By Christien van den Brink
THE HAGUE, July 28 (Xinhua) — The Maasstad hospital in Rotterdam has been in the news since June this year after the outbreak of an antibiotic bacterium named Klebsiella Oxa-48 that has likely caused the death of 78 people since June.
Question arises on how this new bacterium could appear in the Netherlands.
Hospital bacteria are not a new phenomenon in the world. In a place where the use of antibiotics is widespread, the risk of resistant bacteria increases likewise.
A hospital in the southern region of the Netherlands for example decided to close its IC department on Monday after another bacteria, the so called MRSA , had been detected.
This bacterium has become resistant for the most used antibiotics. Thanks to a strict government policy that regulates the use of antibiotics, only 1 percent of the patients is contaminated with this bacteria.
Normally hospitals take their own responsibility in taking the necessary precautions to stop the spread of these hospital bacteria.
But this is not the case for Maasstad hospital in Rotterdam. In the beginning the Health Care Inspection (IGZ) was fully confident that the board of the hospital could combat the bacteria, but after a few unannounced edits this confidence was declaimed.
The hospital was put under intensified supervision for a period of two months in order to make sure that the right infection control measures were taken.
In addition, an independent supervisor was appointed to combat the bacteria. This will be a difficult task, as the Klebsiella Oxa-49 variant is known for its feature that it can abort almost every antibiotic.
Fortunately, it doesn’t spread through the air. In total 27 people who were infected with the bacteria have died. According to the latest statistics 78 patients are infected. Meanwhile the IGZ has reprimanded the hospital for their indolent working method.
“The hospital needs to arrange a better cooperation between the physician and the infection control microbiologists as quickly as possible,” IGZ told Xinhua.
When a contamination is detected, the doctor-microbiologist needs to be the co-treatment officer in cooperation with the regular doctor, IGZsaid, adding “We have seen that the microbiologist is not always involved in the treatment of the contaminated patients.”
IGZ had ordered the hospital to appoint an external supervisor who will have the final responsibility over the hygiene.
How the bacteria could spread in the hospital? “Either the hospital hasn’t followed the right quarantine procedures when a patient was brought in from abroad or the hygiene in the hospital was below requirements,” said a spokesperson for IGZ, stressing further research needs to be done.
The hospital has estimated that 1967 patients risk to be infected. This risk group needs to tested. Most patients who are carrier of the bacteria aren’t sick.
So far, the hospital hasn’t identified new cases of infections and concludes that the outbreak is under control. As a result, there is no admission stop for the hospital.
In addition, it remains uncertain whether the bacterium was the death cause of the deceased patients. The 27 people who died were carrier of the bacteria, but they were also very weak.
An independent investigation under the lead of the Leiden University Medical Center will research the causes of death. The results of the investigations are expected in September.
“We deeply regret that patients are infected with the bacteria and all possible measures are taken to prevent this in the future,” said Paul Smits, general director of the hospital.
It is the first time that this kind of bacteria is discovered in the Netherlands, yet earlier cases of outbreak have occurred in France, Israel and India, among others.
The antibiotic bacterium is found in the normal flora of the mouth, skin and intestines and can cause destructive changes to human beings in a weakened state.