Nyrebekkenbetennelse (pyelonefritt): Symptomer
Barn og eldre kan ha mer diffuse symptomer, som feber og nedsatt almenntilstand. Enkelte eldre har ikke feber, og noen har symptomer fra magen eller lungene. Voksne med nyrebekkenbetennelse får ofte feber og frostrier, dessuten mage- og ryggsmerter. Kvalme og brekninger er heller ikke uvanlig. I tillegg har mange symptomer fra de nedre urinveier (blærekatarr) i form av hyppig vannlating, svie ved vannlating og sterk trang til å tisse, men 20 prosent mangler slike symptomer.
Annonse
Dette dokumentet er basert på det profesjonelle dokumentet Nyrebekkenbetennelse, akutt . Referanselisten for dette dokumentet vises nedenfor
Referanser
- Herness J, Buttolph A, Hammer NC. Acute Pyelonephritis in Adults: Rapid Evidence Review. Am Fam Physician. 2020;102(3):173-180. PubMed
- Lewington A. Acute pyelonephritis. BMJ Best Practice, last updated 12 Jan 2023.
- Johnson JR, Russo TA. Acute Pyelonephritis in Adults published correction appears in N Engl J Med. 2018 Mar 15;378(11):1069. N Engl J Med. 2018;378(1):48-59. PubMed
- Colgan R, Williams M, Johnson JR. Diagnosis and treatment of acute pyelonephritis in women. Am Fam Physician 2011; 84: 519-26. American Family Physician
- Habak PJ, Griggs RP. Urinary Tract Infection in Pregnancy. StatPearls (Internet). Last update July 5, 2022. www.ncbi.nlm.nih.gov
- Talan DA, Takhar SS, Krishnadasan A, et al. Fluoroquinolone-Resistant and Extended-Spectrum β-Lactamase-Producing Escherichia coli Infections in Patients with Pyelonephritis, United States(1). Emerg Infect Dis. 2016;22(9):1594-1603. PubMed
- Helsedirektoratet. Nasjonal faglig retningslinje for antibiotika i primærhelsetjenesten nettdokument. Sist faglig oppdatert: 27.06.2024. Siden lest 04.09.2024. www.helsedirektoratet.no
- Karakonstantis S, Kalemaki D. Blood culture useful only in selected patients with urinary tract infections—a literature review. Infect Dis (Lond). 2018;50(8):584-592. PubMed
- van Nieuwkoop C, Hoppe BP, Bonten TN, et al. Predicting the need for radiologic imaging in adults with febrile urinary tract infection. Clin Infect Dis 2010; 51: 1266-72. PubMed
- Eliakim-Raz N1, Yahav D, Paul M, Leibovici L. Duration of antibiotic treatment for acute pyelonephritis and septic urinary tract infection-- 7 days or less versus longer treatment: systematic review and meta-analysis of randomized controlled trials. J Antimicrob Chemother 2013. doi:10.1093/jac/dkt177
- Norsk barnelegeforening. Vesikouretral refluks. Generell veileder i pediatri. Sist revidert 2021. Siden besøkt jan 2022. www.helsebiblioteket.no
- Søgaard KK, Veres K, Nørgaard M, et al. Pyelonephritis in persons after age 50 as a clinical marker of urogenital cancer. Clin Microbiol Infect 2018. pmid:29654872 PubMed
- Gupta K, Hooton TM, Naber KG, et al. International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: a 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Infect Dis 2011; 52: e103-e120.