Kidney infection - Treatment 

Treating kidney infection 

Seeing a specialist

Your GP may refer you to a hospital specialist called a urologist if they think there may be an underlying problem with your urinary tract that's making you more vulnerable to kidney infections.

Urologists are doctors who specialise in treating conditions that affect the urinary tract.

It's standard practice to further investigate all men with a kidney infection simply because the condition is much rarer in men. Only women who have had two or more kidney infections tend to be referred.

Once you've been diagnosed with a kidney infection, your GP will discuss your treatment with you.

Most people can be treated at home by taking a course of antibiotics and possibly painkillers too.

Antibiotics

If you're being treated at home, you will be prescribed a seven-day course of antibiotic tablets or capsules.

For most people, apart from pregnant women,  antibiotics called ciprofloxacin or Co-amoxiclav are usually recommended.

Common side effects of ciprofloxacin include feeling sick and diarrhoea.

Co-amoxiclav sometimes makes the contraceptive pill and contraceptive patches less effective, so you may need to use another form of contraception during the course of treatment.

A 14-day course of an antibiotic called cefalexin is recommended for pregnant women.

Contact your GP for advice if your symptoms fail to improve within 24 hours after starting to take antibiotics.

Painkillers

Taking a painkiller, such as paracetamol, should help to relieve symptoms of pain and a high temperature.

Drinking water

It's also important to drink plenty of fluids because this will help prevent you becoming dehydrated, and it will help to flush out the bacteria from your kidneys. Aim to drink enough so that you're frequently passing pale coloured urine.

Self-help tips

If you have a kidney infection, try not to ‘hover’ over the toilet seat when you go to the loo, because it can result in your bladder not being fully emptied.

Make sure that you get plenty of rest. A kidney infection can be physically draining, even if you're normally healthy and strong. It may take up to two weeks before you're fit enough to return to work.

Treatment at hospital

In some instances, you'll need to be treated in hospital rather than at home. Hospital treatment may be needed if:

  • you're severely dehydrated
  • you're unable to swallow or keep down any fluids or medications
  • you have additional symptoms that suggest you may have blood poisoning, such as a rapid heartbeat and losing consciousness
  • you're pregnant and you also have a high temperature
  • you're particularly frail and your general health is poor 
  • your symptoms fail to improve within 24 hours of starting treatment with antibiotics
  • you have a weakened immune system
  • you have a foreign body inside your urinary tract, such as a kidney stone or a urinary catheter you have diabetes
  • you're over 65 years old
  • you have an underlying condition that affects the way your kidneys work, such as polycystic kidney disease or chronic kidney disease

If you're admitted to hospital with a kidney infection, you'll probably be attached to a drip so that you can be given fluids to help keep you hydrated. Antibiotics can also be given through the drip.

You'll have regular blood and urine tests to monitor your health and monitor how effectively the antibiotics are fighting off the infection.

Most people respond well to treatment. As long as there are no complications, they're usually well enough to leave hospital within three to seven days.

Now, read about the complications of kidney infection.

  • show glossary terms
Antibiotics
Antibiotics are medicines that can be used to treat infections caused by micro-organisms, usually bacteria or fungi. For example amoxicillin, streptomycin and erythromycin.
Being sick
Vomiting is when you bring up the contents of your stomach through your mouth.
Dehydration
Dehydration is an excessive loss of fluids and minerals from the body.
Drip
A drip is used to pass fluid or blood into your bloodstream, through a plastic tube and needle that goes into one of your arteries or veins.
Fever
A high temperature, also known as a fever, is when a person's body temperature rises above the normal 37°C (98.6°F).
Heart
The heart is a muscular organ that pumps blood around the body.
Kidney
Kidneys are a pair of bean-shaped organs located at the back of the abdomen, which remove waste and extra fluid from the blood and pass them out of the body as urine.
Liver
The liver is the largest organ in the body. Its main jobs are to secrete bile (to help digestion), detoxify the blood and change food into energy.
Pain
Pain is an unpleasant physical or emotional feeling, which your body produces as a warning sign that it has been damaged.
Painkillers
Analgesics are medicines that relieve pain. For example paracetamol, aspirin and ibuprofen.
Urine test
Urinalysis/UA is when a urine sample is tested, usually to check for any signs of infection, or to check protein or sugar levels.
Vein
Veins are blood vessels that carry blood from the rest of the body back to the heart.

Last reviewed: 11/04/2011

Next review due: 11/04/2013

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