Comparing the effectiveness of ciprofloxacin, ceftriaxone, and gentamicin for preventing bacteriuria after transurethral lithotripsy.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with middle and distal ureteral calculi with negetive urine culture that are going to undergo TUL (the maximum diameter of the stone is <2 cm) Age 18 to 65 years old.
Exclusion criteria
Exclusion criteria: Asymptomatic patients with colony count = 10 5 CFU/mL or a symptomatic UTI with colony count = 10 3 CFU/mL Patients with any catheter. Patients with preoperative fever (body temperature = 38°C) Patients with a history of diabetes. Patients with immunocompromised diseases or using immunosuppressive drugs Patients with abnormal renal function Patients who have received antimicrobial treatment within two weeks before enrollment Pregnant or breastfeeding women Patients who are allergic to our research drugs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Significant bacteriuria was defined asymptomatic patients with colony count = 10 5 CFU/mL or a symptomatic UTI with colony count = 10 3 CFU/mL. Timepoint: After 48 hour of surgery, routine urine tests and urine bacterial cultures, will be recorded. Method of measurement: Routine urine tests and urine bacteria culture are done in the Rahnemoun hospital laboratory.;Febrile urinary tract infection (fUTI) is defined as a body temperature of 38.5 C accompanying urinary tract infection after surgery. Timepoint: After 48 hour of surgery. Method of measurement: body temperature by thermometer will be recorded.;•SIRS criteria defined by: WBC 12000 , heart rate > 90 per minute , temperature 38 C , respiratory rate >20 or pCO2 < 32 . (Presence of two or more of these criteria is accepted as SIRS.). Timepoint: After 48 hour of surgery. Method of measurement: Routine urine tests and urine bacteria culture are done in the Rahnemoun hospital laboratory. | — |
Countries
Iran (Islamic Republic of)
Contacts
Yazd University of Medical Sciences