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"Salmonella poisoning"

About: Perth Children's Hospital / Emergency Department

(as a parent/guardian),

Attended PCH ED with my infant with frequent diarrhoea, very chesty cough, very pale and fevers 40°+. Subsequent to the constant diarrhoea, my child had the worst nappy rash. We got brought into the waiting room and was assessed by the nurse, who said they would be back to do a blood sugar. The nurse never came back. Another nurse then brought us into the rooms where we waited to see a doctor. I asked them did my child need to do a blood sugar as the previous nurse had said they were going to do one and hadn't. The nurse said they didn't know and would check with the doctor. I also asked them to check my child’s temperature as they were feeling hot, to which my child did have a fever.

Meanwhile while waiting for the doctor to review our child, I recall there were a few nurses at the nurse’s station chatting so loud about their weekend plans and in my opinion being very unprofessional. It was early in the morning and even with the door closed on our room we could still hear every word being said. The nurse didnt come back to inform us about the blood sugar either, it just wasn't done in the end. The doctor then reviewed us and sent us home with 'Bronchiolitis' with the diarrhoea being secondary to this.

We returned the next day as our child was not improving and was then having blood in their stools. We kept all of our child’s nappies for the doctors to see the blood. When we got reviewed by the doctor they didn't look at any of the nappies and sent us home with 'viral infection'. The doctor told us to go to GP with a stool sample if it continued and we were still worried.

The next day I called my GP for an appt first thing in the morning as was so worried about our child. They had no appts but did have a video call appt available that evening so we took that. Post video review we were asked to present the next day for physical review. The GP took a stool sample and prescribed our child with 3 days of steroids which they significantly improved on. The stool sample then came back showing Salmonella poisoning but by that stage luckily our child was much much better.

I am disappointed that PCH did not seem to do enough for my child, I felt they were very quick to call everything 'viral' without investigating or ruling anything else out prior.

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Responses

Response from Donald Payne, Medical Co-Director, Medicine Division, Child and Adolescent Health Service 10 months ago
Donald Payne
Medical Co-Director, Medicine Division,
Child and Adolescent Health Service
Submitted on 4/07/2023 at 2:14 PM
Published on Care Opinion at 2:14 PM


Dear Worried parents

Thank you for sharing your experience on Care Opinion. I was very sorry to read about your child’s Salmonella poisoning and imagine that this must have been a very distressing time for you and your family.

Parents know their children best, and we recognise you as one of the most important people in your child’s care. Your feedback has been provided to staff to reflect upon the importance of clear communication with families and listening to parental concerns.

I would welcome the opportunity to look into your child’s presentations to the Emergency Department. If you are open to us further investigating the care that was provided, please contact our Consumer Liaison service by email CAHSFeedback@health.wa.gov.au or by phone on 6456 0032. We can then provide you with the specific details of your child’s case and elaborate on any concerns you may have.

I would like to acknowledge your role in advocating for the best possible care for your child and I was pleased to hear that they subsequently improved after receiving care via your GP. I hope that your child’s health has improved since you shared your story.

Kind regards

Dr D Payne

Medical Co-Director, Medicine Division

Perth Children’s Hospital

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