Abstract
A retrospective study of 104 dialysis candidates with end‐stage renal failure has shown this is rarely caused by pyelonephritis. A proportion of 8.7% of the patients had confirmed chronic pyelonephritis (chronic urinary tract infection). If chronic interstitial nephritis and pyelonephritis are considered as one group, this constituted 26% of the series. Most patients had glomerulonephritis (53.8%) and reached the end‐stage at a younger age than patients with pyelonephritis and chronic interstitial nephritis. The progression from moderate renal failure to end‐stage failure was more rapid in patients with glomerulonephritis than in those with pyelonephritis and interstitial nephritis. Working disability had not presented a major problem in this group of patients with severe renal failure.

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