As we all know Polycystic Kidney Disease (PKD) has various complications and
urinary tract infection is one of the most common complications. So many
patients want to know what should they do if PKD is complicated by urine tract
infection. In clinical, the urine tract infections include cystitis,
pyelonephritis, cysts infection and perinephric abscess. As for about 20 percent
PKD patients, urinary tract infection is the earliest complication among the
various complications of PKD. There are 50-70 percent of patients who are
attacked by urinary tract infection once or more, and this complication is more
common among women. When urinary tract infection occurs, patients had better
prolong the time of taking antibiotics, however, it is hard to cure this
complication completely and most of the urinary tract infection will develop to
perinephric abscess and ichorrhemia, which have to be treated by surgical
operations or drainage. According to clinical observations, 1/3 of PKD patients
with chronic haemorrhagia are accompanied with urinary tract infection. Though
patients have adopted antibiotic in time and prolonged the time of taking
antibiotic, there are still some patients who are attacked by perinephric
abscess and some patient even die because of this. So it is really very
important to prevent and treat the urinary tract infection.
How to prevent and find the urinary tract infection in time? What are the
symptoms of urinary tract infection? When PKD patients are accompanied with
cystitis, their main symptoms include urgent urination, odynuria and pubis bow
area pain. If the cystitis affected the upper urinary tract, there are the
symptoms of persistent high fever and backache. In clinical, it is very hard to
make the differential diagnosis of pyelonephritis and cysts infection. Generally
speaking, positive urine culture, increase of leukocyte in blood and the rapid
reaction to routine anti-infective treatment are the signals of pyelonephritis.
While positive blood culture and local tenderness are the signals of cysts
infections.
When PKD patients doubt they are accompanied with urinary tract infection,
they should adopt imagining examinations. By abdominal plain film we can find
the position and size and amount of urinary tract stones and the perinephric
abscess. While CT examination has good sensitivity to perinephric abscess. As
for patients who are accompanied with urinary tract infections apparatus
examinations will increase the possibility of getting ichorrhemia. So patients
had better avoid the pyelogram.
As for the treatment of urinary tract infection, the key point is adopting
effective antibiotic. As for patients who have repeated urinary tract infection,
it is effective to adopt antibiotic to prevent from infection. When the
apparatus examination is inevitable, patients should antibiotic before 24 hours
to prevent from infection.
Patients must pay great attention to the urinary tract infections and
understand the relations between PKD and urine tract infections. On one hand,
urine tract infections is one of the complications of PKD and PKD can easily
cause urine tract infections. On the other hand, infection is one of the most
dangerous factors for PKD, for infections may further aggravate the condition of
PKD. So, in daily life, patients should develop good health habit to keep clean
and to prevent infections. And once be diagnosed as urine tract infection, they
should take treatment to prevent the infections from affecting the condition of
PKD and avoid the vicious circle between them.
At present, the most common therapy for urinary tract infection is using
antibiotics. But patients must take them under the directions of doctors and
avoid abusing them. In addition, patients should also pay attention to the
side-effects of medicines to avoid the medicine containing renal toxin. If you
have any other questions, please contact us on-line or by email.
Email Address: kidney-treatment@hotmail.com
