Active Ingredient: Ciprofloxacin
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The vaginal yeast infection, likely a sequelae of the antibiotic treatment for sinusitis, reduced the natural protective nature of vaginal mucosa.
Gonococcus and chlamydia should also be ruled out.
Avoiding Complications Careful outpatient management of uncomplicated acute pyelonephritis will avoid relapse, reinfection and renal damage. Relapse signifies insufficient or incomplete treatment, perhaps with the wrong antibiotic.
If urine microscopy includes WBC casts, which is rare in cystitis, pyelonephritis is likely. Recurrent pyelonephritis requires a careful retrospective infection management history and analysis, since repeated assaults on the kidneys are likely to lead to functional decline and renal failure.
Strongly consider referral to a urologist for a patient who experiences two pyelonephritis infections in 1 year.
Research has shown that selected patients with severe febrile or complicated UTIs can be managed safely on an outpatient basis with oral ciprofloxacin when using the clinical and compliance criteria discussed in this article.
The practitioner who is knowledgeable about the risk factors, clinical markers and treatment options can effectively address patient episodes with confidence. Tenner SM.