National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 |
Preface
I am very happy to hear that health Bulletin 2015 of NIKDU is going to be published. NIKDU is the only specialized tertiary care hospital in Bangladesh dedicated for treatment of all types of kidney patients. Number of kidney patients are increasing rapidly in our country. Acute and chronic kidney diseases, Renal stone diseases, Obstructive uropathy and genito-urinary malignancies tuberculosis are the major diseases managed in this institute.The aim of this Institute is to provide education, research & treatment facilities for kidney diseases. All forms of renal replacement therapy including kidney transplantation is available here. We have done a number of CAPD and kidney transplantations in this year, More than 95% of stone diseases and G.U -maligancy are treated by minimally invasive procedures. thousands of Urological surgery including endoscopic and laporospic procedurcs are done. Proper emphasis is given on research programs for prevention, early detecion and treatment of kidney diseases. Post-graduate courses like MD (Nephrology), MS (Urology) have been started since January 2005..NIKDU has been included in residency program for MD (Nephrology and pediatric Nephrology) and MS (Urology) under BSMMU. This institute is conducting a number of community based research works for early detection and prevention of kidney diseases in collaboration with different national and international organizations.This year we are going to set a state of the art dialysis center with 70 HD machines in public private partnership(PPP) project. We have started a joint venture program with IEDCR to detect antibiotic resistance in UTI. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Our aim is to provide the best services to all kidney & urological patients.
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Facility National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka
Organization Code
10000009
Name of Director Prof.Dr.Md.Nurul Hooda
Land Phone No. 1
+88-02--02147483647
Land Phone No. 2
FAX No. 09114954
Mobile No. 01711544030
Email nikdu@hospi.dghs.gov.bd
GPS location of Facility Lati: 0.0000 And Long: 0.0000
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 2
Existing health facilities in the Year 2014
Facility Type
Total
No. of Beds
Medical College Hospital
1
150
Child health and MDG-4 (In The Facility) (Jan-Dec, 2014)
No. of Live Births: 0
Total No. of children treated under IMCI Program 0
Neonatal Mortality Rate (NMR) is 0.00 per 1,000 live births.
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 3
R.P.W.: Registered Pregnant Women;
1st ANC: No. of 1st ANC recipients;
4th ANC: No. of 4th ANC recipients;
C. Preg.: No. of complicated pregnancy;
N.V. deli.: No. of normal deliveries;
C. deli.: No. of cesarean deliveries;
O. deli.: No. of other deliveries;
PNC: No. of PNC services provided to the mothers;
Maternal health and MDG-5 (In The Facility) (Jan-Dec, 2014)
Total No. of Recipients Who Took at least one ANC: 0
Total Number of Deliveries: 0
No. of Maternal Death: 0
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 4
No. of OPD & Emergency Visits at Tertiary Hospital
Health Facility
OPD
Emergency
Above 5 Yr
Below 5 Yr
Above 5 Yr
Below 5 Yr
.
M
F
T (M+F)
M
F
T (M+F)
Grand Total
M
F
T (M+F)
M
F
T (M+F)
Grand Total
Medical College Hospital
41,082
19,219
60,301
2,304
1,151
3,455
63,756
4,403
2,261
6,664
254
126
380
7,044
No. of Admissions & Deaths at Tertiary Hospital
Health Facility
Admission
Death
Above 5 Yr
Below 5 Yr
Above 5 Yr
Below 5 Yr
.
M
F
T (M+F)
M
F
T (M+F)
Grand Total
M
F
T (M+F)
M
F
T (M+F)
Grand Total
Medical College Hospital
3,088
1,970
5,058
330
165
495
5,553
111
88
199
5
2
7
206
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 5
Top 10 diseases according to the number of patients admitted in the Tertiary Hospital
Total number of admitted patients during the reporting period
5,553
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
N185 Chronic kidney disease, stage 5
XIV: Diseases of the genitourinary system
1758
31.66
2
N04 Nephrotic syndrome
XIV: Diseases of the genitourinary system
712
12.82
3
N20 Calculus of kidney and ureter
XIV: Diseases of the genitourinary system
521
9.38
4
N17 Acute renal failure
XIV: Diseases of the genitourinary system
515
9.27
5
N13 Obstructive and reflux uropathy
XIV: Diseases of the genitourinary system
438
7.89
6
N18 Chronic renal failure
XIV: Diseases of the genitourinary system
375
6.75
7
N40 Hyperplasia of prostate
XIV: Diseases of the genitourinary system
329
5.92
8
N19 Unspecified renal failure
XIV: Diseases of the genitourinary system
319
5.74
9
C64 Malignant neoplasm of kidney, except renal pelvis
II: Neoplasms
308
5.55
10
N00 Acute nephritic syndrome
XIV: Diseases of the genitourinary system
278
5.01
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page#6
Top 10 diseases according to the number of deaths among admitted patients in the Tertiary Hospital during the reporting period
Total number of Deaths during the reporting period
206
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
N185 Chronic kidney disease, stage 5
XIV: Diseases of the genitourinary system
79
38.35
2
N17 Acute renal failure
XIV: Diseases of the genitourinary system
67
32.52
3
E878 Other disorders of electrolyte and fluid balance, NEC
IV: Endocrine, nutritional and metabolic diseases
25
12.14
4
N01 Rapidly progressive nephritic syndrome
XIV: Diseases of the genitourinary system
18
8.74
5
R579 Shock, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
12
5.83
6
N139 Obstructive and reflux uropathy, unspecified
XIV: Diseases of the genitourinary system
4
1.94
7
C67 Malignant neoplasm of bladder
II: Neoplasms
1
0.49
8
0
0.00
9
0
0.00
10
0
0.00
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 7
Utilization of services at Tertiary Hospital
Indicators
No.
