Connie Moore not given antibiotics until four hours after initial examination at Royal Bournemouth Hospital, inquest hears

Drugs delay in death of meningitis teen, Bournemouth

Drugs delay in death of meningitis teen, Bournemouth

First published in News
Last updated

DOCTORS failed to give a Bournemouth teenager potentially life-saving antibiotics for several hours despite suspecting she had meningitis, an inquest was told.

Connie Moore, 16, a pupil at Bournemouth School for Girls, was admitted to hospital with a number of symptoms including a headache, temperature and high blood pressure and later died.

Despite her initial examination raising meningitis as a possible cause of her symptoms, it wasn’t until four hours later that she was given antibiotics at the Royal Bournemouth Hospital, the hearing heard.

The inquest into her death heard that it was impossible to know whether giving her the medication any earlier would have saved her life but Dr Chowdhury Islam told the court: “The earlier you give antibiotics the better.”

The court was told that because her condition was improving, doctors put meningitis “down the list” of possible diagnosis.

However the coroner’s court heard that, according to guidelines, if there is any suspicion of meningitis, antibiotics should be given within an hour.

The court also heard how a decision to perform a lumbar puncture to confirm meningitis hours later should not have been carried out.

It was this procedure that ultimately caused brain damage which led to her death.

Doctors decided to perform the procedure without having Connie’s full notes, the court heard, which would have suggested she was suffering from increased pressure on the brain – which means a lumbar puncture should not be performed.

They instead put too much reliance on a CT scan which didn’t show abnormalities.

Dr Charles Gordon said: “We interpreted the information we had in the wrong way.”

Fellow consultant Dr Michelle Scott said “with hindsight” she would not have agreed to a lumbar puncture.

Royal Bournemouth Hospital has since carried out a serious incident review.

Associate medical director Dr Sean Weaver told the court that any decisions made were done with the information available at the time.

The court heard it was impossible to know whether Connie would have survived had she been given the antibiotics earlier or not had the lumbar puncture.

Delivering a narrative determination, Coroner Keith Wiseman said: “A differential diagnosis of meningitis was made at a very early stage but there was a failure to give antibiotics at all for a four-hour period after admission in breach of NICE Guidelines.

“Those directed specifically at meningitis were not given for close to six hours after admission by which time Connie had very significantly deteriorated and required emergency treatment.”

After the verdict Connie’s mother Kathleen Moore said:"As a family we have been devastated by Connie’s death. We mourn her loss every day.

"This verdict supports our belief in that there was a systematic failure at Royal Bournemouth Hospital to treat Connie’s symptoms in the manner which she deserved and according to national guidelines.

“Meningitis and septicaemia are serious illnesses which require immediate medical attention. No family should have to suffer the loss of a young person to meningitis, as we have. We miss Connie every day.”

Paula Shobbrook, Director of Nursing at Royal Bournemouth Hospital, said afterwards: "We offer our sincere condolences to Connie's family at this time and we will be carefully reviewing the coroner's findings."

Comments (19)

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9:47pm Tue 29 Apr 14

Binky says...

A concert for Connie, raising funds for the a Meningitis Charity, is being held at the Life Centre in Winton this Thursday at 7:30.

Details on the Echo here:

http://www.bournemou
thecho.co.uk/news/11
177993.A_concert_for
_Connie__friends_of_
schoolgirl_who_died_
of_meningitis_to_cel
ebrate_her_life/
A concert for Connie, raising funds for the a Meningitis Charity, is being held at the Life Centre in Winton this Thursday at 7:30. Details on the Echo here: http://www.bournemou thecho.co.uk/news/11 177993.A_concert_for _Connie__friends_of_ schoolgirl_who_died_ of_meningitis_to_cel ebrate_her_life/ Binky
  • Score: 15

7:55am Wed 30 Apr 14

itsneverblackorwhite says...

So very tragic the loss of any young life, how the hospital could get the basic procedures so terribly wrong is heart-breaking. RIP sweet angel thoughts with your family and friends x
So very tragic the loss of any young life, how the hospital could get the basic procedures so terribly wrong is heart-breaking. RIP sweet angel thoughts with your family and friends x itsneverblackorwhite
  • Score: 16

8:13am Wed 30 Apr 14

afcb-mark says...

