When is reevaluation of acute pyelonephritis indicated?

Updated: Jul 01, 2021
  • Author: Tibor Fulop, MD, PhD, FACP, FASN; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

If the patient is not admitted at the time of diagnosis, follow-up reevaluation is important in 1-2 days to be sure the patient is progressing properly. A good rule based on common sense is that if the managing clinician is concerned that the patient may not respond well to outpatient management but still thinks the patient deserves a trial at home, the initial follow-up visit should take place in 24 hours. If the clinician thinks that the patient will do quite well with outpatient management, the initial follow-up visit can take place in 48 hours.

If the patient thinks that he or she is not progressing well or is getting worse, the patient should be evaluated emergently for consideration for admission and intravenous antibiotics.


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