Lab Medicine

Lab Medicine Centre at Evercare Hospital Chattogram

Lab Medicine Department of Evercare Hospital Chattogram has become the leading diagnostic laboratory in Bangladesh by virtue of its uniqueness in offering diverse tests, reliability and prompt turnaround time. We provide state-of-the-art reliable diagnostic services 24 hours a day, 7 days a week, for patients, general practitioners, and other hospitals in the country.

 

The department is also a regional and national referral centre for specialized tests. Lab Medicine Department, in saving countless lives, is running no way behind the clinical departments. A medical diagnostic laboratory is more than the backbone of a treating physician; it is the very soul of diagnosis.

 

As far as accuracy and reliability goes, there is a huge difference between the Lab Medicine Department of Evercare Hospital Chattogram and other diagnostic facilities in the country. Consultancy in Biochemistry, Microbiology and Clinical Pathology in other labs of the country are mostly done by non-medical personnel, but at Evercare, it is done by qualified post-graduate medical personnel who have vast knowledge and experienced in the variation, pit-falls and loop-holes of lab reports and need not manipulate the reports, which is frequently done in other medical labs in the country.

 

OUR LABORATORIES

Lab Medicine Department of Evercare Hospital Chattogram, located in level-2 of the hospital, has five laboratories with each lab under supervision of post-graduate doctors. The department has the following laboratories:

  1. Clinical Biochemistry
  2. Hematology
  3. Clinical Pathology
  4. Microbiology & Immunology
  5. Histopathology
  6. Molecular Diagnostics

Dengue and Chikungunya are transmitted by the same type of mosquito (aedes) and have similar symptoms. Therefore, it is very important to find out whether the suspected disease is Chikungunya or Dengue before beginning the treatment. To address this issue Evercare Hospital Chattogram is pleased to announce the starting of “Detection and differentiation of Chikungunya virus and Dengue virus FROM THE FIRST DAY OF FEVER by reverse transcription polymerase chain reaction (RT-PCR)”. There is no need to wait for week to develop antibody which people check by ELISA or ICT method.

Specimen need: Whole blood in plain or EDTA tube

Turnaround time (TAT): 1-3 days Service
Name: Chikungunya/Dengue Detection by RT-PCR
Kit is from Europe, CE-IVD approved.
Tariff: 5,000 Taka

List of Doctors

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Conditions Treated

Lab Medicine Department provides diagnostic services every day of the week, 24 hours a day. We offer hundreds of lab tests with new additions timely. Many of our latest tests are not offered anywhere else in the country.

The following are common lab tests performed done by the department:

Blood Tests

  • Blood Sugar (Fasting/Random)
  • Lipid profile
  • Liver Function Test (ALB, TP, SGOT, SGPT, GGT, ALK)
  • Bilirubin
  • T3/T4
  • TSH
  • Urea
  • Creatinine
  • Electrolytes (NA, K, CL, HCO3)
  • Blood Gases (ABG)
  • PSA (Prostate Specific Antigen)
  • Troponin I

 

Other Tests

  • Stool/Urine R/M/E (Routine)
  • Mantoux Test (MT)
  • Semen Analysis
  • CBC (Complete Blood Count)
  • HB%/ESR/Platelet Count
  • ICT for Malaria
  • Bone Marrow Biopsy Procedure & Opinion
  • Pap Smear
  • Biopsy
  • Blood CS
  • Urine CS
  • Stool CS

 

Rest of Others

  • Dengue IGG & IGM
  • ICT For Filaria
  • VDRL
  • Serum Fructosamine
  • Inhibin B
  • Leptospira Antibody
  • Rotavirus Antigen
  • Salmonella Typhi IgG/IgM
  • QuantiFERON TB Gold Test
  • Coagulation Screening Test
  • Angiotensin Converting Enzyme (ACE)
  • Alpha-1 Antitrypsin (AAT)

NEW ADDITIONS

The Department has added many new and unique lab tests recently. The following are the new additions:

  • MTB/NTM Real Time PCR
  • Mycoplasma pneumoniae/Chlamydia pneumoniae Real Time PCR
  • HSV1/2 Real Time PCR
  • Chlamydia T./Neisseria G./Mycoplasma G./ Trichomonas V.
  • Real Time PCR
  • HPV Real Time PCR (High Risk Group)
  • HPV Real Time PCR (low risk group)
  • HPV 16/18 typing
  • HBV Real Time PCR, Quantitative
  • HCV Real Time RT-PCR, Qualitative
  • HCV Real Time RT-PCR, Quantitative
  • HCV Genotyping
  • HIV-1 Real Time RT-PCR, Quantitative
  • CMV Real Time PCR
  • EBV Real Time PCR
  • CMV/EBV Real Time PCR
  • CMV/EBV/HHV-6 Real Time PCR
  • CMV Real Time PCR Quantitative
  • EBV Real Time PCR Quantitative

