Wednesday 27 February 2013

Workload in Nyangao

I’ve just been compiling some statistics from the laboratory workload in 2012, and thought there may be people geeky enough to be interested. 

Last year 2012, the laboratory performed over 53 000 examinations.  The top 5 being:


 TEST
NUMBER PERFORMED IN 2012
Total Malaria Tests
14044
Haemoglobin
13687
Urine examination
4631
Blood grouping
3368
ESR
2815

Overall, 27.9% of patients tested for malaria were positive, (although this was 39% for under 5 years of age).  Most of the malria testing was performed by Thick blood Film (11181 ), with only 2163 being performed by rapid test as the supply of rapid test kits is unreliable.

Of 13687 Hb tests performed, 568 were <5g 13119="" and="" dl="" were="">5g/dL

The blood bank performed 3368 blood groups and transfused 1436 units of blood.  Almost half of these units (709) were collected from patient relatives by the laboratory

663 Full blood picture tests were performed (Although however this number approximately half that of previous years and is due to the analyser being out of service for a number of months)

876 patients were counseled and tested for HIV, and of these 7.6% (67) were positive.
1464 tests for HIV monitoring by CD4 count were performed.

827 patient were tested for syphilis, and of these 9.9% (82) were positive.

The laboratory performed 2129 examinations for stool microscopy and 4631 urine microscopy.  We found presence of shistosoma in 268 patient, hookworm in 3 patients, Giardia lambliae in 24 patient and stongyloides in 22 patients. 

1192 patients were tested for Tuberculosis, and 15.6% of these were positive (186). 

In Biochemistry, 5181 tests were performed, the most common being Blood Glucose (2540), Creatinine (2393), ALT (74), and AST (64).  36 CSF samples were tested for glucose and protein.

These statistics show that we are a busy laboratory, although nothing on the scale of the UK laboratories that I have been used to.  The range of tests available is much more limited, and  reflect the main health problems in Tanzania – Malaria, TB and HIV.