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Diagnostics

YRGCARE Infectious Diseases Laboratory offers testing services from Monday through Saturday (9.00 AM to 5.00 PM) and on Sunday (between 10.00 AM – 4.00 PM). These services are quality assured and offered in a cost effective manner, with a rapid turnaround time. Apart from the HIV/AIDS and Sexually Transmitted Infections (STIs) related tests, the laboratory also offers comprehensive master health-checkup packages to evaluate the general health status. We also have arrangements in place, to test the samples referred from clinics/hospitals in various parts of the country, for both routine testing and master health-check ups.

HIV – SPECIAL TEST PACKAGES:

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1. ART Monitoring Package I:

This package includes all key lab tests (hemoglobin, platelet, total lymphocyte count, CD4 count, CD4%, bilirubin and ALT) that are commonly used to assess the health of HIV patients with or without antiretroviral therapy (ART). The CD4 count and CD4% results are derived from standard flowcytometer.

2. ART Monitoring Package II:

This package includes all key lab tests (hemoglobin, platelet, total lymphocyte count, CD4 count, CD8 count, CD4%, CD8%, bilirubin and ALT) that are commonly used for the health assessment of the HIV patients with or without ART. The CD4 count and CD8 count results are derived from standard compact flowcytometry equipment.

For the ART Monitoring Package I and II, the specific sample requirements, testing methodology details, standard turnaround time for the test report and pricing can be downloaded here.

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SEROLOGY:

Serological tests detect either antibody or antigen of the infecting organism (viral, bacterial, fungal and parasitic). Results from rapid tests are available in a few hours. These tests are conducted using either serum or EDTA plasma as samples. The HIV antibody testing is done based on the testing algorithm of the National AIDS Control Organization (NACO), Government of India, New Delhi with the pre- and post-test counseling.

The specific sample requirements, testing methodology details, standard turnaround time for the test report and price details can be downloaded here.

  1. HIV Antibody Test, HIV 1&2 (RAPID)
  2. HIV-1 Western Blot
  3. HBsAg ELISA
  4. Anti-HCV ELISA
  5. Toxoplasma IgM & IgG Ab (RAPID)
  6. Cryptococcus Ag (RAPID)
  7. RPR (VDRL)
  8. RPR (VDRL) with TITRE
  9. TPHA
  10. Widal Test
  11. Serum Toxoplasma IgM Ab (RAPID)

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HEMATOLOGY & IMMUNO-HEMATOLOGY:

In HIV patients, hematological tests 1-9 on the list below are used to assess ART drug-associated toxicities and the immune-hematological tests (10 & 11) are used to assess the body immune level (HIV disease status) of the patient. The tests are performed with EDTA whole blood and results are usually available in a few hours.

The specific sample requirements, testing methodology details, standard turnaround time for the test report and price details can be downloaded

  1. Complete Blood Count (CBC), excluding ESR
  2. Hemoglobin (Hb)
  3. Erythrocyte Sedimentation Rate (ESR)
  4. WBC Differential Count
  5. Blood Grouping / Typing
  6. BT & CT
  7. Reticulocyte Count
  8. Eosinophil Count
  9. Peripheral Blood smear
  10. CD4 / CD8 Count (BD-FACSCount)
  11. CD4 Absolute Count & CD4% (Coulter PLG)

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MICROBIOLOGY & MYCOBACTERIOLOGY:

HIV-infected patients are susceptible to opportunistic infections (OIs) caused by a variety of microbes; a common infection is tuberculosis. To test for such infections, some samples such as urine or sputum are self-collected by patients based on guidelines that we provide.
The Tuberculosis (TB) PCR (GeneXpert MTB/RIF Assay) is a rapid PCR test and the result is given within 3 hours time.

The specific sample requirements, testing methodology details, standard turnaround time for reports of the various tests and price details can be downloaded

  1. Gram Staining
  2. AFB Staining
  3. Staining for Cryptosporidium
  4. Negative Staining for Cryptococcus
  5. Wet Mount (KOH) for Fungus
  6. Wet Mount for Parasites
  7. Bacterial Culture & Sensitivity (samples include: sputum, urine, stool, pus, CSF, throat swab, urethral swab, vaginal swab, pleural fluid, ascetic fluid, FNAC and skin scrapings)
  8. Blood Culture & Sensitivity
  9. Culture for Fungus
  10. AFB (TB) Culture
  11. AFB (TB) Drug Sensitivity
  12. Tuberculosis (TB) PCR (GeneXpert MTB/RIF Assay)

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MOLECULAR BIOLOGY & GENOTYPING:

Various molecular biological and genotyping tests (assays) monitor infection by HIV and the Hepatitis B and C viruses, assess how effective treatment is, and help in the decision to switch drugs or treatment regimens. The Multiplex CT/NG PCR is used to diagnose the infections by Chlamydia trachomatis and Neisseria gonorrhoeae.

The specific sample requirements, testing methodology details, standard turnaround time for the test report and price details can be downloaded

  1. HIV-1 Plasma Viral Load (ABBOTT Real-Time PCR)
  2. HIV-1 Drug Resistance Test/Genotyping (gene sequencing) – RT Drugs
  3. HIV-1 Drug Resistance Test/Genotyping (gene sequencing) – PI Drugs
  4. HCV Plasma Viral Load (ABBOTT Real-Time PCR)
  5. HCV Genotyping Test (gene sequencing)
  6. HBV Plasma Viral Load (ABBOTT Real-Time PCR)
  7. HBV Genotyping (gene sequencing)
  8. CT/NG Multiplex PCR (ABBOTT Real-Time PCR)

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CLINICAL PATHOLOGY

Our laboratory performs various tests pertaining to clinical pathology as needed in individual cases. The specific sample requirements, testing methodology details, standard turnaround time for the test report and price details can be downloaded

  1. Complete urinalysis
  2. Stool analysis – (Occult blood & Wet mount for parasites)
  3. Cerebrospinal fluid analysis
  4. Pregnancy test (rapid)
  5. Ascitic fluid analysis
  6. Pap smear (conventional & liquid-based cytology)

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CLINICAL BIOCHEMISTRY

Our laboratory performs various tests pertaining to clinical biochemistry as needed in individual cases.The specific sample requirements, testing methodology details, standard turnaround time for the test report and price details can be downloaded

  1. Blood Glucose (Random, Fasting, Post-Prandial)
  2. Glucose Tolerance Test (GTT)
  3. Renal Function Test- (RFT) -Blood Urea & Creatinine
  4. Liver Function Test (LFT)
  5. Bilirubin (Total, Direct & Indirect), SGOT (AST), SGPT (ALT), Gamma GT, Alkaline phosphatase, Total Protein, Albumin
  6. Lipid Profile-(LDL Measured)-(Cholesterol, TGL, HDL, LDL & VLDL)
  7. Lipid Profile-(LDL Calculated)-(Cholesterol, TGL, HDL, LDL & VLDL)
  8. Cardiac Profile – (CPK, CK-MB, LDH & SGOT)
  9. CPK
  10. LDH
  11. Serum Electrolytes (Na+,K+,HC03- & Cl-)
  12. Uric acid
  13. Calcium
  14. Phosphorous
  15. Serum Amylase
  16. Serum Lipase
  17. Lactate
  18. Insulin
  19. Protein Profile – (Total Protein, Albumin, A/G Ratio)
  20. US C-Reactive Protein (US-CRP)
  21. CK-MB
  22. CRP
  23. ASO
  24. HbA1C
  25. RF