Baystate Noble has announced that 293 patients who had colonoscopies at Noble between June 2012 and April 2013 may have been exposed to hepatitis B, C and HIV.
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This story follows: Baystate Health releases internal report on 293 patients potentially exposed to hepatitis, HIV.
WESTFIELD - Two-thirds of the 293 colonoscopy patients who might have been exposed to hepatitis B, hepatitis C and HIV, the virus that causes AIDS, at Baystate Noble Hospital because a scope was not properly sanitized in 2012 and 2013 have been tested for those infections, hospital officials said Friday.
Baystate Noble officials, including Jennifer Endicot, senior vice president for strategy and for external relations for all of Baystate Health, said it is too early -- patients were notified two weeks ago -- to know if any of those people tested were infected and, if so, how many have tested positive.
They said that the Massachusetts Department of Public Health is leading the investigation into what -- if any -- harm the colonoscope issue at Baystate Noble may have caused.
On Friday, Department of Public Health spokesman Scott Zoback would only say that the state investigation is continuing.
Neither Zoback nor Endicott would say Friday if there is a timetable for more information to be released.
Endicott, Baystate Noble Hospital president Ronald Bryant and Dr. Sarah Haessler, an infectious-disease physician and Baystate's head epidemiologist, met with reporters Friday to discuss Baystate's own internal inquiry. A news release detailing that report was issued Friday.
Baystate announced in January of 2016 that 293 patients who had colonoscopies at Noble between June 2012 and April 2013 might have been exposed to blood-borne pathogens during their procedure.
The problem was that one tube of the four channel scope used in the process was not properly sanitized by a machine because the fitting on the sanitizing machine did not connect properly with the scope.
Baystate doctors, including Haessler, have said publicly stated that the risk of infection is low because the uncleaned tube in question was used to pump sterile saline solution into a person's body. It was not used to bring out tissue for analysis.
Employees at Noble, then an independent community hospital, discovered the problem in 2013 and it was rectified. Not much happened until December when a state check found the issue and brought it to light.
Patents are angry they weren't told about the risk of infection back in 2013 when it was discovered.
The reason, Baystate said Friday, is that Noble employees did not inform hospital higher-ups of the issue.
Endicott said the workers and a nursing supervisor learned of the problem and rectified it, but that's when the paperwork trail stops.
"It is very unclear to us how the process broke down," she said.
What should have happened its that the hospital should have done a larger and more through look at the situation, a "root cause analysis" in hospital parlance.
That might have resulted in patients being told back in 2013.
No one at Baystate would say if employees have been disciplined. But some workers involved had already left employment there when the inquiry started.
Baystate Noble has a new chief nursing officer as well.
National attention has come to scopes and the possibility of spreading infection in the past few years, raising issues like this to the forefront, Haessler said.
Nationally, the Centers for Disease Control and Prevention says that 50 million Americans undergo colonoscopies each year. The CDC also says more outbreaks have been linked to contaminated endoscopes than to any other medical devices.
In 2015, failure to disinfect endoscopes possibly exposed 281 patients in Hartford to drug-resistant bacteria and was also implicated in the deaths of two patients in California.
The duodenoscope is different than the endoscopes used for routine upper gastrointestinal endoscopy or colonoscopy, according to the FDA.
In 2013, an Atlanta outpatient surgery center sent letters to 456 colonoscopy clients warning them they may have been exposed to HIV as well as hepatitis B and C.
That same year, study at five hospitals nationwide finds that three out of 20 endoscopes retained bits of "biological dirt" from past patients, putting people at risk for hepatitis and infection, as reported in the AARP Health Talk website.
Bryant said Friday that as part of Baystate Health, Noble now has more resources to deal with issues such as this colonoscopy incident.
Baystate Noble Press Release