A joint Medical-Urology pathway has been agreed for Pyelonephritis

Study Running  – Send Urine Sample prior to Antibiotics

(if this does not interfere with treatment of Red-Flag Sepsis)

Imaging in ED is only required if ED suspects:

• Ureteric Obstruction – Renal colic symptoms/Hx of stone
• Acute Surgical Abdomen
• Emphysematous pyelonephritis – Rare necrotising infection of the renal tract, presenting with flank pain and fever, 90% in uncontrolled diabetes mellitus (but immunocompromise and stones also increase chances)
• Renal Abscess – Presents with flank pain and fever, risk factors include; diabetes mellitus, Renal stones, obstruction

Antibiotic links

• Sepsis – Click Here
• Site Specific – Click Here