At a glance
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The EDGE Consortium: A Randomized Trial of Preoperative Prophylactic Antibiotics Prior to Percutaneous Nephrolithotomy: Part 1
In Brief
A Phase 4 clinical trial evaluating nitrofurantoin monohydrate/macrocrystalline capsules, ampicillin, and 3 other interventions for Nephrolithiasis and Urinary Tract Infections. Completed, enrolled 86 participants across 8 sites in 2 countries.
Detailed Summary
When patients are going to have surgery to remove large kidney stones (percutaneous nephrolithotomy \[PCNL\]), it is not clear whether the patients benefit from a course of prophylactic preoperative oral antibiotics; currently both the use of prophylactic preoperative oral antibiotics and no prophylactic oral antibiotics are considered to be within standard-of-care. This study will randomize patients to preoperative prophylactic antibiotics or no antibiotics to determine if the use of preoperative prophylactic antibiotics decreases the postoperative risk of localized urinary tract infection (UTI) and/or systemic infection that started in the urinary tract (sepsis or urosepsis).
Study Details
Timeline
Interventions
1 week course of preoperative nitrofurantoin monohydrate/macrocrystalline capsules 100 milligrams twice daily
IV (2 g)
IV (5 mg/kg)
IV (1 g)
IV (2 g)