Pyelonephritis in pregnancy - Treatment options for optimal outcomes

Acute pyelonephritis is one of the most common indications for antepartum h ospitalisation. When acute pyelonephritis is diagnosed, conventional treatm ent includes intravenous fluid and parenteral antibacterial administration. There are limited data by which to assess the superiority of one antibacte rial regimen over the other in terms of efficacy, patient acceptance and sa fety for the developing fetus. There is a small body of evidence to support the ambulatory treatment of pregnant women with pyelonephritis in the firs t and early second trimesters.