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Management of Patients with Clinically Suspected Pyelonephritis in a Resource Poor Setting

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dc.contributor.author Weerasekera, M.
dc.contributor.author Fernando, S.S.N.
dc.contributor.author Welgamage, T.
dc.contributor.author Premarathna, K.
dc.contributor.author Wijesuriya, T.M.
dc.contributor.author Ranasinghe, N.
dc.date.accessioned 2017-03-21T08:50:07Z
dc.date.available 2017-03-21T08:50:07Z
dc.date.issued 2015
dc.identifier.citation Weerasekera, M., Fernando, S.S.N., Welgamage, T., Premarathna, K., Wijesuriya, T.M., & Ranasinghe, N. (2015). Management of Patients with Clinically Suspected Pyelonephritis in a Resource Poor Setting. Journal of the Ceylon College of Physicians, 46, 16-18. en_US, si_LK
dc.identifier.issn 2448-9514
dc.identifier.uri http://dr.lib.sjp.ac.lk/handle/123456789/4464
dc.description.abstract Background: This study aimed to determine the aetiology, antimicrobial susceptibility pattern and the clinical response to antibiotics in pyelonephritis. Methods: Bacterial culture and ABST, clinical response and onset of renal failure were analyzed in 240 clinically suspected pyelonephritis patients admitted to Medical Units at Base Hospital, Tangalle. Results: Of the 240 patients 61% had culture positive UTI mainly due to E. Coli (94%). Pathogens were 100% sensitive to meropenem, imipenem and amikacin while it showed 96%, 93%, 85%, 81%, 60%, 36%, 13% sensitivity for nitrofurantoin netilmicin, gentamicin, co amoxiclav, ceftriaxone, ciprofloxacin and ampicillin. The average duration of fever in days after administration of IV antibiotic was: gentamicin 1.66, co amoxiclav 1.98, ceftriaxone 2.14, and ciprofloxacin 2.34. Conclusion: Gentamicin was the most clinically effective antibiotic from the antibiotics used for the treatment of pyelonephritis in the selected patient population. en_US, si_LK
dc.language.iso en en_US, si_LK
dc.publisher Ceylon College of Physicians, Rajagiriya en_US, si_LK
dc.subject pyelonephritis en_US, si_LK
dc.subject gentamicin en_US, si_LK
dc.subject uropathogens en_US, si_LK
dc.subject Sri Lanka en_US, si_LK
dc.title Management of Patients with Clinically Suspected Pyelonephritis in a Resource Poor Setting en_US, si_LK
dc.type Article en_US, si_LK


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