Acute Pyelonephritis

Acute pyelonephritis


If admission not needed, send MSU for culture & susceptibility and start antibiotics.

If no response within 24 hours, admit.

If ESBL risk and with microbiology advice consider IV antibiotic via outpatients (OPAT).


500mg BD

7 days

or co-amoxiclav

500/125mg TDS

7 days

If lab report shows sensitive: trimethoprim

200mg BD

14 days