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  Andrade v P.D Hinduja National
  Hospital and Medical Research Centre
  
  1998 (1) CPR 579,(Maharashtra
  SCDRC)
  
    
  
  The complainant aged about 67 years
  underwent Coronary Artery bypass
  Grafting (CABG) at Hinduja Hospitalon
  9.7.1991. During the post operative
  period he developed lung infection and
  subsequently puss started oozing from
  the infected site. He was prescribed
  some antibiotics, but sinus developed,
  and ultimately on 30.9.2992 he was
  operated upon from removal of three
  wires which had got infected along
  with the infected cartilage, but one
  wire was not removed and the same was
  removed after a period of 1 month.
  Even after 1 year he continued to have
  dressings to his wound.
  
    
  
  The state commission held negligence
  on the following grounds :
  
     
  
  1. patient developed infection in the
  hospital, and the hospital was
  responsible;
  
  2. pus culture was not done more than
  a month after purulent discharge
  started. The surgeon was very casual
  in his approach towards prescribing
  antibiotics;
  
  3. the contention that the third
  sternal wires were removed later, as
  its removal would have affected
  sternal stability is negated by
  standard book on cardiac surgery by
  John Kriklin and Brianbarrat Boyes;
  
  4. patient was later asked to
  discontinue antibiotics despite wound
  still oozing; and
  
  5. the opinion of Dr G.N Rachmale of
  Sir J.J Group of hospitals that if the
  poast operative sternal infection was
  diagonised early and treated
  vigorously it would not have become
  chronic; the certificates issued by
  Hinduja Hospital on 11.6. 1993 and
  24.6.1993 clearely showed that the
  post -CABG status of chronic
  Osteomyletis of the sternum.
  
  6. Rs 50000 was awarded for prolonged
  delay in prescribing  antibiotics
  and getting pus culture done,Rs 50000
  for the third operation for removal of
  the third wire, Rs 80000 for the
  medical expenses and Rs 20000 for the
  cost of the petition . Rs 5000 was
  awarded to M.S Kamath who had ably
  assisted the State Commission in
  appreciating the medical aspects of
  the treatment.
  
  7. The Insurance Co., in terms of the
  policy obtained by the hospital , was
  made liable to pay the compensation.
  
         

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