Persistent or recurring bacterial infection of the kidney and its drainage system, causing inflammation and potential scarring.
For renal dysfunction ratings, laboratory records showing GFR, estimated GFR (eGFR), or creatinine-based GFR calculations are central. VA accepts these when calculated by a medical professional. Records should document values measured at least three consecutive months during the past 12 months. Results showing RBC casts, WBC casts, granular casts, structural kidney abnormalities, or an albumin-to-creatinine ratio of 30 mg/g or higher are relevant to the 0% level.
For urinary tract infection ratings, hospital admission records showing how many times per year you were hospitalized for infection matter, as do records of stent or nephrostomy tube placement, nephrostomy tube care, or documentation of continuous intensive management. Pharmacy and treatment records showing suppressive drug therapy, including how long it lasted, support the 10% and 0% levels. Statements from you or those who know you describing how frequent infections affect your work, daily activities, or ability to leave home can help show the severity and frequency of your symptoms.
Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.