Syndrome:  Pyelonephritis, complicated

Primary Therapy(s):

  • Ampicillin 2 gm IV q 6 hr + Gentamicin IV
  • Piperacillin/tazobactam

Alternate Therapy(s):

  • (Gentamicin or Aztreonam) + Vancomycin
  • Imipenem

Comments: Complicated pyelo includes patients with obstruction, stones, urologic instrumentation, etc.



Guideline Index         Guideline Table  

2nd generation cephalosporins--Cefuroxime, Cefpodoxime
Respiratory quionlones--Levofloxacin, Moxifloxacin