Poor young girl and her family. It's a disgrace she wasn't given treatment according to protocol. Just how difficult would it have been to have given this girl the antibiotics that may have saved her life instead of hanging around doing the typical wait and see procedure. RIP Connie.
Poor young girl and her family. It's a disgrace she wasn't given treatment according to protocol. Just how difficult would it have been to have given this girl the antibiotics that may have saved her life instead of hanging around doing the typical wait and see procedure. RIP Connie. afcb-mark
  • Score: 28

8:25am Wed 30 Apr 14

mgibbs says...

Surely it is about time that Doctors are treated the same way as any other person who has a duty of care to others. If they fail in that duty of care to others through either negligence, incompetence, or by not following instructions or guidelines, and someone dies because of this, then they should face criminal prosecution.
Surely it is about time that Doctors are treated the same way as any other person who has a duty of care to others. If they fail in that duty of care to others through either negligence, incompetence, or by not following instructions or guidelines, and someone dies because of this, then they should face criminal prosecution. mgibbs
  • Score: 22

10:14am Wed 30 Apr 14

Old Colonial says...

mgibbs wrote:
Surely it is about time that Doctors are treated the same way as any other person who has a duty of care to others. If they fail in that duty of care to others through either negligence, incompetence, or by not following instructions or guidelines, and someone dies because of this, then they should face criminal prosecution.
Yes. This repeated blaming of 'the system' when these things happen is outrageous. It is individuals that stand up and admit their mistakes at inquests, not 'the system'.
[quote][p][bold]mgibbs[/bold] wrote: Surely it is about time that Doctors are treated the same way as any other person who has a duty of care to others. If they fail in that duty of care to others through either negligence, incompetence, or by not following instructions or guidelines, and someone dies because of this, then they should face criminal prosecution.[/p][/quote]Yes. This repeated blaming of 'the system' when these things happen is outrageous. It is individuals that stand up and admit their mistakes at inquests, not 'the system'. Old Colonial
  • Score: 7

10:31am Wed 30 Apr 14

delta3 says...

How many 'Overseas' Doctors were involved in this terrible terrible blunder. I hope her family find the peace they deserve and once properly compensated go on to highlight the failings that caused their loss. God Bless and sleep tight young lady.
How many 'Overseas' Doctors were involved in this terrible terrible blunder. I hope her family find the peace they deserve and once properly compensated go on to highlight the failings that caused their loss. God Bless and sleep tight young lady. delta3
  • Score: 1

11:42am Wed 30 Apr 14

RM says...

How the doctors involved in this disaster can live with themselves I do not know. And how terrible for Connie's parents knowing that there were opportunities that were ignored that may have saved her. RIP young lady, and may your parents find the peace they deserve & the strength to carry on.
How the doctors involved in this disaster can live with themselves I do not know. And how terrible for Connie's parents knowing that there were opportunities that were ignored that may have saved her. RIP young lady, and may your parents find the peace they deserve & the strength to carry on. RM
  • Score: 10

11:48am Wed 30 Apr 14

ifucantbeatemjoinem says...

delta3 wrote:
How many 'Overseas' Doctors were involved in this terrible terrible blunder. I hope her family find the peace they deserve and once properly compensated go on to highlight the failings that caused their loss. God Bless and sleep tight young lady.
I apologise for detracting from the subject here - but this comment is unbelievable.
1. I hope that delta 3 never needs to go to hospital incase as there is a real possibility they may be treated by an 'Overseas Doctor'
2. Do you REALLY think that the family will ever be "properly compensated". I am sure that NO COMPENSATION will ever "properly" cover the loss of their daughter to this very sad incident.
ALL staff involved will have been devastated.
[quote][p][bold]delta3[/bold] wrote: How many 'Overseas' Doctors were involved in this terrible terrible blunder. I hope her family find the peace they deserve and once properly compensated go on to highlight the failings that caused their loss. God Bless and sleep tight young lady.[/p][/quote]I apologise for detracting from the subject here - but this comment is unbelievable. 1. I hope that delta 3 never needs to go to hospital incase as there is a real possibility they may be treated by an 'Overseas Doctor' 2. Do you REALLY think that the family will ever be "properly compensated". I am sure that NO COMPENSATION will ever "properly" cover the loss of their daughter to this very sad incident. ALL staff involved will have been devastated. ifucantbeatemjoinem
  • Score: 9

12:55pm Wed 30 Apr 14

laurajane1989 says...

