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State-of-the-art detection machine lies unused at Lucknow’s SGPGI

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Maulshree-Seth

Posted: Nov 20, 2008 at 0120 hrs IST

Lucknow, November 19 In a state where vector-borne diseases are a perennial problem, a machine that promptly tests samples and helps decide a precise line of treatment at an early stage, has been lying unused at the Sanjay Gandhi Post-Graduate Institute of Medical Sciences for the last two months.

Called real-time polymerase chain reaction (RT-PCR) machine, it is a sensitive equipment which identifies chikungunya, JE, dengue and some other viruses with 45 minutes.

But the SGPCI authorities have not obtained certain kits, nor have they been able to decide the rates that should be charged from patients.

While the machine lies idle, samples continue to be tested by the old, gel-based PCR. “Gel-based PCR takes anything between five hours to days for giving results which are not that accurate,” said Dr TN Dhole, head of Microbiology Department of SGPGI. “Real-time PCR takes hardly 45 minutes to give accurate results.”

Explaining the situation, he said sometimes, a particular virus is suspected, but the results are negative when gel-based PCR or enzyme immunoassay (ELISA) test is used. These tests, he said, are simply not that accurate. “Even today, I am sending reports of two patients as negative for herpes encephalitis, even though I know the results would have been different had we been using RT-PCR,” he said.

In the absence of prompt, accurate detection, the patient keeps getting symptomatic treatment, which may or may not be correct.

The machine has cost the SGPGI around Rs 15 lakh and the experts say that it is the best such equipment in the state. Dhole said they hadn’t been able to use the machine due to “lack of co-ordination”. “Despite having the technology, we cannot use it as the decision about the rates for the tests and other formalities might take another few months when the committee formally sits,” he said.

Dr AK Bhatt, Chief Medical Superintendent, said he has not received any complaint about the machine remaining unused. “Our Microbiology Department looks after the laboratory. They know best about the equipments and their procurement,” he said.

Dr KN Prasad, who looks after procurement for the institute, said the committee which finalises the rates and the kind of tests that can be done on RT-PCR will meet in “around one month”. But if the Microbiology Department feels that there is an urgency, then they should write to the hospital administration, he said.

The patients, meanwhile, continue to suffer.

Around 15 days ago, four-year-old Ayush Pathak was admitted in the institute with complaints of seizures, fever and bouts of unconsciousness.

Doctors suspected herpes encephalitis or dengue, but the Microbiology Department sent a report that they could not identify the virus.

The illnesses of 43-year-old Rajesh Chandra and 17-year-old Abhinandan Mallik also remain unidentified.

Last week, the microbiology lab received serum samples of eight patients from different parts of the state, all of whom showed clinical symptoms of chikungunya, but only two of these were actually confirmed.

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useless meetings by abby on 20 Nov 2008

This has been problem with every sector, even if we have the technology but we don't use them..and every process has the bottle neck of useless meetings, which always tend to block the work. And the worst part is some officials don't even realise the issue. Guys @ SGPGI please don't waste time and let the patients suffer.

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