Total Patient days in 365 days (No.)
52,429
Bed Occupancy Rates (%)
95.76
Average Length of Hospital Stay (No. of days per patient)
9.44
Hospital Death Rate (%)
3.71
Surgeries & Interventions done in the Tertiary Hospital
Type
No.
Major Surgeries
794
Minor Surgeries
1,362
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 8
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
Class I
Doctor
113
76
25
12
10.62
Non Doctor
2
0
1
1
50.00
Class II
159
17
125
17
10.69
Class III
107
77
20
10
9.35
Class IV
139
70
62
7
5.04
Status of Human Resources (Category wise)
Manpower
MCH
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Physician
113
102
0
0
Nurse
146
132
0
0
Medical Assistant
0
0
0
0
Medical Technologist
12
12
0
0
CHCP
0
0
0
0
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 9
Existing equipment at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA)
0
0
0
0
0
X-ray machine (300 mA)
0
0
0
0
0
X-ray machine (500 mA)
0
0
0
0
0
X-ray machine (digital)
2
1
1
0
0
X-ray machine (portable)
4
2
0
2
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
0
0
0
0
0
C-arm
2
2
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
0
0
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
5
3
2
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
4
2
2
0
0
Anesthesia machine without ventilator
5
2
3
0
0
Autoclave
4
4
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
4
4
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
8
4
4
0
0
Portable OT Light
4
2
2
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
6
4
2
0
0
Sterilizer
4
2
0
2
0
Sucker machine (electric)
21
15
4
2
0
Ventilator
5
5
0
0
0
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 10
Existing equipment at Tartiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine
0
0
0
0
0
Debrililator
0
0
0
0
0
ECG machine
10
6
2
2
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
7
7
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
2
2
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
2
1
1
0
0
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 11
Existing equipment at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer
3
2
1
0
0
Centrifuge machine (electric)
6
3
3
0
0
Colorimeter
0
0
0
0
0
Electrolyte analyzer
4
2
2
0
0
ELISA machine
1
0
0
1
0
Gas analyzer
1
0
0
1
0
Hormone analyzer
1
1
0
0
0
Blood cell counter
2
0
1
0
1
Microscope (binocular)
6
3
3
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 12
Existing equipment at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge
4
2
1
1
0
Laminar flow hood
0
0
0
0
0
pH meter
0
0
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
6
3
2
1
0
Blood plasma seperating machine
4
2
1
1
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
2
1
1
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
0
0
0
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
2
1
1
0
0
Vehicles
Ambulance
2
2
0
0
0
Bus
0
0
0
0
0
Jeep
1
1
0
0
0
Microbus
1
1
0
0
0
Pickup
0
0
0
0
0
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page# 13
Existing equipment at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Air conditioner
Air conditioner (split type)
63
51
6
6
0
Air conditioner (window)
28
25
2
1
0
Generator
Generator (diesel/petrol)
0
0
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
68
65
1
1
1
Laptop
12
11
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
9
8
1
0
0
Scanner
3
3
0
0
0
UPS
59
59
0
0
0
Fax
2
2
0
0
0
Intercom
69
63
6
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
2
1
1
0
0
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page#14
Existing equipment at Tertiary Hospital
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
OHP
0
0
0
0
0
PA system (Sound)
0
0
0
0
0
Land phone
14
14
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
3
2
1
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
477
396
58
21
2
National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka | Health Bulletin 2015 | Page#15
Important information and necessary issues for National Institute of Kidney Disease and Urology (NIKD&U)- Sher-e-Bangla Nagar- Dhaka
we left no stone unturned to deliver our sincere efforts for the patients of kidney diseases last year. Services may be improved if the vacant posts are filled up and necessary equipments are supplied properly. At present only 150 beds in this hospital are not enough to serve the urology & nephrology patients of the country having huge population. In near future hospital will be expanded to 500 beds. For kidney failure patients expansion of dialysis facilities including both CAPD & Hemodialysis is our main target.With the improvement of socio economic condition & medical facilities ARF due to diarrhea disease is becoming less common. On the other hand multi organ failure due to RTA, often develop ARF who are better managed by continuous renal replacement therapy (CRRT). Establishment of CRRT with expansion of ICU for seriously ill patient is demand of time. For the treatment of critically ill renal failure patients ICU facilities are being established in addition to dialysis and renal transplantation. We have an intention to start facilities for plasma-pheresis very soon. we are regularly doing live related kidney transplantation. To overcome organ scarcities we are planning to start deceased kidney transplant program. Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the concerned persons to understand health services in the field of kidney diseases. We are looking for a better future.
