Unsterilized equipment sends 861 men for blood test

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Last Updated Mon, 17 Nov 2003 22:21:24

TORONTO - Ontario has ordered all hospitals in the province to review the way they disinfect medical equipment and report back by Jan. 9, Health Minister George Smitherman said Monday.

Friday's order, disclosed Monday, was prompted by a problem at Sunnybrook and Women's Health Sciences Centre, which said its cleaning process for an instrument used to do prostate biopsies "was not meeting current infection standards."

As a result, 861 men who received biopsies at the Toronto hospital between December 1999 and August 2003 have been told to get a blood test for hepatitis B or C and HIV.

The hospital said the chance of a hepatitis infection was one in 100,000, and the chance of getting HIV even smaller.

But the Sunnybrook situation was the third to come to light in two weeks, and the government acted as soon as it became aware of the problem, Smitherman said.

FROM NOV. 4, 2003: Unsterilized equipment used at Ontario hospital

FROM NOV. 10, 2003: Labrador hospital may have used unsterile instruments

Dr. Andrew Simor

"Our concern is that this is much more widespread. This may well be the tip of the iceberg. This is an instrument that other hospitals are using," said Dr. Andrew Simor, Sunnybrook's head of microbiology. Sunnybrook has contacted Health Canada so other hospitals can be warned about the problem.

The hospital began a review of its cleaning procedures two years ago. Everything passed, except a device used in the urology department for trans-rectal ultrasound biopsies.

The procedure involves taking a tissue sample from the rectum, where the needle could have come into contact with infected blood. The needles were being thrown out after one use, the ultrasound was covered with a latex sheath each time it was used and the wand was being scrubbed and flushed with a special cleanser, said Dr. Bob Lester, Sunnybrook's vice-president of medicine and mental health.

But it should have been soaked in yet another disinfectant solution, he said.

Simor said the instruction manual wasn't clear enough. Written by CBC News Online staff

Copyright � CBC 2003

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