title: [The diagnostic value of cytology in children on continuous ambulatory peritoneal dialysis (CAPD)].
abstract: Peritonitis is a common clinical problem that occurs in patients undergoing CAPD. Early diagnosis of this complication is difficult in some cases and elevated peritoneal cell count may be a misleading factor in diagnosis. The aim of the study was to determine the cell count in consecutive dialysate exchanges after starting CAPD. Elevated peritoneal cell count was found in 17 of 21 (80%) analyzed periods at the beginning of CAPD. Peritonitis was diagnosed in 5 of these patients and confirmed by culture in 4 and clinical observation in 1. In the remaining 12 cases (70%) the elevated cell count normalized during consecutive exchanges of dialysate. The coexistence of such nonspecific symptoms as fever, abdominal pain of varying intensity, cloudy fluid with or without the presence of fibrin can be the cause of diagnostic mistake and institution of unnecessary antibiotic treatment. In doubtful case, the reduction of the dwell time to 2 hours and observation of the cell count in consecutive exchanges is very helpful, especially if rapid culture diagnosis is not available.
mesh_terms: D000293:Adolescent; D001202:Ascitic Fluid / Q000166:cytology*; D002452:Cell Count; D002648:Child; D002675:Child, Preschool; D015314:Dialysis Solutions / Q000032:analysis; D006801:Humans; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000175:diagnosis* / Q000209:etiology
chemical_list: D015314:Dialysis Solutions
vernacular_title: Wartość diagnostyczna cytozy u dzieci leczonych ciagła ambulatoryjna dializa otrzewnowa (CADO).