INFECTIOUS AND INFLAMMATORY RENAL DISEASES IN PREGNANT WOMEN: DIAGNOSIS AND TREATMENT

Objective. To evaluate the efficiency of diagnosis of acute pyelonephritis in pregnant women, the possibility of differential diagnosis of its serous and purulent forms, and the effectiveness of their treatment. Subjects and methods. Cases of acute pyelonephritis were analyzed in 150 pregnant women over the past 5 years. Results. The authors specified risk factors for pyelonephritis and analyzed operations performed in case of ineffective medical therapy and pyodestructive inflammation: nephrectomy in 10.7% of the patients; renal carbunclectomy in 24.7%, and ureteral stenting to recover impaired urine passage in 39.5%. Conclusion. It is important to timely diagnose and treat asymptomatic bacteriuria for the prevention of complications and, in case of acute pyelonephritis, to timely perform surgical treatment for its pyodestructive forms.

acute pyelonephritis, pregnancy, renal carbuncle, ureteral stenting