Re: Pyelonephritis in pregnancy with bacteremia

From: Bernard Cristalli (bcrist@club-internet.fr)
Thu Mar 12 22:51:13 1998


Luis Sanchez-Ramos, M.D. wrote: >
> To members of the list that can respond with supporting evidence other
> than "experience"
>
> Should pregnant patients with acute pyelonephritis and laboratory
> evidence of bacteremia (positive blood cultures) receive parenteral
> antibiotics for a longer period of time than those with negative blood
> cultures ?
>
> I am familiar with the publications on outpatient management for acute
> pyelonephritis and perhaps no need for performing blood cultures
> (Grimes).
>
--

Longer treatments are needed in case of important and persistent kidney lesions. Those lesions can't be known without a CT scan. Which is difficult during pregnancy.

--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm




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