Abstract:
This is a discriptive cross sectional study was undertaken at Omdurman
teaching hospital between ( April 2011 to August 2011). A total number of 100
renal failure patients on haemodialysis were consecutively recruited. The aim of
this study is to assess the complete blood count by using sysmex, serum iron and
serum ferritin concentration were also measured spectrophtometrically. The age of
the study group were found to be ranged from 18 to 86 year old. The study
revealed that, patients, hemoglobin (Hb) levels ranged from 4.9 g/dl to 14.9 g/dl
with a mean of . 8.8 g/dl (± 2.1 ) Hematocrit levels ranged from 15.3% to 43.2%,
with a mean of . 25.7% (± 6.5 ) according to the WHO's criteria a hemoglobin
level of less than 10 g/dl is used as a cutoff point, for the presence of anemia in
dialyzed patients. Serum iron decreased in more than half of the patient the mean
is12.0μmol/l (±0.43) which result in iron deficiency anemia in some patients.
Also increase in serum ferritin concentration in most of patients and the mean is
273.2μg/l (±177.9 ).
patients undergoing hemodialysis (HD) often present with anemia. Anemia in
these patients may be caused by several factors, including iron deficiency,
inadequate dialysis and chronic inflammation. Iron repletion is necessary for
optimum Hb level in patients with chronic renal failure. However blood loss and
reduce absorption render iron repletion difficult.
