Abbas M M, Zaki M, Afify N A
Department of Parasitology, Faculty of Medicine, Ain Shams University, Abbassia, Cairo.
J Egypt Soc Parasitol. 1996 Dec;26(3):671-6.
This study aimed to determine the prevalence of Toxoplasma gondii and cytomegalovirus (CMV) antibodies in patients with chronic renal failure (CRF) with and without haemodialysis. To achieve this goal, 60 patients with CRF in addition to 20 healthy controls were investigated. Patients were classified into 3 groups, group 1 comprised 20 patients with CRF who haven't any haemodialysis sessions (under conservative treatment) group II comprised 20 patients with CRF due to primary renal diseases already on haemodialysis and group III comprised 20 patients with renal failure secondary to collagen disease or accompanied by liver disease undergoing haemodialysis. Out of 60 patients, Toxoplasma antibodies were detected in 38.3% and in 15% of the normal controls with a statistical significant difference. From the present results, it was noticed high percentages of positivity for Toxoplasma and CMV antibodies in patients with CRF undergoing haemodialysis which was also correlated to the number of the dialysis sessions. So, it can be concluded that CRF patients undergoing haemodialysis should be screened for Toxoplasma and cytomegalovirus before dialysis to prevent the dissemination of these infections through dialysis procedure.
本研究旨在确定接受和未接受血液透析的慢性肾衰竭(CRF)患者中弓形虫和巨细胞病毒(CMV)抗体的流行情况。为实现这一目标,除20名健康对照者外,还对60例CRF患者进行了调查。患者被分为3组,第1组包括20例未进行任何血液透析治疗(保守治疗)的CRF患者,第II组包括20例因原发性肾脏疾病已接受血液透析的CRF患者,第III组包括20例因胶原病继发肾衰竭或伴有肝病且正在接受血液透析的患者。在60例患者中,弓形虫抗体检测阳性率为38.3%,正常对照者为15%,差异有统计学意义。从目前的结果可以看出,接受血液透析的CRF患者中弓形虫和CMV抗体阳性率较高,且与透析次数相关。因此,可以得出结论,接受血液透析的CRF患者在透析前应筛查弓形虫和巨细胞病毒,以防止这些感染通过透析过程传播。