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TAIPEI, Taiwan (AP) — One of Taiwan’s best regarded hospitals
transplanted organs from an HIV carrier into five patients, a
hospital official said Monday, in what appears to be one of the
most egregious examples of medical negligence in the island’s
modern history.
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The five are now being treated with anti-AIDS drugs, said the
official at National Taiwan University Hospital in
Taipei.
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The official spoke on condition of anonymity because she is not
authorized to deal with the media.
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In a posting on its website over the weekend, the hospital said the
mistake occurred because a transplant staffer believed he heard the
English word “non-reactive” on the donor’s standard HIV test, which
means negative, while the word “reactive” was actually
given.
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The hospital added that the information on the test result was
given over the telephone and was not double-checked, as required by
standard operating procedures.
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“We deeply apologize for the mistake,” the hospital
said.
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Shih Chung-liang, a Health Department official, said a department
team will look into the mistaken transplants and decide on possible
penalties for NTUH. If negligence was found to have caused the
blunder, Shih said the hospital may have to suspend its transplant
programs for up to a year in addition to unspecified
fines.
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The donor was a 37-year-old man who fell into a coma on Aug. 24 and
his heart, liver, lungs and two kidneys were transplanted to five
patients on the same day. The heart transplant was conducted at
another hospital, while the four other transplants were conducted
at NTUH, according to NTUH.
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The donor’s mother, who was not identified, told cable news
stations that she felt terrible about the transplants and had not
been aware of her son’s ailment. She said he died after “falling
from a high spot,” without providing details.
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Yao Ke-wu, who heads the health department of Hsinchu city, where
the donor resided, decried the NTUH transplants as “appalling
negligence.”
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He said NTUH staffers could have avoided the mistake by asking his
department about the donor’s medical history in advance, and
deplored that such inquiries were not mandatory in
Taiwan.
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Yao said the five organ receivers will very likely contract HIV,
and their anti-AIDS treatment will be further complicated because
they also have to take medication to modify rejection of the new
organs.
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The five recipients are all Taiwanese. NTUH is among about a dozen
well-equipped and highly-respected Taiwanese hospitals offering
organ transplants.
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There are also concerns among the physicians and nurses who
conducted the transplants that they too may contract HIV. Medical
staffers routinely take protections against bodily fluids during
surgeries, but some experts also warned needle and other
accidential cuts could still expose them to HIV.
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Lee Nan-yao, a physician with the National Chengkung University
Hospital, which performed the heart transplant, told the United
Daily News that some physicians and nurses who had conducted the
transplant “were depressed, and on the verge of panic.”
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