Skip to main content
Log in

Usefulness of light microscopic and Cytur test estimation of peritoneal dialysate in early diagnosis of peritonitis

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

In 50 patients with terminal renal failure treated by intermittent peritoneal dialysis quantitative and qualitative assessments of peritoneal cells present in six successive changes of dialysate were performed using light microscopy and the Cytur test (Boehringer). The examination was repeated in 25 patients in the course of peritonitis. The Cytur test was positive in all patients with and in only some patients without peritonitis.

As compared with the assessment of peritoneal fluid prior to dialysis and of the 1st change of dialysate, the examination of the amount and type of cells present in successive dialysate changes yields more reliable results and can be regarded as a more valuable method for early diagnosis of dialysis-associated peritonitis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Audet, P., Feingold, R., Murray, T., Morrison, G.: The spectrum of peritonitis in urban chronic ambulatory peritoneal dialysis (CAPD) patients.Kidney Int., 21, 163 (1982).

    Google Scholar 

  2. Banauch, D.: Leukozyten-Nachweis im Urin mit einen Teststreifen.Dtsch. Med. Wochenschr., 104, 1236 (1979).

    Article  PubMed  CAS  Google Scholar 

  3. Chan, L. K., Oliver, D. O.: Simple method for early detection of peritonitis in patients on continuous ambulatory peritoneal dialysis.Lancet, 1, 1336 (1979).

    Article  Google Scholar 

  4. Cichocki, T., Hanicki, Z., Sułowicz, W., Smołeński, O., Kopeć, J., Zembala, M.: Output of peritoneal cells into peritoneal dialysate.Nephron, 35, 175 (1983).

    PubMed  CAS  Google Scholar 

  5. Diaz-Buxo, J. A., Walker, P. J., Chandler, J. T., Farmer, C. D., Holt, K. L.: Impact of peritoneal dialysis on renal replacement therapy.Dial. Transplant., 8, 1061 (1979).

    Google Scholar 

  6. Everett, D. E.: Diagnosis, prevention and treatment of peritonitis.Perit. Dial. Bull. Suppl., 4, 139 (1984).

    Google Scholar 

  7. Fabbri, L., Grimaldi, C., Zucchelli, P.: Peritonitis in CAPD: treatment with chlorhexidine.Dial. Transplant., 11, 483 (1982).

    Google Scholar 

  8. Fabris, A., Biasioli, S., Borin, D., Brendolan, A., Chiaramonte, S., Feriani, M., Pisani, E., Ronco, C., La Greca, G.: Fungal peritonitis in peritoneal dialysis: our experience and review of treatments.Perit. Dial. Bull., 4, 75 (1984).

    Google Scholar 

  9. Goldstein, C. S., Bomalski, J. S., Zurier, R. B., Neilson, E. G., Douglas, S. D.: Analysis of peritoneal macrophages in continuous ambulatory peritoneal dialysis.Kidney Int., 26, 733 (1984).

    PubMed  CAS  Google Scholar 

  10. Hurley, R. M., Muogbo, D., Wilson, G. W., All, M. A. M.: Peritoneal effluent cellularity: predictor of bacterial peritonitis.Kidney Int., 8, 427 (1975).

    Google Scholar 

  11. Jaynes, B., Bryan, S., Lowell, J.: Three modalities of peritoneal dialysis.Contemporary Dial., 1, 36 (1981).

    Google Scholar 

  12. Karanicolas, S., Orcopoulos, D. G., Izatt, S., Shimizu, A., Manning, R. F., Sepp, H., De Veber, G. A., Darby, T.: Epidemic of aseptic peritonitis caused by endotoxin during chronic peritoneal dialysis.N. Engl. J. Med., 296, 1336 (1977).

    Article  PubMed  CAS  Google Scholar 

  13. Korzets, Z., Kovatz, S., Jasensky, N., Bernheim, J.: Is the dialysate effluent white cell count a reliable indicator of peritonitis in patients treated by peritoneal dialysis? Abstr. XXHnd Congr. EDTA, 1985, p. 86.

