Contaminated surgical cutlery in Hessen



We are searching data for your request:

Forums and discussions:
Manuals and reference books:
Data from registers:
Wait the end of the search in all databases.
Upon completion, a link will appear to access the found materials.

Another contaminated surgical cutlery discovered in Hessen. The Kassel Clinic confirms hygienic defects in surgical tools

Contaminated surgical equipment appears to be a far-reaching problem in Hessian hospitals. After defects occurred at the Fulda Clinic at the end of last year, contaminated surgical tools have now also been discovered at the Kassel Clinic.

At the beginning of January it became known that problems with blood residues and rust on the surgical cutlery had already occurred at the Fulda Clinic in September 2010, and since then contamination of the surgical instruments has been repeatedly proven. Since then, the clinic has been supplied with sterile surgical tools by other hospitals. When checking the surgical cutlery delivered from the Kassel Clinic, however, contamination has now also been found.

Surgery is canceled due to the contaminated surgical cutlery. The Fulda Clinic informed the responsible government office about the contaminated surgical cutlery, whereupon employees of the supervisory authority and the responsible health authority checked the sterile instruments at the Kassel Clinic on Tuesday. As part of the controls, further deposits on surgical cutlery were detected, the authorities said. The central sterilization of the Kassel Clinic, in which the surgical instruments are cleaned, was closed on the same day. All interventions that are not absolutely necessary have been postponed and currently only emergency operations are taking place in Kassel. The "emergency" is very strictly defined, the managing director Gerhard M. Sontheimer told the newspaper "Hessische / Niedersächsische Allgemeine" (HNA). However, it should be ensured that emergency patients can be treated with (...) "perfect cutlery", Sontheimer continues. The sterile surgical cutlery required for this is borrowed from other clinics or the corresponding disposable cutlery is used, said the Kassel Clinic. Despite the contamination, there was never any danger to the patient in Kassel, said Sontheimer.

Central sterilization at the Kassel Clinic closed With the closure of the central sterilization, the Kassel Clinic was practically crippled, emphasized the managing director of the clinic. Therefore, from Thursday onwards, 24-hour operation in sterilization in Bad Arolsen will be used for cleaning the surgical instruments. In addition, the external service provider Orgamed should now take over part of the cleaning of the surgical cutlery. All the cutlery previously used will no longer be used, Sontheimer emphasized. The contaminated surgical instruments had been returned to the manufacturers Aesculap and Karl Storz Endoscopy so that they could examine exactly where the problems were and ensure perfect sterilization, according to the clinic manager. In addition, the sterilization system, which is actually "very well maintained", will be checked again. Until Friday, only emergency operations can be performed in the clinic. However, it has so far been difficult to determine how long the state of emergency will actually last in Kassel. "We want every patient operated on by us to be sure that we are using perfect instruments," emphasized the managing director of the clinic.

Lack of hygiene due to the increased requirements? The instruments are therefore only used again "when the manufacturer has confirmed that the deposits have been removed and that they are safe," said Sontheimer. A total of around 30,000 individual instruments have to be checked by the manufacturers, but the instruments from the Fulda clinic are still here, which also have to be checked for hygienic safety, emphasized Sontheimer. According to the experts, the increasing lack of hygiene in surgical cutlery can also be attributed to the constantly increasing technical requirements for the proper preparation and cleaning of the instruments in the central sterilization stations. The minimally invasive instruments used today with hollow passages a few millimeters in diameter as well as electronic and optical components make cleaning considerably more difficult, according to the hygiene experts. So there is always contamination of the surgical cutlery, which, in addition to possible health consequences, generally results in considerable restrictions on the operation of the operation in the clinics. For example, the restrictions in Kassel currently eliminate around 65 operations a day, explained the clinic managing director.

Reports of contaminated surgical cutlery worrying Overall, the number of reports of contaminated surgical cutlery in Hesse has reached alarming levels. The Hessian clinics can assume that the pressure from the state supervisory authorities will increase significantly, as the Hessian Minister of Social Affairs Stefan Grüttner (CDU) emphasized. In addition to the introduction of a hygiene ordinance, which is planned for this year anyway, which "will include regulations on the hygiene structure in hospitals, regulations for the monitoring authorities and measures for quality assurance", it is "urgently necessary that the responsible authorities, (...) the inpatients Targeted re-examination of hospitals in Hessen on the occasion of the events in Kassel and Fulda, ”emphasized Grüttner. Increased training of hygiene specialists in nursing and technology as well as specialized doctors is also imperative. "That is why we will (...) develop new offers for training and further education in the field of hygiene for doctors, nurses and technical staff in hospitals," said the CDU politician.

Hospital infections due to poor hygiene There have been repeated shortages of compliance with hygiene regulations in German hospitals recently. According to the health authorities, the number of infections of patients during hospitalization by so-called hospital germs is significantly higher in Germany than in many of our neighboring European countries (e.g. the Netherlands). The contamination of the surgical set also plays a significant role here. Because the direct contact with open wounds is particularly high the risk of infection from health-threatening germs. In addition, multiresistant pathogens (MRSA), which are resistant to treatment with all common antibiotics, pose a serious problem in hospitals. The lack of compliance with hygiene regulations, in particular by the clinic staff, has led to a significantly increased incidence of MRSA . (fp)

Also read:
Contaminated surgical cutlery at Fulda Clinic
Every tenth hospital treatment is harmful
Infection risk in the hospital
Sick from hospital germs
Resistant bacteria in German hospitals

Image: Martin Büdenbender / pixelio.de

Author and source information


Video: How Its Made - Surgical Instruments


Previous Article

Dangerous black skin cancer

Next Article

World MS Day: mistakes about multiple sclerosis