As there was no TB culture testing centre in Ananthapuram district, and the nearest government facility is available only in Vizag in coastal Andhra Pradesh which is more than 800 km from this place, RDT decided to open its own Clinical Microbiology Department in 2011 as the incidence of Multi-Drug-Resistant TB was increasing. The objective of this laboratory was to screen people for TB at an early stage and bring down the mortality rate. The initial diagnosis started with microscopy. By 2010, the department started using Auramine Rhodamine stain technique as a screening tool for TB.
Microbiological investigations like CD4 count determination and HIV viral load are done in the department for diagnosing and treating HIV. First line and second line Antiretroviral Therapy (ART) is given to patients conrmed with HIV infection.
For TB testing, investigations like uoresceindiacetate sputum staining with LED uorescent microscope, GeneXpert Polymerase Chain Reaction, Line probe assay for rst and second line drug
resistance mutations, Liquid culture for tuberculosis and phenotype resistance study are done in the laboratory.
Nutrition & Dietetics
To ensure HIV/AIDS patients receive the nutrition they need, RDT provides them with food rations free of cost. Under this programme, patients get 6 kg rice, 2 kg ragi, 2 kg daal, 2 kg wheat and 1 litre oil every month. This helps patients meet their daily dietary requirements and combat their infection as best they can with good nutrition.
Hospital Information System (HIS)
In 2009, RDT brought into use in-house software; Hospital Information Systems. Since then, maintaining patient data has become very convenient. The organized formats also help in fast retrieval of patients’ medical history for better treatment. The software is continually upgraded for feature enhancements and better performance.
Biomedical Waste Management
It is indispensable to dispose of biomedical waste from hospital properly as it can be extremely dangerous for the health of people. The waste is collected thrice a day from the in collection bins that are colour-coded in accordance with the WHO guidelines. To cause minimum environmental pollution, bio-waste is disposed of by in house incineration. Kitchen waste and glasses are buried deep in the ground and plastics are shuddered.
A 24-hour pharmacy is available for the convenience of patients and their families. All the common and useful medicines and drugs, syringes, rst-aid, etc. are available at the store.