describe expected signs and symptoms in a patient with pyelonephritis.

  • Select appropriate imaging modalities for diagnosing acute pyelonephritis and monitoring treatment response.

  • Collaborate with interprofessional teams, including urologists, radiologists, and infectious disease specialists, to optimize patient care.

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In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

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  3. Study the educational content of the enduring material.
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The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

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Reviews

Alvar D. on 1/28/2021

Deborah Z. on 2/14/2021

Henrik H. on 4/11/2021

Amber A. on 4/19/2021

Trang T. on 5/1/2021

Larry M. on 7/19/2021

nathalia m. on 8/10/2021

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Kelly P. on 8/30/2021

include images

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priya n. on 3/4/2022

This was under Pediatric infectious disease but most of the cases/ material was about adults

Preeti S. on 3/16/2022

Zana L. on 4/10/2022

Thanks much

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Lota of new information

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Too adult oriented.

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Excellent review of acute pyelonephritis!

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