Pyelonephritis in Dogs Page 2

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In-depth Information Therapy

Stable dogs can be treated as outpatients as long as they are monitored closely. With appropriate therapy, most patients do quite well, and can expect to see a full recovery. In more chronic cases, response to therapy can take longer and occasionally response may be poor. It is important that you follow all recommendations by your veterinarian very closely, and that you address any questions or concerns that arise during the treatment protocol immediately.

  • Correction of any underlying predisposing factors such as ectopic ureters, urolithiasis or prostatitis is imperative to treatment.
  • Antibiotic therapy selected on the basis of bacterial culture and sensitivity of the urine or renal tissue is the most important part of therapy. It is important to administer all medication as directed by your veterinarian. Usually, a treatment protocol of at least four to six weeks is indicated.
  • Dietary modification is recommended in animals with concurrent kidney failure or urolithiasis.
  • Hospitalization, intravenous fluid therapy, and antibiotic administration may be necessary in certain cases of pyelonephritis.
  • Surgical intervention may be necessary in cases of pyelonephritis that are associated with or secondary to urinary calculi.
  • Follow-up Care for Dogs with Pyelonephritis

    Optimal treatment for your dog requires a combination of home and professional veterinary care. Follow-up can be critical, especially if your pet does not rapidly improve.

    Unresolved pyelonephritis may lead to kidney failure; therefore, diagnostic follow-up is important to document the resolution of pyelonephritis. Administer all prescribed medication as directed. Alert your veterinarian if you are experiencing problems treating your pet.

    Repeat the urine culture and urinalysis approximately seven to ten days into treatment, and one to two weeks after the entire course of treatment has been completed. It is important to obtain urine cultures every two to three months until three negative cultures are obtained. If at any point the culture is positive, an additional course of antibiotics, often longer than the original course, is generally recommended. Infection may persist in some animals despite appropriate, repeated courses of antibiotics.

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