Catlab Reports Bulletin
The Catlab Reports Bulletin is published monthly. Until the publication of the Catlab website, it was mailed electronically to our clients. It consists of a monograph related with laboratory topics. Each month it addresses a different area of Catlab; the topics can be more specific (concrete diagnostic techniques) or deal with more generic aspects (Quality, Management, …).
MICROBIOLOGY - Valuation of the screening of Urine cultures in Primary
The diagnosis of urinary tract infections (UTI) is based on three factors: the patient's symptoms, the examination of the urine forms and the urine culture. In 2016, to qualitatively optimize the microbiological diagnosis of UTI, a screening of the urine with culture requested is started. The result of this screening is a clear decrease in negative urine cultures, an increase in positive ones, and a tendency to reduce contaminated urine cultures.
HEMATOLOGY - Diagnosis of von Willebrand disease
Von Willebrand disease is the most common inherited bleeding disorder (1 case per 10,000 inhabitants) and is characterized by defective platelet adhesion and aggregation, with mucosal associated bleeding and after surgery and trauma. The diagnosis is based on a personal or family history of bleeding, and abnormal laboratory tests of von Willebrand Factor, Factor VIII or both. In Catlab the basic coagulation tests are performed, and the first level tests for the diagnosis of von Willebrand disease; FVIII, FvW:Ag, FvW:RCo.
GENETICS - Study of rearrangements in microsatellite instability of tumor DNA
The mismatch repair system (MMR) repairs small sequence errors, produced in DNA replication. Certain tumor subtypes present as a trigger mechanism a defect in the MMR genes, which gives them a biological behavior and a different prognosis to other tumors of the same tissues. This defect manifests itself at the molecular level as an instability in the size of gene regions called microsatellites. In Catlab, the analysis of five microsatellite regions is performed, using PCR and capillary electrophoresis on paraffin samples of tumor tissue, as a marker of MMR system deficiency.
BIOCHEMISTRY - Fecal occult blood updates
Colorectal cancer ranks second in cancer incidence and mortality in developed countries. Recently in Catlab a series of changes have been made to update the technique and improve clinical interpretation. The analyzer and the collection container have been changed. The unit of the expressed results, and the cut-off point has been changed too.
MICROBIOLOGY - Poseidon Project; development of a biosensor for Legionella detection
The Poseidon Project has been funded by the Horizon 2020 Program. Six institutions from 4 European countries participated, including Catlab. The objective was to develop a biosensor to monitor the concentration of Legionella in situ in water systems in high-risk facilities. Catlab's task was to validate the prototype detection and quantification of Legionella in water samples.
CYTOMETRY - Evolution in the diagnosis by immunophenotype of CLPD
Chronic B cell lymphoproliferative syndromes (BCLPD) comprise a heterogeneous group of hematologic tumors that affect mature B lymphocytes. Recently, they have begun to be used routinely in clinical laboratories, immunophenotypic techniques that allow the labeling of antibodies with different fluorochromes and provide a specific, sensitive and reproducible count for the different cellular subpopulations.
EXTRA-ANALYTIC - Screening of aneuploidies in maternal blood
This November, the new Pregnancy Protocol was launched, which includes the screening of aneuploidy in maternal blood. It allows DNA detection of the fetus in the mother's blood from week 12, for women, in which biochemical screening is high risk and intermediate risk. Screening consists in the detection of numerical anomalies of chromosomes 13,18 and 21. That is, detection of Down Syndrome (Trisomy 21), Edwards Syndrome (Trisomy 18) and Patau Syndrome (Trisomy 13).
GENETICS - Molecular markers in glioma
Glioma is the most common primary tumor among intracranial malignancies. There is a growing number of biomarkers in glioma in the field of research, but currently in routine three are used: Codeletion 1p / 19q; IDH 1/2 mutation; and Methylation of MGMT.
QUALITY - Surveys for emergency physicians
Within the 2016-2018 Customer Satisfaction Measurement Plan, Catlab carried out surveys of the emergency physicians of HUMT, FHSJDM and CST. The results of the 9 consensual questions of the survey are exposed, on the perception and the evaluation that the laboratory professionals have, and the conclusions and improvement actions that have been started from the Laboratory.
MICROBIOLOGY - Tuberculosis
Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis. In this bulletin, we will see how it is acquired, how it is diagnosed and how it is treated. The current frequency of the disease, and the tests available to the Laboratory to diagnose it.