Somministrazione delle immunoglobuline antitetaniche

Di Dino Malecogita

Nella pratica clinica i pazienti che si rivolgono per cure urgenti ad un Pronto Soccorso devono sottoscrivere il consenso informato, per la somministrazione delle immunoglobuline antitetaniche.

Questo fenomeno è stato accompagnato da precedenti da ricordare e non ripetere.

Il 4 novembre 1993 la Sig.ra Garavaglia, Ministro della Sanità, decide finalmente di dare attuazione ad una direttiva europea del 1989, ordinando la sospensione dell’impiego dei succedanei del sangue (quali le immunoglobuline antitetaniche non testate), per la presenza dei marcatori virali dell’epatite C.

Nonostante il clamore ampliato dai mezzi d’informazione, qualche presidio della Sanità Militare, non da seguito della circolare della Garavaglia, tanto da continuare ad impiegare prodotti considerati inutilizzabili.

Il 29.11.95 interverrà, tardivamente, con telegramma il Ministero per bloccare la cattiva pratica, ma per due anni quelle fiale sono state sono state somministrate a militari di leva e di carriera.

In particolare l’attenzione si concentra sul lotto 12373 dell’emoderivato antitetanico di un colosso multinazionale del settore.

Una di queste fiale è stata somministrata ad un Maresciallo dell’Esercito, da anni donatore di sangue, per altro sportivo a livello agonistico e quindi in precedenza riscontrato costantemente in buone condizioni di salute, che nei mesi successivi all’inoculazione dell’emoderivato si vedrà riscontrare un’epatite C.

Il lotto di antitetanica 12373 per mesi viene trascurato dall’apparato istituzionale, ma il tenace Maresciallo provvede prima a proprie spese e poi con la collaborazione di autorevoli e prestigiose Istituzioni Pubbliche, a far analizzare il prodotto sospetto ricevendone concorde conferma sulla presenza di frammenti del DNA del virus dell’epatite C.

I ritardi delle istituzioni centrali rendevano talmente inquietante lo scenario, tanto da spingere il Maresciallo a presentare esposto alla Magistratura.

Il Maresciallo, nell’iter per il riconoscimento del danno da causa di servizio, si è continuamente confrontato con la burocrazia della sanità militare che ha impiegato tempi singolarmente lunghi per riconoscere l’epatite C riscontrata, dipendente da causa di servizio.

Nel merito il giudizio sembra ameno. Secondo la Commissione Medica Militare l’infezione risale ad una trasfusione effettuata cinque lustri prima, nel 1969.

Possibile che qualcuno ritenga nella Sanità Militare che l’incubazione dell’epatite C superi i 20 anni ?

Un soggetto riconosciuto per altro unanimemente in piena forma fisica nel corso della sua attività militare e sportiva e per di più donatore di sangue, fino al 1988, per oltre 20 anni dall’inizio della presunta malattia trasfusionale non avverte nulla ed i primi sintomi il Maresciallo li nota proprio in coincidenza dell’iniezione di cui al lotto di antitetanica n. 12373 ? Il Sottufficiale non ci sta ed inonda di documentazioni ufficiali il Comando della Sanità Militare, nonché a scanso di equivoci, la Magistratura.

Sta di fatto che anche la nostra redazione ha acquisito interessanti documenti :

  1. l’istituto Superiore di sanità nella nota del 5 ottobre 1995, riconosce che la recente introduzione di multipli trattamenti di inattivazione rendono “ragionevolmente sicure le immunoglobuline”, e che casi di trasmissione di epatite B e C si sono verificati prima dell’introduzione di tali nuove metodiche. In altre parole nel 1992, anno di somministrazione della immunoglobulina antitetanica data al Maresciallo, il rischio per l’infezione per l’epatite C era ufficialmente riconosciuto maggiore;
  2. nella Commissione Nazionale per il servizio trasfusionale riunita il 2 maggio 1996, si afferma che “l’efficacia di qualsivoglia processo d’inattivazione virale non è assoluta…”. I documenti c’è da augurarsi, saranno oggetto di riflessione per la Sanità Militare .

Aspettiamo ulteriori sviluppi.

 

Proprietà letteraria riservata vietata la pubblicazione senza l’autorizzazione scritta dell’editore.

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  96. พนันบอลออนไลน์ กับ เว็บการพนันออนไลน์อันดับ 1 มีดีอย่างไรหนะหรอ วันนี้มาทำความรู้จักกับเว็บไซต์ พนันบอลออนไลน์ ที่มีเกมคาสิโนออนไลน์ ไว้ให้บริการอย่้างพร้อม อย่าง เว็บพนัน เป็นเว็บไซต์ที่มีความน่าไว้ใจสูง มีความยั่งยืนมั่นคงด้านการเงิน การบริการเสมือนเพื่อนเกลอ การเอาใจใส่ราวกับแฟน

  97. อยู่บ้านอย่างไรให้ได้เงิน อยู่บ้านยังไงให้ได้รับความบันเทิงแบบเป็นประโยชน์สูงสุด คาสิโนออนไลน์ คาสิโนออนไลน์ที่มีเกมออนไลน์นานัปการ ที่ได้รับความนิยมสูงสุดคงหนีไม่พ้น บาคาร่า ด้วยเหตุว่าทำเงินได้จริง ทำเงินได้ไว สามารถเล่นหลายโต๊ะในเวลาเดียวกันได้พร้อมระบบฝากถอนอัตโนมัติ