HLA related tests

  • HLA B27 DNA Detection

Leukemia Associated Translocation PCR

  • Real Time PCR for 7 translocation – t (9,22) minor, major, and micro; t (1,19); t(12,21); inv16; t(15,17) S, V and L; t(8,21) and t(4,11)
  • Real Time PCR for (BCR-ABL1) (Major, minor, micro), t (8;21) (RUNX1-RUNX1T1), inv16(CBFB-MYH11)
  • Real Time PCR for BCR-ABL1 (3 variants), t (4;11) (MLL-AFF1), , t(1;19)(TCF3-PBX1), t(12;21)(ETV6-RUNX1)
  • Real Time PCR for PML-RARA (3 variants)

JAK-2 mutation PCR in Myeloproliferative Disorders

 

Flow Cytometric Immunophenotyping

  1. Immunophenotyping – Acute Leukemia full Panel(CD45, CD34, HLA-DR, CD13, CD33, CD117, MPO, CD10, CD19, CD79a, CD3, CD4, CD5, CD7, CD8, cyCD3, CD14, CD64)
  2. Immunophenotyping – Acute Leukemia basic Panel(CD45, CD34, HLA-DR, CD13, CD33, CD117, CD10, CD19, CD20, CD3, CD5, CD7)
  3. Immunophenotyping – Multiple Myeloma(CD45, CD19, CD117, CD38, CD56, CD138, Anti-Kappa, anti-Lambda)
  4. Immunophenotyping – HIV(CD45, CD3, CD4, CD8)

Tuberculosis

Tuberculosis (TB) is one of the world’s most common severe infectious diseases. Approximately 2 million deaths per year are TB-related. A single patient with an active TB may infect 10 to 15 other people each year. In the fight to stop the spread of TB the most important milestone is early diagnosis. However, diagnosis of TB is a challenge. Evercare Molecular Lab is pioneer in detecting TB from any kind of specimen. Moreover, we can simultaneously detect non-tuberculous mycobacterium (NTM). We already have detected TB/NTM by real time PCR from sputum, BAL, any aspirate, body fluids, CSF, urine, tissue, tissue block (paraffin block), pus and are accepting these specimens for test.

Atypical Pneumonia

Only we are doing multiplex PCR for simultaneous detection of Mycoplasma pneumoniae, Chlamydia pneumoniae which causes atypical pneumonia.

 

Virus Detection and Quantification by Real Time PCR

Precise and accurate detection of viral load and its genotypes ensures confidence in results. Our virological test systems include hepatitis B, C for hepatitis, CMV/EBV/HHV-6, and HIV for immunocompromised patient, HPV for cervical cancer and HSV 1/2 for CNS, eye and genital infections by Real Time PCR enable you a reliable detection of virus which is available only in Evercare Hospital Chattogram.

  • CMV Real Time PCR
  • EBV Real Time PCR
  • CMV/EBV Real Time PCR
  • CMV/EBV/HHV-6 Real Time PCR
  • CMV Real Time PCR Quantitative
  • EBV Real Time PCR Quantitative
  • HSV1/2 Real Time PCR
  • HPV Real Time PCR (High Risk Group)
  • HPV Real Time PCR (low risk group)
  • HPV 16/18 typing
  • HBV Real Time PCR, Quantitative
  • HCV Real Time RT-PCR, Qualitative
  • HCV Real Time RT-PCR, Quantitative
  • HCV Genotyping
  • HIV-1 Real Time RT-PCR, Quantitative

Detection of Sexually Transmitted Infections

Neisseria gonorrhoeaeChlamydia trachomatis, mycoplasma genitalium, Trichomonas vaginalis are the most common pathogens that cause sexually transmitted bacterial infection (STI). The organism causes genitourinary infections in women and men and may be associated with dysuria and vaginal, urethral, or rectal discharge and many times do not produce any symptoms initially.

In women, complications include pelvic inflammatory disease, salpingitis, and infertility. Approximately 25% to 30% of women who develop acute salpingitis become infertile. Complications among men are rare but include epididymitis and sterility. PCR is the most sensitive and specific method for the detection of these pathogens and is now recommended for diagnosis.

 

Cervical Cancer Screening

Cervical cancer is the third most prevalent cancer in women around the world, and the fourth highest cause of women’s cancer-related deaths. The link between cervical cancer and human papillomavirus (HPV) has become clear over the past few decades—today we know that persistent infection with specific types of HPV account for nearly all cases of cervical cancer.

