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How long would you treat an upper urinary tract infection in a patient with acute obstructive pyelonephritis due to a kidney stone status-post urinary stenting without yet removal of the stone?

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How long would you treat an upper urinary tract infection in a patient with acute obstructive pyelonephritis due to a kidney stone status-post urinary stenting without yet removal of the stone?

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4 Answers
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Infectious Disease · University of California Davis Medical Center
Answered on

After treatment of an ascending urinary tract infection for 7 days, the infection will be treated. However, if the stone is large enough it may be colonized and cause recurrent infection. I would make my best efforts to get the stone removed as soon as possible and I would likely give the patient a ...

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Infectious Disease · UT Southwestern School of Medicine
Answered on

I would treat with curative treatment for 7-10 days and then, if possible, treat with chronic suppressive low-dose oral therapy (depending on susceptibility data available) until the stone can be definitively removed/the source of infection removed.

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Infectious Disease · Northwell
Answered on

Oral suppressive therapy is a weak response as is the stone is not removed it will lead to resistance.

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Infectious Disease · Metro Infectious Disease Consultants
Answered on

Good

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