PREZENTAREA SECTIEI
LABORATOR ANALIZE MEDICALE 1 (LAM1)
- Structura organizatorica a sectiei:
Departamentul Hematologie –Coagulare
Departamentul Biochimie
Departamentul Bacteriologie
Departamentul Imunologie
Departamentul Parazitologie
- Structura personal:
Medici: 11
Medic i rezidenti: 2
Cadre cu studii superioare:7
Asistenti medicali: 31
Registrator medical: 3
Ingrijitoare: 1
Departamentul Hematologie-Coagulare
- Dr.Maglas Liliana- medic specialist
- Dr.Lazureanu Rodica- medic primar
- Dr.Asan Mirela- medic primar
- Dr.Calin Cristian- medic specialist
Departamentul Biochimie
- Dr.Stochita Alin- medic specialist
- Dr.Ionita Alexandra-medic rezident
- Biolog Stochita Laura
- Biolog Palaga Ana Maria
Departamentul Bacteriologie
- Dr.Gherghin Hilda Edit-medic specialist
- Dr.Vlad Jeni Laura – medic primar
- Dr.biolog Borcan Elvira
- Chimist pr.Teodor Mihaela
- Biolog Trusca Bianca
Departamentul Imunologie
- Dr.Dima Ileana –dr.in medicina Coordonator LAM1
- Dr.Ion Anca- medic primar
- Dr.Nastase Vasile-medic specialist,doctorand
- Biolog pr.Mihaila Tatiana Laura
- Chimist pr.Ghita Venera
Departamentul Parazitologie
- Dr. Botezatu Alexandra –medic specialist
- Investigatii de laborator efectuate in LAM1
- HEMATOLOGIE
Hemoleucograma completa (hemoglobina, hematocrit, numaratoare eritrocite, numaratoare leucocite, numaratoare trombocite, formula leucocitara, indici eritrocitari, granulocite imature)
Examen numaratoare reticulocite pe analizor automat
Examen citologic al frotiu de sange periferic
Numaratoare elemente nucleate
Numaratoare elemente nucleate ascita
Numaratoare elemente nucleate lichid peritoneal
Numaratoare elmente nucleate lichid pleural
VSH
Timp Quick activitate de protrombina
INR
APTT
Fibrinogen
Ø BIOCHIMIE
PROTEINE TOTALE SERICE
ALBUMINA SERICA
UREE SERICA
Uree urinara
ACID URIC SERIC
CREATININA SERICA
Creatinina urinara
BILIRUBINA TOTALA
BILIRUBINA DIRECTA
BILIRUBINA INDIRECTA
GLICEMIE
Glucoza urinara
Dozare proteine urinare
HEMOGLOBINA GLICOZILATA
CHOLESTEROL SERIC total
HDL – COLESTEROL
LDL – COLESTEROL
TRIGLICERIDE
LDH
ALT(GPT)
AST(GOT)
CK
CK MB
GGT
ALKP (ALP)
AMILAZA SERICA
LIPAZA
Na
K
CALCIUL SERIC total
CALCIUL SERIC ionic
MAGNEZIU SERIC
SIDEREMIE (FIER)
Fosfor
Examen complet de urina (sumar + sediment )
ADDIS
- IMUNOLOGIE
ά1 antitripsina
Proteina C Reactiva
ASLO
Factor rheumatoid (nefelometrie-IgM)
Factor rheumatoid (IgA, IgM,IgG-ELISA)
Ceruloplasmina
Complement seric C3
Complement seric C4
IgA seric
IgE seric
IgM seric
IgG seric
Feritina
Transferina
Receptor solubil de transferina
ß2 microglobulina
Haptoglobina
APOLIPOPROTEINA E
LANTURI USOARE kappa si lambda
C1 inhibitor
Crioglobuline
Celule lupice
Test Coombs direct polispecific
Test Coombs direct anti-IgG
Test Coombs direct anti-complement
Test cu eritrocite papainate
Aglutinine la rece cu stabilirea amplitudinii termice
Hemolizine bifazice
Test HAM
Testul cu Sucroza
Testul de Autohemoliza
TSH
FT4
FT3
Estradiol
FSH
LH
Cortizol
Progesteron
Prolactina
Acid Folic
Vit.B12
PTH
Testosteron
Insulina
C Peptid
Tiroglobulina
Anti-TPO
Anti-TG
ß-HCG
TRAB (receptor TSH)
ACTH
PSA
FPSA
AFP
CEA
CA 125
CA 15-3
CA 19-9
CA 72-4
CYFRA 21-1
CALCITONINA
PROCALCITONINA
S 100
NSE
Her 2n
Ag-HBs screening
Ag-HBs cantitativ
Anti-HBc
Anti-HBs
HCV
Ag HBe
Anti-HBe
HIV combi
CMV Ig M
CMV Ig G
TOXO Ig M
TOXO Ig G
Rubeola Ig G
Rubeola Ig M
Sifilis
Troponina I
NT-proBNP
Homocisteina
Anti-acetylcholine receptor(ACHR)
CHROMOGRANIN A(CgA)
Anti AQUAPORINE
TNF
Vitamin D3/D2
IL 6
Boli reumatismale si gastro :
Factor reumatoid IgA+ IgM
Anticorpi anti nucleari (AAN)
Anti ADNds
Anti Sm
Anti C1 q
Anti mitocondriali (AMA M2)
Anti alpha Fodrin IgG
Anti Ro/SS-A
Anti La/SS-B
Anti SCL 70
Anti Jo-1
ENA screen
Anti Histone
Anti RIB P
Anti Nucleosom
Anti centromer
Anti Gliadin
Anti TTG
Anti DGP
Anti-ASCA IgG
Anti RNP/70
Anti MCV
Anti RNP/Sm
Anti celule parietale gastrice
