[ad_1]
in Veneto health authorities downplay, claim that the risks arising from killer bacteria who could have settled machinery which allowed the installation of valves heart in patients. Yet after six death determined, a technical-scientific commission decided that they should be alerted, if not recalled, ten thousand people that between 2010 and the end of 2017, they suffered the same replacement of the valve in the departments of Heart surgery hospitals Mestre, Padua, Vicenza and Treviso. In the coming days, it will be sent to everyone's house note information from the region that explains the symptoms caused by the mycobacterium Chimaera, an infection that has already been established in Veneto in 16 cases (two of which came from outside region). The symptoms are fever, sweats night and organic deterioration that lasts more than two weeks and has no other proven cause. the patients in this case, they are invited to contact the structures health to be taken care of by the departments of diseases infectious who will carry out microbiological examinations to carry out the diagnostic.
The decision is resoundingand follows a similar provision adopted in Emilia Romagna. To be taken was a working group established by the Region after the beginning of infections due to bacterium killer who nested in the machine of LivaNova Deutschland GmbH to heat or cool the blood of patients operated on open heart and maintained in traffic extracorporeal. A real case is being processed work group directed by the doctor Francesca Russian and which include the primary of the four cardiac surgeries involved, as well as those responsible for the infectious disease centers of Padua, Verona, Treviso, Vicenza and Mestre and directors doctors from the hospitals involved.
"We made this decision on the basis of the principle of maximum precaution," says one. Yet 10,000 people are potentially at risk. The intervention protocol was also shared with Emilia Romagna (other 10 thousand patients), who found two victims at Salus Hospital in Reggio and is investigating other suspicious deaths in the same hospital. The guidelines developed by both regions will be sent to the Ministry of Health for use as a prototype. Salus Hospital "Currently, only two cases have been examined, the cardiac patients involved in the investigation were affected by polypathologies and for the moment there are no more established case reports."
Veneto has long since given instructions strict. "The machines present in the heart surgery of all Venetian hospitals have already been security and, in some cases, replaced. All indications are given to all departments place these machines, any brand of manufacturing they are, outside the operating room. "And point your finger at the company Livanova: "Whereas the data in the literature have shown that the mycobacterium Chimera already seems to be nestled in the production site of the appliancesso before installation in the operating room, the Region Veneto he protects himself against the producing society ".
The decision to send the letter to ten thousand patients is the fruit of the work of the inspectors sent from the health zone to the hospitals of Vicenza (4 deaths), Treviso and Padua (one dead each) and Mestre. The inspectors carry out the business health interested, which would have no liability because "they did everything the manufacturer had recommended for the cleaning and sterilization of the device. "In June 2015, LivaNova Deutschland GmbH sent an e-mail to technical Manager responsible for the maintenance of technology Allâ € ™ s of Vicenza, urging him to step up i washing of the machine with the peroxide of hydrogen.
It all started right in Vicenza, where LivaNova had sent twice technical check the results of the sanitation facilities, finding no anomaly or presence of bacteria. Last year, however, the local health authority in Vicenza underwent microbiological the water tank of the device. He did it by following the instructions let of an anesthetist victim of the bacteria. And then the discovery that led to was made block the use of appliances. The invitation to whom is operated since 2010 comes from the fact that the period of incubation the infection is very long, including in a period ranging from 3 months to 6 years. For that infection there is no coded treatment and the rate of mortality it's about 50 percent.
Source link
