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Management of patients with clinically suspected pyelonephritis in a resource poor setting

Authors:

M. Weerasekera ,

Faculty of Medical Sciences, University of Sri Jayewardenepura, LK
About M.
Department of Microbiology
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N. Fernando,

Faculty of Medical Sciences, University of Sri Jayewardenepura, LK
About N.
Department of Microbiology
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T. Welgamage,

Base Hospital, Tangalle, LK
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K. Premarathna,

Base Hospital, Tangalle, LK
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T.M. Wijesuriya,

Faculty of Medical Sciences, University of Sri Jayewardenepura, LK
About T.M.
Department of Microbiology
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N. Ranasinghe

Base Hospital, Tangalle, LK
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Abstract

Background: This study aimed to determine the aetiology, antimicrobial susceptibility pattern and the clinical response to antibiotics in pyelonephritis.

Methods: Bacterial culture and ABST, clinical response and onset of renal failure were analyzed in 240 clinically suspected pyelonephritis patients admitted to Medical Units at Base Hospital, Tangalle.

Results: Of the 240 patients 61% had culture positive UTI mainly due to E. Coli (94%). Pathogens were 100% sensitive to meropenem, imipenem and amikacin while it showed 96%, 93%, 85%, 81%, 60%, 36%, 13% sensitivity for nitrofurantoin netilmicin, gentamicin, co amoxiclav, ceftriaxone, ciprofloxacin and ampicillin. The average duration of fever in days after administration of IV antibiotic was: gentamicin 1.66, co amoxiclav 1.98, ceftriaxone 2.14, and ciprofloxacin 2.34.

Conclusion: Gentamicin was the most clinically effective antibiotic from the antibiotics used for the treatment of pyelonephritis in the selected patient population.

How to Cite: Weerasekera, M. et al., (2016). Management of patients with clinically suspected pyelonephritis in a resource poor setting. Journal of the Ceylon College of Physicians. 46(1-2), pp.16–18. DOI: http://doi.org/10.4038/jccp.v46i1-2.7739
Published on 12 May 2016.
Peer Reviewed

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