Diagnosis and therapy of urinary infections. What should always remember (clinical lecture). Part 2

Abstract

The clinical lecture presents the modern concepts of complicated infections of the kidneys and urinary tract. The principles of dividing infections into complicated and uncomplicated ones are considered in the lecture. Data are presented on the classification, epidemiology, etiology and pathogenesis of pyelonephritis, the features of the inflammatory process in the kidney depending on such pathogens as E. coli, pathogenic cocci, Pseudomonas infection. The modern possibilities of revealing reversible and irreversible inflammatory changes in the kidney, the pathogenesis of complications of acute purulent pyelonephritis are considered in details. Considerable attention is given to differential diagnosis of the nonspecific inflammatory process in the kidney and nephrotuberculosis. The role of urologists and general practitioners in assisting patients in outpatient and inpatient stages of diagnosis, treatment and rehabilitation has been clarified. (For citation: Borisov VV. Diagnosis and therapy of urinary infections. What should always remember (clinical lecture). Part 2. Urologicheskie vedomosti. 2017;7(4):60-66. doi: 10.17816/uroved7460-66).