Measuring the glomerular filtration rate in different age groups using iohexol, the protocol from the Belgian iohexol study.

OBJECTIVES: Measuring the exact glomerular filtration rate (GFR) is difficult. Iohexol can be used instead of inulin or labeled EDTA or DTPA. In recent years, different studies have validated GFR-estimating equations in adults. Validation of these estimations in adolescents and elderly is lacking. With this study, we aim to develop a simplified (only 1-3 blood collections) iohexol protocol to measure the true GFR for patients of all ages and try to develop GFR-estimating equations for adolescents and the elderly. DESIGN AND SETTING: Participants of different ages will be recruited: 50 adolescent (14-18 years) and 30 adults (20-65 years), 60 elderly (65-80 years) and 60 very elderly (80+ years old) stratified based on their GFR. Biometric data, serum creatinine and cystatin C will be measured. After injecting 5 mL iohexol, 9 blood samples will be taken between 20 and 360 min. First, the GFR will be calculated by using the double exponential decay method and different GFRs based on 1-3 blood samples, which will be compared with the GFR of the abovementioned 9 samples. Second, the GFR will be calculated by using new and existing equations and compared to the true GFR. DISCUSSION: The availability of a reliable GFR measurement is important in situations such as screening patients for kidney donation or when taking potentially nephrotoxic treatments. This study will allow us to develop a simplified protocol for measuring the true GFR in all ages and will allow us to validate existing equations and develop new eGFR equations for adolescents and the elderly.

Anisakidae larval infection in fish fillets sold in Belgium.

Fish fillets (n = 1760) sold on the Belgium market were examined for Anisakidae larval infection. Seven sea fish species were examined by means of the candling technique over a period of 4 months, from November 1996 to February 1997. Third-stage larvae of Anisakis simplex and Pseudoterranova decipiens were identified. A. simplex was the most abundant species with a prevalence of 84.5%, and was found in 192 of the examined fillets (10.9%). Pollock (Pollachius pollachius) was the most heavily infected fish species (82.9%). The prevalence in cod (Gadus morhua), saithe (Pollachius virens), and whiting (Merlangius merlangus) was 34.7%, 26.7%, and 15.4% respectively. The prevalence in the three other fish species examined was low, namely 8.9%, 6.6%, and 3.8% for ling (Molva molva), catfish (Anarchias lupus), and Northeast red fish (Sebastes marinus), respectively. Pollock was the fish species with the largest number of Anisakis larvae (7.8 larvae/kg fish fillet).