Laboratory services are an integral part of hospital settings and Pathology and Microbiology has been and continues to be a critically important area in health care settings. The stated mission of the Department is to provide comprehensive quality diagnostic services, teaching and to conduct important research. The Department of Pathology and Microbiology was started in the year 1998. Various Pathology and Microbiology investigations from outpatient and inpatient Department of the Institute are undertaken through this Department. The Department is equipped with modern diagnostic facilities for patient care services and research activities for the medical students and faculty. The Department strives to provide timely and accurate support where precise and efficient diagnosis can make a difference in patient care and management. Emphasis is placed on advancement in the area of scientific research so that we will march with the times.
Academic Activities:
The Department has been conducting classes and seminars on various topics related to Pathology and Microbiology. Apart from these activities all of the faculty and staff members of the Department attended the workshops, CMEs, conferences organised by different Departments of the Institute. The Departmentalso conducts classes for M. Phil in Clinical Psychology and M. Sc. Nursing (Psychiatric Nursing) students. The Department also conducts various training related to Biomedical waste management, Hospital infection control and preventionetc.
The Department has started postgraduate course (M.Sc.) for Medical Laboratory Science students in Clinical Haematology& Blood banking and Medical Microbiology from session 2022.
Patient Care Services:
24 x 7 diagnostic services are provided to the Indoor and Outdoor patients now.These include investigations like Routine Blood Examination, Coagulation profile, CSF analysis, Urine Examination, Stool examination, FNAC, Aerobic bacterial Culture and Sensitivity test. Sputum for AFB, KOH mount for fungal element, Malaria diagnosis, HIV-I & II under FICTC centre, serological test like HBsAg, Anti-HCV, Syphilis screening, Widal test, Typhidot,RA factor,CRP,ASO titre etc.
Research Projects:
Completed research projects carried out under DBT Sponsorship
a. Prevalence and correlates of sexual dysfunction in patients with schizophrenia receiving antipsychotics: A clinical study.
b. A comparative study on thyroid profile in patients with unipolar and bipolar depression
The faculty and the resident doctors of the Department are providing free clinical services to the needy. They are actively engaged in various consultancy activities organized by different governmental and non-governmental organizations. The faculties also provide medico-legal services and act in cooperation with the District Disability Rehabilitation Centre (DDRC), Tezpur for certification of disability.
The list of existing laboratory equipment is given below:
Digital Microscope- CX-21Tr (Olympus) with Prog Res CT-5.
Fully Automated ESR Analyser
Fully Automated Urine Analyser
Fully Automated Coagulation Analyser- Stago
General Laboratory Centrifuge
Refrigerated Centrifuge
Hot air oven
Bacteriological Incubator
Autoclave
Digital binocular microscope (LEICA)
Microscope (Monocular and Binocular)
Binocular compound microscope (Olympus, Japan CX31)
Digital colony counter
VDRL Shaker
Digital pH meter
Refrigerator
Laminar Flow
Electrical sterilizer
Water bath
Multi parameter immunology analyzer - TOSOH AIA-360.
QBC System.
Double Beam Spectrophotometer.
ELISA Reader and washer
Deep Freezer (-40°) C.
Incubator Shaker
Water Purification System.
Air purifier system
Yorco precision Rotary Microtome (YSI-115)
Yorco Tissue Floatation Bath(YSI-133)
Capillary electrophoresis*
HPLC*
Chemiluminescence immunoanalyzer*
(*) under processFACILITIES IN MICROBIOLOGY SECTION
Medical Microbiology is a multidisciplinary unit currently having Bacteriology, Mycology, Serology & Immunology, Parasitology and facility integrated ICTC laboratory services.
Bacteriology laboratory:
Investigations like aerobic bacterial culture & sensitivity (for Blood and body fluids, urine, stool, pus, sputum, throat swab etc.), Gram stain, ZN stain for Acid fast bacilli (AFB), Albert stain for Corynebacteriumdiphtheriaeare available.
