Which complicating factors are indications for admission of patients with acute pyelonephritis (kidney infection)?

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

Admit all patients with complicated UTI. Complicating factors include the following:

  • Structural urinary tract abnormalities (eg, calculi, tract anomalies, indwelling catheter, obstruction)
  • Metabolic disease (eg, diabetes, kidney insufficiency)
  • Impaired host defenses (eg, HIV, current chemotherapy, underlying active cancer)
  • Pregnancy

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