Microbiology

Microbiology

Department of Clinical Microbiology and Infection Control imbibes the mission and vision of ILBS in amalgamating Clinical Research, Diagnostics, and unmatched patient care. Department is a multidisciplinary unit consisting of Bacteriology, Mycology, Parasitology, Mycobacteriology and infection control. Timebound and accurate reports forms our core strength, and provide a defininig edge to evidence based medicine. Real time online reporting and use of state-of-the-art equipment have made this goal possible to achieve. Our department is the flag bearer of the Quality commitment incorporated in every aspect of ILBS. NABL accreditation validates our commitment for upholding the high standards of quality. We follow strict quality control (Q.C.) and quality assurance (Q.A.) practices, having participated in EQAS and Interlab comparisons with approved National Reference Centres for the past many years. We are proud to receive a score of 95% and above in each EQAS performance testing.Infection control activities and Antibiotic stewardship programme provides continuous liasioning between the clinicians and the lab. The Infection Control Department performs surveillance of Hospital Associated Infections, monitors the environs, health care providers and the patients to prevent the spread and acquisition of MDROs and other infectious agents .We also trains and motivate all categories of staff to follow good infection control practices to prevent the spread. We have expanded our horizons in diagnostic microbiology with addition of advanced mycology testing facilities along with an array of serological tests. Our lab is well equipped and well trained for laboratory diagnosis of emerging infections like leptospirosis and scrub typhus. Department of Microbiology is dedicated for patient care services and has a prime role in giving microbiological clearance for starting newer facilities in the hospital. This year we have pioneered an academic PDCC course in “Advanced diagnostic and Clinical Microbiology” which will metastasize our excellence in newer microbiological sciences to budding microbiologists. Continual proficiency development is our mission and to achieve this we encourage our staff, faculty and residents to acquire new skills through various intra departmental as well as external training. We are modern, innovative, and progressive; we value quality; and we seek to promote excellence and professionalism and to inspire the next generation of microbiologists .

Services rendered

Services 2017 2018
Aerobic culture 24655 27828
Fungal culture 493 761
AFB culture 174 347
Stain 8416 10201
TB PCR 463 720
Serology 12136 12193
Hospital surveillance  850 1122
Services 2017 2018
  Aerobic culture  
Blood 8484 9191
Body Fluid 3751 4760
Respiratory 2038 2049
PUS 212 204
Stool 276 256
Urine 8805 9617
Ohers 1099 1751
Total 24665 27828
Services 2017 2018
  Mycobacteriology Culture  
Pulmonary 37 160
Extra Pulmonary 137 187
Total 174 347
TB PCR 463 720
  Stains  
Gram's 4653 5103
ZN 1685 2446
KOH 1389 1867
India Ink 53 71
Modified ZN 91 139
Stool Microscopy 545 568
Total 8416 10194
Services 2017 2018
  Hospital Surveillance  
Pulmonary 37 160
Air sample 30 77
Water Culture 45 23
Handle Sampling 12 11
Swab -other sources 314 373
Sterility testing 243 422
Biological Indicators 206 216
Procalcitonin 9405 9327
VDRL 414 410
Widal 155 182
Mantoux 1524 1689
C.difficle toxin detection 140 219
Helicobacter pylori Antigen 04 07
Amoebic Serology 304 310
Hydatid Serology 100 124
Galactomannan 03 86
Leptospira IgM Detection 61 82
Scrub Typhus IgM Detection 26 27

