What Is The Treatment For A Kidney Infection
- Antibiotics will usually clear the infection. An antibiotic is usually prescribed straightaway if a kidney infection is suspected, even before the result of the urine test is known. Some germs are resistant to some antibiotics. Therefore, sometimes a change of antibiotic may be needed if the urine test shows a germ which is resistant to the initial antibiotic. The course of antibiotics is for 7-14 days, depending on which one is used. Commonly used antibiotics for kidney infections include ciprofloxacin, cefalexin, co-amoxiclav or trimethoprim.
- Painkillers such as paracetamol can ease pain and reduce a high temperature . Stronger painkillers may be needed if the pain is more severe. Non-steroidal anti-inflammatory painkillers such as ibuprofen are not usually recommended for a person with a kidney infection. This is because they may possibly cause problems with the working of the kidney during a kidney infection.
- Plenty of fluid should be taken to prevent lack of fluid in the body .
In many cases, the infection is not too severe, treatment can be taken at home and the infection will clear with a course of antibiotic tablets. If treatment is to be home-based, a doctor should be called if the symptoms are not improving after 24 hours, or the person is feeling more unwell.
However, some people need to be admitted to hospital – for example if:
Can Kidney Infections Be Prevented
You can reduce your chances of developing a kidney infection by keeping your bladder and urethra free from bacteria. This can include drinking plenty of fluids, keeping your genitals clean and treating any constipation.
The symptoms of a kidney infection usually develop quite quickly over a few hours or days.
Common symptoms include:
- pain and discomfort in your side, lower back or around your genitals
- high temperature
- feeling very weak or tired
- loss of appetite
You may have other symptoms if you also have cystitis or urethritis . These additional symptoms may include:
- pain or a burning sensation during urination
- need to urinate frequently or urgently
- feeling that youre unable to urinate fully
- blood in your urine
- cloudy or foul smelling urine
- pain in your lower abdomen
Medical Treatment For Kidney Infections
Antibiotics are always the first line of defense against a kidney infection. If the kidney infection isnt severe, a doctor will likely give you oral antibiotics to take once or twice a day for 7 to 14 days.
Its important to take the entire course of antibiotics, even if you feel better within several days. Stopping early could lead to antibiotic resistance or re-infection. A doctor will also encourage you to drink plenty of water.
In some cases, kidney infections may require going to the hospital. Youll be given fluids and antibiotics intravenously through an IV, both of which can help treat the infection.
In addition, lab work and imaging may be done to determine the severity of the infection as well as the cause, such as a blockage due to a kidney stone or anatomical abnormality.
If you have recurring UTIs that increase your risk of frequent kidney infections, a doctor will help you establish the cause of their frequency and help you prevent further infections from occurring.
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Why Is This Medication Prescribed
Meropenem and vaborbactam injection is used to treat serious urinary tract infections, including kidney infections, that are caused by bacteria. Meropenem is in a class of medications called carbapenem antibiotics. It works by killing bacteria. Vaborbactam is in a class of medications called beta-lactamase inhibitors. It works by preventing bacteria from destroying meropenem.
Antibiotics such as meropenem and vaborbactam injection will not work for colds, flu, or other viral infections. Taking antibiotics when they are not needed increases your risk of getting an infection later that resists antibiotic treatment.
When To See A Gp
See a GP if you feel feverish and have pain that will not go away in your tummy, lower back or genitals.
Contact a GP immediately if you think your child may have a kidney infection.
If you cannot get a GP appointment and need urgent medical attention, go to your nearest urgent care centre .
If you do not have a local UCC, go to your nearest A& E.
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How Do You Know When A Uti Becomes A Kidney Infection
The symptoms of a UTI include pain when urinating, abdominal pain above the pubic area, frequent need to urinate, and bad-smelling, cloudy, or bloody urine. If the infecting bacteria migrates up to the kidney, additional symptoms may include flank pain, lower back pain, fever, and maybe chills and nausea. If you have a lower urinary system infection and begin to notice pain on your sides or you have a fever over 100 degrees, itâs time to see a doctor.
When To Seek Medical Advice
Contact your GP if you have a high temperature, persistent pain, or if you notice a change to your usual pattern of urination. Contact your GP immediately if you think your child may have a kidney infection.
If you have blood in your urine, you should always see your GP so the cause can be investigated.
Your GP can carry out some simple tests to help diagnose a kidney infection.
