Acute pyelonephritis (APN; or upper urinary tract infection [UTI]) is a clinical diagnosis that may feature fever, positive urine culture, and urinary symptoms (e.g., dysuria, freque...
Fever may be the only presenting complaint.
In the neonate, inquire about vomiting, lethargy, poor feeding, irritability, fever, hypothermia, trembling, and jaundice
Older children are ...
Initiate broad-spectrum antibiotics. Children who appear toxic, dehydrated, <2 months, or vomiting should receive IV antibiotics until afebrile for at least 24 hours, then chang...
Educate caregivers on signs, symptoms of UTI, need for sterile urine specimen, and need for urgent medical attention.
If child has suffered sever...
Morello W, La Scola C, Alberici I, et al. Acute pyelonephritis in children. Pediatr Nephrol. 2016;31(8):1253–1265. [View Abstract on OvidInsights]
National Institute for Health...
590.80 Pyelonephritis, unspecified
590.10 Acute pyelonephritis without lesion of renal medullary necrosis
590.00 Chronic pyelonephritis without lesion of renal medullary necrosis
590.11 Acute p...
Q: Should a DMSA scan be used to diagnose APN?
A: Routine use of the DMSA scan to diagnose APN is controversial because disagreement exists about the therapeutic implications of a positive test, an...
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