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MEDICAL STAFF

EDUCATIONAL AND SCIENTIFIC ACTIVITIES

ORGANIZATION OF THE CLINIC
I. POLICLINIC
II. STACIONARY-hospital

Employed doctors

II. STACIONARY-hospital

The Clinic for Infectious Diseases has 65 hospital rooms, with 129 beds.All rooms have natural day light and separate sanitary facilities.

Completely new ward for patients with imune deficiencies and infections is in its final stage of buliding.

The stacionary part of the Clinc is situated on four stores, devided acording to patology to different wards. Each ward is subdevided into tvo units. One ward has one resident doctor, and two doctors specialsits.     

Laboratory unit includes:

1.       biochemical laboratory

• cyto-biochemical and ethiologycal diagnostic of CSF
• enzymes and protein status
• cyto- hematological diagnostic and urinary status
• electrolytes, degradation products, metabolic disturbances and coagulation factors.

2.       microbiological diagnostic

3.       immunological diagnostic and

4.       laboratory for molecular diagnostic.

Laboratory for immunology has some of the most sophisticated devices:

- Abbott AxSym - completely automated immunology analyzer, which uses specific MEIA technique (microparticular enzyme immune essay), specially designed two step technique to avoid possible interaction and interferention.

This system enables broad quantitative and qualitative detection of a large number of infectious agents for short period of time. With the STAT option (urgent) analyzes, a quick diagnosis can be made (15 to 20 minutes) regardless of the process phase in which the system is.

- DADE Behring BEP 2000- open immune analyzer which employs ELISA technique. The whole process of dilution, incubation of the specimen and reagents is completely automated as well as the process of reading and calculation.

The Behring tests are with proven quality and are recommended by WHO for detection of HIV, HBV, HAV, EBV, CMV and other viruses as well.

We are also able to use the ELFIA technique for serological diagnostic used by BioMerieux-mini Vidas analyzer. One of the particularities of the system are the latest generation oh HIV1/2 test and P24 confirmatory test.

We also use confirmatory test in immunology-immune blot test.

- Western Blot HIV1/2 for detection of HIV1/2 antibodies. The Clinic for Infectious Diseases is the only referent institution in R. Macedonia for Western blot and ELISA antigen/antibody detection methods for HIV.

Biochemical laboratory at the Clinic uses two contemporary biochemical analyzers, which utilize standard kinetic methods according to IFCC like:

- VITROS EKTACHEM 250- modern biochemical analyzer, which uses the method of dry chemistry, useful for routine and immediate analyzes, suitable for individual patient needs. The performances of the apparatus enable high level of promptness, swiftness and precise detection. This apparatus uses the minimum necessary quantity of material for analyzes (serum, plasma, urine and CSF). A series of analyzes can be made with the use of calorimetric, potencio-metric and immune-chemistry analyzes.

- COBAS EMIRA- is completely selective multi channel biochemical analyzer, which utilizes the photometry technique of liquid solutions and turbidimetric analyzes. This is useful for analyzing multiple biochemical and immunology parameters in minimal specimen.

The whole apparatuses in biochemical laboratory enable us to form date base for a longer period of time (one year).

Having in mind the need for maintaining the high quality of services and exact an swift diagnosis, the Clinic tries to keep the pace with the latest achievements in the field of medical apparatuses and technique.

The Clinic has acquired the:

- COBAS AmpliPrep/COBAS TaqMan 48 System Rosche- completely automated system for extraction, isolation and purification of genetic material from different pathogens from blood, serum, plasma, urine, CSF, feces. The apparatus for automatic amplification and detection of DNA and RNA- Real time PCR TaqMAn 48 is unique apparatus, which enables conducting two different test at the same time with sensitivity of 40 copies/ ml and 100% specificity.

- CD4 cell count- BD FACSCount- complete system for automatic counting for CD4+, CD8+, CD3+ T lymphocytes by the principle of Flow cytometry. The range of examination is: for CD4+: 50-2000 cell/µl; CD8+: 100-2000 cell/µl, CD3+: 100-3500 cell/µl;

- immune-fluorescent microscope