Pyelonephritis
Conditions
Brief summary
The objective of this study is to explore the kinetics of biomarkers in 30 adult female patients with uncomplicated acute pyelonephritis.
Detailed description
We will measure c-reactive protein, procalcitonin, pyuria and a new blood biomarker (Signature TM) everyday till normalization of these markers in 30 adult female patients with uncomplicated acute pyelonephritis.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* \> 18 years * Flank/loin pain or tenderness, or both and fever \> 38°C during the last 48 hours and pyuria
Exclusion criteria
* Pregnancy * Presence of indwelling catheters * Known polycystic kidney disease or any malformation of the urinary tract, or single kidney; renal transplant recipients; acute or chronic renal failure requiring dialysis * Recent discharge from hospital (during the last 10 days); ongoing antibiotic treatment * Known severe immunosuppression: Receiver of solid-organ or hematopoietic stem cells transplants; neutropenia ( \< 1 G neutrophils / L); chronic (more than 14 days) use of systemic glucocorticoids (\>10 mg/d of prednisone); active use of immunosuppressive therapy for the treatment of auto-immune or inflammatory disease; HIV infection with \< 350 CD4+ cells / ml or unknown CD4+ status * Pyelonephritis initially identified as complicated: obstruction of urinary tract, urinary stone; history of renal infection in the last 15 days * Patient with severe sepsis or septic shock
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood and urine biomarkers (procalcitonin, C-reactive protein, SIGNATURE(TM) test, pyuria | Daily till day 15. |
Countries
Switzerland