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Department of Laboratory Medicine,
 J.P.N.A.T.C., A.I.I.M.S., New Delhi
      Haematology, Biochemistry,
 Microbiology, Hospital Infection Control
           and Histopathology
   (January 2011 to December 2011)
Haematology
             Total tests- 3,88,447
   Parameters                No. of samples processed
   Hemoglobin                        37,727
       TLC                           37,727
Differential count                   21,938
       HCT                           37,727
       RBC                           37,727
      MCH                            37,727
      MCHC                           37,727
      MCV                            37,727
      RDW                            37,727
  Platelet count                     37,727
Reticulocyte count                   14,694
       ESR                            4,582
RBC morphology                        2,454
 Blood parasites                      5,236
Coagulation Tests
             Total tests- 52,688
Parameters                 No. of samples processed

   PT                              20,283

  APTT                             20,135

   TT                               3,413

Fibrinogen                          3,463

 D-dimer                            3,394

   TEG                              2,000
Fluids (CSF, peritoneal, pleural), Urine
               Analysis
           Total tests- 6,465
     Parameters         No. of samples processed


     Urine R/M                   3,675


   Urine Myoglobin                263


  Urine Fat globules              50


   CSF microscopy                2,477
Biochemistry Tests
                                 No.
  Tests
  SUGAR                         8838
  UREA                          31569
CREATININE                      31569
 CALCIUM                        15196

PHOSPHATE                       14600
URIC ACID                       14691
 SODIUM                         31635
POTASSIUM                       31635
  T.BIL.                        16907
  D.BIL.                        16907
T.PROTEIN                       14172
ALBUMIN                         14618
Biochemistry contd…..
    AST                  14588
    ALT                  14588
    ALP                  14583
CHOLESTEROL              4227
 AMYLASE                 4598
    HDL                  1058
    LDL                  1058
    TG                   1058
   VLDL                  1058
    CK                    398
    CRP                   410
    Mg                   1530
   Lipase                 376
Biochemistry contd….
         CK-MB             171

       CSF-SUGAR           1,095

       CSF-M-TP            2,207



PERITONEAL FLUID SUGAR      23



PERITONEAL FLUID PROTEIN    28

      URINE SUGAR           72

     URINE PROTEIN          70

   Drain fluid Amylase      27

         Hb A₁ c            44

          ABG              7,528
Microbiology
Distribution of Total Samples
     Received for culture
Distribution of culture positive samples
Ward-wise distribution of Samples




                     52%
Distribution of Microbes
January- December 2011
Antibiotic resistance among Gram Positive bacteria
Distribution of gram negative organisms in
             positive cultures


         4%
              6%




                   23%
        21%
Antibiotic resistance among Gram Negative
                 bacteria (%)
Hospital Infection Control Surveillance
Device related statistics
No. of Patients   Total Device     VAP Rate        CR-BSI Rate     CA-UTI Rate
                     Days




    1,421           13,387         20.3/1000         7.5/1000        21.3/1000
                                 ventilator days   catheter days   catheter days
SSI rates

Department                 SSI Rates(%)




  Surgery                     4.7 %




Neurosurgery                  2.3 %




Orthopedics                   1.7 %
Compliance to preventive bundles &
          hand hygiene
 Bundle / practice     Compliance rate(%)


Central line bundle          76.5%


 Ventilator bundle            75%


 Bladder bundle              75.6%


  Hand hygiene               59.2%
Average Monthly Antimicrobial
        Consumption




       Rs. 10,08,218/-
       (approximately)
Environmental Surveillance
             samples
• Air quality testing, water quality testing,
  Quality testing of disinfection and
  sterilization:3634
Histopathology Audit
           Parameters                 No. of samples
       Surgical specimens                  480
          No. of blocks                    720
        Total no. of slides               1182
     Hematoxylin and Eosin                 843
    Acid Fast Bacilli staining              78
Periodic acid and Schiff’s staining         17
  Silver Methenamine staining               18
          PAP staining                      23
Histopathology specimens according
          to departments
Type of histopathology specimen
             (contd)
Type of histopathology specimen
             (contd)
Tumors   Infection
Teaching & Research
• Ph.D: one
• Research Projects:
   – Extramural: Five
   – Intramural: One
Short term Trainees
Awards
   • Mrs. Jacinta Gunjiyal (HICN)
     - National Florence
     Nightingale award 2011.
Awards
•   Best poster award- 2nd place- Dr. Nonika Rajkumari. Trauma 2011.Epidemiological
    studybof Streptococcal infections in acute trauma cases in North Indian patients.
•   Best poster award- 3rd place. Mr. Prince Varghese. Trauma 2011.Epidemiology of
    Blood stream infections at a level 1 Trauma centre.
•   Best Poster award- 2nd place- Mrs. Sunita Nair. Trauma 2010.Antimicrobial
    susceptibility of Nosocomial pathogens at a level I Trauma centre of India.
•   Best poster award- 3rd place. Mr. Amit Kumar Gupta. Trauma 2010.Variation in
    hand hygiene compliance in atertiary level multi-disciplinary ICU during morning
    and evening shift.
•   Best poster award- 3rd place. Trauma 2010.Mrs. Jacinta Gunjiyal- Device associated
    infections.
Publications
•   Gunjiyal J, Thomas SM, Gupta AK, Mathur P, Gupta B,Misra MC.Device associated
    and multidrug-resistant infections in critically ill trauma patients:towards
    development of automated surveillance in developing countries. 2011. J Hosp
    Infect; 77:176-177.
•   Mathur P, Jain N,Gupta A, Gunjiyal J,Nair S,Misra MC.Hand hygiene in developing
    nations- Experience at abusy level 1 trauma centre in India. 2011. Am J Infect
    Cont;39(8:705-706.)
THANK YOU

