A Cross-Sectional Study on Epidemiology, Clinical Profile of Acute Pyelonephritis among Adults in a Tertiary Care Hospital
Abstract: Introduction: Acute pyelonephritis (APN) is a significant urinary tract infection posing substantial morbidity and mortality risks. While global statistics on APN abound, regional data remain scarce. Methods: A comprehensive cross-sectional analysis was undertaken at Chengalpattu Medical College, spanning 18 months, with a cohort of 107 participants exhibiting signs of APN. Our methodology meticulously covered various parameters, including clinical presentations, prevalent comorbidities, the entirety of blood and urine investigations, diverse radiological assessments, and a range of medical interventions. Additionally, the final health outcomes of the participants were recorded. Results: 67.29% of the cohort were females with an average age of 42.76 years. Flank pain was reported by 66.3%, and Diabetes Mellitus was a notable comorbidity in 63.5%. Escherichia coli was the primary causative agent in 60.74% of cases. Treatment varied: 42.05% received conservative care, 46.7% had Double J stent placements, and 11.21% underwent percutaneous nephrostomy. A 2.8% mortality rate was observed. Conclusions: This study highlights APN's complexities, emphasizing gender disparities, the role of Escherichia coli, and diverse treatment outcomes. It provides crucial regional insights, promoting a nuanced and patient-specific approach to care.
Keywords: Acute Pyelonephritis, Clinical presentation, CT Scan, Urinary Tract Infection
How to Cite?: Prabhu Elumalai, Srikala Prasad, Sudhakaran Selvaraj, Senthilkumar Sivalingam, Ramesh Ganapathy, Ananda kumar Ilangovan, "A Cross-Sectional Study on Epidemiology, Clinical Profile of Acute Pyelonephritis among Adults in a Tertiary Care Hospital", Volume 12 Issue 10, October 2023, International Journal of Science and Research (IJSR), Pages: 528-531, https://www.ijsr.net/getabstract.php?paperid=SR231005192637, DOI: https://dx.doi.org/10.21275/SR231005192637