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"Failure to perform relevant tests to diagnose infection in a toddler"

About: Perth Children's Hospital / Emergency Department

(as a parent/guardian),

I took my toddler to Perth Children’s Hospital late at night. They were presenting with a unbreakable high fever, slight chesty cough and runny nose. Earlier that morning I took them for a PCR and by the time I took my toddler to the ED I had the results, COVID negative and Respiratory illness negative. I told the staff this.

We waited in a waiting room for 5 hours before getting a bed and seeing a doctor. During those 5 hours no tests were conducted and nothing was done to help reduce my child's fever. They were miserable and lethargic the entire time we were there and their heart rate kept elevating.

Once we were finally on a bed, the doctor came in and just checked my child for respiratory illness even though I had already told them that they were negative on the PCR. All was clear- obviously -and we were sent home and told my child had a virus and should get better over the weekend.

We got home early the next morning. By lunchtime my child spiked another fever, was lethargic and refuse HBF food and fluid. We took them to an urgent care centre and they tested their urine, finding leukocytes and blood to be present. They had a urine infection. Something I understand if left untreated can get serious and life threatening! 

PCH seemingly dismissed my concerns and sent my toddler home with a diagnosis of a respiratory virus when in actual fact they had a urine infection attacking their little body! In my opinion, blood and urine tests should be a standard diagnostic tool at PCH and they should be conducted no matter how the child is presenting!! Because, in my opinion, PCH failed, my child could have gotten seriously unwell had I not taken them to an urgent care centre! I believe it is unacceptable. 

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Responses

Response from Louise Keyes, Nursing Co-Director Medicine, Perth Children's Hospital, Child and Adolescent Health Service nearly 2 years ago
Louise Keyes
Nursing Co-Director Medicine, Perth Children's Hospital,
Child and Adolescent Health Service
Submitted on 8/08/2022 at 12:26 PM
Published on Care Opinion at 12:40 PM


Dear handsetfs88,

Thank you for your feedback. I’m very sorry to learn about your experience in the Emergency Department. I acknowledge how upsetting it is when your child is unwell and you feel that your concerns have been dismissed. It is important that parents feel welcome to attend the ED at any time and to raise concerns with staff if they are at all concerned about their child’s condition.

Based on the information provided, the symptoms you described are consistent with a viral respiratory infection and treatment is usually supportive. While we do not routinely conduct blood or urine tests for children when a diagnosis can be made on clinical signs and symptoms, we always advise that children are reviewed by a doctor again if there is any deterioration or concern so that further investigation and tests can be done. I am pleased to hear that you sought a further review and I do hope that your child has recovered from this period of illness.

I would welcome the opportunity to respond to your concerns in more detail. Please contact our Consumer Liaison Office on (08) 64560 032 or by email at CAHSFeedback@health.wa.gov.au so that we can arrange an investigation and respond to your concerns in more depth.

I look forward to hearing from you soon.

Yours sincerely,

Louise Keyes
A/Nursing Co-Director Medicine
Child and Adolescent Health Service
Perth Children's Hospital

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