Pyonephrosis secondary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Harsh Vardhan Chawla, M.B.B.S.[2]
Overview
Immediate intravenous antibiotic treatment followed by prompt decompression of the pus is essential to prevent the development of septic shock and rapid worsening of the patient's condition. Structural changes like scarring, fistulas, and abscesses may occur if the definitive treatment is delayed after resolution of the infection.
Secondary prevention
- Secondary prevention includes methods to diagnose and treat existent disease in early stages before it causes significant morbidity.
- Immediate intravenous antibiotic treatment followed by prompt decompression of the pus is essential to prevent the development of septic shock and rapid worsening of the patient's condition. Irreversible damage to the kidney can occur if the treatment is delayed.[1][2]
- Structural changes like scarring, fistulas, and abscesses may occur if the definitive treatment is delayed (e.g., urolithiasis, congenital urological anomaly, tumor).[3]
References
- ↑ Subramanyam BR, Raghavendra BN, Bosniak MA, Lefleur RS, Rosen RJ, Horii SC (1983). "Sonography of pyonephrosis: a prospective study". AJR Am J Roentgenol. 140 (5): 991–3. doi:10.2214/ajr.140.5.991. PMID 6601449.
- ↑ Ludvigson AE, Beaule LT (2016). "Urologic Emergencies". Surg Clin North Am. 96 (3): 407–24. doi:10.1016/j.suc.2016.02.001. PMID 27261785.
- ↑ Simoni F, Vitturi N (2015). "Sepsis due to pyonephrosis: an adult with pelvic-ureteric junction obstruction (PUJO) in a duplex kidney". J Ultrasound. 18 (3): 301–4. doi:10.1007/s40477-014-0104-7. PMC 4529407. PMID 26261472.