Diagnostic laboratory

Clinical diagnostic laboratory (CDL):  +375-17-278-01-22

Head of CDL: Inessa Sevostey, doctor with the first qualification category, +375-17-396-52-28

Clinical Diagnostic Laboratory of the Center is equipped with:

- automated haematology analyzer «Sysmex XT 2000 I» (Japan) (fig. 3);

- urine chemistry analyzer «Uriscan Pro II» (Korea) (fig. 4);

- chemistry analyzer Olympus AU 400, Olympus AU 480  (THE USA) (fig. 5);

- lactate and glucose analyzer Biosen EKF Diagnostic (Germany) (fig. 6);

- electrolyte analyzer Easy Lyte (THE USA) (fig. 7);

- coagulation analyzer ACL 10000 (THE USA) (fig. 8);

- hematology analyzer MEK 7222 Nihon Kohden (Japan) (fig. 9);

- haemostasis analyser ROTEM delta (Germany) (fig. 10 and);

- haemostasis analyser TEG 5000 (THE USA) (fig. 10 á);

- blood gas analyzer Radiometer (Denmark) (fig. 11 and);

- blood gas analyzer RAPID Point 500 (THE USA) (fig. 11 á);

- id-maps for determination of blood types, centrifuge «Diamed Id-centrifuge 12s (Switzerland) (fig. 12);

- incubator for id-maps (Switzerland) (fig. 13);

- coagulation analyzer Helena-biosciences Europe (Great Britain) (fig. 14).

A wide range of laboratory tests is available for the patients:

• complete blood count (CBC), microscopic tests are carried out on the microscope Axioskop 45 (Zaiss, Germany);
• erythrocyte sedimentation rate (ESR);
• urine testing (chemical, physical characteristics);
• urine test with microscopic examination ;
• Nechiporenko urine test.

BIOCHEMICAL BLOOD TESTS:

Enzymes

•        Aspartate aminotransferase (AST)

•        Alanine aminotransferase (ALT)

•        Alpha-amylase

•        Gamma-glutamyl transpeptidase (GGT)

•        Creatine kinase (CK)

•        Creatine kinase - MB (CK-MB)

•        Lactate dehydrogenase (LDH)

•        Alkaline phosphatase (AP)

Metabolites and other indices

•        Bilirubin conjugated (direct) and unconjugated (indirect);

•        Glucose

•        Kreatinine

•        Lactate

•        Urea

•        Uric acid

•        Triglyceride levels

•        Fructosamine

•        Total cholesterol and its factions (HDL, LDL, VLDL, Cholesterol/HDL ratio, Apo A and  Apo B tests), triglycerides

•        Albumin

•        Total protein

•        ASLO (Antistreptolysin O Titer)

•        High-sensitivity C-reactive protein (hs-CRP)

•        Rheumatoid  factor

•        Iron

•        Haptoglobin

•        Unsaturated iron binding capacity, UIBC

•        Calcium total

•        Magnesium total

•        Inorganic Phosphate

•        Immunoglobulins A, M, G (Ig A, M, G)

HEMOSTATIC SYSTEM

•        Activated partial thromboplastin time (APTT)

•        D-dimer

•        Prothrombin time

•        INR (International Normalized Ratio)

•        Factor I (Fibrinogen Activity)

•        Thrombin time

•        Рrotein C

•        Protein S

•        Von Willebrand factor

•        VIII factor

•        Lupus anticoagulant

•        Functional Antithrombin III

•        Cardiolipin Antibodies (IgG, IgМ)

•        Anti-Beta-2-Glycoprotein Antibody (IgG, IgМ)

WILSON'S DISEASE DIAGNOSTICS

•        Serum copper

•        Ceruloplasmin

MONITORING OF ANTICONVULSANTS BLOOD LEVELS

•        Valproic acid (VPA)

•        Carbamazepine (CBZ)

MYASTHENIA GRAVIS DIAGNOSTICS

•        Test for antibodies against the acetylcholine receptor

•         MuSK-Ab

INFECTIOUS DISEASE PANELS

•        Anti-HSV-IgG and IgM

•        TOXOP (Toxoplasma gondii Antibody, IgM and IgG)

•        Anti-CMV Ig G and IgM

ISOSEROLOGY

•        Blood group and Rh-factor  (ID-map “Diamed”)

•        Direct Coombs test

•        Indirect Coombs test

HORMONE PANEL

•        Thyrotropic hormone (TSH)

•        Free Thyroxine, FT4

•        Free Triiodthyronine, FT3

•        Thyroid Peroxidase Autoantibodies (Anti-TPO)

•        Anti-thyroglobulin autoantibodies

•        Luteinizing hormone (LH)

•        Follicle-stimulating hormone (FSH)

•        Total testosteron

•        Parathyroid hormone (PTH)

•        Prolactin

•        Cortisol

ONKOMARKERS

•        Prostate-specific antigen total (PSA total)

EXPRESS-DIAGNOSTIC TESTS performed on fluorescent analyzer of Alere Triage Meter Pro are intended for determination of markers of emergency conditions, such as acute myocardial infarction, for diagnosis and assessment of the risk of coronary heart disease, thromboembolism, pulmonary embolism, acute coronary syndrome, early diagnosis, acute renal injury:

•        Troponin, myoglobin, creatine kinase-MB (CK-MB)

PROCALCITONIN (marker of sepsis)

QUALITY CONTROL OF LABORATORY TESTS

Control of quality in laboratory diagnostics is an integral part of work in our laboratory. It is conducted to constantly maintain quality level of performed studies, based on multilevel daily control of quality and regular participating in external national control of quality. All studies are carried out on a modern automatic equipment, by a skilled personnel with the clear observance of all technological processes, that results in high quality of laboratory tests.

In the Clinical diagnostic laboratory:

•        most tests are performed in 1 working day;

•        safe, painless and rapid procedure of  blood collection -  vacuum blood collection system is used;

•        results can be obtained by fax, e-mail or directly to the patient.

Vacuum blood collection system provides:

•        quick blood collection (5-10 seconds);

•        possibility to collect blood in two or more test tubes in very short period of time  without repeated introduction of needle to the vein;

•        a maximally accurate control of blood-anticoagulant ratio;

•        simplicity and reliability of marking and transporting of  blood samples;

•        possibility to use the test tube without opening for centrifugation;

•         safety of medical personnel during blood collection procedure - vakutainers design eliminates contact of patient's blood  with environment;

 

Vakutayner is the fully closed vacuum system for blood collection from a vein (fig. 15).

The vacuum blood collection system consists of a double-pointed needle, a plastic holder or adapter, and a series of vacuum tubes with rubber stoppers of various colors, the colors indicate the type of additive present. Blood collection using the evacuated tube collection system will produce the best blood samples for analysis by the laboratory. The blood goes from the patient directly into the appropriate test tube.

The CDL provides comprehensive spectrum of  laboratory  tests which are necessary to diagnose and treat different somatic and neurological pathology.

You can get tested at any convenient time on weekdays without waiting in a queue.

Our approach allows:

•        to step back from stereotypes and templates in diagnostics of diseases;

•        complex examination of  an organism;

•        to inform about the risks of development of serious diseases;

•        to make basis for monitoring of health.