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SERVICES

Medical Biology Laboratory

Since its creation in 1995, the Medical Laboratory also known as “Laboratoire de Biologie Médicale” (LBM) of the Institut Pasteur du Cambodge provides a platform for comprehensive medical and biological analyses to Cambodian and international clients

SERVICES

Medical Biology Laboratory

Since its creation in 1995, the Medical Laboratory also known as “Laboratoire de Biologie Médicale” (LBM) of the Institut Pasteur du Cambodge provides a platform for comprehensive medical and biological analyses to Cambodian and international clients

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PRACTICAL INFORMATION

Those recommendations describe how to take bacteriological samples tested in Institut Pasteur du Cambodge. It is addressed to people taking bacteriological samples. For others bacteriological samples or specific one, you may contact a biologist or get information at our reception.

 

For all the samples must be indicated systematically on the prescription:

  • First name, Last name and Date of Birth

  • Time and Date of the sampling and ot the delivery to the IPC

Identification of the medical doctor and of the nurse taking the sample

Lipid profile

  • A strict fasting period of minimum 12 hours is required for a carbohydrate profile (triglycerides, cholesterol proportion).
  • We recommend to eat a light meal before starting the fasting period.
  • You are still allowed to drink 1 glass of water.

Carbohydrate profile

  • A strict fasting period of minimum 8 hours is required for the proportion of glycemia.
  • We recommend to eat a light meal before starting the fasting period.
  • You are still allowed to drink 1 glass of water.

Sperm sample

How to collect the sample

  • Abstinence period before semen collection should be 3 days.
  • After micturition it is important to wash well the glans before collecting the semen sample.
  • Sperm must be collected in a sterile container.
  • Give preference to collect sperm at the laboratory.

 

Transport

Bring the container to the laboratory within 30 minutes after collection (go directly to our medical secretary without waiting).

Stool sample

  • The stool sample should be collected, if possible, during diarrhea. Free fiber diet is recommended the day before the sample collecting.
  • Collect the stool in the sterile container provided by the laboratory
  • Label the container with your name, date and time of stool collecting.
  • Bring the container as soon as possible to the laboratory; otherwise, keep the sample in the fridge.

Urine sample

Recommendations for Urine Microscopy and Culture

Please follow these steps:

  • Have a meticulous wash (of the vulva area for female, of the glans for male) with a cotton pad soaked in disinfectant solution provided by the laboratory (after use, throw the cotton pad out in the garbage, not in the toilet).
  • As you start to urinate, eliminate some urine into the toilet pan.
  • Then collect some urine in the sterile container provided by the laboratory and close it carefully.

 

Recommendations for collecting urine sample for Addis count

Please follow these steps :

  • Get up in the morning 3 hours before habitual time:
  • Empty your bladder in the toilet.
  • Then drink a big glass of water.
  • Label an appropriate container (the one provided by the laboratory or an empty bottle of water) with your name, date and time of urine collecting
  • Go back to bed and lay down for 3 hours.
  • After these 3 hours (be as accurate as possible): empty your bladder in the container.
  • Bring all of the urine collected to the laboratory as soon as possible (maximum 2 hours after urinate); otherwise keep the sample in the fridge.

 

Recommendations for collecting a 24-hour urine sample

Please follow these steps :

  • After getting up in the morning, empty your bladder in the toilet.
  • Label an appropriated container (the one provided by the laboratory or an empty bottle of water) with your name, date and time of eliminating the urine on the toilet
  • Collect all the urine in the container during 24 hours after the beginning of the collect.
  • Example: beginning of the collect on Tuesday at 7am
  • end of the collect on Wednesday at 7am
  • Bring all of the urine collected to the laboratory as soon as possible (maximum 2 hours after the end of the 24h period); otherwise keep the sample in the fridge.

