Saturday, May 19, 2012
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1. Serology section:
 

Performs a total of seventeen tests as shown in the table below;

A) Human immunodeficiency virus type 1 (HIV-1)

  • HIV-1 Combo antigen/antibody
  • Enzygnost Anti-HIV-1/2 ELISA
  • Murex Ag/Ab Combination Assay
  • HIV Rapid tests (SD-Bioline, Capillus, Determine, Unigold)
  • HIV Western blot (INNO-LIA TM HIV 1/11 Score)
    B) Hepatitis B virus
  • Hepatitis B surface antigen
  • Hepatitis B surface antibodies
  • Hepatitis B core IgM

 

C) Hepatitis C virus

  • Hepatitis C antibodies

D)Hepatitis A virus

  • Hepatitis A antibodies

E) Syphilis

  • VDRL/TPHA
  • Determine

F) Helicobacter pylori

  • Helicobacter pylori IgA and IgG antibodies

G) Rubella virus

  • IgM and IgG antibodies

B) Toxoplasmosis

  • IgM and IgG antibodies

I) Rheumatoid arthritis

  • Rheumatoid factor

J) Typhoid fever

Widal test

K)Streptococcus

  • Antistreptolysin O titer (ASOT)

L) Differentiation of Streptococcus groups

  • Streptex agglutination test

2. Bacteriology:

Bacteriology performs tests such Blood culture, Urine culture, Urinalysis, Cerebrospinal fluid (CSF), Swabs for culture, Gram staining, bacterial identifications and sensitivity testing. VITEK 2, BACT ALERT 3D, ERIC, AU –66 machines are used to perform these tests.

3. Molecular methods:

Molecular based methods include tests such as HIV-1 RNA and HIV-1 DNA.

COBAS TaqMan 48 Analyzer system is used for determination of plasma HIV-1 RNA whereas MagNaPure and GeneAmp 9700 PCR system is used for diagnosis of HIV-1 infection in children under 18 month old (HIV-1 DNA PCR).

Parastology: This section deals with examination of parasites in stool, blood and urine. The section also performs Urine for Bence Jones Proteins tests. It is equipped with modern microscopes and centrifuge machines

Histopathology: The section has modern tissue processing machine and automated tissue staining machine which in conjunction with best laboratory management practices, produces quality biopsy results within 3-5 days. Exfoliative cytology examinations procedures such as pap- smears are performed and Fine Needle Aspiration Cytology (FNAC) both with a turnaround time of 1-2 days. Infertility workup is also done in this section including Male Fertility Test (MFT). The section also performs Barr body test for patients with ambiguous sex.

Mortuary: Muhimbili National Hospital mortuary has the capacity to hold up 84 corpses. It has been rehabilitated and improved with heavy cooling systems which preserve bodies at a required grade. It offers various services namely medicolegal post mortems, clinical post mortems, embalming, washing and dressing (Decoration) and preservation as shown in the table.

Embalming, in most modern cultures, is the art and sciences of temporarily preserving human to remains forestall decomposition and make it suitable for display at a funeral. Essentially is preserve, sanitization and presentation (or restoration) of a dead body to achieve this effect. Embalming has a very long and cross-cultural history, with many cultures giving the embalming processes a greater religious meaning. Autopsy also commonly known as post-mortem examination, necropsy, or abduction, is a medical procedure that consists of thorough examination of a corpse to determine the cause and manner of death and to evaluate any disease or injury that may be present. It is usually performed by a specialized medical doctor called a pathologist.

Procedure to collect corpses at MNH Mortuary
  • Burial permit is brought from the ward where death has occurred
  • Payment of mortuary services is done after a relative of the deceased filling a form indicating the type(s) of services needed for the deceased. These include embalming, washing & dressing, preservation and post-mortem (medicolegal or clinical).
  • Identification of the body is done by the relatives.
  • The services paid for are offered by the pathologist or mortuary attendants.
  • If post-mortem is done, burial permit is issued by the pathologist.
  • Relatives collect the body for burial.

Services offered at Mortuary and their prices

S/N

Service Offered

Cost Per Day in Tshs

1

Preservation of corpses for a death which occurred within Muhimbili National Hospital. Payment is effected from the third night when the death occurred

20, 000/=

2

Preservation of corpses from outside the hospital, payment is effected on the spot.

20,000/=

3

Embalming for Tanzanian Citizens

30,000/=

4

Embalming for Foreigners

60,000/=

5

Washing and Dressing

25,000/=

6

Washing and Dressing for foreigner

50,000/=

7

Clinical post-mortem for Tanzania Citizens

200,000/=

8

Clinical post-mortem for Foreigners

400,000/=

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