58 results for “antibiotic administration”
45y · Male·Global cerebral hypoxia following cardio-respiratory collapse due to anaphylaxis…
…ulmonary arrest. The coroner found the death possibly preventable had Dr C. either chosen an alternative antibiotic or proceeded with flucloxacillin only with specialist input regarding appropriate dosing, penicillin cha…
63y · Female·Escherichia coli septicaemia in a lady with multiple comorbidities
…ll was initiated and sepsis was suspected. However, clinical staff prioritised CT imaging over immediate antibiotic administration while awaiting blood culture results. She suffered cardiac arrest during scanning and die…
56y · Male·sepsis
…inage, and systemic symptoms from 16 January onwards. Despite obvious infection markers from 20 January, antibiotics were not commenced until 25 January—five days later and too late. The surgical team attributed the woun…
31y · Female·urosepsis due to acute pyelonephritis
…tension) and elevated inflammatory markers, she was diagnosed with lower UTI rather than pyelonephritis. Antibiotics were prescribed after midnight but not administered until 8.30am—over 12 hours after diagnosis. Critica…
91y · Female·Complications of pelvic fractures sustained in a fall
…he ED where initial hip x-ray showed no fracture. She deteriorated with hypotension and was treated with antibiotics for presumed pneumonia. She suffered cardiac arrest shortly after antibiotic administration and died. P…
53y · Female·multiple organ failure as a result of septic shock
…ich created high intrarenal pressures leading to bacteraemia and endotoxin release; (2) no pre-operative antibiotic prophylaxis was documented despite positive urine culture; (3) the anaesthetist was not alerted to sepsi…
65y · Male·sepsis due to aspiration pneumonia
…scribed cephalexin. Documentation at the residential facility showed only 5 of approximately 20 expected antibiotic doses were recorded, though inventory suggested medication was likely administered but poorly documented…
0y · Female·Hypoxic ischaemic encephalopathy due to intra-partum event and E. coli sepsis, s…
…iguous language; (2) E. coli chorioamnionitis signs (maternal pyrexia, malodorous baby) required earlier antibiotic administration (target within 30 minutes of birth, actual delay ~3 hours); (3) fragmented handover commu…
48y · Female·Pneumonia with anaphylaxis (treated), cerebral palsy, and epilepsy as contributi…
…from natural causes with no inquest required. Clinically, this case highlights the importance of careful antibiotic selection in patients with documented drug allergies, even when alternatives are used, and the need for …
57y · Male·streptococcus pneumonia septicaemia due to splenectomy
…nitoring (no urinary catheter despite critical illness and acute kidney injury); delayed and sub-optimal antibiotic dosing and timing; failure to place arterial line for continuous blood pressure monitoring; and critical…
75y · Male·End stage myelodysplastic syndrome and end stage renal failure on a background o…
…r two days, and was discharged to the prison infirmary on 16 December with a plan to continue cefuroxime antibiotics for five days. A delay of several days occurred in administering the prescribed cefuroxime; however, th…
69y · Female·Septic shock due to biliary peritonitis as a consequence of laparoscopic cholecy…
…low-dependency unit on post-op day 1 despite consultant's undocumented concerns; (2) failure to initiate antibiotics at ward round despite sepsis indicators; (3) delayed surgical response despite documented critical illn…
2y · Male·Group A beta Haemolytic Streptococcal septicaemia (invasive Group A Streptococca…
…e and reassess after petechial rash appeared; and not taking baseline blood pressure until 8pm. Although antibiotics were eventually ordered at 8.30pm, there was a two-hour delay before administration. Had care been esca…
11y · Male·Sepsis
…resented to the ED with fever, lethargy and poor feeding. Despite initial suspicion of sepsis at 1:15pm, antibiotics were not administered until 4pm—a three-hour delay. Key failures included: delayed triage (20-minute wa…
0y · Female·Group B Streptococcus infection
…ed during labour. The mother's GBS screening test at 35-37 weeks gestation was reported negative, and no antibiotic prophylaxis was administered during labour despite prolonged rupture of membranes (43 hours) and signifi…
77y · Female·Haemoperitoneum following cholecystectomy
…l 7:45 pm despite therapeutic anticoagulation, lack of urinary catheter insertion until 8:00 pm, delayed antibiotic administration, and poor inter-team communication and documentation. The coroner found the patient likel…
57y · Female·multi-organ failure due to sepsis caused by streptococcus pneumoniae infection
…nd showing haemodynamic deterioration from 3:30pm with hypotension (86/54) consistent with septic shock, antibiotics were not commenced until 7:20pm. She died at 9:25pm. Multiple failures occurred: her GPs did not admini…
9y · Male·Disseminated melioidosis
…t Palm Island Hospital and diagnosed with community-acquired pneumonia on 14 February, treated with oral antibiotics. When he failed to improve, he was admitted on 20 February and given intravenous antibiotics. After fur…
69y · Female·Inadvertent intravenous administration of oral ciprofloxacin in the setting of a…
…d woman with stroke, diabetes, atrial fibrillation and osteomyelitis died from inadvertent intravenous administration of crushed oral ciprofloxacin. The antibiotic was prescribed for the nasogastric tube but was drawn in…
0y · Female·Intracranial and intrapulmonary haemorrhage due to traumatic head injury from fa…
… lack of daily equipment checking (resuscitation table non-functional); failure to administer prescribed antibiotics; and no use of available Ambu bag during critical first 4 minutes. While early antibiotic administratio…
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