Quality Of HIV Testing & Blood Services at GTB Hospital New Delhi

[Guest guest]

Dear Forum,

 

Dinesh (Name change) 12yr child was admited in GTB Govt.Hospital Delhi

Dated 24/01/07 for some problems.

There he was found with cancer first time. Dinesh was admited there for eight

months for treatment in ward-12. For Dinesh,  Ward Incharge Doctar MM Paridi

&  Doctar Pooja Diwan & Doctar Sunil Gomar arranged eight units of blood &

parents are arrange four units of blood from Blood Bank of  GTB Govt. Hospital

Delhi.

Doctars are started the cancer treatment under ward admission countinuesly.

 

1) Dated-24/12/08 Dinesh found HIV+ in ICTC GTB Govt.Hospital Delhi. 

2) After Dinesh report ICTC tested her father & mother  they found HIV Negative

there.

3)Dated-01/01/09 Dinesh registered in ART GTB Hospital ART No-07/03/242/1673/23

CR No-200918239352 & Child health card no-07/03/242/0091

4)Dinesh five CD4 test reports are-79,92,119,172,272.

5)Dated 01/01/09 Dinesh Countinue on ART treatment from ART GTB &  also on Cancer

treatment from GTB Hospital.

6)Dated 21/05/09 Dinesh found HIV Negative in ICTC GTB Govt.Hospital.

7)Dinesh father was belong from BPL family.Mostly all medicines of Cancer he

self afford from Chemist shops.

 

My Questions to all Forum Members & Concern Deppartments.

1)Who is responsible in all that?

Blood Bank-Ward Doctars-ICTC-ART Clinic-DSACS-NACO-MS-Health Minister

of state-Health Minster of Govt.of India?

For any information regarding in this matter my welcome to all for feel free to

mail/call me.

 

Regards

Hari Singh

Counsellor

DIC-DSACS

Board Member(Dnp+)

Mob:+919891263535

email ID -haridnp@...

[Guest guest]

Dear Hari Singh,

Re: /message/10264

ART is the only medicine that is given free of cost. No medicne for cancer /

hypertension / diabetes are avaialble unless a person has health insurance.

I suggest that i this person is BPL, facilitate his enrollment under RSBY, the

health insurance scheme which covers exisitng conditions too for the BPL upto

30k pa.

With intial CD4 counts as low as 72, it unlikely that hte first tests were

discordant. However, there is an tendency to get re-tested - ART will improve

the clinical profile but not cure HIV.

I fail to understand the need for retest of HIV status!

What is perplexing that the results of repeat test were discordant. We need to

get more info on the kits used and results of EQAS, so that we can understand

what happend. please try to get this info.

RK Sood

Dr RK Sood

e-mail: drrksood@...

+91 9418064077, +91 9445157327

[Guest guest]

Dear Forum,

Re: /message/10264

In reponse to Hari Singh's concerns I would like to state that in this

particular case there can be two probabilities

1. Maybe Dinesh did get infected (greater probability) during the

blood transfusion and the results now show negative because of the following two

reasons

- There have been various studies on HIV antibody reversion where

individuals with effective control of viral replication for prolonged

periods may demonstrate negative HIV antibody test results (Hare et al, 2004 and

Levy et al, 2005). This does not suggest that the person is free from HIV

infection but it just suggests that the antibody tests are unable to detect the

same.

- Cancer and its treatment both can cause immunosupression which

probably resulted in the low CD4 counts and a negative antibody test.

Which is why, it is advisable that he continues the antiretroviral treatment.

2. Maybe he really was negative and the first test result was faulty

in which case, quality assurance measures have to be taken for all ICTCs.

Blood banks employ antibody tests to analyze blood samples before sending them

for transfusion but the failure of these tests during the window period is well

known.

Therefore, there definitely is a requirement of Qualitative PCRs as the norm in

Blood Banks and ICTCs ( if not free, at least at subsidized rates; more so in

Blood banks where it has to be free).

Regards,

Dr. Nochiketa Mohanty

Country Project Coordinator

AHF India Cares

S 345 Panchsheel Park

New Delhi 110017

Phone +91 11 46866800

Fax +91 11 46866813

Cell +91 9958262277

nochiketa.mohanty@...

http://www.aidshealth.org

[Guest guest]

Hello

Re: /message/10264

Such thing does happen.

It could be due to validity of diagonostic kits.

It could be due to antigen variability and non compatible antisera. antisera

kit not stored at right temp or cross reactivity

or Phased out sample storage or human error in processing, or sample exchange,

wrong labelling.

Dr Deepti Dongaonkar

Dean Govt Medical college, Nagpur

e-mail: <ddongaonkar@...>