Diarrhoeal diseases remain a major cause of mortality and morbidity in deve
loping countries. However, due to lack of funds, supply problems and some i
nexperience, some laboratories have difficulty identifying a causative agen
t in stool samples. In the year following the opening of the Shaukat Khanum
Memorial Cancer Hospital and Research Centre in Lahore, Pakistan, the micr
obiology department had not isolated a single enteric pathogen. From Januar
y 1996, new culture techniques were introduced, with a resulting increase (
10%) in identification of these pathogens. In addition, the introduction of
formol-ether concentration made a significant contribution to the number o
f intestinal parasites seen. This report demonstrates how simple microbiolo
gy methods made a difference to the running of the department and, ultimate
ly, to the patients.