Acute Pyelonephritis

Overview

4.7 out of 5 (439 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.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

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.

 

Physicians and Physician Associates: StatPearls, LLC designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit(s)TM. Physicians and PAs should only claim credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

American Board of Internal Medicine: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.50 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

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This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the FDA. Readers should verify all information before employing any therapies described in this educational activity.

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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

Carney I. on 8/11/2021

Kelly P. on 8/30/2021

include images

Hassan A. on 9/12/2021

Rashna D. on 10/20/2021

susma r. on 10/26/2021

eden u. on 10/26/2021

BETTY S. on 11/3/2021

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Jacqueline M. on 11/16/2021

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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

Kenneth R. on 10/18/2022

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Leland J. on 10/31/2022

Too adult oriented.

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Excellent review of acute pyelonephritis!

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