Pregnancy and kidney infection

You have two kidneys, which 'clean' your blood by filtering out water and waste products to make urine. Around one in three women who get an acute kidney infection have symptoms of a bladder infection as well. In you have a severe kidney infection, your GP may recommend you go into hospital for further tests and treatment.
Your GP will usually prescribe antibiotics if he or she suspects that you have a kidney infection. In hospital, you may have a drip inserted into a vein in your hand or arm to give you fluids and antibiotics.
You may need to have surgery if tests show that you have an obstruction (such as a kidney stone) in your ureters or kidneys. You can access a range of our health and wellbeing services on a pay-as-you-go basis, including kidney treatment.
If you often get a kidney infection or a UTI, your GP may advise you to take a low dose of antibiotics every day.
If you have a kidney infection when you're pregnant, it may lead to complications, such as: kidney damage or even failure having a baby with a low birth weight premature labour blood poisoning If your GP suspects you have a kidney infection, he or she may send you for tests and treatment in hospital.
During pregnancy your body undergoes physical changes that can affect how well it gets rid of urine.
As your baby grows, your womb (uterus) puts pressure on your bladder and the tubes that carry urine from your kidneys to your bladder (ureters).
You will usually only need to go into hospital if you have severe symptoms of a kidney infection, or you're pregnant.
Urinary tract infection (UTI) is the name given to an infection of any part of your urinary system. If you have a healthy urinary tract, a UTI is unlikely to cause any serious damage to your kidneys. If you have an obstruction in your kidneys or urinary tract (such as kidney stones), this could be made worse by an infection.
During pregnancy, there are normal changes in the function and anatomy of the urinary tract. In addition to a complete medical history and physical examination, diagnosis of UTI is made by urine testing and culture for bacteria. American Congress of Obstetricians and Gynecologists.American Journal of Epidemiology, October 2004.
A urinary tract infection is an infection involving the organs that produce urine and carry it out of the body.
In pregnant women, temporary changes in the physiology and anatomy of the urinary tract make expectant mothers prime candidates for cystitis and pyelonephritis. Your doctor will ask you about your symptoms and whether you have had a urinary tract infection before. You will be asked to give a urine sample, which will be tested in a laboratory to see if it contains bacteria or other signs of infection. With proper treatment, most uncomplicated urinary tract infections can be cured in two to three days. People with upper tract infections are usually treated with a 10 to 14 day course of antibiotic therapy.
Call your doctor if you have frequent urination, an intense urge to urinate, discomfort during urination or other symptoms of a urinary tract infection. Once a woman has been cured of cystitis, she has a 20% chance of developing a second infection.
Disclaimer: This content should not be considered complete and should not be used in place of a call or visit to a health professional. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Anyone can get a kidney infection but it's most common in women and people who have an abnormal kidney.
Always read the patient information leaflet that comes with your medicine and if you have any questions, ask your pharmacist for advice. Bacteria and viruses can also be carried in your blood from other parts of your body to your kidney. A lower UTI is an infection of your bladder and urethra (the tube that carries the urine from your bladder and out of your body). This is also the case if you have a condition that may affect your kidneys (such as type 1 diabetes).

