Taiwan Hospital Transplants Organs From HIV Patient Into Five People

Hiv Transplant

First Posted: 08/29/11 11:12 AM ET Updated: 10/29/11 06:12 AM ET

TAIPEI, Taiwan - 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.

The five are now being treated with anti-AIDS drugs, said the official at National Taiwan University Hospital in Taipei.

The official spoke on condition of anonymity because she is not authorized to deal with the media.

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.

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.

"We deeply apologize for the mistake," the hospital said.

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.

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.

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.

Yao Ke-wu, who heads the health department of Hsinchu city, where the donor resided, decried the NTUH transplants as "appalling negligence."

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.

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.

The five recipients are all Taiwanese. NTUH is among about a dozen well-equipped and highly-respected Taiwanese hospitals offering organ transplants.

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.

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."

Annie Huang, The Associated Press

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TAIPEI, Taiwan - 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 ex...
TAIPEI, Taiwan - 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 ex...
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HUFFPOST SUPER USER
francny
11:14 AM on 09/12/2011
This hospital obviously does not have the proper procedure in place. Here in the US a transplant nurse reviews the lab work and signs off on it, then gives it to the transplant team to read for themselves and they sign off on it. It is a check and balance. They NEVER take a telephone report when it comes to transplants here in the US. ALL lab work done on the organ donor is read by two members of a transplant team and they receive the actual lab printout. It is never done via phone call, other than perhaps by phone to the transplant coordinator at a hospital only in regards to it being a possible match for one of their patients, i.,e, blood type. What people may not know that many many times, an organ will arrive for transplant and is examined and deemed not acceptable for transplant by the transplant team. That was an obvious lack of oversight and double checking which should have been done.
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DMGMD
Your micro-bio is still empty
10:27 PM on 08/29/2011
Yeah...that's egregious.
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abuckley23
Published author. Visit me at Planet Kibi!
03:50 PM on 08/29/2011
Lost in translation...? Sad for the recipients of the transplants.
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TheNewShadeofBlue
Anger is one thing, violence is clearly another.
02:31 PM on 08/29/2011
"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."
That just doesn't sound right. The language of most people on the island is Taiwanese Hokkien. Why in the world would they be speaking a foreign language? It would be like American doctors speaking Taiwanese Hokkien when their native tongue is english. It doesn't make sense.
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gx5000
Life's too short, be happy..
02:29 PM on 08/29/2011
Truly deplorable and sad.
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sillyfrog
Pastafarian and UU student
12:45 PM on 08/29/2011
How truly sad for all.