This is such a tragic story. I am doing a 101 day charity dryathon in name of Connie. Please sponsor me using this link. http://m.virginmoney
giving.com/mt/uk.vir
ginmoneygiving.com/f
undraiser-web/fundra
iser/showFundraiserP
age.action?userUrl=L
auraPickup&pageUrl=2 All money raised goes to Meningitis Now.
Thanks
This is such a tragic story. I am doing a 101 day charity dryathon in name of Connie. Please sponsor me using this link. http://m.virginmoney giving.com/mt/uk.vir ginmoneygiving.com/f undraiser-web/fundra iser/showFundraiserP age.action?userUrl=L auraPickup&pageUrl=2 All money raised goes to Meningitis Now. Thanks laurajane1989
  • Score: 2

1:19pm Wed 30 Apr 14

Susie Moore says...

laurajane1989 wrote:
This is such a tragic story. I am doing a 101 day charity dryathon in name of Connie. Please sponsor me using this link. http://m.virginmoney

giving.com/mt/uk.vir

ginmoneygiving.com/f

undraiser-web/fundra

iser/showFundraiserP

age.action?userUrl=L

auraPickup&pageU
rl=2 All money raised goes to Meningitis Now.
Thanks
Our family would be grateful if we could know more about this event.

Thanks

Susie Moore
[quote][p][bold]laurajane1989[/bold] wrote: This is such a tragic story. I am doing a 101 day charity dryathon in name of Connie. Please sponsor me using this link. http://m.virginmoney giving.com/mt/uk.vir ginmoneygiving.com/f undraiser-web/fundra iser/showFundraiserP age.action?userUrl=L auraPickup&pageU rl=2 All money raised goes to Meningitis Now. Thanks[/p][/quote]Our family would be grateful if we could know more about this event. Thanks Susie Moore Susie Moore
  • Score: 2

3:05pm Wed 30 Apr 14

crazybird says...

How very sad :( all to often medical notes aren't at hand. Why aren't peoples medical records on a central computer that can be accessed quickly in an emergency? Or are they? This story could have had a very different outcome. Tragic. Condolences go to the family and friends left behind :(
How very sad :( all to often medical notes aren't at hand. Why aren't peoples medical records on a central computer that can be accessed quickly in an emergency? Or are they? This story could have had a very different outcome. Tragic. Condolences go to the family and friends left behind :( crazybird
  • Score: 4

5:28pm Wed 30 Apr 14

laurajane1989 says...

Hi Suzie. I know Kathleen. I decided I wanted to raise money in Connie's name and as alcohol was my biggest vice I decided to give it up for 101 days. I've created a page on virgin money giving. Under the name Laura Pickup. I've raised £116 so far and £142 including gift aid. All proceeds are going to Meningitis Now .
Thanks,
Laura
Hi Suzie. I know Kathleen. I decided I wanted to raise money in Connie's name and as alcohol was my biggest vice I decided to give it up for 101 days. I've created a page on virgin money giving. Under the name Laura Pickup. I've raised £116 so far and £142 including gift aid. All proceeds are going to Meningitis Now . Thanks, Laura laurajane1989
  • Score: 1

6:51pm Wed 30 Apr 14

High Treason says...

Royal Bournemouth Hospital has since carried out a serious incident review.

Of course they are and that make things OK does it.
Royal Bournemouth Hospital has since carried out a serious incident review. Of course they are and that make things OK does it. High Treason
  • Score: 5

8:05pm Wed 30 Apr 14

tonythebolt says...

My wife collapsed several years ago with suspected meningitis, the paramedic administered the vital drugs in the ambulance!!!!! it did turn out to be meningitis and that early treatment may well have saved her.