  98. ว่ากันว่าเงินอยู่ในอากาศอยู่ที่ว่าใครจะหาวิธีเอามาได้ “การพนันออนไลน์”เป็นหนึ่งช่องทางที่สามารถจับเงินในอากาศได้ ด้วยเงินลงทุนที่ต่ำแต่สามารถทำกำไรได้สูงแบบไรข้อจำกัดจึงเป็นสาเหตุที่ดึงดูดนักพนันออนไลน์ให้หลั่งไหลเข้ามาที่ เว็บพนัน แห่งนี้

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  102. สล็อตออนไลน์เกมที่สร้างความบันเทิงรวมทั้งสามารถทำให้คุณรวยได้โดยไม่ทันรู้ตัว คาสิโนออนไลน์ เว็บไซต์ให้บริการสล็อตออนไลน์ที่เรียกว่าเป็นศูนย์รวมของเกมเด็ดๆในโลกออนไลน์เลยก็ว่าได้ ขึ้นชื่อเรื่องจ่ายจริงไม่มีกั๊ก แจ็กพอเพียงตแตกง่าย โบนัสมาก เอฟเฟคขั้นเทพต้อง แทงบอลออนไลน์ เลยขอรับ

  103. หากท่านคือผู้หลงใหลในการเล่นคาสิโลออนไลน์และต้องการผ่อนคลาย ท่านสามารถสมัครสมาชิก สล็อตออนไลน์ ด้วยการล็อคอินเข้ามาเล่นได้อย่างง่ายดาย แถมภายในเว็บไซต์ของเรานั้นมีคาสิโนชั้นนำต่างๆ

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  105. การพนันสมัยนี้สามารถเข้าถึงได้ง่ายมากๆ ไม่จำเป็นเดินทางไปคาสิโนเหมือนในอดีต เพราะปัจจุบันมีการพัฒนาระบบการพนันให้อยู่ในรูปแบบการพนันออนไลน์ เว็บการพนันออนไลน์อันดับ 1 เว็บพนันออนไลน์ที่มีทั้งบาคาร่า สล็อต หวย ยิงปลา แทงบอล มีทั้งหมดที่คุณต้องการเลยครับ

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  108. การพนันที่ง่ายที่สุดอาจหนีไม่พ้นคาสิโนออนไลน์เนื่องจากว่าไม่ว่าจะอยู่ที่ใดทำอะไรก็สามารถทำเงินได้ตลอดระยะเวลา บาคาร่า เว็บไซต์คาสิโนออนไลน์ที่ล้ำสมัยที่สุด ใช้ระบบอัตโนมัติสำหรับการฝากถอน ไม่ยุ่งยากต่อการใช้ แล้วก็ยังมีคณะทำงานรอดูแลตลอด 24 ชม.

  109. ปัจจุบันจะหาเงินเป็นเรื่องง่ายๆ ไปแล้วหากเป็นเมื่อก่อนคงต้องหาเงินทุนมากมายเพื่อต่อยอดหากำไร แทงบอลออนไลน์ คาสิโนออนไลน์ที่ทำให้ท่านไม่จำเป็นต้องลงทุนมากมายก็สามารถหาเงินได้ง่ายๆที่บ้าน ไม่ต้องเดินทางไปไหน ไม่ต้องเสียเวลาเดินทาง ตื่นขึ้นมาก็หาเงินได้เลยทันที ง่ายๆ แบบไร้กังวลต้องที่ เว็บการพนันออนไลน์อันดับ 1

  110. ยุคที่ใครๆก็ต้องการความสบายสบาย บาคาร่าออนไลน์ก็เลยเป็นตัวเลือกที่โคตรดีสำหรับท่าน เว็บการพนันออนไลน์อันดับ 1 มีบาคาร่าให้เลือกเล่นมากไม่น้อยเลยทีเดียวเราเป็นคาสิโนที่จ่ายจริง ทำเงินได้จริง สมัครง่าย ระบบฝากถอนอัตโนมัติแล้วเจอกันขอรับ

  111. ยุคสมัยที่เปลี่ยนไปทำให้คนในยุคนี้หันมาเลือกวิธีการที่ง่ายและสะดวก นั่นคือการแทงบอลออนไลน์นั่นเอง สล็อตออนไลน์ ได้ยกโต๊ะบอลมาไว้ในโทรศัพท์มือถือของท่านแล้วครับ เพียงแค่สมัครเป็นสมาชิกก็เข้าร่วมแทงบอลกับเว็บไซต์แทงบอลออนไลน์ค่ายยักษ์ใหญ่ได้เลยทันที

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  115. เกมพนันออนไลน์ที่โดนใจวัยรุ่นที่สุดเห็นคงหนีไม่พ้นเกมสล็อตออนไลน์ที่มีจุดเด่นที่ภาพสวยเอฟเฟ็คแน่นแบบจัดเต็มทำให้รู้สึกสนุกสนานและรับความบันเทิงได้อย่างเต็มที่ การพนันออนไลน์ เว็บพนันออนไลน์ที่รวบรวมเกมบาคาร่ามากมายอีกทั้งสล็อต บาคาร่า แทงบอล ยิงปลา หวย เรียกได้ว่ามีให้ท่านเลือกทุกอย่างที่ต้องการ

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