Description

LAB

All laboratory services required to monitor the clinical
diagnosis and treatment processes of our patients are presented in a timely and
reliable manner.

Patient safety and expectations are extremely important
to us at every step, from taking samples for testing from our patients to
preparing the results.

All laboratory services required for diagnosis, treatment
and patient evaluation are carried out with modern devices, experienced
technicians, a well-designed laboratory environment, and a management team that
attaches importance to quality and patient satisfaction.

The maintenance and controls of all our devices in our
laboratory are carried out separately, daily, weekly and monthly. After
the control blood is tested every morning and the necessary calibrations are
made, the patient samples are passed on. If deemed necessary, these
controls are repeated during the day.

Our laboratory is affiliated with the KBUDEK EXTERNAL
QUALITY PROGRAM and our results are regularly checked with international
quality control samples abroad and the results are reported. In addition,
regular studies are carried out on the internal quality control program.

Our Laboratory Biochemistry and Kln. It serves our
patients with its staff consisting of biochemistry specialists, a responsible
laboratory technician and experienced laboratory technicians.

In order to obtain accurate results from the tests performed, our patients
should pay attention to the following conditions.

Blood is given in the morning after fasting for 10 – 12
hours for general health screening and laboratory tests.

Heavy and compelling exercises should be avoided before
coming to our hospital for examination.

You should learn from our laboratory whether the
regularly used drugs affect the tests and consult your doctor.

Clinical Microbiology Laboratory

The main task of the clinical microbiology laboratory is
to identify the microorganisms causing the disease and, if necessary, to
determine their susceptibility to antimicrobial agents. Early diagnosis
and treatment is very important in infectious diseases. Another importance
of microbiology data is that it allows the monitoring of antibiotherapy and
prevents the transmission of infection to other healthy people and outbreaks.

Microbiology Unit

In the diagnosis of infectious diseases caused by
bacteria, the results are supported by fast and reliable additional methods in
verification and advanced identification as well as classical culture
methods. By evaluating the stained microscopes of clinical samples during
the day, guiding the clinician to the diagnosis quickly, giving typing and
sensitivity results without delay help the treatment to be started as soon as
possible. Bacteria identification and antibiotic susceptibility results
are reported by studying according to the criteria of The Clinical and
Laboratory Standards Institute (CLSI / NCCLS) together with MIC values.

In the microbiology unit, also with rapid antigen tests,
some bacteria (Strep A, H.pylori etc.), some virus antigens (Rotavirus,
Adenovirus, RSV, Influenza AB etc.) and antibodies, detection of parasite
agents (Amoeba-Giardia antigen, stained examination) is carried out.

Serology Unit

In this unit, tests for the analysis of proteins in body
fluids (ASO, CRP, RF, immunoglobulins, complement, etc.), hepatitis (Hepatitis
B, Hepatitis C, etc.) and AIDS (HIV) tests, tests to determine pregnancy
infections (TORCH) with fully automatic devices. group), tests for Brucella and
Typhoid, autoantibodies (ANA, Anti dsDNA, ANCA, Anti CCP etc.) and other
serological tests for the diagnosis of rheumatological diseases.

Blood Unit

In this department, blood type is studied by gel
centrifugation method in both manual and automated systems, cross match, coombs
(direct / indirect), blood collection from donors in emergency situations is
performed.

Rules to be Followed Regarding Cultures

Culturing some clinical samples has no diagnostic
value. Therefore, it is unnecessary to culture samples such as vomit,
newborn’s gastric juice, sample from colostomy, umbilical swab, fasting gastric
juice (non-tuberculosis).

It is appropriate to send tissue or aspiration samples to
our laboratory instead of swab samples from burnt tissue, decubitus wound,
perirectal abscess, superficial mouth and periodontal lesions.

Anaerobic culture is not performed from samples such as
throat, sputum, bronchoalveolar lavage (BAL), cervical swab, endotracheal
aspirate, prostate fluid, and vaginal swab.

General Rules for Sampling in Microbiology

Please take samples of culture before you start using
antibiotics, otherwise you will prevent the growth of microorganisms.

Take care to take urine samples under sterile conditions
and not to mix sputum samples with saliva.

Be sure to check your name and surname in the samples you
give to the laboratory.

Deliver the samples taken for culture to the laboratory
as soon as possible.

When Are Culture Results Received?

Urine, throat, sputum and catheter cultures: One day
after removal if there is no reproduction and emerged as normal flora, usually
within two days if reproduction occurs, rarely within three to four days,

Stool, vagina, urethral discharge and nasal cultures:
Normal flora is within two days, if reproduction occurs within four days,

Cultures of pus, CSF, paracentesis, thoracentesis,
pericardial fluid, joint fluid, conjunctiva, bile and fasting gastric juice:
Within two days if there is no reproduction, within three to four days if there
is reproduction,

Tuberculosis Culture: Within 45 days,

ARB: It is concluded on the same day.

How to Get Cultures?

Urine Culture; The basic principle of urine intake
is urine intake under sterile conditions. For the investigation of urinary
tract infections, it is best to examine fresh morning urine or urine kept in
the bladder for 4 hours. Since a person who has just urinated, drinking
water and taking urine quickly will dilute the urine, it gives false results
about the reproductive number.

Hands are washed with soap before giving a urine
culture. With the disinfectant pads given by our nurse, wiping from front
to back for women and from the middle to the edge for men, the first incoming
urine is filled out, and the middle part is filled into a sterile urine
container until 1/3 of the container is filled. The last part is thrown
out. Sterile adapters are used for urine collection in babies, provided
from our laboratory and to be applied. The urine collected for culture
should be brought to the laboratory within an hour, and if it is necessary to
wait, it should definitely be kept in the refrigerator.

Bosphorus Culture; Be careful not to eat anything
before the culture is taken, if you have eaten, get the culture taken after
rinsing your mouth a few times or brushing your teeth. While the culture
is being taken, take care to open your mouth well so that the swab (sterile
cotton swab) does not touch the tongue and teeth, and be careful not to
contaminate it with saliva. Throat cultures can stay in this medium for up
to 24 hours since they are taken into a carrier medium. However, it is
very important that the sample is not kept under sunlight and kept in a
suitable environment. Therefore, as soon as the sample is taken, bring it
to the laboratory as soon as possible.

Sputum Culture; It is best to give the first sputum
sample in the morning. After the mouth is rinsed with water a few times
and the teeth are brushed, the sputum is removed by taking a deep breath and it
is delivered in a sterile container taken from the laboratory, taking care not
to contaminate it with saliva. Children who cannot produce sputum are
given help in the department where they are examined.

For culture of ARB and / or tuberculosis, sputum sample
should be given three days in a row in the morning.

Stool Culture; Since there are many microorganisms
in it, various chemical and pH changes occur in the stool and cause the
destruction of pathogens in a short time.

For this reason, it is best to have fresh stools for all
kinds of microbiological and parasitological examinations. If the stool
cannot be examined or sent to the laboratory within one hour, appropriate
transport and storage media should be provided in consultation with the
laboratory.

Püy Culture; Cultures taken into sterile carrier
media or syringes / tubes by the doctor should be delivered to the laboratory
as soon as possible, and where the pus was taken should be stated on the
request paper.