2014年7月18日星期五

Polycystic kidney disease patients should be alert to urinary tract infections

Urinary tract infections, Bukebufang, is the most important treatment of polycystic kidney disease. Polycystic kidney disease patients when combined cystitis mainly for urgency, dysuria and suprapubic pain, such as infection involving the upper urinary tract, may be associated with persistent high fever and low back pain. Clinically more difficult for the differential diagnosis of pyelonephritis and infected cysts. Urine culture positive, elevated white blood cell count, and response to conventional anti-infective therapy in favor of rapid diagnosis of pyelonephritis, and positive blood culture and local tenderness prompts cyst infection. The study found that 50% to 70% of patients at least once in a lifetime occurrence of urinary tract infections, especially common in women. When should it happen as long as possible to engage in the use of antibiotics in time, but a complete cure is difficult, and most of the development of renal abscess and sepsis, which required surgical resection or drainage after treatment. Past observations, polycystic kidney disease in patients with chronic hemodialysis, nearly 1/3 of the symptoms associated with urinary tract infections, despite the timely adoption of effective antibiotics, and extended treatment, but there are still patients with renal abscess, and sometimes even death.

In addition, if a patient suspected urinary tract infection may have occurred, it is timely for further examination, KUB urinary stones can be found in the location, size and number of renal abscess. CT scan of the renal abscess better detection sensitivity, patients with urinary tract infections have been merged, equipment inspection will increase the chance of sepsis patients, so retrograde pyelography should be avoided whenever possible.

More to tell you to be careful of the urinary tract infection in patients with polycystic kidney disease, you should be given high priority. Treatment of urinary tract infections, to take timely and effective treatment for patients with the actual situation, in order to avoid urinary tract infections caused by polycystic kidney disease exacerbations or relapses.

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