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Will I Need An Intravenous Antibiotic For A Uti
If you are pregnant, have a high fever, or cannot keep food and fluids down, your doctor may admit you to the hospital so you can have treatment with intravenous antibiotics for a complicated UTI. You may return home and continue with oral antibiotics when your infection starts to improve.
In areas with fluoroquinolone resistance exceeding 10%, in patients with more severe pyelonephritis, those with a complicated UTI who have allergies to fluoroquinolones, or are unable to tolerate the drug class, intravenous therapy with an agent such as ceftriaxone, or an aminoglycoside, such as gentamicin or tobramycin, may be appropriate. Your ongoing treatment should be based on susceptibility data received from the laboratory.
Key Points About Kidney Infection
See your GP or go to the nearest emergency department immediately if you or someone you care for experiences any of these symptoms, as they may indicate sepsis:
Call Healthline free on 0800 611 116 if you are unsure what to do. Ask Could this be ?
If you have been given antibiotics and are feeling worse or have more of the symptoms above, contact your GP or go to the nearest emergency department. Do not wait until the morning.
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What Antibiotics Are Commonly Used To Treat Urinary Tract Infections
A handful of antibiotics are used to treat the most common urinary tract infections . In 75-95% of these cases, the infection is caused by bacteria called Escherichia coli , so experts know which antibiotics work well against the infection. These antibiotics are called first-line antibiotics.
They are given orally and include:
Amoxicillin and ampicillin are no longer used because of a high level of antibiotic resistance.
How Are Kidney Infections Diagnosed
Two common laboratory tests are performed to diagnose kidney infections . A urine sample is examined under a microscope to determine if white and/or red blood cells are present. The urine is also sent to the lab to see if bacteria grow in a urine culture. If a person is very sick, blood cultures may also be sent. The strain of bacteria that are cultured will determine the type of therapy used in your treatment.
Pyelonephritis can often be treated without X-ray studies, unless your doctor suspects there may be an addition problem. CT scans produce images of structures and organs and these scans are usually done without contrast . A renal ultrasound may sometimes suffice for evaluation.
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Can Kidney Infection Be Prevented
Most kidney infections are caused by germs travelling up from a bladder infection. So the same things that can help to reduce your chances of bladder infection should reduce your chances of kidney infection. Traditionally, people who got recurring urine infections were advised about measures such as drinking plenty of fluid and taking cranberry juice, and on the way that they wiped themselves after going to the toilet. However, there is little evidence for any of these measures and they are now not usually advised. Anything which increases your risk of urine infections which can be treated, should be treated. For example, any constipation should be treated promptly, as constipation can increase your chances of a bladder or kidney infection. See the separate leaflet called Constipation for more details. Doctors will try to treat anything else which might be contributing, such as kidney stones or an abnormality in the structure of the urinary system.
Pregnant women are regularly tested for urine infections and for germs in their urine. Even if they don’t have symptoms, if urine tests positive for germs, pregnant women are usually treated with antibiotics to prevent any complications.
In some cases people who have recurring urine infections are treated with a low dose of antibiotic continually. This may help to prevent recurrences and to prevent spread to the kidney.
Further reading and references
Why Should I Take The Full Dose
Antibiotics work well against UTIs. You might start to feel better after being on the medicine for just a few days.
But even so, keep taking your medicine. If you stop your antibiotics too soon, you wonât kill all the bacteria in your urinary tract.
These germs can become resistant to antibiotics. That means the meds will no longer kill these bugs in the future. So if you get another UTI, the medication you take might not treat it. Take the full course of your medicine to make sure all the bacteria are dead.
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Symptoms Of A Kidney Infection
Kidney infection symptoms usually appear about 2 days after initial infection and can vary between children and adults. Common symptoms among adults include:
- pain in your abdomen, back, groin, or side
- frequent urination or the sensation of needing to urinate
- burning or pain while urinating
- blood or pus in your urine
- cloudy or foul-smelling urine
In children under 2 years old, a kidney infection may only come with a high fever as a symptom. Adults over 65 may only experience mental confusion and jumbled speech as their symptoms.
If a kidney infection isnt treated swiftly or appropriately, symptoms can become severe and result in , which is a life threatening condition. Sepsis symptoms include:
Is It Safe To Take Antibiotics Long
While there are some common side effects and risk for creating antibiotic-resistant bacteria, it is safe to take antibiotics preventively under the guidance of your physician.
If you have recurring UTIs , you may benefit from a low-dose prophylactic antibiotic, Dr. Sussman said. Some may require intermittent treatment at the sign of symptoms, while others may require a single dose after sexual intercourse or when symptoms occur. However, its important you discuss the underlying causes with your doctor before being prescribed antibiotics prophylactically.
