Urine test changes may flag infection risk after kidney stone surgery
NCT ID NCT07238673
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study examined 346 adults who had kidney stone surgery to see if changes in their urine white blood cells and nitrite levels before the operation could predict serious infections like fever or sepsis afterward. The goal was to find a faster, simpler way to identify high-risk patients than waiting for standard urine culture results. The findings could help doctors adjust antibiotics or care plans before surgery to prevent complications.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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346 people
The number who actually took part.
- Started
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Mar 2021
- Finished
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Jul 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
This study was based on a prospectively maintained observational cohort of patients undergoing PCNL at the Department of Urology, The First Affiliated Hospital of Guangzhou Medical University, between March 2021 and July 2025
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years * Renal stone diameter ≥ 2 cm, or complex renal stones, or failure of extracorporeal shock-wave lithotripsy (ESWL) * American Society of Anesthesiologists (ASA) physical status class I or II * Positive outpatient midstream urine culture Exclusion Criteria: * Age \< 18 years * Fever on admission * Concomitant renal tumor; Active, symptomatic urinary tract infection * Use of antibiotics for other reasons within 1 month prior to admission * Preoperative indwelling ureteral stent, nephrostomy tube, or double-J stent * Uncontrolled diabetes mellitus * Chronic kidney disease stage IIIa or higher (eGFR \< 60 mL/min/1.73 m²) * Ongoing immunosuppressive therapy; Simultaneous bilateral renal stone surgery * Severe comorbidities (e.g., respiratory or circulatory failure) that preclude anesthesia or surgery * Pregnancy or lactation
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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The First Affiliated Hospital of Guangzhou Medical University
Guangzhou, GuangGong, 510500, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Two cheap blood ratios put to the test as sepsis death predictors
- Can a computer model speed up sepsis blood tests?
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- Kidney stone surgery without a hospital stay: can it be done safely?
- Stem cells put to the test against Sepsis's immune chaos