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REVIEWS AND ORIGINAL ARTICLES |
Departments of Cell Biology,1 Nephrology, and2 Haemotology, Medical Faculty and University Hospital, Free University, Amsterdam, The Netherlands
Correspondence to: H.J. Bos, Dept. Cell Biology, Medical Faculty, Free University, P.O. Box 7161, NL-1007 MC Amsterdam, The Netherlands.
We investigated the effect of different i.p. dwell times of dialysis fluid
on the composition and phagocytic capacity of the peritoneal cells. We
examined dialysate after 1.5 and 15 h dwell time in 10 continuous cyclic
peritoneal dialysis (CCPD) patients and after 8 h dwell time in 14 continuous
ambulatory peritoneal dialysis (CAPD) patients. There was no significant
difference in viability, composition, and Fc receptor positive cells among the
peritoneal cells in the studied effluents of CCPD and CAPD patients. However,
the yield of peritoneal cells and the phagocytic capacity of IgG-coated sheep
red blood cells ([lgG]SRBC) by peritoneal macrophages in 1.5 h dwell time
dialysate was significantly decreased when compared with 15 h dwell time
dialysates. In addition, the total phagocytic capacity of peritoneal cells in
1.5 h dwell time dialysate is dramatically decreased when compared with the 15
h dwell time dialysate and 8 h dwell time dialysate of CAPD patients. These
findings must be taken in consideration by performing three rapid exchanges
after the diagnosis of a peritonitis.
KEY WORDS: Continuous cyclic peritoneal dialysis (CCPD); peritoneal macrophages; phagocytosis; peritonitis.
Received 12 April 1988; accepted 25 May 1988.
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