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奇美拉分枝杆菌:从一例突发性听觉损伤病例引发的临床及法医学考量

Mycobacterium Chimaera: Clinical and medico-legal considerations starting from a case of sudden acoustic damage.

作者信息

Sanavio Matteo, Anna Aprile, Bolcato Matteo

机构信息

Legal Medicine, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University - Hospital of Padova, Via Falloppio 50, 35121 Padua, Italy.

Legal Medicine, Department of Molecular Medicine, University-Hospital of Padova, Via Falloppio 50, 35121 Padova, Italy.

出版信息

Leg Med (Tokyo). 2020 Nov;47:101747. doi: 10.1016/j.legalmed.2020.101747. Epub 2020 Jul 7.

DOI:10.1016/j.legalmed.2020.101747
PMID:32673991
Abstract

Mycobacterium Chimaera is a microorganism that can cause nosocomial infections particularly in patients undergoing cardiac surgery. The specific case presented herein shows an original clinical presentation of the infection: sudden unilateral deafness as a result of septic embolization. Medico-legal experts appointed by the court in a civil liability dispute analyzed the case and submitted their expert opinion. This article analyzes the peculiar and innovative aspect of professional liability that can be attributed to the healthcare facility and the manufacturer of the equipment used in the operating room from a medical-legal point of view.

摘要

嵌合体分枝杆菌是一种可导致医院感染的微生物,尤其是在接受心脏手术的患者中。本文所呈现的具体病例显示了该感染的一种原始临床表现:因脓毒性栓塞导致的突发性单侧耳聋。在一场民事责任纠纷中,法院指定的法医学专家对该病例进行了分析并提交了专家意见。本文从法医学角度分析了可归因于医疗机构和手术室所用设备制造商的职业责任的特殊和创新方面。

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Risk Management in the New Frontier of Professional Liability for Nosocomial Infection: Review of the Literature on Mycobacterium Chimaera.
医疗机构感染职业责任新领域的风险管理:关于奇美拉分枝杆菌文献综述。
Int J Environ Res Public Health. 2020 Oct 7;17(19):7328. doi: 10.3390/ijerph17197328.