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(5) the sterlitiy of the operation theatre found to be not sterile as
per the entries available in M.Cases under Ex.P.66 even well before the
subject matter of surgeries
(6) As per the inspection report the operation theatre is not int he
expected design and having no approval even for the required basic design to
conduct operations and contained many lapses as indicated in Ex.P.49 which
can also the cause for infection
(7)The drug book and also the indent would clearly indicate that there
is no stock of formalin prior to the date of operation and as per the
available material formalin of 1000 ml through two bottles were purchased on
02.07.2008 are not sufficient for fumigation, the operation room since more
than 11 theatre sessions were conducted previously in the said operation
theatre and hence the defect in the fumigation is also resulted in
contamination and the infections in the operation theatre.