BMT unit

Evercare
Hospital
Dr. Tahir Rahman
The first stem cell transplantation of Evercare Hospital
was done on 12th March 2016
YEAR SCT
2016 2 26

2017 1 Auto
2018 5
2019 9 7 Auto, 2 ALLO 17
16
2020 10 2 Auto, 8 ALLO
(5 MSD, 3 HAPLO)
2021 26 18 Auto, 8 ALLO 10
9
(6 MSD, 2 HAPLO)
2022 17 8 Auto, 9 ALLO 5
(3 MSD, 6 HAPLO)
2023 16 10 Auto, 6 ALLO 2
1
(4MSD, 2 HAPLO)
2016 2017 2018 2019 2020 2021 2022 2023
A total of 86 SCT were performed till now

84 in Dhaka, and 2 in Chittagong

Auto 53
ALLO 33--
• 21 MSD
• 12 HAPLO
 Organogram
BMT

Director
Dr. Abu Jafar Mohammed Saleh

Coordinator
Dr. Quazi Smita Haq

Infection
Stem cell
prevention Biomedical Team
Nurse In Collection and Data Manager
and control team members
charge preservation Dr. Tahir
Ms.
Ms. Mina Roy Dr. Tamanna Rahman
Mangalalaksh
Afroz
mi
Team members
Senior Consultant Dr. Abu Jafar Mohammed Saleh

Associate Consultant Dr. Quazi Smita Haq.

Senior Specialists Dr. Masba Uddin Chowdhury
Dr. Md. Kamrul Hassan
Specialists Dr. Kaniz Fatema Rahman
Dr. Zannatun Nesa
Dr. Menoti Paul Mukti
Manager Dr. Tahir Rahman
Senior Medical Officers Dr. Shutopa
Dr. Samina
Resident Medical Officers Dr. Surovi
Dr. Sigma
Dr. Fahmida
Dr. Mahir
Hematology and BMT ward
BMT ward – positive pressure rooms with HEPA filter -3
• Well sealed rooms with bathrooms
• With proper infection control measures
• Adequate air exchange is maintained with continuous pressure monitoring
Clean asceptic rooms
• Single Cabin- 2
• Semiprivate- 6
ICU list
Medical ICU – 12
Surgical ICU – 12
HDU - 12
CT- ICU – 12
CCU – 20
Paediatric ICU - 5
Neonatal ICU – 9
NNICU – 18
Clinical facilities:
• Leukemia Unit
• Bone Marrow Transplant (BMT) Unit
• Chemotherapy Day Care
• Procedure Room
• Out-Patient Department (OPD)
Technical facilities:

• 24-hour blood bank services, blood product irradiation

• Central venous lines are done including PICC line, Permacath,
Hickman line, and Chemo port
• Total Body Irradiation (TBI)
• Procedures- Therapeutic plasma exchange, Leukapheresis, Blood
product Irradiation, etc.
• Stem cell collection, and Cryopreservation is also done
Lab facilities

Hematology lab
Microbiology lab
Biochemistry lab
Molecular lab
Histopathology lab
Nuclear Medicine
Pharmacy
• Availability of chemotherapeautic agents
• Chemotherapy mixing area
• Readily available antimicrobial drugs (Antibiotic, Antiviral,
Antifungals)
Maintenance of BMT ward
The BMT ward is located inside the Hematology and SCT ward which is secured by a biometric
door, and no outsiders are allowed inside.
The BMT ward is again secured by another biometric door
Entry:
• During entry proper PPE are worn (Mask, gown, shoe cover, head cap)
• Hand hygiene is ensured
• Only transplant candidates are admitted in the BMT ward
Ventilation
Positive pressure rooms with HEPA filter
• A positive pressure is maintained inside the BMT rooms which is ensured by meters set for each
room.
• A pressure of 2.5 to 5 Pa is maintained inside.
• Air exchange occurs 12-15 times per hour.
• Monthly particle test and air culture test is done.
• HEPA (high-efficiency particulate air) filters are replaced - 6 monthly, and also whenever air
culture test comes positive it is replaced.
• All checking and maintenance are also done whenever the BMT ward is empty.
Food and water
After the food is cooked in the kitchen it is placed in a special carrier

The carrier is then taken to the pantry and then the food is reheated at a specific temperature in
an induction stove.

It is again placed inside the carrier to be sent to the BMT ward.

Usually, high protein food is provided and cooked with minimum spices.
Water provided in the BMT ward are filtered by reverse osmosis.
Clothing
All clothing provided to the patient and attendants are autoclaved
House keeping staff inside the BMT ward must also change into sterile clothes before entering
 Cryopreservation of stem cells

Stem cell collection by OPTIA

Mixed with a cryoprotective agent (CPA) inside a biosafety tank

It is then frozen in a controlled freezer to -90°C

Dumped into another freezer (Cryo-extra 20) to -196°C where it is stored and preserved
THANK YOU