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"Not listened to led to misdiagnosis"

About: Katanning Health Service / Emergency Department

(as a relative),

Last month, my partner presented to Katanning ED with a post surgical wound infection. They were very upset how they were treated by the ED doctor. The wound was red, warm, pain too touch with purulent puss discharge. The doctor stated that the wound was not infected, however provided a prescription for oral antibiotic clarithromycin.  No wound swab obtained.

We went on holiday a week later, trusting that the correct antibiotic was prescribed. The wound infection got worse while on holiday, luckily we were in New Zealand at the time and was able to access emergency care.

The doctors there were very confused on the type of antibiotics prescribed, in New Zealand it has restricted use and requires authorisation from an infectious disease specialist. They prescribed a new antibiotic, and within 48 hours the wound infection reduced. Unfortunately the medical recommendation was to return to Australia ASAP for specialist review and to watch out for osteomyelitis. This meant we had to cancel the remainder our our trip and now looking at being thousands of dollars out of pocket as well as poor treatment and misdiagnosis by Katanning ED potentially leading to a life changing condition and long term antibiotics for my partner.

Why was the therapeutic guidelines for wound infection seemingly not followed? Why was a wound swab not collected? Why did care seem to deviate from, I believe, well known medical practice? What will you do to ensure that evidence based practices are followed? Such an apparent dismissive approach as had financial impact, potentially affecting physical health in preventing further harm. Based on this experience, I believe that better medical governance is needed at Katanning Hospital.

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Responses

Response from Matt Wells, District Director, Central Great Southern, WACHS GS 6 days ago
Matt Wells
District Director, Central Great Southern,
WACHS GS

Manages Great Southern mental health services.

Submitted on 12/06/2026 at 3:19 PM
Published on Care Opinion Australia at 3:46 PM


Dear Abalone,

Thank you for sharing your concerns regarding your partner’s presentation to Katanning Emergency Department. We are sorry to hear about your experience and the distress this has caused, particularly given the subsequent deterioration while you were travelling and the impact on your plans.

We acknowledge the issues you have raised in relation to the assessment and management of a post-surgical wound, including the clinical impression at the time, the decision not to obtain a wound swab, and the antibiotic prescribed.

In emergency settings, treatment decisions are based on the clinician’s assessment at the time, including the appearance of the wound, presence of clinical signs of infection, patient history, and individual risk factors. We recognise, however, that wound infections can evolve and may not always present clearly in their early stages.

With regard to antibiotic prescribing, clinicians use their clinical judgement alongside Therapeutic Guidelines and local protocols. There can be variation in antibiotic choice depending on factors such as suspected organisms, allergy history, and clinical severity. We appreciate your concerns about the choice of clarithromycin and your observations regarding differences in prescribing practices internationally.

Similarly, wound swabs are not always routinely performed in the initial assessment of some wound presentations, particularly where empirical treatment is considered appropriate. That said, we acknowledge your concern regarding this aspect of care and the importance of clear clinical reasoning and communication.

We are sorry to hear that your partner’s condition worsened while you were overseas and required further treatment. We recognise the significant impact this has had, including the interruption to your travel and concerns about potential complications.

Feedback such as yours is important in supporting our ongoing commitment to safe, high-quality, evidence-based care. We will continue to reinforce adherence to clinical guidelines, support clinician education, and promote clear communication with patients regarding diagnosis and treatment plans.

If you would like to discuss your partner’s care further, we encourage you to contact us directly on 9892 8297 or via email at matthew.wells@health.wa.gov.au. With consent, we are able to undertake a thorough investigation of your partner’s care and provide a more detailed response.

Kind regards

Matt Wells

District Director | Central Great Southern

WACHS Great Southern

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