Dongtai isolation hotel

It has been more than half a month since the outbreak of hepatitis C infection in Dongtai People's Hospital of Jiangsu Province.

On May 3rd1day, 69 confirmed infected people got the first test report after taking the medicine. Based on the reactions of many patients, the viral load of 20 or 30 people has obviously decreased, and some patients have turned negative, but they still need to continue to receive antiviral treatment.

According to the patient's family, on the morning of June 2, about 20 or 30 patients came to the B building of the inpatient department where the hemodialysis room was located, and some patient representatives met with the hospital on the ninth floor of the administrative building. It is reported that the hospital did not agree with the requirements of patients and their families.

Irregular operation

Yang Yi (pseudonym), a hemodialysis patient in Dongtai People's Hospital, recalled that dialysis patients usually entered the hemodialysis room at 7: 40 in the morning. Before this, the nurse will first remove the disposable puncture needle for puncture, distribute it and put it on each dialysis machine. Yang Yi said there was dust on the dialysis machine. "When you touch your hand, it's all black." Sometimes the last patient even splashes blood when using it.

A patient's family said that once, she told the nurse that the nurse replied impatiently, "What does it matter?"

Yang Yi also revealed that although patients with hepatitis B and hepatitis C are dialyzed with ordinary patients in the hemodialysis room, sometimes the machine in the isolation area is broken, and patients in the isolation area will be put on the dialyzer in the adjacent ordinary area. After the machines in the isolation area are repaired, the machines used by positive patients will continue to be used by ordinary patients.

The above phenomenon mentioned by the patient obviously violates the "Management Standard for Hemodialysis Rooms in Medical Institutions" issued by the former Ministry of Health on 20 10. Article 30 of the Code requires that the surfaces of dialysis machines, dialysis supplies and other equipment and facilities should be wiped and disinfected after each dialysis. For patients with hepatitis B and hepatitis C, etc. In the specification, it is clear that hemodialysis should be carried out by special plane in their respective isolation rooms or areas, and the treatment rooms or treatment areas should not be mixed with hemodialysis machines.

About three or four years ago, the hemodialysis room of Dongtai People's Hospital was moved from the seventh floor of the emergency department to the third floor of the newly-built inpatient area B. Yang Yi has been admitted to the old and new hemodialysis room. He recalled that after the hemodialysis room moved to a new location, the number of patients gradually increased. Around the end of last year, 24 dialysis machines were newly installed in the hemodialysis room, but instead of improving, the environment became more chaotic. Yang Yi said that he had seen both takeout and waste collection. The hemodialysis room is like a vegetable market.

This also violates the provisions of the third paragraph of Article 27 of the above-mentioned norms, and patients should strictly restrict non-staff members from entering the dialysis treatment area during dialysis.

Is there any precedent for infection?

However, according to many patients, the outbreak of infection seems to be earlier than this time.

Some patients' families recalled that on May 9, the hospital telephoned to advance the semi-annual routine physical examination and asked her father to go to the outpatient clinic for blood test as soon as possible.

Ren Liqun later felt that something was wrong. "We should have checked it in June."

On May 18, after the outbreak of infection, patients received the imported drug cefoperazone issued by the hospital free of charge, including hemodialysis patients who had been infected with hepatitis C before.

Zhao Xing is 11th.

He said that he had been on hemodialysis in People's Hospital for nearly ten years, but he was diagnosed with hepatitis C in the routine physical examination on 20 17 and 12. He recalled that Zhu Yong, director of the hemodialysis room, told himself that he was infected with hepatitis C on the phone, saying that his transaminase was not high, and he was just a virus carrier, so he didn't need treatment. He just took some liver-protecting drugs and hung a bottle of liver-protecting potion.

Zhao Xing recalled that when asked how the doctor got infected, the doctor said, "You were infected outside." . Considering that he will continue dialysis in the same hospital in the future, Zhao Xing didn't go any further.

He said that the number of hepatitis C positive patients has gradually increased, which is the last two or three years. As far as he knows, in the routine physical examination from 2065438 to June 2007, two other patients also found infection.

Jaco (pseudonym) was diagnosed with hepatitis C from 2065438 to June 2007. He is also an old patient in the hemodialysis room. He later estimated that about seven or eight people were diagnosed with hepatitis C that year, and had never heard of such a thing before. He said that he also asked the doctor, and the doctor said, "There is no cure." He also wondered, "Some people say it's serious, others say it's not serious."

Treatment burden

Chen Mingguo said that representatives of 69 infected people had visited Dongtai People's Hospital twice. He recalled that a vice principal who received them comforted and said, "Don't worry, we will take care of it, and I promise to show it to you."

"Mental loss and all aspects, how can you guarantee? How do you deal with public opinion and contradictions at home? " Chen Mingguo black face, some angry.

In fact, this is the situation that most dialysis patients face all the year round. His left forearm has two needle holes about 20 cm apart, which have been bandaged up. Chen Mingguo was originally a hepatitis B patient. She just turned negative during the Spring Festival hospitalization, but now she is infected with hepatitis C. ..

Chen Mingguo said that after the news came out, the originally kind neighbors knew that they were doing hemodialysis in the People's Hospital, and now they see themselves "like seeing a plague god". What stung him even more was that when the accident happened, the 9-year-old granddaughter was picked up by her mother who remarried to a neighboring town and no longer lived with them.

Some infected people rented a house near the hospital for dialysis and were asked by the landlord to move out.

Not to mention others, the hurdles in my heart are hard to cross.

After learning that he was infected, Yang Yi never went home to have dinner with his parents. Sometimes parents call and ask him if he will come back. "I said I don't go back, also don't let them wait. I will eat here (hospital). "

The atmosphere in the hemodialysis room is also much more depressing than before. Yang Yi said that although many patients suffer from renal failure and even uremia, they have gradually accepted this situation after such a long time, so they still talked and laughed in the hemodialysis room before. But now, "people are not in the mood. Even if I am in this mood, I am not. What do you say? "

Almost all the patients interviewed said that they didn't care about compensation, and they hoped that the hospital could provide "free treatment for hepatitis C for life" because they were worried about the recurrence of the disease or reinfection after dialysis.

Many infected people come from rural areas, and many patients like Ren Liqun and Chen Mingguo are already heavily in debt. "I know that 95% of them can't relapse, but we can't guarantee that I am not within 5%, and I will look down on it then." Ren Liqun said.

Some patients' families revealed that on the morning of June 2, about 20 or 30 patients gathered in the B building of the inpatient department where the hemodialysis room was located. After nearly an hour of stalemate, some patient representatives met with the hospital on the ninth floor of the administrative building. It is reported that the hospital has not yet agreed to the requirements of patients and their families.

strict supervision

A private hospital named Beihai Orthopedic Hospital is three kilometers away from People's Hospital. The hemodialysis room is located in the bungalow area of the outpatient building. Once a stranger enters the family rest area, two security guards will stop him.

Editor Chen Wei proofreads Liu Baoqing.