Because cervical cancer rarely causes overt symptoms in its early stages—when treatment is most effective—screening for HPV infections at the greatest risk of progressing to cervical pre-cancer and cancer is imperative. 14 high-risk HPV types are detected in nearly 100% of cervical cancers. Of these, two types are associated with 70% of cervical cancers. Type 16 causes approximately 55% to 60% of cervical cancer cases, and type 18 accounts for 10% to 15%. Real time PCR is the most sensitive and specific method for the detection of HPV.

  • HPV Real Time PCR (High Risk Group)
  • HPV 16/18 typing
  • HPV 6/11 Real Time PCR for wart

QUALITY CONTROL PROGRAM

Lab Medicine Department of Evercare Hospital Dhaka is committed to assuring quality and maintaining JCI (Joint Commission International) standards. The following are our quality assurance programs:

Pre-Analytical Quality Control

  • Patient identification by UHID and Patient name from wrist band/ registration card
  • Universal precaution
  • Collection of samples in appropriate vacutainer/ appropriate container
  • Bar code labeling and transport to the lab

Analytical Quality Control

  • Man behind the machine and appropriate technology
  • Internal Quality Control: Two levels of quality control materials run every day in the hospital
  • External Quality Control Program with BIO-RAD, USA every month
  • Proficiency Testing with Bangabandhu Sheikh Mujib Medical University & AFIP

Post-Analytical Quality Control

  • Finalization of test result by Registrar/Consultant after viewing the history in HIS
  • Effective communication: Critical Call Back
  • Fastest Turn Around Time
    • Emergency: 45 minutes to 1 hour
    • IPD: 1 hour to 2 hours
  • Clinico-pathological conversation/meeting with clinical counterpart.

New Quality Control Parameters

The hospital has introduced a range of newer parameters for quality control which are not done anywhere else in BangladeshThese include:

  • New studies
    • Cystatin C
    • Procalcitonin
    • Lipoprotein A
    • NT-pro BNP
    • Homocysteine
    • Protein C, Protein S
    • Platelet Aggregation Studies
    • HLA-B27
    • Anti-CCP
    • TB IgM, IgG IgA
    • BV
    • ENA Profile
    • C1 Esterase Inhibitor
  • 24-hour Frozen Section 
  • Review of Histopathology slides and blocks from outside sources for second opinion.
  • Introduction of External Quality Control/ Profanely Testwithin the country (with Bangabandhu Sheikh Mujib Medical University and AFIP) and outside the country (with BIO-RAD Laboratory, California, USA). Histopathology Quality Control is done by inter-institutional review for some selected cases.

We have developed Critical Call Back protocol, which is regularly maintained in the hospital. We are proud to be the pioneer in Bangladesh to introduce the system of Critical Call Back in Lab Medicine Department of Evercare Hospital Dhaka, which was highly appreciated by the survey team of Joint Commission on Accreditation of Healthcare Organizations (JCAHO) during our accreditation process.

 

