Which patients with uncomplicated pyelonephritis (kidney infection) should be admitted for inpatient treatment?

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

Admission is also indicated for patients with apparent clinically uncomplicated pyelonephritis who have any of the following:

  • Inability to maintain adequate oral hydration
  • Evidence of vasomotor instability
  • Unrelenting fever despite antipyretic therapy
  • Debilitating pain or dehydration that cannot be corrected promptly in the ED
  • Inadequate home care or resources to fill prescriptions or comply with the medical regimen (eg, homeless patients, adolescents, elderly patients in an acute illness setting who are at risk for clouded judgment, patients with substance abuse issues or other issues that will prevent adequate compliance)

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