生化学と分析生化学

概要

A Partial Sketch of 2018 from Laboratory Services Department at National Institute of ENT

Humaira Binte Asad, Sharmin Khandokar, Jenefer Yesmin, Lokesh Chakrabarty, Zahra Aziz

Laboratories play a crucial role in patient diagnosis, follow up, disease surveillance, control and provide accurate health data for proper national health planning and resource mobilization. The objectives of the study were to assess quantity and distribution of patients achieving laboratory services at a tertiary level hospital like National Institute of Ear Nose Throat. Because the patient distribution and quantification of particular tests guide us to plan and distribute our resources for the next fiscal year. Performance of the lab services ensure us the confidence of clients over quality services. A descriptive study was performed from 1st January to 31st December 2018 at Laboratory Services Department of NIENT, Dhaka, Bangladesh. All those patients attended the department to attain any particular service existing at that particular time were included in the study. Total patients received services were 9805 (of which males 4785,females 5003) and male:female ratio, 0.96. Only 8% of total outdoor patients achieved the services. Majority of the patients 5308, were within age range of 18-65 yrs. Total RBS/FBS performed 6146, out of which 81 were abnormal results. On the other hand, blood glucose 2 hours after breakfast were only 52 and 30 showed abnormal results. Serum Creatinine 4344 (abnormal 58), LFT 384 (abnormal 19), Lipid profile 165 (abnormal 40), Uric acid 14 (abnormal 0), Serum Calcium 266 (abnormal 0). We started our services since 2014. In first year we served 2711. In 2018 it was 9805 near about 3.6 times more. In summary, we can say though 8% of the total outdoor patients attained the institutional laboratory services, females predominated. Patients with both extremes of age were negligible in number. Availability of reagents were positively correlated with number of patients, like, number of the RBS/FBS tests. Number of service acceptors was increasing with passing years. Not all tests(like serum uric acid) are commonly prescribed here, so resource distribution regarding test selection hasto be more meticulous.