In diabetic patients and pregnant women, as well as in people with spinal paralysis, follow-up should include a urine culture at the completion of antibiotic therapy to ensure that bacteria are no longer present in the urine.
Expectations (prognosis):
Most cases of pyelonephritis resolve without complication after the treatment. However, the treatment may need to be aggressive or prolonged. If sepsis occurs, it can be fatal.
Call your health care provider if symptoms suggesting pyelonephritis occur.
If you have pyelonephritis, call your health care provider if new symptoms develop, especially decreased urine output, persistent high fever, or severe flank pain or back pain.
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