帕普沃斯醫院。污染的水導致婦女死亡--調查

3週前
帕普沃斯醫院。污染的水導致婦女死亡--調查

周四在彼得堡市政廳開始的審訊聽取了一項內部調查的結論,即污染的水源可能是感染源。

坎布里奇和彼得堡的助理驗屍官莫頓先生說,來自伊普斯維奇的斯塔林夫人和來自赫特福德郡博雷漢姆伍德的馬丁內斯夫人的死亡,部分是由感染及其治療造成的。

"他說:"膿腫分枝桿菌是一組快速生長的細菌,它是肺移植病人和其他免疫系統受到抑制的人特別關注的。

"2019年5月,我們接到皇家帕普沃思的電話,說她可以接受手術,"他說。

"手術後,生活方式發生了巨大的變化。她能夠在商店裡走動,不再使用樓梯升降機。"

"帕普沃斯的顧問告訴我們她感染了,似乎暗示它來自水,然而在這個階段沒有開始治療,"斯塔林先生說。

2020年1月,斯塔林夫人被重新送入皇家帕普沃思醫院,並接受了抗生素替加環素的靜脈注射,但她的健康狀況惡化,並在2月去世。

在一份向法庭宣讀的聲明中,安妮-馬丁內斯的家人--她於2020年12月去世--說她在皇家帕普沃思的治療質量從 "出色的好到非常差 "不等。

在審訊中聽到,移植小組認為她的最佳治療方法是抗生素bedaquiline,但醫院最初拒絕批准其使用。

"家屬說:"在給她帶來感染後,醫院應該給她提供一切來恢復,而不是等待九個月,那時已經太晚了,沒有效果。

"這不是我們任何人想要的行事方式,但很多事情都促成了這一點,包括圍繞大流行病的問題"。


The inquest, which began at Peterborough Town Hall on Thursday, heard an internal investigation concluded a contaminated water supply was the likely source of the infection.

Mr Morton, assistant coroner for Cambridgeshire and Peterborough, said the deaths of Mrs Starling, from Ipswich, and Mrs Martinez, from Borehamwood, Hertfordshire, were caused in part by the infection and its treatment.

"Mycobacterium abscessus is a group of rapidly growing bacteria, which is of particular concern to lung transplant patients and others whose immune system is suppressed," he said.

"In May 2019 we received a call from Royal Papworth saying she could receive the surgery," he said.

"There was a dramatic change in lifestyle after the operation. She was able to walk around the shops and stopped using the stairlift."

"The consultant at Papworth told us she'd caught an infection and seemed to suggest it had come from the water, however no treatment was started at this stage," Mr Starling said.

In January 2020, Mrs Starling was readmitted to Royal Papworth and was put on an intravenous course of the antibiotic tigecycline, but her health deteriorated and she died in February.

In a statement read to the court, the family of Anne Martinez - who died in December 2020 - said the quality of her treatment at Royal Papworth ranged from "outstandingly good to very poor".

In the inquest heard the transplant team concluded her best treatment was the antibiotic bedaquiline, but the hospital initially refused to sanction its use.

"Having given her the infection, the hospital should have given her everything to recover rather than wait nine months, when it was too late to be effective," the family said.

"It's not the way any of us would like to conduct things, but a lot of things fed into that, including the issues around the pandemic".

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