title: [Increased transaminase activity in the patients and personnel of dialysis centers and problem of its assessment].
abstract: Within the general hepatitis prevention on dialysis wards regular controls of the liver values and the HBsAG/AK are necessary for the patients and the personnel. The general symptom which is frequently found in these cases -- increased transaminase -- demands a diagnostic clarification and the exclusion of an acute virus hepatitis. Using all examination methods which are at present at our disposal and taking into consideration epidemiologic criteria and the total clinical picture a decision must be done which is right for the patient and the entire dialysis personnel. Own clinical observations refer to the fact that isolated increases of the liver enzyme in dialysis patients must not be traced back a priori to a virus hepatitis, but that these may also be caused by other endogenic and exogenic noxae. In the observation period of 10 years was evident that in an existing infectious hepatitis the increase of the liver enzyme was accompanied by clinical complaints.
mesh_terms: D000410:Alanine Transaminase / Q000097:blood; D000469:Alkaline Phosphatase / Q000097:blood; D001663:Bilirubin / Q000097:blood; D004796:Clinical Enzyme Tests; D003937:Diagnosis, Differential; D004789:Enzyme Activation; D006506:Hepatitis A / Q000175:diagnosis*; D006514:Hepatitis B Surface Antigens / Q000032:analysis; D006801:Humans; D006435:Renal Dialysis / Q000451:nursing*; D013943:Thymol; D000637:Transaminases / Q000097:blood*
chemical_list: D006514:Hepatitis B Surface Antigens; D013943:Thymol; D000637:Transaminases; D000410:Alanine Transaminase; D000469:Alkaline Phosphatase; D001663:Bilirubin
vernacular_title: Erhöhte Transaminasenaktivität bei Patienten und Personal in Dialysezentren und das Problem ihrer Bewertung.