Diagnosis of kidney infection is based on clinical examination, symptoms and various tests. Based on clinical examination, history, and symptoms your doctor may decide to do certain tests. You may be asked to provide a urine sample for testing of bacteria, pus or blood in urine sample. Urine sample may also be sent for culture and antibiotic sensitivity test, which help in selecting appropriate antibiotic therapy for kidney infection. In some cases, your doctor may also ask for blood culture to determine if blood is also infected (septicemia). Other tests sometimes asked include, CT scan, ultrasonography, a special type of X-ray called voiding cystouretrogram.
Treatment of kidney infection:
Treatment of kidney infection should be done as inpatient in hospital, especially in severe cases. Treatment of kidney infection is mainly use of appropriate antibiotic. For selecting appropriate antibiotic, your doctor will ask for culture and antibiotic sensitivity test that tells which antibiotics can be used for treatment of kidney infection. However, before antibiotic sensitivity result is received, your doctor will prescribe antibiotics that are most commonly used for kidney infection, based on local trends and once the antibiotic sensitivity result is received, the antibiotic may be changed if required or kept same if it is found that the antibiotic already started is also highly sensitive.
How long you need antibiotic therapy depends on your overall health status, bacteria involved and your signs and symptoms. Usually the duration is more than a week of antibiotic therapy, although your symptoms start improving very fast once appropriate antibiotic administration is started. Always complete the whole course of treatment and never end the treatment before your doctor recommends.
Recurrent kidney infection:
Some patient may get recurrent kidney infection. In such patients, usually there is some underlying medical problem or anatomical defect in the urinary system. For such problems of recurrent kidney infection, you should consult kidney specialist (urologist or nephrologist). Because, you need to treat underlying problem (anatomical defect or other medical condition) to treat kidney infection satisfactorily.
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