I don't know what truth or blame can found between the lines here but further investigation is required.
My wife collapsed several years ago with suspected meningitis, the paramedic administered the vital drugs in the ambulance!!!!! it did turn out to be meningitis and that early treatment may well have saved her. I don't know what truth or blame can found between the lines here but further investigation is required. tonythebolt
  • Score: 4

9:35pm Wed 30 Apr 14

windsurf4 says...

F%$#ing "hindsight" is putting the stuffing in the oven before the roast spuds are done!!!!!
Dr Michelle Scott, "hindsight" is NOT neglecting the NICE guidelines and contributing to a beautiful 16 year old girls death.
I've seen Bournemouth's hospital meningitis guidelines and they were a joke!!!
F%$#ing "hindsight" is putting the stuffing in the oven before the roast spuds are done!!!!! Dr Michelle Scott, "hindsight" is NOT neglecting the NICE guidelines and contributing to a beautiful 16 year old girls death. I've seen Bournemouth's hospital meningitis guidelines and they were a joke!!! windsurf4
  • Score: 1

9:47pm Wed 30 Apr 14

SpookyMinx says...

I have also lost a close relative due to mistakes made & the same narrative verdict was given at the inquest. I just hope that lessons have been learnt here & the same mistakes will not be made again! My heart goes out to Connie's family at this awful time. R.I.P
I have also lost a close relative due to mistakes made & the same narrative verdict was given at the inquest. I just hope that lessons have been learnt here & the same mistakes will not be made again! My heart goes out to Connie's family at this awful time. R.I.P SpookyMinx
  • Score: 5

9:48pm Wed 30 Apr 14

windsurf4 says...

laurajane1989 wrote:
This is such a tragic story. I am doing a 101 day charity dryathon in name of Connie. Please sponsor me using this link. http://m.virginmoney

giving.com/mt/uk.vir

ginmoneygiving.com/f

undraiser-web/fundra

iser/showFundraiserP

age.action?userUrl=L

auraPickup&pageU
rl=2 All money raised goes to Meningitis Now.
Thanks
are you an alcoholic?
or are you passing up a glass of wine ever once in a while?
What is a dryathon????
[quote][p][bold]laurajane1989[/bold] wrote: This is such a tragic story. I am doing a 101 day charity dryathon in name of Connie. Please sponsor me using this link. http://m.virginmoney giving.com/mt/uk.vir ginmoneygiving.com/f undraiser-web/fundra iser/showFundraiserP age.action?userUrl=L auraPickup&pageU rl=2 All money raised goes to Meningitis Now. Thanks[/p][/quote]are you an alcoholic? or are you passing up a glass of wine ever once in a while? What is a dryathon???? windsurf4
  • Score: -3

9:52pm Wed 30 Apr 14

snowflakes says...

In the year 2014 ...not pre-war conditions....and modern up to date medicine and skilled doctors, WHY did this dear girl die.?. Somebody has to take responsibility for not going ahead immediately,by taking control and being aware .....of the (((strong possibility )))that she had this killer illness.The appropriate drugs should have been given and would have saved her life.
Somebody would have been in charge at the time of admission, somebody's head has to roll.This should never have happened. RIP.Connie.
In the year 2014 ...not pre-war conditions....and modern up to date medicine and skilled doctors, WHY did this dear girl die.?. Somebody has to take responsibility for not going ahead immediately,by taking control and being aware .....of the (((strong possibility )))that she had this killer illness.The appropriate drugs should have been given and would have saved her life. Somebody would have been in charge at the time of admission, somebody's head has to roll.This should never have happened. RIP.Connie. snowflakes
  • Score: 5

9:28am Thu 1 May 14

RM says...

High Treason wrote:
Royal Bournemouth Hospital has since carried out a serious incident review.

Of course they are and that make things OK does it.
While it will not benefit Connie or her family, a couple of sackings would seem to be in order & may do more to prevent a repeat of this tragic death than any amount of serious incident reviews.
[quote][p][bold]High Treason[/bold] wrote: Royal Bournemouth Hospital has since carried out a serious incident review. Of course they are and that make things OK does it.[/p][/quote]While it will not benefit Connie or her family, a couple of sackings would seem to be in order & may do more to prevent a repeat of this tragic death than any amount of serious incident reviews. RM
  • Score: 4

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