Anti IF(factor intrinsec)
Anti-GP 210
Anti LKM 1
Anti SLA
Anti SP 100
| Anti-CCP hs (high sensitive |
Vasculite , Tromboze , diabet :
Anti ANCA
Anti Lysosym
Anti MPO(p-ANCA)
Anti PR3(c-ANCA)
Anti GBM
Anti Insulin
Anti Phospholipid screen IgG
Anti Cardiolipin Screen
Anti B2 Glycoproteina 1 screen
Anti Annexin IgG
Anti Phosphatidil Serin IgG
Anti Phosphatidil Inositol IgG
Anti Prothrombin screen
Anti acid phosphatidic
Anti Cathepsin
Anti Elastase
Anti Lactoferin
Anti BPI
Boli infectioase :
| Anti-Chlamydia pneumoniae IgA |
| Anti-Chlamydia pneumoniae IgG |
| Anti-Chlamydia pneumoniae IgM |
| Anti-Mycoplasma pneumoniae IgA |
| Anti-Mycoplasma pneumoniae IgG |
| Anti-Mycoplasma pneumoniae IgM |
|
Anti-Borrelia IgG |
| Anti-Borrelia IgM |
| Anti-EBV (EBNA-1) IgG |
| Anti-EBV (VCA) IgG |
|
Anti-EBV (VCA) IgM |
|
Anti-EBV (ZEBRA) IgM |
|
Anti-HSV-1 IgG |
| Anti-HSV-1 IgM |
| Anti-HSV-2 IgG |
| Anti-HSV-2 IgM |
| Anti-VZV IgA |
| Anti-VZV IgG |
| Anti-VZV IgM |
| Anti-Yersinia IgA |
| Anti-Yersinia IgG |
Ø PARAZITOLOGIE
Examen microscopic pentru digestie
Detectarea hemoragiilor oculte
COPROCITOGRAMA
Teste ELISA Toxocara Ig G
Teste Elisa Taenia Solium Ig G
Teste Elisa Trichinella spiralis Ig G
Teste Elisa Leptospira Ig M
Teste Elisa Leptospira Ig G
Teste Elisa Leptospira IgM+IgG
Teste Elisa Entamoeba histolitica IgG
Teste Elisa CALPROTECTINA materii fecale
Teste Elisa Echinococus
Teste Elisa CALPROTECTINA urina
Teste Elisa CALPROTECTINA ser
- BACTERIOLOGIE
Diagnostic microbiologic (bacteriologic si micologic) standard, clasic:
Detectie in sistem clasic si automat a principalilor agenti etiologici (microorganisme patogene si conditionat patogene- bacterii aerobe si anaerobe, levuri si fungi filamentosi) dintr-o mare varietate de produse patologice, prelevate clinice plurimicrobiene sau provenite din cavitati normal sterile, din infectii nosocomiale si comunitare.
Identificare microbiologica prin teste rapide, in sistem clasic (cultura), prin galerii miniaturizate (4 ore) si sistem automat (BD Phoenix)
Screening portajbacterii multirezistente (BMR) : MRSA, ESBL, CRE, VRE (screening nazal si digestiv la pacienti cu risc)
Fungi filamentosi- izolare si identificare
Testarea rezistentei la antibiotice : antibiograma prin metoda disc difuzimetrica (CLSI) si metode cantitative (CMI, E teste)
Testarea rezistentei la antifungice :antifungigrama prin metoda cantitativa (CMI, microdilutii in bulion)
Servicii medicale :
– Frotiu coloratie Gram (examen microscopic direct din prelevate clinice, dupa caz)
– Frotiu « amprenta » din cultura de fungi (dupa caz)
– Cultura exsudat faringian (streptocococβ-hemolitic, Staphylococcus aureus), cuantibiograma dupa caz
– Cultura exsudat faringian (microorganisme conditionatpatogene), cu antibiograma dupa caz
– Exsudat faringian – detectie antigen Streptococ beta hemolitic grup A (direct din exsudatul faringian) – test rapid
- Cultura exsudat nazal (Staphylococcus aureus)
- Exsudat nazal : screeningMRSA
– Cultura exsudat/secretienazala (microorganisme conditionat patogene), cu antibiograma dupa caz
- Exsudat lingual (examen micologic)
– Examen microbiologic sputa, secretie bronsica, aspirat traheal, lavaj bronho-alveolar: examen microscopic direct, cultura(cuantibiograma dupa caz)
- Detectie GDH (antigen Clostridium difficile) + toxine A / B (direct din materii fecale)-test rapid (detectie simultana)
- CulturaClostridium difficile
- Detectie antigen Cryptosporidium/Giardia lambia/Entamoeba(direct din materii fecale)-test rapid (detectie simultana)
- Detectie antigen Helicobacter pylori(direct in materii fecale)-test rapid
- Detectie antigen Rotavirus/Adenovirus (direct in materii fecale)-test rapid (detectie simultana)
- Coprocultura standard (copii sub 2 ani): Salmonella,Shigellasp., E. coliEPEC
- Coprocultura standard (> 2 ani/ adulti): Salmonella,Shigellasp.
