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Research ArticleOriginal Article
Open Access

Investigation of intestinal parasites in dialysis patients

Gulkan Karadag, Gulden S. Tamer and Erkan Dervisoglu
Saudi Medical Journal July 2013, 34 (7) 714-718;
Gulkan Karadag
Department of Microbiology, School of Medicine, Kocaeli University, Kocaeli, Turkey.
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Gulden S. Tamer
Department of Microbiology, School of Medicine, Kocaeli University, Kocaeli, Turkey.
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Erkan Dervisoglu
Department of Microbiology, School of Medicine, Kocaeli University, Kocaeli, Turkey.
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Abstract

OBJECTIVE: To search for the opportunistic and other pathogenic intestinal parasites in dialysis patients, and to compare the methods used for diagnosis.

METHODS: This is a randomized study, which recruited participants from the dialysis patients. The study was carried out in the Department of Microbiology, Research Hospital, School of Medicine in Kocaeli University, Kocaeli, Turkey between June 2012 and March 2013. One hundred and forty-two patients were diagnosed with an end-stage renal failure, which underwent dialysis, and 150 healthy volunteers were enrolled in the study. Native-lugol, formol ethyl acetate sedimentation method, trichrome, modified trichrome, acid fast, and Calcofluor staining methods were applied to the stool samples. For the diagnosis of Cryptosporidium spp., Giardia intestinalis (G. intestinalis), and Entamoeba histolytica (E. histolytica), commercially available ELISA kits were used, which detect antigen in the stool.

RESULTS: Parasites were found in 62 of the dialysis patients (43.7%) and 19 of the control group (12.7%). The most encountered parasitic agents in the dialysis patients were Blastocystis spp. (23.9%), G. intestinalis (8.5%), E. histolytica (2.1%), Microsporidia spp. (2.1%), and Cryptosporidium spp. (2.1%). The parasite detection rate of the formol ethyl acetate sedimentation method was found to be higher than native-lugol (p<0.05).

CONCLUSION: To protect the dialysis patients with diarrhea from parasitic infections, it is important to carry out interval stool examinations with trichrome, modified trichrome, acid fast, and Calcofluor staining methods, and the ELISA method, which detects antigen in the stool.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial License (CC BY-NC), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 34 (7)
Saudi Medical Journal
Vol. 34, Issue 7
1 Jul 2013
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Investigation of intestinal parasites in dialysis patients
Gulkan Karadag, Gulden S. Tamer, Erkan Dervisoglu
Saudi Medical Journal Jul 2013, 34 (7) 714-718;

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Investigation of intestinal parasites in dialysis patients
Gulkan Karadag, Gulden S. Tamer, Erkan Dervisoglu
Saudi Medical Journal Jul 2013, 34 (7) 714-718;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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