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Lab medicine 2011 audit

  • 1. Department of Laboratory Medicine, J.P.N.A.T.C., A.I.I.M.S., New Delhi Haematology, Biochemistry, Microbiology, Hospital Infection Control and Histopathology (January 2011 to December 2011)
  • 2. Haematology Total tests- 3,88,447 Parameters No. of samples processed Hemoglobin 37,727 TLC 37,727 Differential count 21,938 HCT 37,727 RBC 37,727 MCH 37,727 MCHC 37,727 MCV 37,727 RDW 37,727 Platelet count 37,727 Reticulocyte count 14,694 ESR 4,582 RBC morphology 2,454 Blood parasites 5,236
  • 3. Coagulation Tests Total tests- 52,688 Parameters No. of samples processed PT 20,283 APTT 20,135 TT 3,413 Fibrinogen 3,463 D-dimer 3,394 TEG 2,000
  • 4. Fluids (CSF, peritoneal, pleural), Urine Analysis Total tests- 6,465 Parameters No. of samples processed Urine R/M 3,675 Urine Myoglobin 263 Urine Fat globules 50 CSF microscopy 2,477
  • 5. Biochemistry Tests No. Tests SUGAR 8838 UREA 31569 CREATININE 31569 CALCIUM 15196 PHOSPHATE 14600 URIC ACID 14691 SODIUM 31635 POTASSIUM 31635 T.BIL. 16907 D.BIL. 16907 T.PROTEIN 14172 ALBUMIN 14618
  • 6. Biochemistry contd….. AST 14588 ALT 14588 ALP 14583 CHOLESTEROL 4227 AMYLASE 4598 HDL 1058 LDL 1058 TG 1058 VLDL 1058 CK 398 CRP 410 Mg 1530 Lipase 376
  • 7. Biochemistry contd…. CK-MB 171 CSF-SUGAR 1,095 CSF-M-TP 2,207 PERITONEAL FLUID SUGAR 23 PERITONEAL FLUID PROTEIN 28 URINE SUGAR 72 URINE PROTEIN 70 Drain fluid Amylase 27 Hb A₁ c 44 ABG 7,528
  • 9. Distribution of Total Samples Received for culture
  • 10. Distribution of culture positive samples
  • 13. Antibiotic resistance among Gram Positive bacteria
  • 14. Distribution of gram negative organisms in positive cultures 4% 6% 23% 21%
  • 15. Antibiotic resistance among Gram Negative bacteria (%)
  • 17.
  • 18.
  • 19.
  • 20. Device related statistics No. of Patients Total Device VAP Rate CR-BSI Rate CA-UTI Rate Days 1,421 13,387 20.3/1000 7.5/1000 21.3/1000 ventilator days catheter days catheter days
  • 21. SSI rates Department SSI Rates(%) Surgery 4.7 % Neurosurgery 2.3 % Orthopedics 1.7 %
  • 22. Compliance to preventive bundles & hand hygiene Bundle / practice Compliance rate(%) Central line bundle 76.5% Ventilator bundle 75% Bladder bundle 75.6% Hand hygiene 59.2%
  • 23. Average Monthly Antimicrobial Consumption Rs. 10,08,218/- (approximately)
  • 24. Environmental Surveillance samples • Air quality testing, water quality testing, Quality testing of disinfection and sterilization:3634
  • 25. Histopathology Audit Parameters No. of samples Surgical specimens 480 No. of blocks 720 Total no. of slides 1182 Hematoxylin and Eosin 843 Acid Fast Bacilli staining 78 Periodic acid and Schiff’s staining 17 Silver Methenamine staining 18 PAP staining 23
  • 27. Type of histopathology specimen (contd)
  • 28. Type of histopathology specimen (contd)
  • 29. Tumors Infection
  • 30. Teaching & Research • Ph.D: one • Research Projects: – Extramural: Five – Intramural: One
  • 32. Awards • Mrs. Jacinta Gunjiyal (HICN) - National Florence Nightingale award 2011.
  • 33. Awards • Best poster award- 2nd place- Dr. Nonika Rajkumari. Trauma 2011.Epidemiological studybof Streptococcal infections in acute trauma cases in North Indian patients. • Best poster award- 3rd place. Mr. Prince Varghese. Trauma 2011.Epidemiology of Blood stream infections at a level 1 Trauma centre. • Best Poster award- 2nd place- Mrs. Sunita Nair. Trauma 2010.Antimicrobial susceptibility of Nosocomial pathogens at a level I Trauma centre of India. • Best poster award- 3rd place. Mr. Amit Kumar Gupta. Trauma 2010.Variation in hand hygiene compliance in atertiary level multi-disciplinary ICU during morning and evening shift. • Best poster award- 3rd place. Trauma 2010.Mrs. Jacinta Gunjiyal- Device associated infections.
  • 34. Publications • Gunjiyal J, Thomas SM, Gupta AK, Mathur P, Gupta B,Misra MC.Device associated and multidrug-resistant infections in critically ill trauma patients:towards development of automated surveillance in developing countries. 2011. J Hosp Infect; 77:176-177. • Mathur P, Jain N,Gupta A, Gunjiyal J,Nair S,Misra MC.Hand hygiene in developing nations- Experience at abusy level 1 trauma centre in India. 2011. Am J Infect Cont;39(8:705-706.)