- Coprocultura/tampon rectal :screeningportaj de bacteriimultirezistent (BMR): ESBL, CPE, VRE
- Urocultura cantitativa (urina jet mijlociu/urina dispozitiv invaziv(identificare, antibiograma dupa caz)
- Bilicultura: examen microscopic direct, cultura (cu antibiograma dupa caz)
- Examen microbiologic secretie conjunctivala : examen microscopic direct, cultura (cu antibiograma dupa caz)
- Examen microbiologic secretie otica: examen microscopic direct, cultura (cuantibiograma dupa caz)
- Examen microbiologicsecretievaginala/vulvara: examen microscopic direct, cultura (cuantibiograma dupa caz)
- Examen microbiologic secretie uretrala:examen microscopic direct, cultura (cu antibiograma dupa caz)
- Examen microbiologic secretie plaga superficiala: examen microscopic direct, cultura (cu antibiograma dupa caz)
- Examen microbiologicdinexsudate purulente,secretiide plaga,abcese : examen microscopic direct, culturaaeroba + anaeroba (cuantibiograma dupa caz)
- Examenul microbiologic al tubului de dren:-examen microscopic direct, cultura (cuantibiograma dupa caz)
- Examen microbiologic LCR :-examen microscopic direct, cultura (cu antibiograma dupa caz)
- Examen microbiologic alte lichide de punctie (lichid pleural, lichid de ascita, lichid peritoneal, lichid de dializa peritoneala: examen microscopic direct, cultura (cu antibiograma dupa caz)
- Examenul microbiologic al cateterului (metoda Maki, metoda Cleri)
- Hemocultura sistem BACTEC (set aerob-anaerob)
- Hemocultura sistem BACTEC (flacon uz pediatric)
- Hemocultura sistem BacT/ALERT (setaerob-anaerob)
- Hemocultura sistem BacT/ALERT (flacon uz pediatric)
- Investigatii paraclinice de laborator realizate in perioada 01.01.2017-20.11.2017: 3.511.564 teste.
Departamentul Hematologie : 490.945 teste
-hemoleucograme si lichide biologice (pleural, ascita, peritoneal, cefalorahidian) 183.346 teste
-teste coagulare : 307.599 teste
Departamentul Biochimie – sange si urini – realizate: 2.433.202 teste
(biochimie sange : 2.394.233 teste si biochimie urina : 41.969 teste ).
Departamentul Imunologie : 522.480 teste
Departamentul Parazitologie : 2.520 teste
Departamentul Bacteriologie : 62.417 teste
TOTAL : 3.511.564 teste
DINAMICA INVESTIGATIILOR PARACLINICE DE LABORATOR AL SECTIEI LABORATOR ANALIZE MEDICALE 1 in perioada 13.03.2012 – 20.11.2017
- Investigatii paraclinice de laborator realizate in perioada 13.03.2012-31.12.2012 : 1.726.166 teste.
- Investigatii paraclinice de laborator realizate in perioada 01.01.2013-31.12.2013 : 2.398.690 teste.
- Investigatii paraclinice de laborator realizate in perioada 01.01.2014-31.12.2014 : 2.401.031 teste.
- Investigatii paraclinice de laborator realizate in perioada 01.01.2015-31.12.2015 : 2.638.072 teste.
- Investigatii paraclinice de laborator realizate in perioada 01.01.2016-31.12.2016 : 3.106.762 teste.
- Investigatii paraclinice de laborator realizate in perioada 01.01.2017-20.11.2017 : 3.511.564 teste.
Se observa o crestere permanenta a numarului de investigatii de la un an la altul ajungindu-se la o crestere de 38% in 2013 fata de 2012(la introducerea informatizarii), o crestere nesemnicativa in 2014 fata de 2013,de 9% in 2015 fata de anul 2014 si o crestere de 18% in 2016 fata de anul 2015 si de aproximativ 13% in 2017 fata de 2016, iar comparativ cu anul 2012 numarul testelor este mai mult decit dublu.
Coordonator Laborator Analize Medicale 1 – Dr Dima Ileana
20.11.2017