Leeds Acute Upper Urinary Tract Infection (Pyelonephritis) Pathway
1 Background Information / Scope of Pathway
Quick info:
This pathway has been developed jointly by the Leeds CCG planned care leads, Continence Urology and Colorectal Service (CUCS)
and consultants from Urology, Urogynaecology and Elderly Medicine within LTHT.
2 Development & Updates to this Pathway
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Developed November 2014
3 Presents With Acute Upper Urinary Tract Infection Symptoms
Quick info:
GP Information:
- Fever
- Loin Pain
- Rigors
- Systemically Unwell
6 Unlikely Upper Urinary Tract Infection Manage Accordingly
Quick info:
Consider other causes of sepsis and manage accordingly
7 Systematically Unwell or High Risk Patient Refer as Emergency Admission
Quick info:
Arrange admission via PCAL
Primary Care Access Line (PCAL)
Telephone: 0113 2065996
Operational Hours
Monday - Friday: 7.00am to 10.00pm
Weekends and Bank Holidays: 8.00am to 10.00pm
8 Empirical Management
Quick info:
GP Information:
Treat with antibiotics
Please see LHP for prescribing guidance: Upper UTI (Acute pyelonephritis) in Adult Men Upper UTI (Acute pyelonephritis) in Adult Women
10 Clinical Deterioration or Failure to Respond Refer as Emergency Admission
Quick info:
Arrange admission via PCAL
Primary Care Access Line (PCAL)
Telephone: 0113 2065996
Operational Hours
Monday - Friday: 7.00am to 10.00pm
Weekends and Bank Holidays: 8.00am to 10.00pm
20 No Abnormality
Quick info:
GP Information:
Referral to Urology if any recurrence
Key Dates
Published: 21-Nov-2014, by Leeds
Valid until: 31-Aug-2016
References
This is a list of all the references that have passed critical appraisal for use in the care map Urology - Acute pyelonephritis
Reference
- Grabe M, Bishop MC, Bjerklund-Johansen TE. Guidelines on urological infections. The Netherlands: European Association of Urology; 2009. http://www.uroweb.org/fileadmin/tx_eauguidelines/2009/Full/Urological_Infections.pdf
- Scottish Intercollegiate Guidelines Network (SIGN). Management of suspected bacterial urinary tract infection in adults. Edinburgh: SIGN; 2006.
http://www.sign.ac.uk/pdf/sign88.pdf - Clinical Knowledge Summaries (CKS). Pyelonephritis - acute. Version 1.0. Newcastle upon Tyne: CKS;
2009. - Map of Medicine (MoM) Clinical Editorial team and Fellows, and independent reviewers. London: MoM;
2011. - Neumann I, Moore P. Pyelonephritis (acute) in non-pregnant women. Clin Evid (Online ) 2011; 2011:
http://www.ncbi.nlm.nih.gov/pubmed/21477395 - Health Protection Agency (HPA). Management of infection guidance for primary care for consultation and local adaptation. London: HPA; 2010. http://www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1279888711402
- The Royal College of Physicians (RCP), the Academy of Medical Royal Colleges (AMRC). A clinician's guide to record standards - Part 1: Why standardise the structure and content of medical records?. London: Digital and Health Information Policy Directorate; 2008.
http://www.aomrc.org.uk/publications/reports-guidance/doc_download/215-a-clinicians-guide-to-record- standards-part-1.html - The Royal College of Physicians (RCP), the Academy of Medical Royal Colleges (AMRC). A clinician's guide to record standards - Part 2: Standards for the structure and content of medical records and communications when patients are admitted to hospital. London: Digital and Health Information Policy Directorate; 2008.
http://www.aomrc.org.uk/publications/reports-guidance/doc_download/216-a-clinicians-guide-to-record- standards-part-2.html - National Institute for Health and Clinical Excellence (NICE). Venous thromboembolism: reducing the risk.
Reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital. Clinical guideline 92. London: NICE; 2010. http://guidance.nice.org.uk/nicemedia/live/12695/47195/47195.pdf - Vouloumanou EK, Rafailidis PI, Kazantzi MS et al. Early switch to oral versus intravenous antimicrobial treatment for hospitalized patients with acute pyelonephritis: a systematic review of randomized controlled trials. Curr Med Res Opin 2008; 24: 3423-3434.
http://www.ncbi.nlm.nih.gov/pubmed/19032124