AN INTERNSHIP REPORT CARRIED OUT AT SAINT FRANCIS OF ASSISI

CATHOLIC HOSPITAL, NTASEN, BAMENDA FROM THE 23RD OF

APRIL TO THE 18TH OF MAY 2012PRESENTED BY:

Sr. MABEL NDABU MBATE NSEKAJOEL WEPNGONG

SUPERVISED BY:Mr. CHO FEDERICK NCHANG

BMLS (Hons) & Mr. NGWANUE WILFRED

B.M.L.S (Hons)

SUMMARYINTRODUCTION

HOSPITAL SETTING

SPECIMENS FLOW CHART AND

ANALYTICAL RUNS IN THE

LABORATORY

PREVALENT DISEASES WITH HIGHEST

DIAGNOSIS

DISCUSSION RECOMMENDATION AND

CONCLUSION

CHAPTER ONE

INTERNSHIP AREADefinition of internship

Objectives

History of the area

Geographical location

Cultural values

HOSPITAL SETTING

Organigram of the hospital

Staff strength

Bed capacity

Departments of the hospital

THE LABORATORY

Structure

Laboratory staff strength

Laboratory organization

Specimen flow chart

ANALYTICAL RUNS

Collection benchVenous/capillary blood collectionBlood sugar test (RBS and FBS)MP (thick film/ rapid test)

Parasitology benchUrine/ stool analyses

Serology/haematology benchVDRL, HIV, HBsAg, HCV,Chlamydia, TOXO, H. pylori.

ASO, RF, Blood grouping, Widal

ESR,PSA

Biochemistry bench

Analytes e.g Ca2+, Na+

, K+

Diagnostic enzymes e.g AST (SGOT), ALT (SGPT)CD4

+

Microbiology bench

Stool culture (SSA)VS (culture, Gram and wet)Media preparation (SSA, BA and MCA)

CD4+

Medical diagnosis of the three most prevalent disease in the hospital from Jan, 2011- Apr,

2012

Disease Typhoid H. pylori Malaria

Percentage

82.3% 75.2% 68.8%

Table I

STATISTIC SHOWING TOTAL NUMBER OF PATIENTS, AVERAGE PATIENT PER DAY AND FOUR MOST INCIDENCE DISEASES DIAGNOSED IN THE LAB FROM 23th APRIL – 18th MAY 2012

Total No of

patients

Daily patient average

Salmonellosis

Malaria H. pylori

Intestinal amoebiases and

dysentery

Pos neg pos neg pos neg E. histolytica,WBC,RBC,Gardiasis

, yeast cells

NOPS

125 6 28 3 15 25 14 11 14 5

Table II

DISCUSSION, RECOMMENDATION AND CONCLUSION

DISCUSSION

Work begins 7:30 amGeneral cleaning

RECOMMENDATION

Weighing balanceStool concentrationIncubator New microscopeRepairsBiochemical reagentsStool culture on MCA, BA not only on SSA

Sample collection

New skills acquired like;

CD4+

biochemistry

CONCLUSION

Good relationship with staff

ACKNOWLEDGEMENT

CSHS staff

Hospital staff Ntasen

Supervisors

Mr. Augustine Dzeaye

DEDICATIONIn thankfulness we dedicate this piece of work

to GOD Almighty for His abundant mercy, care

and love throughout our life and stay in

Ntasen