CCTV News:Recently, some media reported that hepatitis C infection broke out in hemodialysis patients in Dongtai People’s Hospital of Yancheng City, Jiangsu Province. Today (27th), Dongtai Municipal People’s Government responded to this matter.
According to the report of Dongtai Municipal People’s Government, on May 13th, Dongtai Municipal Health and Health Commission received a report from the Municipal People’s Hospital that hepatitis C antibody was newly positive among hemodialysis patients in the blood purification center of the hospital, and it was suspected that nosocomial infection occurred.
The State, Jiangsu Province and Yancheng Health and Health Commission organized an expert group to the scene to guide the investigation and handling. After screening and testing of all hemodialysis patients, 69 cases of hepatitis C virus infection were diagnosed and confirmed. According to the investigation of the expert group, this incident is an nosocomial infection incident caused by the inadequate implementation of the hospital nosocomial infection management system.
Inadequate management leads to nosocomial infection.
On May 13th, a patient with positive hepatitis C antibody was found in the blood purification center of Dongtai People’s Hospital, and then the hospital screened 161 patients undergoing hemodialysis treatment in the hospital. After the screening on May 16th, it was found that 69 people were infected with hepatitis C virus, including 50 males and 19 females, the oldest being 77 years old and the youngest being 26 years old. On the 16th, Dongtai Health Construction Committee reported the situation to Yancheng Health Construction Committee. In the evening, Jiangsu Province and Yancheng City organized 15 experts to station in Dongtai People’s Hospital to carry out investigation and disposal. On the 19th, the National Health Construction Committee sent an expert group to Dongtai.
After consultation with the members of the expert group, on May 17th, the treatment plan for 69 infected people was determined. Specific measures were taken to treat 69 infected people with antiviral drugs. Among them, 11 patients with transaminase higher than 200 were admitted to hospital. Another 58 people received outpatient treatment. The expenses incurred during this period shall be borne by the hospital. According to Chu Xudong, director of the Infectious Diseases Department of Dongtai People’s Hospital, the 69 infected people are in stable condition and have no adverse reactions during taking the medicine.
According to Cao Guoping, chief of the medical and political department of Dongtai Health Construction Committee, it was confirmed by the expert group that the main reasons for the incident were the disinfection of the hands of medical staff, the disinfection of related equipment used during dialysis, and the irregular implementation of disinfection measures in dialysis areas.
The second reason is that the human resource allocation in the hemodialysis room is insufficient. According to industry regulations, each nursing staff is generally responsible for the operation of six dialysis machines, but in actual work, each nursing staff in this hospital is responsible for the operation of at least nine machines.
The third reason is that the hemodialysis isolation zone of hepatitis C patients in the hemodialysis room of this hospital has the problem of sharing channels with the normal dialysis zone.
In the end, the expert group composed of the state, province and city found that this incident was an nosocomial infection incident caused by the inadequate implementation of the hospital nosocomial infection management system.
According to the requirements of the national, provincial and Yancheng Health and Health Commission, Dongtai City is organizing a special inspection of nosocomial risk in the whole city to further standardize the diagnosis and treatment behavior, and ordered Dongtai People’s Hospital to quickly implement the rectification plan according to the opinions of the expert group, aiming at the existing problems, and rectify it within a time limit.
Sixteen responsible persons were held accountable.
At the same time, 16 responsible persons were seriously held accountable.
Give Zhu Fabing, director of the Medical Affairs Department of Yancheng Health and Health Commission, an admonishing conversation;
Ma Fan, deputy director of the Medical Affairs Department of Yancheng Health and Health Commission, was given an administrative warning;
Sun Yanchun, deputy mayor of Dongtai Municipal People’s Government, reminded the conversation to be handled;
Cui haijie, director of Dongtai health and health commission, talked with him;
Chen Zhang, deputy director of Dongtai Health and Health Commission, was given an administrative warning;
Cao Guoping, chief of the medical and political department of Dongtai Health Construction Committee, was given an administrative warning;
Yin Weiguo, secretary of the Party Committee and president of Dongtai People’s Hospital, and Song Xiaoping, vice president in charge, were dismissed and given different degrees of punishment to other responsible persons.