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The effect of biocompatible peritoneal dialysis solutions on neutrophil to lymphocyte ratio

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dc.creator Sezer, Mehmet Tugrul
dc.creator ULU, MEMNUNE SENA
dc.creator ALTUNTAŞ, Atila
dc.creator Unverdi, Selman
dc.creator Duranay, Murat
dc.creator Yuksel, Seref
dc.creator Ahsen, Ahmet
dc.creator Akoglu, Hadim
dc.creator Okyay, Gulay Ulusal
dc.creator Inal, Salih
dc.creator Kidir, Veysel
dc.date 2014-08-31T21:00:00Z
dc.date.accessioned 2020-10-06T11:23:41Z
dc.date.available 2020-10-06T11:23:41Z
dc.identifier cb25dd35-2ab3-4210-a863-7753f56a0fe1
dc.identifier 10.3109/0886022x.2014.937662
dc.identifier https://avesis.sdu.edu.tr/publication/details/cb25dd35-2ab3-4210-a863-7753f56a0fe1/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/72128
dc.description Introduction: Long-term exposure to dialysis solutions is an important contributor to the ongoing inflammatory process in peritoneal dialysis (PD) patients. Some studies have shown amelioration of this adverse effect with biocompatible solutions. We aimed to compare the neutrophil-to-lymphocyte (N/L) ratio in PD patients using biocompatible and standard solutions and to find out the association between N/L ratio and peritonitis indices. Materials and methods: This was a cross-sectional, multicenter study involving 120 prevalent PD patients. Seventy-one patients (59%) were using biocompatible solutions and 49 patients (41%) were using standard solutions. From blood samples, N/L ratio and platelet-to-lymphocyte ratio were calculated and mean platelet volume, erythrocyte sedimentation rate and hs-CRP values were detected. Data regarding the peritonitis rate and time to first peritonitis episode were also recorded. Results: Biocompatible and standard groups were similar regarding age and gender. N/L ratio and hs-CRP levels have been found significantly higher in patients using biocompatible solutions (3.75 +/- 1.50 vs. 3.27 +/- 1.3, p = 0.04 and 3.2 +/- 2.5 vs. 1.8 +/- 2.0, p<0.01, respectively). Peritonitis rates and time to the first peritonitis episode were found similar in patients using both types of solutions (0.23 +/- 0.35 vs. 0.27 +/- 0.32, p = 0.36 and 32.8 +/- 35.8 vs. 21.5 +/- 26.9 months, p = 0.16, respectively). Discussion: N/L ratio was significantly higher in biocompatible solution users in parallel to hs-CRP levels, so biocompatible solutions seem to be related with increased inflammation in PD patients. Although we cannot make a certain explanation, we assume that there may be an association between acidity of the peritoneal content and virulence of microorganisms.
dc.language eng
dc.rights info:eu-repo/semantics/closedAccess
dc.title The effect of biocompatible peritoneal dialysis solutions on neutrophil to lymphocyte ratio
dc.type info:eu-repo/semantics/article


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