Clinical Trials Logo

Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT06437379
Other study ID # Infection Control Measures
Secondary ID
Status Active, not recruiting
Phase N/A
First received
Last updated
Start date September 1, 2023
Est. completion date January 1, 2025

Study information

Verified date March 2024
Source Assiut University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

To evaluate the effect of implementing teaching protocol on nurse's knowledge and practice regarding infection control measures for patients undergoing Percutaneous Nephrolithotomy.


Description:

Percutaneous Nephrolithotomy (PCNL) is a surgery to remove kidney stones that are too large to pass on their own. Percutaneous" means that the procedure occurs through the skin. "Nephrolithotomy" means the removal of a calculus (kidney stone) from a kidney . Percutaneous Nephrolithotomy is typically recommended when kidney stones are larger than 0.8 inch (2 centimeters) in diameter. . Percutaneous Nephrolithotomy (PCNL) has altered dramatically the management of urolithiasis. In fact, these treatment modalities have nearly 99% success rates for treatment of upper urinary tract stones. . There were several complications related to Percutaneous Nephrolithotomy such as fever (23%) and bleeding necessitating transfusion (12%). Extravasation was seen in 7% of patients and transient ureteral obstruction in 6%. The complications limit surgical outcome of PCNL. Infection remains the most common complication arising from this procedure and some patients develop septicemia and septic shock, resulting in increased mortality and morbidity. So, the success of the Percutaneous Nephrolithotomy depends on the maintenance of infection control precautions. This is why investigator looked at this study. Knowledge of the nurse of percutaneous nephrolithotomy care was of crucial importance and had an impact on nurse's practice. The main goal of care was to prevent infection undergoing the percutaneous nephrolithotomy The nurses' role preventing infection for patient undergoing (PCNL) and mainly maintain the sterile field and after operation safety removing (PPE), washing instruments used during operation all of that resulting in positive surgical outcomes Infection control is an important concern for health care professionals specially nurses. Nurses have higher risk for both self-acquiring and transmitting infections to other patients infection control practices form the backbone of nurse's. Nurses has the distinctive opportunity to reduce hospital - acquired infections by utilizing the skills and knowledge about infection control measures, they can facilitate patient recovery while minimizing complications related to infections. Compliance with infection control and sterile technique principles will be prevent nosocomial infections in the operating room, and the patient's hospital stay being shorter and a reduced cost for the medical aids and hospitals . the investigators searched for this topic in many sites such as PubMed Central, Research Gate, and Science.gov.The current topic was not covered in the previous studies. Previous studies did not include specific point about this topic but include general point about PCNL and this strong rational for this study. This study will be carried out to evaluate the knowledge and practice about standard precautions and infection control measures and to explore education needs of nurses. Generally, programs of healthcare education vary greatly in their contents and approaches .Various forms of visual aids are currently used in healthcare education including illustrations such as photographs and animations such as computer -generated clips and video clips.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 30
Est. completion date January 1, 2025
Est. primary completion date December 1, 2024
Accepts healthy volunteers No
Gender All
Age group 20 Years to 65 Years
Eligibility Inclusion Criteria: 1- Nursing Staff providing nursing care services for patient undergoing PNL (pre-intra-post) operative care. Exclusion Criteria: 1. Head nurses 2. Nurses refused to participate in the study

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Infection control
To evaluate the effect of implementing teaching protocol on nurse's knowledge and practice regarding infection control measures for patients undergoing Percutaneous Nephrolithotomy.

Locations

Country Name City State
Egypt Faculty of Nursing Assiut

Sponsors (1)

Lead Sponsor Collaborator
Assiut University

Country where clinical trial is conducted

Egypt, 

References & Publications (1)

Babjuk M, Burger M, Capoun O, Cohen D, Comperat EM, Dominguez Escrig JL, Gontero P, Liedberg F, Masson-Lecomte A, Mostafid AH, Palou J, van Rhijn BWG, Roupret M, Shariat SF, Seisen T, Soukup V, Sylvester RJ. European Association of Urology Guidelines on Non-muscle-invasive Bladder Cancer (Ta, T1, and Carcinoma in Situ). Eur Urol. 2022 Jan;81(1):75-94. doi: 10.1016/j.eururo.2021.08.010. Epub 2021 Sep 10. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary teach nurses new measures to reduce infection in patient undergoing PCNL by applying infection control measure use infection control technique to reduce infection in patient undergoing PCNL one year
Secondary reduce the patients hospital stay postoperative reduce patient length of hospital stay one year
See also
  Status Clinical Trial Phase
Recruiting NCT04495699 - Asymptomatic Renal Calculi in Recurrent Urinary Tract Infections
Recruiting NCT04559321 - Holmium Vs Trilogy Kidney Stones GUY's 1-2 Phase 3
Completed NCT04332861 - Evaluation of Infection in Obstructing Urolithiasis
Withdrawn NCT06138327 - A Study of BMN 255 in Participants With Non-Alcoholic Fatty Liver Disease And Hyperoxaluria Phase 1
Not yet recruiting NCT05022537 - Clinical Outcomes of Percutaneous Nephrolithotomy Following Retrograde Percutaneous Nephrostomy Access Using Novel Device in Comparison to Antegrade Access N/A
Completed NCT03872843 - Opioid Free Management After Ureteroscopy Phase 4
Recruiting NCT06412822 - Neutrophil Extracellular Traps (NET's) in Prevalent Kidney Stone
Recruiting NCT04997668 - Clinical Outcomes and Healthcare Economics of SOLTIVE Compared to Ho:YAG Laser in Urolithiasis N/A
Active, not recruiting NCT04333745 - Influence of Obesity on Oxalate Metabolism and Handling in Calcium Oxalate Stone Formers N/A
Recruiting NCT05701098 - SOUND Pivotal Trial - (Sonomotion stOne comminUtion resoNance ultrasounD) N/A
Recruiting NCT04389853 - Mini-PNCL vs fURS in Management of Nephrolithiasis N/A
Recruiting NCT05334979 - Oxalate and Citrate N/A
Recruiting NCT05591716 - Evaluation of the Efficacy and Safety of Unimodal Bilateral Flexible Ureteroscopy. N/A
Recruiting NCT06209931 - RIRS With Tip Flexible Pressure-controlling Ureteral Access Sheath Versus Mini PCNLfor Kidney Stones
Withdrawn NCT04545528 - The Impact of Nutritional Service in the Stone Clinic on the Patient Urine Collection Results
Completed NCT05714423 - Outcomes in Lower Pole Kidney Stone Management Using Mini-PCNL Compared With Retrograde Intra Renal Surgery N/A
Recruiting NCT03281928 - Effect of Dietary Sodium and Potassium Citrate on Renal Mineral Handling N/A
Recruiting NCT04835922 - Comparison of Efficacy of Intercostal Nerve Block vs Peritract Infiltration With 0.25% Bupivacaine in PCNL N/A
Recruiting NCT03257306 - Magnetic Ureteral Stent Symptoms - a Comparison to Standard Ureteral Stent as Perceived By the Patient (MAGUSS) N/A
Not yet recruiting NCT05504512 - Percutaneous Nephroscopic Treatment of Parapelvic Cysts