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)

HaematologyTotal 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- 6,465Parameters No. of samples processed

Urine R/M 3,675

Urine Myoglobin 263

Urine Fat globules 50

CSF microscopy 2,477

Biochemistry TestsTests No.

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 MicrobesJanuary- December 2011

Antibiotic resistance among Gram Positive bacteria

Distribution of gram negative organisms in positive cultures

23%21%

6%4%

Antibiotic resistance among Gram Negative bacteria (%)

Hospital Infection Control Surveillance

Device related statistics

No. of Patients Total Device Days

VAP Rate CR-BSI Rate CA-UTI Rate

1,421 13,387 20.3/1000 ventilator days

7.5/1000 catheter days

21.3/1000 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 AuditParameters 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