Nephrolithiasis
Conditions
Brief summary
Efficacy of ciprofloxacin therapy in avoidance of sepsis in patient undergoing percutanous nephrolithotomy. A randomized controlled trial.
Detailed description
To figure out the value of oral ciprofloxacin medication in ameliorate the outcome of renal nephrolithiasis extraction via the endoscope as regard the sepsis.
Interventions
drug adminstration to ameliorate sepsis incidence
levofloxacin pill
Sponsors
Study design
Intervention model description
Efficacy of ciprofloxacin therapy in sepsis avoidance.
Eligibility
Inclusion criteria
* 1\. Patient 18 years or older * Stones ≥ 2 cm and/or mild to moderate hydronephrosis * Sterile mid urine stream
Exclusion criteria
* Patients with a stent, nephrostomy tube or indwelling catheter * Renal failure * Fever before surgery * Previous manipulation/procedure * Concomitant bladder stone or tumour * Patients with active UTI * Contralateral renal/ureteric stone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effect of ciprofloxacin versus levofloxacin duration before PCNL | 12 months | To evaluate whether 7 days of ciprofloxacin or levofloxacin before PCNL, can reduce upper urinary tract infection and urosepsis after PCNL. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| differences between Culture and sensitivity (C&S) of Preoperative urine (MSU) and intraoperative renal pelvic urine | 12 months | Compare the difference between C&S of Preoperative urine (MSU) and intraoperative renal pelvic urine and extracted stone, in predicting the upper urinary tract infection and urosepsis. |
| predictors of systemic inflammatory response syndeome (SIRS) and sepsis post PCNL. | 12 months | assess the risk factors for SIRS and sepsis in PCNL. |
Countries
Egypt