Acute pyelonephritis
CKS
Classic presentation – triad of
If admission not needed, send MSU for culture & susceptibility and start antibiotics.
If no response within 24 hours, admit.
Review previous microbiology results and antibiotic sensitivities to guide empirical antibiotic.
Co-amoxiclav
625mg TDS
7 days
or Cefalexin
1.5g TDS
If urine culture is sensitive: Trimethoprim
200mg BD
14 days
Ciprofloxacin (consider safety issues)
500mg BD
If admission not needed, send MSU for culture & susceptibility and start antibiotics.
If no response within 24 hours, admit.
Review previous microbiology results and antibiotic sensitivities to guide empirical antibiotic.