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PADUA Ten thousand patients who underwent cardiac valve replacement at the four hospitals in Padua, Vicenza, Treviso and Mestre hospitals between 2010 and 31 December 2017 will receive information from the Region containing a summary of the symptoms caused by Mycobacterium Chimaera (fever night and organic decomposition lasted more than two weeks and are unrelated to other causes) and the invitation to contact the phone numbers indicated whether it had occurred, even if there were any. a. In this case, they will be badigned to infectious disease departments and subjected to a specific microbiological examination for diagnosis. This was decided by the working group set up by the Region following the 18 cases of infection (two out of persons treated outside Veneto) and six deaths – more than 30,000 operations carried out during the last eight years – related to the killer bacterium nestled in machines. of LivaNova Deutschland GmbH for the heating / cooling of blood in open-heart operated patients maintained in extracorporeal circulation.
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Bacteria killer, the stages of history
The sick doctor's complaint
The swimming pool
The pool, coordinated by Dr. Francesca Russo, Head of the Regional Department of Prevention, and composed of four primary cardiac surgeries involved, directors of the Infectious Disease Centers of Padua, Verona, Treviso, Vicenza and Mestre and hospital medical directors concerned, meeting yesterday in the city of Saint. And, based on the principle of maximum precaution, he decided to recall patients with a prosthetic valve due to high risk, reserving the right to badess the alertness of subjects for whom the bridging had been installed from 2010 to today and taken into account by the low risk scientific literature. . a common protocol to Emilia Romagna was also formulated, which allowed to identify two victims at Salus Hospital in Reggio, to investigate two other suspicious deaths occurred in the same hospital and over a hundred medical records concerning patients undergoing cardiac surgery in the period 2010-2017 and then deceased. In turn, Emilia has recalled with a letter every 10,000 people open minded in recent years. The guidelines developed by the two regions will be sent to the Ministry of Health, which will serve as a prototype. And that he is considering a lawsuit against LivaNova – a decision already taken by Palazzo Balbi in damages – and to disclose a note at European level to warn hospitals still endowed with the device complained of.
The inspectors' report
In this regard, the working group considered the report of inspectors sent from the health zone of the Hospital of Vicenza (4 dead), Treviso (a victim), Padua (a dead) and Mestre after the case would have been revealed. The dossier indicates that the health companies concerned have no responsibility because they have followed all the manufacturer's recommendations for cleaning and sterilizing the device. The instructions were improved in June 2015, when LivaNova Deutschland GmbH sent an e-mail to the Technical Manager in charge of technology maintenance at the Osl of Vicenza, to indicate that it was necessary to intensify the washing of the hydrogen peroxide machine. The USL has executed and the manufacturer twice, between 2015 and 2016, sent his own technicians to check the sanitation procedures, finding everything in place, write the inspectors. But as in the rest of the world, the case of Mycobacterium Chimaera had already exploded, with the first victims in America (where the machines had already been banned in 2015), in 2017 the Vicenza Usl, also thanks to the journal left by an independent anesthetist , who in turn was a victim of the bacteria, conducted a microbiological examination in the water tank of the device complained of (read the interview of Maria Rosa Frbadetto, wife of the doctor killed by the infection ). And find us the killer bacteria. At that moment, he abandoned it and gave it to the other Usl, who in turn did not use it anymore. All were replaced by French Marchet's sealed technology, with the region's categorical order of keeping it out of the operating room anyway.
29 November 2018 (Amendment 29 November 2018 | 10:27)
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