Department              

Test Name list & Service Code

  1. HPV REAL TIME PCR (HIGH RISK GROUP) (6308)
  2. HBV REAL TIME PCR (1782)
  3. HBV VIRAL LOAD (12731)
  4. HLA B27 DNA DETECTION (5967)
  5. CLOPIDOGREL RESISTANCE (CYP2C19) (11364)
  6. CMV Real Time PCR (9276)
  7. MTB/NTM PCR (12732)
  8. DENGUE RT PCR (12336)
  9. PCR FOR VIRAL NEURO 9 TARGETS (MENINGITIS/ENCEPHALITIS) (10804)
  10. CMV REAL TIME PCR QUANTITATIVE (9761)
  11. CMV/EBV Real Time PCR (9275)
  12. CMV/EBV/HHV6 Real Time PCR (9274)
  13. EBV REAL TIME PCR QUANTITATIVE (9762)
  14. COVID-19 (SARS-CoV-2) RT-PCR – FOR TRAVELERS (12503)
  15. COVID-19 (SARS-CoV-2) RT-PCR (12375)
  16. COVID 19 ANTIGEN (12647)
  17. CNS VIRAL PANEL (MULTIPLE) (13289)
  18. RESPIRATORY (URT) PANEL PCR (12345)
  19. MTB/RIF PCR (Gene Xpert) (12728)
  20. HCV REAL TIME RT-PCR (1787)
  21. HCV GENOTYPING (6580)
  22. BKV REAL TIME PCR (10805)
  23. REAL TIME PCR FOR PML-RARA (SINGLE VARIANT) (11433)
  24. REAL TIME PCR FOR PML-RARA(3 VARIANTS) (9802)
  25. HIV-1 REAL TIME RT-PCR (7256)
  26. BCR ABL p210 QUANTITATIIVE PCR (10111)
  27. BCR-ABL SCREENING(MAJOR MINOR MICRO) PCR (12314)
  28. IMMUNOPHENOTYPING-ACUTE LEUKEMIA (9740)
  29. IMMUNOPHENOTYPING-MULTIPLE MYELOMA (9742)
  30. LEUKEMIA GENETIC PROFILE – ANY 6 MARKERS PCR QUALITATIVE (11894)
  31. PNH (FLAER METHOD) BY FLOW CYTOMETRY (10743)
  32. MRD MONITORING B-ALL (11917)
  33. MRD MONITORING CLL (12388)
  34. MRD MONITORING T-ALL (12182)
  35. MRD MULTIPLE MYELOM (12387)
  36. DETECTION OF NEISSERIA GONORRHOEAE BY PCR (10984)
  37. IMMUNOPHENOTYPING CHRONIC LYMPHOPROLIFERATIVE DISORDER (CLPD) (10195)
  38. HLA TYPING HIGH RESOLUTION (HLA A B C  DR  DQ  DP) .. (11438)
  39. KARYO-TYPING ( CYTOGENETICS BLOOD LYMPHO). (6386)
  40. KARYOTYPING FOR HEMATOLOGIC MALIGNANCY. (11895)
  41. MYELOPROLIFERATIVE NEOPLASM (MPN) REFLEX PANEL START WITH BCR-ABL .. (11634
  42. IMMUNOPHENOTYPING CHRONIC LYMPHOPROLIFERATIVE DISORDER (CLPD) (10195)
  43. BETA THALASSEMIA (HBB) GENE ANALYSIS .. (11454)
  44. BRCA1 & BRCA2 GENE ANALYSIS (NGS) .. (11442)
  45. CIRCULATING TUMOR DNA ONCOFOCUS – EGFR .. (11580)
  46. FLT3 GENE MUTATION QUANTITATIVE MRD MONITOR. (12124)
  47. STEM CELL CD34 COUNT – SINGLE TIME (11908)
  48. T AND B CELL COUNT -ABSOLUTE FLOW CYTOMETRY (10527)

IMPORTANT POINTS ABOUT TESTS/PROCEDURES/SURGERIES, YOUR REPORTS & BILLING ENQUIRIES

  • Tests/Investigations:
    • To schedule a test/investigation, please call the relevant OPD front desks.
    • Your lab investigation samples are to be deposited in the Sample Collection Room located in Level-3, which is open on working days (Saturday-Thursday) from 8.00 am to 8:00 pm, and on Fridays and holidays from 9.00 am to 5.00 pm.
    • Your investigation reports can be collected from Report Delivery Room by showing the receipt of payment. The hospital shall not be responsible for reports not collected within 30 days after the tests were done. Report Delivery Room is also located in level-1, and is open on working days (Saturday-Thursday) from 8.00 am to 8:30 pm, and on Fridays and holidays from 9.00 am to 5.00 pm.
    • You will not be able to collect your investigation reports without your receipt of payment. If you have lost your receipt, you may collect a duplicate copy from our Billing Executives (Front Desk, OPD- Level-2,3).
    • You can request duplicate copy of your investigation reports from the Report Delivery Room, inclusive of BDT 100 additional charge.
  • Procedures & Surgeries:
    • If you are interested in undergoing a procedure or surgery, please see our relevant Consultant first.
    • To search for a consultant, go to Find a Consultantpage and for appointments, go to Make an Appointment
  • In-patient Reports
    • Discharge Summary is provided to a patient upon his/her discharge from the hospital. A discharge summary is a summary of the events during hospitalization of the patient. It outlines the patient’s chief complaint, the diagnostic findings, the therapy administered and the patient’s response to it, and recommendations on discharge.
    • To request for detailed in-patient medical reports or to make an insurance claim, refer to our Medical Report
  • For queries on charges, contact our Billing Department (IP Billing Desk, Front desk, OPD- level 1) or call/e-mail our Billing Executives:

 

For queries on charges, contact our Billing Department (IP Billing – level 1) or call/e-mail our Billing Concern:
Md. Rashadul Islam
Manager – Billing
Phone : +88-0241380350-61 Ext- 1031
(From 9 am to 5 pm –Except Holidays)
E-mail: rashadul.islam@evercarebd.com
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