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All fault of the water. Who could have imagined it? The hospital water was the source of illness and death. This was established by the report of an Inspection Commission activated by the Veneto Region that found the Citrobacter koseri bacteria in the “jets of some taps and on the internal and external surfaces of the bottles” in the Department of Neonatal Intensive Care of the Hospital de la Woman and Child from Borgo Trento in Verona. Every time the tap was turned on, the threat was there, dark and insidious. The bacteria has affected 96 newborns in two years: four have died and five have suffered permanent brain damage, thus altering the lives of many families. A mother, Francesca Frezza, tried to save her little girl Nina. He saw that she was ill and took her from Verona. He transferred her to the Gaslini hospital in Genoa, in search of hope, of a definitive cure. Nothing. The girl had nothing to do. Nina, born on April 11, 2019, died on November 18. Francesca filed a complaint with the Ligurian prosecutor and when the autopsy revealed that the newborn’s death was caused by a nosocomial infection by Citrobacter koseri, she went to the Verona prosecutor’s office.
Judge Diletta Schiaffino has opened a file, currently against unknown persons. She ordered controls of equipment, environments, systems and any negligence in hygiene. Hospital water should never be life threatening. The Veneto Region has appointed two commissions: an external one, coordinated by Professor Vincenzo Baldo, Professor of Hygiene and Public Health at the University of Padua, and another made up of members of the regional administration. President Luca Zaia announced yesterday that he had received the first of the two documents. I have instructed the Mantoan Regional Secretary of Health to be referred to the Public Ministry and made available to the Integrated University Hospital of Verona and the families of children affected by the bacteria, so that they can know the results immediately “. The way the bacteria appeared will be difficult to clarify. “The first event – you read in the 52 pages of the report – occurred in November 2018. During 2019 there were no reports that have allowed us to identify the problem.” Until the day before yesterday, Mamma Francesca was fighting alone, against a hospital that, according to her brother and lawyer Matteo Frezza, “denied everything. The actors in this sad story – she adds – are still in their place.
The report speaks for itself: ‘Molecular analysis, performed on samples taken from some patients positive for Citrobacter koseri, revealed the presence of an epidemic cluster. There is evidence of a lack of communication with the Veneto region. It is the words that weigh in in this report: “no episode was deemed worthy of being reported as a sentinel event.” Underestimated danger? After his tragedy it is divpublic entrance, Francesca was contacted by other mothers. “They recognized each other in their history – explains the lawyer – We thought we were unfortunate mothers.”
The entire obstetric ward – Birth Point, Neonatal Intensive Care and Pediatric Intensive Care – was reopened yesterday, after the general director of Aou Verona, Francesco Cobello, had ordered its closure on June 12, proceeding to the total sanitation of the spaces . “The only firm and diligent decision to make – says Francesca – was to close everything immediately and not wait two years.” Investigations continue. “From the documentation provided, it appears that in the Neonatal Intensive Care Unit the volume of products used as alcoholic solution for hand hygiene was below the minimum WHO standards (20 l / 1000 days of hospitalization) in 2018 and slightly above this level in 2019. Similar considerations can be made for pediatric intensive care. However, these values cannot be considered sufficient given the type of patients that are managed ”, states the report. Still. There is talk of poorly sterilized bottles, of procedures for using tap water that are not followed correctly. Water. All fault of the water. –
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