Patients at a hospital who were examined with an endoscope whose tubing was badly disinfected are living in uncertainty for months to come about possible HIV or hepatitis infection. The case involves 100 patients who underwent keyhole examinations at the hospital over the course of two months. People are holding the disinfection equipment supplier liable for the damage.
The supplier has advised other hospitals to stop using this equipment until it is clear what went wrong. It could be that the hoses slipped off the machine during cleaning, resulting in the endoscopes not being fully cleaned. Further investigation revealed that the decontamination machines had a technical defect that may have prevented the hoses from being cleaned properly. The defect was not known because the machines at the hospital are the first of this type in the Netherlands.
The Healthcare Inspectorate is surprised by the incident at the hospital, but does state that this kind of incident has occurred before. ‘You cannot be ahead of these kinds of incidents. We warned a lot, but sometimes things still go wrong,’ said an Inspectorate spokesperson.