Microbiology Laboratory

Microbiology Laboratory

Diagnostics of infectious diseases, support in therapy selection, and active participation in the control of hospital-acquired infections.

Department Overview

The Microbiology Laboratory provides diagnostics of infectious diseases, support in therapy selection, and active participation in the control of hospital-acquired infections.

The work of the laboratory is based on three key segments: laboratory diagnostics, antimicrobial stewardship, and control of hospital-acquired infections, which together ensure safe, high-quality, and coordinated healthcare.

Diseases and Conditions

The laboratory diagnoses infections related to:

  • Respiratory system
    infections of the upper and lower respiratory tract.
  • Urogenital tract
    bacterial and fungal infections.
  • Gastrointestinal tract
    infections caused by bacteria and parasites.
  • Skin and soft tissues
    wound infections and skin lesions.
  • Systemic infections
    bacteremia and sepsis.
  • Hospital-acquired infections
    nosocomial infections and resistant strains.

Diagnostics and Analyses

The laboratory performs microbiological analysis of different types of samples:

Respiratory samples

Swabs and secretions from the upper and lower respiratory tract.

Urogenital samples

Urine, vaginal, and urethral swabs.

Gastrointestinal samples

Stool and other materials.

Skin and wound samples

Swabs and tissue.

Aspirates and tissue samples

Sterile specimens for in-depth analysis.

Blood cultures

Detection of microorganisms in the blood.

Additional analyses include:

Identification of microorganisms

Using automated systems.

Antibiotic susceptibility testing

Testing the sensitivity of microorganisms to antibiotics.

Combined methods

Disc diffusion, E-test, and microdilution.

Interpretation according to EUCAST standards

Ensuring accurate and reliable therapy selection.

Based on the results and the patient’s clinical condition, a recommendation is provided for the most appropriate antibiotic.

Clinical Application

  • Recommendation for antibiotic therapy – targeted treatment based on microbiological findings
  • Support for clinical decision-making – in collaboration with physicians from different specialties
  • Monitoring of resistance – analysis of local patterns of antimicrobial resistance
  • Early detection of infections – enabling timely initiation of therapy

Antimicrobial Stewardship

The laboratory plays an active role in the rational use of antibiotics through a multidisciplinary approach.

This process includes:

  • Correct selection of antibiotics
  • Appropriate dosage and duration of therapy
  • Monitoring of antibiotic resistance
  • Compliance with national and international guidelines

The goal is to ensure effective treatment, reduce the risk of resistance, and preserve the long-term effectiveness of antibiotics.

Hospital Infection Control

The Microbiology Laboratory actively participates in the committee for control and prevention of hospital-acquired infections.

Activities include:

  • Continuous monitoring of hospital-acquired infections
  • Implementation of safety protocols
  • Education of medical staff
  • Screening and early detection of infections

This system reduces the risk of infections and improves patient safety.

Technology and Equipment

The laboratory is equipped with modern automated systems:

  • VITEK 2 Compact
    rapid identification of microorganisms and antibiotic susceptibility.
  • BacT/ALERT system
    automated detection of microorganisms in blood cultures.
  • Antibiotic susceptibility testing systems
    precise testing of antibiotic sensitivity.

These technologies enable fast, accurate, and reliable diagnostics, which are essential for timely treatment.

Specialists

Center for Diagnostics and Laboratory Medicine
Microbiology laboratory

Dr. Katerina Ignevska

Specialist in Microbiology

All doctors

Patient Journey

  • Referral
    By a physician for microbiological testing.
  • Sample Collection
    Collection of the appropriate biological material.
  • Laboratory Analysis
    Microbiological processing and testing.
  • Results
    Identification of the causative organism and antibiotic susceptibility profile.
  • Recommendation
    Guidance for the most appropriate therapy.
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