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Taiwan hospital transplants 5 HIV-infected organs

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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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