How Should This Medicine Be Used
Meropenem and vaborbactam injection comes as a powder to be mixed with liquid and injected intravenously . It is infused intravenously over a period of 3 hours every 8 hours for up to 14 days. The length of treatment depends on your general health and how well you respond to the medication. Your doctor will tell you how long to use meropenem and vaborbactam injection. After your condition improves, your doctor may switch you to another antibiotic that you can take by mouth to complete your treatment.
You may receive meropenem and vaborbactam injection in a hospital, or you may administer the medication at home. If you will be receiving meropenem and vaborbactam injection at home, your healthcare provider will show you how to use the medication. Be sure that you understand these directions and ask your healthcare provider if you have any questions.
You should begin to feel better during the first few days of treatment with meropenem and vaborbactam injection. If your symptoms do not improve or if they get worse, call your doctor.
Use meropenem and vaborbactam injection until you finish the prescription, even if you feel better. If you stop using meropenem and vaborbactam injection too soon or if you skip doses, your infection may not be completely treated and the bacteria may become resistant to antibiotics.
Ask your pharmacist or doctor for a copy of the manufacturer’s information for the patient.
How Do I Know If Analgesics Have Affected My Kidneys
Your doctor can check your kidneys by doing a simple blood test called a serum creatinine level. This test measures the amount of a waste product in your blood that is normally removed by your kidneys. If your kidneys are not working as well as they should, the creatinine level will be increased in your blood. The results of the serum creatinine test can be used to estimate your glomerular filtration rate . Your GFR number tells your doctor how much kidney function you have.
A urine test for the presence of protein may also be done. Persistent protein in the urine may be an early indication of kidney damage.
Principles And Method Of Guideline Update
This guideline was developed based on domestic and foreign clinical guidelines that could be referred to during the development period as well as recently published literature. This guideline may be subject to revisions if new antibiotic treatments for UTIs are developed or if important changes in the antibiotic resistance of causative bacteria of UTIs occur.
Who’s Most Likely To Get A Kidney Infection
Women and children are most at risk of developing a kidney infection, as well as other urinary tract infections such as cystitis.
Other factors can also put you more at risk of developing a kidney infection, including:
- having a condition that blocks, or obstructs, your urinary tract, such as kidney stones or an enlarged prostate children with constipation can also be at an increased risk
- being born with an abnormality in your urinary tract
- having a condition that prevents you emptying your bladder fully, such as an injury to your spinal cord this can allow bacteria in your bladder to multiply and spread
- having a weakened immune system for example, due to type 2 diabetes or as a side effect of chemotherapy
- having an infection of the prostate gland called prostatitis the infection can spread from the prostate gland into the kidneys
- having a urinary catheter
- being female and sexually active sexual intercourse can irritate the urethra and allow bacteria to travel into your bladder
- being pregnant this can cause physical changes that slow the flow of urine out of your body and make it easier for bacteria to spread to the kidneys
- having undergone female genital mutilation an illegal practice where a woman’s genitals are deliberately cut or changed for cultural, religious and social reasons
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How Do I Know If The Treatment Isnt Working
If the treatment isnt working, your symptoms will stay the same, get worse, or you will develop new symptoms. Call your doctor if you have a fever , chills, lower stomach pain, nausea, and vomiting. You should also call your doctor if, after taking medicine for 3 days, you still have a burning feeling when you urinate. If you are pregnant, you should also call your doctor if you have any contractions.
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What Are The Best Treatments For Kidney Infection Pain
A kidney infection is considered serious and usually needs to be treated by a medical professional to prevent it from spreading into the bloodstream. Most doctors start the treatment with antibiotics to get rid of the infection, but there are also kidney infection pain remedies that can be used at home to get rid of symptoms like nausea, pain during urination, and lower back tenderness until the antibiotics take effect. Drinking both cranberry juice and lots of water can help reduce pain, as can taking supplements like vitamin C. Of course, rest and hot compresses also often work, and can be done from home after getting medical treatment.
One of the main ways to start reducing pain from a kidney infection is to get antibiotics from the doctor. Most people are offered oral antibiotics to treat the issue, but some severe cases call for intravenous intake at a hospital or doctors office. Some people prefer to use garlic or Echinacea to help get rid of the bacteria, as these are both considered natures antibiotics, but a doctor should be consulted before anyone uses these in place of prescription antibiotics.
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