ANAMNESTIC AND CLINICO-LABORATORY FACTORS ASSOCIATED WITH RISK OF DEVELOPING RECURRENT PYELONEPHRITIS

The aim of the research was to define anamnestic and clinical and diagnostic factors leading to recurrent pyelonephritis. The research studied and analyzed the risk and predisposing factors for complicated infection, the clinical features, diagnostic testing, and causative organisms for recurrent pyelonephritis, concomitant gynecologic pathology and the number of kidney scars within 175 women with recurrent pyelonephritis. The patients were divided into two groups in accordance with the frequency of recurrences. The microbial urogenital system spectrum of 98 women with recurrent pyelonephritis (group 1) was compared with 77 women with sporadic pyelonephritis (up to 2 times per year) (group 2). The frequency of recurrent pyelonephritis is closely connected with predisposing factors and complicated infection (such as postmenopausal age, microlithiasis, and nephroptosis and so on) (R=0,18; p=0,02), frequency of sexual intercourse (χ2 =5,05; р=0,03), maternal history of urinary tract infection (χ2 =24,9; р