Exeter Hospital employee led to an outbreak of hepatitis C
EXETER, N.H. (WHDH) -- The New Hampshire attorney general's office is investigating the hepatitis C outbreak at Exeter Hospital's cardiac catheterization lab, and eight of the 20 infected patients are suing.
Hundreds of patients who visited Exeter Hospital's cardiac catheterization lab between October 2010 and May 2012 are being told they'll have to be tested for hepatitis C -- a virus that can lead to chronic health issues.
Nineteen patients and one staff member have confirmed cases, according to public health officials who say the patients were likely infected when someone used their needle to inject medication before injecting them.
Read more: http://www1.whdh.com/news/articles/l...#ixzz1xsMpzncV
- 2Jun 15, '12 by TheCommuter, ASN, RN Senior ModeratorDid the drug-addicted employee not display any signs and symptoms of injection drug use earlier? The time frame being given is October 2010 through May 2012, so I find it incredulous that this employee worked for a year and a half with no telltale clues of drug abuse. This is sad and disgusting.
Click on the link below for more information on hepatitis C. It is actually a bigger threat to public health in the U.S. and worldwide than HIV and AIDS.
- 1Jun 15, '12 by Altra GuideI read the article and watched the video ... where am I missing discussion of a "drug-addicted employee"? Drug diversion is one thing, but reusing syringes/needles among multiple patients is quite another.
Could it be an issue with some other equipment?
- 0Jun 15, '12 by TheCommuter, ASN, RN Senior ModeratorQuote from AltraHere's what I read. It sounds like a case of diversion to me:I read the article and watched the video ... where am I missing discussion of a "drug-addicted employee"? Drug diversion is one thing, but reusing syringes/needles among multiple patients is quite another.
Could it be an issue with some other equipment?
the patients were likely infected when someone used their needle to inject medication before injecting them.
- 2There isn't much out there...I've got my feelers out. Word on the street is it was the use of prefilled Fentanyl.....injecting and refilling the syringes with water......some places prefill with regular syringes. An anesthesia tech "prefills" and lables for the cases of the day....... but after a while you would think someone would notice the patients were not responding to the meds.
I agree with Commuter....2 years? But you never know the personal burdens of others, but you would think there would be evidence of an obvious problem....I KNOW there is more to this story. I have always said that I was more afraid of Hep C than HIV.
This has happened before.......
The lab was closed for a week in late May but was allowed to re-open after authorities determined there was no evidence that disposable equipment was being misused, that no permanent equipment was contaminated and that there was no further risk of transmission via lab employees, Montero said.
State and local health departments aren’t required to report such outbreaks to the Centers for Disease Control and Prevention, but the agency was notified of 13 outbreaks nationwide between 2008 and 2011. Of those, seven occurred in outpatient facilities, and most were traced to unsafe injection practices. At least two have resulted in criminal charges, including a Colorado woman who was convicted of stealing syringes filled with painkillers from two hospitals where she worked and replacing them with used syringes. The syringes were later used on surgical patients, and up to three dozen were found to have hepatitis C after being exposed.
In New Hampshire, Montero said about 730 people have been tested so far, and several hundred more are expected. The state had been notifying those who did not test positive by mail but is now calling them, recognizing that patients are anxious to learn the results.
The Centers for Disease Control and Prevention records show that three hepatitis C outbreaks at U.S. hospitals in the past 10 years were started by junkie doctors who injected patients with used syringes.
Last month, a former radiology technician at the Mayo Clinic in Jacksonville, Fla., pleaded guilty to infecting patients with hepatitis C.
Steven Beumel, 48, stole syringes of the painkiller Fentanyl, injected himself and then refilled the empties with saline.
Between 2006 and 2008, two patients tested positive for hepatitis C, and one later died from complications related to the disease.
Read more: Hepatitis C outbreak at N.H. hospital could be tied to worker who shot up, injected patients with dirty needles: report * - NY Daily News
- 2Jun 15, '12 by NRSKarenRN, BSN, RN AdminThis could be a case of syringe reuse from multidose vial injecting into IV tubing. Just takes one backflow into syringe, draw up next dose from vial = contamination. Department Health is looking at drug diversion and having meeting tonight at local high school as expansion testing recommended.
6/6/12: DHHS Announces First Round of Test Results in Exeter Hospital Hepatitis C Investigation
6/13/12: DHHS Announces Update on Hepatitis C Outbreak at Exeter Hospital
DPHS is also today announcing the expansion of patients to be tested. Now, anyone treated at the CCL or its recovery room on or after October 1, 2010 through May 25, 2012, is being asked to be tested for hepatitis C. This is a change from testing recommendations set last week at April 1, 2011. Exeter Hospital is in the process of contacting these newly identified patients.
In addition, DPHS believes the most likely explanation of this outbreak is drug diversion. Drug diversion is when a person injects themselves with medications intended for patients and consequently infects patients with a disease such as hepatitis C. “This has been a complicated and time-consuming investigation and it is not over yet,” said Montero. “We will continue to follow up leads and will announce new information as it becomes available.”
Because of the lengthy and detailed investigation, DPHS had previously determined that the Cath Lab was safe to return to normal operations because there was no evidence of contaminated equipment, which can be another cause for this type of outbreak. Full operations of the CCL resumed on June 5th.
- 1NRSKaren I agree they haven't pin pointed it. They know it's not equiptment contamination and they know it's one cath lab employee that is infected so far. It's a nice hospital and always had a good reputation. Commuters post about the prevalence of Hep C made me think of this as where I live it's incessantly on the news.
Just another thing to be aware of in our practice.