[Selection of the optimal method of evaluation of peritonitis risk in patients treated by standard peritoneal dialysis].
In order to find the optimal method of detecting the impending risk of peritonitis in patients on chronic standard peritoneal dialysis the authors evaluate the following: peritoneal fluid leucocytes total and differential counts (in the samples taken before the first morning infusion of the dialysis fluid into the peritoneal cavity as well as in the first change of the fluid), cultures from the peritoneal fluid and blood CRP before the start of the dialysis. A group of 8 patients was studied. Clinical signs of peritonitis occurred on 6 occasions during the total of 192 dialysis performed. In all those cases the differential count leucocytes was abnormal (more than 50% ofpolynuclear cells) as well in the peritoneal fluid obtained before the start of dialysis as in the first portion of the dialysis fluid. A high percentage (78%) of the false positive results of the total leucocyte count in the pre-dialysis fluid and in the first change of dialysis fluid (29%) as well of the blood CRP (25%) seem to, indicate a low practical value of those methods. The differential count of leucocytes of the sediment of the peritoneal fluid seems to be the optimal method of early detection of the impending peritonitis.
Smoszna
J
J
Raczka
A
A
Fuksiewicz
A
A
Wańkowicz
Z
Z
D000328:Adult; D001202:Ascitic Fluid / Q000166:cytology; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D007958:Leukocyte Count; D007964:Leukocytosis / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010538:Peritonitis / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D012016:Reference Values; D012307:Risk Factors
Wybór optymalnej metody oceny zagrozenia zapaleniem otrzewnej u chorych leczonych standardowa dializa otrzewnowa.