Skip to main content
Journal cover image

Treatment of pyelonephritis in an observation unit.

Publication ,  Journal Article
Ward, G; Jorden, RC; Severance, HW
Published in: Ann Emerg Med
March 1991

STUDY OBJECTIVE: To determine the feasibility of managing patients with acute pyelonephritis as outpatients after initial treatment with IV antibiotics in an emergency department observation unit. DESIGN: Prospective and uncontrolled. SETTING: ED observation unit. TYPE OF PARTICIPANTS: Nonpregnant female patients 14 years old or older without immunocompromise or serious underlying disease and no evidence of septic shock. INTERVENTIONS: All patients received two IV doses of trimethoprim/sulfamethoxazole at a 12-hour dosing interval and promethazine and acetaminophen as needed for nausea and fever, respectively. Baseline laboratory data, urinalysis, and urine and blood cultures were obtained. MEASUREMENTS AND MAIN RESULTS: Patients were observed for signs of septic shock, nausea, vomiting, and the ability to tolerate an oral intake. At the end of the observation period, 43 of 44 patients were discharged on oral trimethoprim/sulfamethoxazole. One additional patient who was doing well clinically was recalled and admitted because of a positive blood culture. CONCLUSION: Patients with acute pyelonephritis, despite significant fever or nausea and vomiting, can be treated effectively as outpatients after a brief period of observation and IV antibiotics.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Ann Emerg Med

DOI

ISSN

0196-0644

Publication Date

March 1991

Volume

20

Issue

3

Start / End Page

258 / 261

Location

United States

Related Subject Headings

  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Pyelonephritis
  • Prospective Studies
  • Middle Aged
  • Injections, Intravenous
  • Humans
  • Female
  • Feasibility Studies
  • Emergency Service, Hospital
  • Emergency & Critical Care Medicine
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ward, G., Jorden, R. C., & Severance, H. W. (1991). Treatment of pyelonephritis in an observation unit. Ann Emerg Med, 20(3), 258–261. https://doi.org/10.1016/s0196-0644(05)80935-7
Ward, G., R. C. Jorden, and H. W. Severance. “Treatment of pyelonephritis in an observation unit.Ann Emerg Med 20, no. 3 (March 1991): 258–61. https://doi.org/10.1016/s0196-0644(05)80935-7.
Ward G, Jorden RC, Severance HW. Treatment of pyelonephritis in an observation unit. Ann Emerg Med. 1991 Mar;20(3):258–61.
Ward, G., et al. “Treatment of pyelonephritis in an observation unit.Ann Emerg Med, vol. 20, no. 3, Mar. 1991, pp. 258–61. Pubmed, doi:10.1016/s0196-0644(05)80935-7.
Ward G, Jorden RC, Severance HW. Treatment of pyelonephritis in an observation unit. Ann Emerg Med. 1991 Mar;20(3):258–261.
Journal cover image

Published In

Ann Emerg Med

DOI

ISSN

0196-0644

Publication Date

March 1991

Volume

20

Issue

3

Start / End Page

258 / 261

Location

United States

Related Subject Headings

  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Pyelonephritis
  • Prospective Studies
  • Middle Aged
  • Injections, Intravenous
  • Humans
  • Female
  • Feasibility Studies
  • Emergency Service, Hospital
  • Emergency & Critical Care Medicine