  14. Machel, T., Izatt, S., Fantalony, D., Wu, G., Oreopoulos, D. G.: White cell count and differential of predialysis fluid in patients on chronic intermittent peritoneal dialysis.Perit. Dial. Bull. Suppl., 4, 38 (1984).

    Google Scholar 

  15. Mileto, G., Pellegrino, E., Consolo, F.: CAPD in Sicily. Decrease in peritonitis rate with the use of the Perugia system.Perit. Dial. Bull. 3, 161 (1983).

    Google Scholar 

  16. Nolph, K. D., Sorkin, M. I., Prowant, B. F., Kennedy, J. M., Dale Everett, E.: Asymptomatic eosinophilic peritonitis in continuous ambulatory peritoneal dialysis (CAPD).Dial. Transplant., 11, 309 (1982).

    Google Scholar 

  17. Oreopoulos, D. G.: Peritoneal membrane: Handle with care.Perit. Dial. Bull., 3, 111 (1983).

    Google Scholar 

  18. Oreopoulos, D. G., Khanna, R., McGready, W., Vas, S., Izatt, S., Zellerman, G.: Intermittent peritoneal dialysis in the hospital.Dial. Transplant., 9, 231 (1980).

    Google Scholar 

  19. Oreopoulos, D. G., Vas, S. J., Fenton, S. S., Williams, W.: Peritonitis in patients on CAPD.Perit. Dial. Bull., 1, 1 (1981).

    Google Scholar 

  20. Pierratos, A.: Peritoneal dialysis glossary.Perit. Dial. Bull., 4, 2 (1984).

    Google Scholar 

  21. Riera, G., Bushinsky, D., Emmanuel, D.: First exchange neutrophilia: A highly sensitive and specific index of peritonitis during chronic intermittent peritoneal dialysis.Perit. Dial. Bull. Suppl., 4, 53 (1984).

    Google Scholar 

  22. Robson, M. G., Oreopoulos, D. G., Clyton, S., Izatt, S., Rappaport, A., De Veber, G. A.: Comparison of intermittent with continuous peritoneal dialysis.Proc. EDTA, 15, 197 (1978).

    CAS  Google Scholar 

  23. Rubin, J., Ray, R., Barnes, T., Bower, J.: Peritoneal abnormalities during infectious episodes of continuous ambulatory peritoneal dialysis.Nephron, 29, 124 (1981).

    Article  PubMed  CAS  Google Scholar 

  24. Rubin, J., Rogers, W. A., Taylor, H. M., Evertt, E. D., Provant, B. F., Fruto, L. V., Nolph, K. D.: Peritonitis during continuous ambulatory peritoneal dialysis.Ann. Intern. Med., 92, 7 (1980).

    PubMed  CAS  Google Scholar 

  25. Sułowicz, W.: Anatomo-physiological basis of peritoneal dialysis.Przegl. Lek., 43, 718 (1986).

    PubMed  Google Scholar 

  26. Vergemezis, V., Liamos, O., Papadopoulou, V., Kilinitzis, V., Hatzidimitriou, C., Antoniades, A., Papadimitriou, M.: Sclerosing encapsulating peritonitis in patients treated by CAPD. Abstr. XXIIIrd Congr. EDTA, 1986, p. 178.

  27. Vas, S. I., Oreopoulos, D. G.: Microbiological diagnostic approach to peritonitis of continuous ambulatory peritoneal dialysis patients.Int. Symp. CAPD, 1979, p. 245.

  28. Watson, A. J. S., Hillery, M., Grant, C., Stassen, L. F. A., Keagh, J. A. B.: Continuous ambulatory peritoneal dialysis—initial experience.Irish Med. J., 74, 330 (1981).

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sułowicz, W. Usefulness of light microscopic and Cytur test estimation of peritoneal dialysate in early diagnosis of peritonitis. International Urology and Nephrology 22, 189–197 (1990). https://doi.org/10.1007/BF02549839

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02549839

Keywords

Navigation