Sputum collection

  • For sputum collection, we prefer a morning sputum after getting up and before eating or drinking. If possible, go outside or open the window to take the sample.
  • Write the name and the sampling date on a sterile plastic container provided by the laboratory
  • Before taking sample, rinse out your mouth with water (don’t use mouthwash)
  • Breathe in deeply and cough hard enough until you can expectorate a sputum
  • Expectorate the sputum into the container
  • Avoid having saliva in the sample
  • Screw the cover carefully to prevent leaking. Clean the outer surface of the container
  • Put the container inside the plastic bag provided by the laboratory and bring it as soon as possible to the laboratory.
Blood Biology
HERMATOLOGY
  • Blood smear
  • Complete Blood Count (CBC)
  • Reticulocytes
  • Diagnosis of Malaria (Blood smear and rapid test)
  • Diagnosis of Filariasis (Blood smear)
  • Semen analysis
  • Detection of semen in urine
BIOCHEMISTRY
  • Metabolites
  • Lipid profile
  • Carbohydrate
  • Metabolism
  • Protein profile 
  • Liver profile
  • Iron metabolism
  • Renal metabolism 
  • Tumor markers
  • Hormonal balance
  • Thyroid balance
  • Cardiac markers
  • Miscellaneous Analyst
IMMUNO-SEROLOGY
  • Hepatitis A screening
  • Hepatitis B screening
  • Hepatitis C screening
  • HIV screening
  • Other serologies
Microbiology
BACTERIOLOGY
  • Bacterial identification by Maldi-TOF
  • Direct smear (Gram)
  • Bacterial culture + direct smear
BLOOD CULTURE
  • Aerobic 
  • Anaerobic
  • Pediatric 
URINE
  • Urine Cytology
  • Urine Culture and cytology 
ENT AND RESPIRATORY SAMPLES
  • Throat, ear, nose or eye specimen culture
  • Pulmonary specimens
  • Rapid detection of group A Streptococcus
GENITAL SAMPLES
  • Vaginal specimen
  • Urethral specimen
  • Sperm culture
  • Detection of Chlamydia trachomatis (Ag test)
  • Detection of Mycoplasma
STOOL
  • Stool culture
  • Detection of Helicobacter pylori antigen
  • Detection of Clostridium difficile toxin A and B
  • Detection of multi-drug resistant bacteria
BODY FLUID
  • Body fluid/CSF Cytology
  • Body fluid culture
MYCOLOGY
  • Mycology direct smear
  • Mycology direct smear + culture
  • Detection of Cryptococcus neoformans
VIROLOGY
  • Rapid detection of Influenza A and B (Rapid test)
  • Detection of Rotavirus and Adenovirus in stool
  • Detection of Herpes simplex virus type 1 and 2
PARASITOLOGY
  • Detection of  Pneumocytis jirovecii by Immunofluoresence
  • Detection of parasites in body fluids
  • Stool Parasitology
  • Detection of Cryptosporidium
MISCELLANEOUS
  • Qualitative detection of hemoglobin in stool
  • Urine reagent strip (Urinalysis)
  • Leptospirosis serology (IgM) by ELISA
Mycobacteriology
DIRECT SMEAR 
  • Culture (solid and liquid media) and identification of Mycobacterium tuberculosis complex
  • First line drug susceptibility testing of M. tuberculosis (Isoniazid, Rifampicin, Streptomycin, Ethambutol)  
  • Second line drug susceptibility testing of M. tuberculosis (Amikacin, Capréomycin, Kanamycin, Ofloxacin) 
GENEXPERT MTB/RIF ULTRA, CEPHID 
  • Molecular genetic assay for M. tuberculosis and rifampicin resistance detection “
Mycobacteriology
MYCOBACTERIOLOGY
  • Genotype®  Mycobacterium CM VER 2.0
  • Genotype® MTBC
  • Genotype® Mycobacterium AS
  • Genotype® MTBDRsl VER 2.0
  • Genotype® MTBDRplus VER 2.0
BACTERIOLOGY 
  • Diagnosis of Leptospirosis by RT-PCR
ONCOLOGY
  • Quantification BCR-ABL transcript
VIROLOGY
  • Hepatitis B Viral Load
  • Hepatitis C Viral Load
  • HIV Viral Load
  • HIV resistance  Mutation : 1st line 
  • HIV resistance  Mutation : 2nde line
  • HIV resistance  Mutation : 3rd line
  • HBV resistance
  • HCV genotype