Bacterial Isolates at ILBS

  • Infection Control Activities- the hospital has a comprehensive infection control programme for Prevention and Control of Healthcare Associated Infections and multidrug Resistant Organisms.
  • We practice evidence-based recommendations and guide the health care workers toward strategies to prevent nosocomial infections and multidrug resistant organisms. New guidelines and measures are adopted to curtail the HAIs.
  • The Infection control department addresses all issues related to the spread of infections within the healthcare setting (whether patient-topatient, from patients to staff and from staff to patients, or amongstaff), including prevention (via hand hygiene/hand washing, cleaning/disinfection/sterilization, vaccination, surveillance).
  • Monitoring/investigation of demonstrated or suspected spread of infection within a particular health-care setting (surveillance and outbreak investigation), and management (interruption of outbreaks).
  • Data collection and statistical analysis of HAI indices, Hand Hygiene compliance, MRSA screening form the core of infection control activities. The incidence of all major indices is weekly reported to the Director of the institute and Quarterly to NABH.
  • Regular training and education & orientation of new employees and existing staff is done to prevent and control of HAI & MDROs.
  • Regular environmental surveillance in form of air culture, water culture, surface culture, hand sampling is done to prevent, pre-empt and control any outbreak.
  • Patient education, oversight of regulatory compliance, isolation of potentially infectious patients. Management of Occupational exposures involving employees are important components of our routine work.
  • The infection control committee meets regularly on last Tuesday of every month to discuss any issues, to formulate and update patient care policies, to develop system of identifying, reporting, investigating and controlling the hospital acquired infection, and formulation of preventive and corrective programs in view of infectious hazards. Policies and protocols on the methods of sterilization and disinfection guidelines for segregation and disposal of hospital waste are regularly reviewed.
  • Antimicrobial stewardship : Antimicrobial stewardship forms an important component of infection control rounds. Discussion and review of antimicrobial treatment is carried by the infection control officer routinely. Antibiogram is prepared based on susceptibility patterns and temporal trends of aggregated data are analysed and shared with faculty . Antibiotic policy is formulated based on in-house antibiogram and globally accepted clinical guidelines. Escalation and de-escalation of antimicrobials is done to optimize the treatment and to prevent the emergence of MDROs(multiple drug resistant organisms).
  • Antibiotic restriction, Escalation and de-escalation and dosage optimization of antimicrobials is done.
  • Restricted antimicrobials are administered only after due consideration and clearance from the concerned Faculty and infection control officer their usage monitored, quantified and rationale documented.
  • The infection control manual and antibiotic policy is available on HIS (hospital information system) and can be readily accessed for referral in all areas.
  • The infection control nurse meets daily to the infection control officer.The ICO share the data to the head operation.
  • Restricted antimicrobials are administered only after due consideration and clearance from the concerned Faculty and infection control officer. their usage is monitored, quantified and rationale documented.

M1

New services and facilities added to the department in 2018

  • Real Time PCR Bacterial gastroenteritis panel
  • Real Time PCR pneumonia Panel including Atypical bacteria
  • Real Time PCR Stool Parasite Panel
  • Fecal Microbiota transplantation (FMT)
  • Cryptococcus antigen detection test

Educational Activities

Details of the Educational activities (CME/Conf./workshop) hosted by the department in 2018:

Short term training in Clinical Microbiology Upkar, Amity University Sakshi, Huma, Tanu, Shivanya Samradhi, DAV, Kanpur

Courses offered by the Department

Name of the Course Candidates Admitted Candidates passed
PDCC Advanced Clinical and Diagnostic Microbiology 4 2

Short Term Training

Name of the training Topic
Sanjay Singh Mehta HANDS-ON WORKSHOP on"Common Microscopic Techniques for Demonstration of Microorganisms

Department Achievements

  • Dr Pradheer Gupta, PDCC student presented poster on "Incidence and Predictors of Ventilator- Associated Pneumonia in Patients with Liver Cirrhosis and Non Cirrhosis" at AASLD 2019, San Fransisco, USA.
  • Dr Nitya Batra attended,MYCOCON2018, IAMM DC and ICCMID 2018, Delhi
  • Dr P. Girisha atteneded HISICON 2018, Hyderabad and presented poster on "Elizabeth kingia: waiting to strike
  • Dr Arvind Khodare presented poster on "Incidence and microbiological profile of central line assaociated blood stream infection (CLASI) in era of bundle care
  • • Training and sensitization programme for Nursing staffs on different topics .
  • Factors effecting adherence to standard precautions by Nursing professionals –a Feedback exercise
  • The preanalytical optimization of blood cultures the clinical importance of Preanalytical variables-refining the phlebotomy skill
  • Behavioural modification for better hand hygine compliance- Identifing the psychological barriers to compliance of hand hygine
  • Hospital associated infections-importance of critical care nursing
  • Principal of sepsis and asepsis -Revising the Basics
  • Disinfection of critical care equipment-training of nursing staff

Visiting faculty to the department in 2017

Name Institution Date of Visit
Mr.Anil Kumar Singh    
Dr.Kripa Shankar    
Dr Raman Sardana Indraprastha Apollo Hospital, Delhi  
Dr Chand Wattal Sir Gangaram hospital, Delhi  
Dr Yash Zaveri Apex Healthcare Consortium, Delhi  
Dr Namita Jaggi Artemis hospital, Delhi  
Dr. Nidhi Prasad IGIMS, Patna  
Dr Sayan Bhattacharya AIIMS, Patna  
Dr Vinod Pati AIIMS, Patna  
 

Faculty

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