[Bacteriology of urinary germs responsible of pyelonephritis].

Abstract

Cytobacteriological examination of urine is indispensable in patients with acute or chronic pyelonephritis. Direct examination through the microscope is fundamental in acute pyelonephritis where immediate antibiotic therapy is mandatory. A significant bacteriuria points to an obstacle to urine flow. Escherichia coli is the most common pathogen in acute and chronic pyelonephritis. Isolating a Proteux strain suggests that lithiasis is present. Pseudomonas aeruginosa always has a nosocomial origin and is often responsible for chronic asymptomatic pyelonephritis. Staphylococci and enterococci may produce pyelonephritis, notably when it is associated with urinary stones. Since hospital- or community-acquired strains of E. Coli are strongly resistant to aminopenicillins and cotrimoxazole, these antibacterials must not be used as first-line treatment of pyelonephritis.

• Authors: J Guibert
• Journal: La Revue du praticien (Rev Prat) Vol. 43 Issue 9 Pg. 1081-5 (May 01 1993) ISSN: 0035-2640 [Print] France
• Vernacular Title: Bactériologie des germes urinaires responsables des pyélonéphrites.
• PMID: 8378715 (Publication Type: English Abstract, Journal Article)

Topics

• Acute Disease
• Bacteriological Techniques
• Bacteriuria (microbiology)
• Child
• Chronic Disease
• Female
• Humans
• Pregnancy
• Pregnancy Complications, Infectious
• Pyelonephritis (microbiology)