These include kidney enlargement, and compression of the ureters and bladder by the growing uterus. It happens when germs infect the system that carries urine out of the body -- the kidneys, bladder, and the tubes that connect them.
It is intended for general informational purposes only and does not address individual circumstances.
These structures include the kidneys, ureters (long, slender tubes connecting the kidneys with the bladder), bladder and urethra. Bacteria normally found in the intestine are the main cause of lower urinary tract infections.
Kidney and bladder infections can pose a serious risk to pregnant women and their unborn children, because they increase the risk of premature contractions or delivery and sometimes death of the fetus or newborn infant.
Your urine sample also may be sent to the laboratory to identify the specific type of bacteria and the specific antibiotics that can be used to eliminate the bacteria. Those with severe upper tract infections may require hospital treatment with antibiotics given through a vein (intravenously). You also should seek medical attention if you have symptoms of a kidney infection, such as fever, nausea, vomiting and pain in the side or back.
This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. This means that bacteria in the trapped urine can multiply and cause a kidney or bladder infection. In hospital, you may be given antibiotics and fluids through a drip into a vein (usually in your arm). An upper UTI is an infection of your kidneys and your ureters (the tubes that carry urine from your kidneys to your bladder).
It can also cause serious damage to your kidneys and sometimes septicaemia (blood poisoning).
And if there's a question you want to ask that hasn't been answered here, please submit it to us. Pyelonephritis may lead to preterm labor, severe infection, and adult respiratory distress syndrome. Other organisms may also cause UTI, including group B streptococcus, and sexually transmitted gonorrhea and chlamydia. Women with pyelonephritis in pregnancy often need to be hospitalized to receive intravenous (IV) antibiotics.
These bacteria spread from the anus to the urethra and bladder, where they grow, invade the tissue and cause infection.
Upper urinary tract infections usually occur because bacteria travel up from the bladder into the kidney. Also, the use of contraceptive diaphragms and spermicides may change the normal bacterial environment around the urethra and make infection more likely. Your doctor also will ask if you have any other medical problems, such as diabetes, which can make you more likely to develop infections. If you have a fever or other symptoms of an upper tract infection, your doctor may order a blood test to determine your white blood cell count. If you keep getting infections, you should talk to your doctor about using antibiotics after sex to lower the risk of developing urinary tract infections. Most uncomplicated lower tract infections are treated with a three-day course of antibiotics, although women who are pregnant, or who have diseases such as diabetes that suppress the immune system, usually need to take antibiotics for longer.
This is especially true if nausea, vomiting and fever increase the risk of dehydration and prevent the person from taking oral antibiotics. It is especially important for any pregnant woman who has symptoms of an upper or lower urinary tract infection to call her doctor immediately. If a woman has three or more episodes of cystitis within one year and the structure or anatomy of the urinary tract is normal, her doctor may prescribe a special antibiotic regimen to decrease the risk of future infections. This factsheet will focus on acute kidney infection, which tends to come on quickly but should go within a couple of weeks. The bacteria can enter your urethra and travel up into your bladder and will usually cause a lower UTI or cystitis. Hormonal changes in pregnancy and the extra fluid in your bloodstream mean that your kidneys are having to worker harder. The reason you’re given antibiotics in this way is so that they can enter your blood directly and reach the infection immediately. This is called a complicated infection and you will need to go into hospital for treatment.

It contains fluids, salts, and waste products, but it is free of bacteria, viruses, and fungi. Sometimes, they occur when bacteria travel from other areas of the body through the bloodstream and settle in the kidney.
Your GP may send your urine sample to a laboratory to find out which type of bacteria is causing the infection.
The bacteria can then travel up one or both of the tubes that connect your bladder to your kidneys (ureters) and cause a kidney infection.
Your immune system, which usually defends your body against infections, also changes when you’re pregnant (to stop it attacking your baby).
The quicker the antibiotics reach the infection, the quicker they can start to kill the bacteria. The tissues of the bladder are isolated from urine and toxic substances by a coating that discourages bacteria from attaching and growing on the bladder wall.
This means that a slight change in the normal functioning of your kidneys can increase your risk of having a urinary tract infection (UTI). Your doctor may decide to switch to antibiotic tablets as your symptoms improve and you’re ready to go home. But this will depend on your individual circumstances and the type of antibiotic treatment you have. A bladder infection is generally not a medical emergency -- but some people have a higher risk for complications. This includes pregnant women, the elderly, and men, as well as people with diabetes, kidney problems, or a weakened immune system.
Protein in your urine can suggest poor kidney function and bacteria in your urine can suggest a UTI. It's important to provide this urine sample so you can get treatment for an infection early to prevent any problems with your pregnancy. But pregnant women, some children, and recipients of kidney transplants should be treated to avoid a kidney infection. Typically, bacteria travel up the urethra to the bladder, where an infection can take hold. When it does happen, it's often related to another underlying medical condition, such as a kidney stone or an enlarged prostate. International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: a 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases.
Your health care provider may recommend drinking lots of fluids and emptying your bladder frequently to help flush out the bacteria. But severe kidney infections may require hospital care, including a course of intravenous antibiotics. If you have three or more a year, talk to your doctor about how to prevent or minimize these infections. UTIs and PregnancyDuring pregnancy, there are several factors that boost the risk of UTIs, especially a kidney infection.
Hormones cause changes in the urinary tract, and the uterus may put pressure on the ureters or bladder or both -- making it more difficult for urine to pass from the kidneys to the bladder and out. Untreated UTIs can contribute to preterm labor, so be sure to alert your doctor if you suspect you have an infection. UTIs and MenopauseEstrogen has a protective effect in the urinary tract, but levels of this hormone drop off significantly during menopause. UTIs and Hospital StaysA hospital stay can put you at risk for a UTI, particularly if you need to use a catheter.
Agitation, delirium, or other behavioral changes may be the only sign of a UTI in elderly men and women. Their muscles may not relax enough later to fully empty the bladder and flush away any bacteria. A small number of children have a structural problem that obstructs urine flow or lets urine flow back from the bladder to the kidneys, triggering chronic kidney infections.
Some studies suggest it can prevent, but not treat an infection, and is more effective in young and middle-aged women.

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