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The Health Ministry has today clarified the issue of the recent bacterial outbreak in the CWM’s Neonatal intensive care unit.
Following the completion of the report carried out by the World Health Organization on the recent outbreak, findings show that the ‘acinetobacter baumannii’ bacterium has been present in the Neonatal intensive care unit since 2015 and possibly earlier.
However, according to the Ministry majority of baby deaths that occurred did not test positive to the bacteria.
Discussing the findings of the review of the recent bacterial outbreak in the neonatal intensive care unit.
This is in light of the number of babies who passed away during the first six months of this year.
Based on laboratory testing those babies were found to be infected with the acinetobacter baumannii bacterium.
“We’ve made clear on many occasions that is hasn’t been possible to establish that any babies have died as a direct result of the infection – as they were all admitted to the NICU with other very serious medical conditions – but the fact that they died with the bacterial infection has been a cause of great concern for us,” said Minister for Health – Rosy Akbar.
The Review team has confirmed that deaths of babies are sadly, not uncommon among babies admitted to the NICU at CWM Hospital.
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“There are data in the report (Figure 4) which show there has been at least one death in the NICU every month since January 2015 and, in June 2016, there were in fact 11 deaths, none of which tested positive for acinetobacter baumannii. Also, during the first six months of this year, when the bacterial outbreak was occurring, more than 20 babies who were not infected also died in the NICU at CWMH. So, while there can be no doubt that the death rate was higher in the first half of this year while the outbreak was occurring, the reality is that the NICU provides care to some very vulnerable babies,” said Philip Davies – Permanent Secretary for Health.
According to the findings from WHO, this bacterium poses a significant health risk to those with compromised immune systems.
“Healthcare-associated infections due to baumannii are often linked to invasive devices or contaminated environments, such as colonized medical equipment. Ventilators, suctioning equipment, mattresses, sinks and portable radiology equipment are some of the more common sources that remain colonized for extended periods.“
“Outbreaks such as the one in CWMH’s neonatal intensive care unit (NICU), are not unusual as similar outbreaks have occurred both in developed and developing countries. However there are a cause for concern that required immediate action to control and prevent the spread of the bacteria,” said Dr Corinne Capuano.
Akbar says considering the findings of WHO’s technical report this outbreak is not only in Fiji but worldwide.
“The reality is, these types of outbreaks affect hospitals all over the world, in developed and developing nations alike. For example, in Australia, it has been estimated that there are around 200,000 cases of hospital-acquired infection every year while about 10 per cent of inpatients in New Zealand will develop a hospital-acquired infection sometime during their hospital stay.”
Copies of the 42 pages Report will be made available next week.