58 results for “antibiotic administration”
83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…
…ital; (3) general practitioner's practice closed on crucial day, preventing access to results; (4) wrong antibiotics started 2.5 hours late on 17 September targeting aspiration rather than atypical organisms; (5) inappro…
22y · Female·septic shock complicating osteomyelitis secondary to cellulitis in a woman with …
…e 2015 onwards. After initial treatment for suspected osteomyelitis in March 2016, she was discharged on antibiotics but re-admitted five days later with a tongue laceration and septic shock. An Advanced Care Plan was si…
Female·Coronary atherosclerosis with ischaemic small bowel and Alzheimer's disease
Marjorie Joyce Tanner, an elderly woman with Alzheimer's disease, presented to Maryborough Hospital with a three-day history of abdominal pain, distension, and vomiting. Initially diagnosed with simple constipation and t…
90y · Female·Renal failure secondary to gentamicin therapy for urinary tract infection (sepsi…
… renal artery stenosis and coronary artery disease, died from acute renal failure following gentamicin administration for Pseudomonas aeruginosa urinary tract infection. A single 240mg IV dose was prescribed by a second-…
1y · Female·pneumonia (staphylococcal pneumonia with bilateral bacterial pneumonia)
…ious illness. When she returned the next day severely unwell, there was a 2-hour delay before parenteral antibiotics were administered and a 4-hour delay before IV fluids were started. The IV line subsequently tissued an…
51y · Female·Methemoglobinemia in the context of lignocaine use
…se but triggered this rare life-threatening complication. The coroner found clinical care reasonable and antibiotics were not indicated. However, inadequate discharge advice was identified as a critical gap. Danielle exp…
20y · Male·cardiac arrest due to complications of infective endocarditis against a backgrou…
…ndocarditis in February 2017 likely contributed to his death two months later. Earlier investigation and antibiotic therapy would probably have prevented the fatal coronary embolus. Key clinical lessons: respond promptly…
79y · Male·Urinary tract infection with E coli bacteraemia on a background of ischaemic hyp…
… rigors, confusion). The ED RMO assessed the patient as having a simple UTI and discharged him with oral antibiotics after an hour. The patient died at home that night from urosepsis (E. coli bacteraemia). The coroner fo…
71y · Male·Subdural haemorrhage on a background of an unwitnessed fall and anticoagulation …
…myelitis presented with fever and hypoglycaemia. He met Red Zone sepsis criteria (lactate 4.5mmol/L) but antibiotics were significantly delayed—ceftriaxone ordered but not charted at 1:00pm, flucloxacillin not given unti…
8y · Male·Septic shock consequent on burst appendix with peritonitis
…pital ED, critical failures occurred: the referral letter was not read, appendicitis was not considered, antibiotics were delayed by over four hours, and fluid resuscitation was inadequate. Jacob spent seven unnecessary …
37y · Male·acute viral pneumonia secondary to swine flu (H1N1) infection of the lungs, exac…
Steven Andrew Forbes, age 37, died of acute viral pneumonia secondary to H1N1 influenza, complicated by chronic rheumatic heart disease. He died in police/correctional custody following arrest at hospital discharge for a…
6y · Male·pneumonia complicating influenza A (H1N1) infection with secondary streptococcal…
… deteriorated to cardiopulmonary arrest on 17 September. Expert evidence indicated that with appropriate antibiotic and fluid therapy by 15-16 September, the child may have survived. Systemic failures included informal c…
89y · Female·acute-on-chronic renal failure on a background of ischaemic heart disease, hyper…
An 89-year-old Aboriginal woman with chronic renal impairment and congestive cardiac failure was prescribed gentamicin intramuscularly for a urinary tract infection caused by Klebsiella aerogenes. Gentamicin is nephrotox…
11y · Male·complications of bowel obstruction in the setting of chronic constipation
RDZ was an 11-year-old Aboriginal boy who died from complications of bowel obstruction secondary to chronic constipation with a fecalith. He had been under paediatric care for years with multiple admissions for bowel was…
59y · Female·multiple cerebral infarction due to infective endocarditis
…history—should have prompted hospital admission and sepsis workup with blood cultures and broad-spectrum antibiotics. The patient re-presented the next day more unwell and was eventually started on antibiotics after 30+ …
1y · Female·Sepsis (Group A Streptococcus)
… at the hospital: delayed recognition of septic shock, delayed intravenous access (three hours), delayed antibiotics and fluid resuscitation, and delayed retrieval initiation. The child deteriorated acutely with petechia…
12y · Female·acute septicaemia resulting from osteomyelitis of the left femur
…ted an environment where these breaches went undetected. The death was completely preventable with early antibiotic treatment.
26y · Male·Multi-organ failure due to pneumococcal septic shock
…n occurred at 1:30am on 18 February when he became tachycardic and hypoxic, requiring medical review and antibiotics initiation per sepsis pathway. This review did not occur, causing approximately 3-hour delay in antibio…
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