As the number of renal failure patients in Libya reached to 3,700 patients (kindly provided by Libyan Ministry of Health), this study aimed to help Libyan people suffering from renal failure to making a wisdom decision about choice of renal transplantation or treatment with dialysis. This study found the main causes of renal failure among people in western area of Lib- ya, due to ages and survival time between patient undergoing dialysis and kidney transplantation. Out of 140 patients' files that were collected from different hospital and specialized centers in western Libya, 98(70%) patients were treated with dialysis while the rest 42 patients (30%) underwent kidney transplantation. The result also revealed that the mean survival time for those who planted the kidneys was (7.1 years) significantly longer than those treated with dialysis (3.7 years). The mean ages of patients underwent transplantation was (53.4 years) younger than those who were treated with dialysis (44.6). Diabetes and blood pressure complications were the most common diseases associated among both groups while multiple microbial inflammation of kidney was higher among kidney. transplanted group. Also, gastrointestinal bacteria and protozoa played a marked role.
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