Acute Pyelonephritis

NHSL Antimicrobial Guidelines
NHS Lanarkshire

Acute pyelonephritis

CKS: Pyelonephritis - acute

If admission not needed, send MSU for culture & susceptibility and start antibiotics.

If no response within 24 hours, admit.

If ESBL risk and with microbiology advice consider IV antibiotic via outpatients (OPAT).

Drug details

Drug

Ciprofloxacin

Dosage

500mg BD

Duration

7 days

Drug

Or
Co-amoxiclav

Dosage

500/125mg TDS

Duration

7 days

Drug

If lab report shows sensitive:
Trimethoprim

Dosage

200mg BD

Duration

14 days

Editorial Information

Last reviewed: 22/03/2021

Next review date: 22/03/2024

Author(s): NHS Lanarkshire Antimicrobial Management Committee, Dr Dundas, Dr Hylands, S McCormick.

Approved By: AMC; ADTC

Reviewer name(s): NHS Lanarkshire Antimicrobial Management Committee.