Serology & Immunology laboratory
HBsAg Test, Anti-HCV Test, RPR/Syphilis screening Test, Typhoid IgG/IgM Rapid Test, Widal Test, Dengue NS1 antigen rapid Test, Dengue IgG/IgM rapid Test, ASO (Semi-quantitavie), CRP (Semi-quantitative), RA factor (Semi-quantitative), Mantoux Test are available in this section.
Mycology laboratory
KOH mount for fungal elements (for skin, hair, nail, pus aspirate, tissue, sputum, body fluids etc.) and Fungal culture and sensitivity (for for skin, hair, nail, pus aspirate, tissue, sputum, body fluids etc.) are available in this section.
Parasitology laboratory
Stool microscopy for parasite structure (ova/cyst/trophozoite/larva), Stool modified ZN staining for coccidian parasite (cryptosporidium/cystoisospora/cyclospora/microsporidium), Rapid Malaria antigen test, Peripheral blood smear for Malaria, Peripheral blood smear for Microfilaria and other Microscopic test like urine for trichomonas, Giemsa staining for LD body etc. are performed in this section.
FICTC (Facility Integrated Counseling & Testing Centre)
HIV screening test are carried out by Department of Microbiology along with pre and post-test counselling.
Hospital Infection Control laboratory
Bacteriological analysis of water, in house disinfectant testing and hospital environmental surveillance are carried out in this section on regular basis. MRSA surveillance of Medical & Paramedical staff posted in critical areas and detection of ESBL strains are also carried out.
Prevalence surveys annually to monitor Hospital Acquired Infection rates in addition to laboratory based surveillance of pathogens & their antibiotic resistance patterns are also carried out in this section.
SOP/Protocols; Prepared in the Department of Microbiology.1. Antibiotic Policy of LGBRIMH,Tezpur
2. Management of Discarded sample(SOP Number:SOP/Micro/BMW/01)
3. Sharp Management Protocol And Post Exposure Prophylaxis(SOP Number:SOP/Micro/BMW/02)
4. SPILLS MANAGEMENT PROTOCOL(SOP Number:SOP/Micro/BMW/03)
5. Autoclaving Protocol( SOP Number:SOP/Micro/BMW/04)
6. Protocol for high level disinfection(SOP Number:SOP/Micro/BMW/05)
The Department conducts training sessions round the year for all health care workers of the Instituteon Hospital infection control& prevention and Bio-medical waste management.Also actively associate with Kayakalp- an initiative has been launched to promote cleanliness, hygiene and infection control practices in public health facilities and research activities related to thesis work of students of the Institute.
FACILITIES AVAILABLE IN PATHOLOGY DEPARTMENT
PATIENT CARE SERVICE:
A) Haematology & Clinical Pathology
Haematology is a branch of Medicine concerned with the diagnosis, treatment, and prevention of diseases of the blood and bone marrow as well as of the immunologic, haemostatic (blood clotting) and vascular systems. Because of the nature of blood, the science of hematology profoundly affects the understanding of many diseases and changes that are seen in the blood of a patient, providing clues to the diagnosis and treatment of various clinical conditions. Investigations like R/E blood, complete blood count, reticulocyte count, PT, APTT, blood grouping etc. are available in this section.
B) Cytopathology
This section of the Pathology started functioning from the year 2014. The Department performs fine needle aspiration (FNAC) studies along with PAP smears and cytology for malignancy from various body samples are carried out. The section is also actively involved in various training and research related studies.
C)**Upcoming section in near future
a) Histopathology & IHC,
b) Neuropathology,
c) Blood bank etc.
EDUCATION AND ACADEMICS:
The Department has a very active in-service training program for various non-clinical Departments and also for lab technicians. The Department is also involved in various research and projects along with other Departments in the institute.
OTHER ACTIVITIES:
The department is actively involved in KAYAKALP program a central government initiative scheme.
Courses offered
Course: Masters in Medical Laboratory Sciences (Haematology and Blood Banking): 5 Seats: Duration= 2 Years
Course: Masters in Medical Laboratory Sciences (Medical Microbiology): 5 Seats: Duration= 2 Years
