Gabriele Kreichgauer

1. 1. failure to administer appropriate antibiotics

   “Ms [name redacted] left the department without being given antibiotics. The reason for this appears to have been that no-one did a final check on what treatment was considered and whether this had been given to her.”

2. 2. misdiagnosis via Uptodate resource

   “The junior doctor who saw Ms [name redacted] used an internet resource called "Uptodate". The evidence was that the Trust supplies the subscription for this. He searched under the phrase "cat bite" and was directed to a diagnosis of cat scratch fever. On this basis he planned to prescribe azithromycin. In fact, the correct diagnosis was that Ms [name redacted] had an infected cat bite; the infective organism for this is different to the organism causing cat scratch fever; and the appropriate treatment is”

3. 3. absence of clinician feedback channel

   “There does not appear to be a feedback mechanism within Uptodate to allow Clinicians to notify it of any concerns. Again, as a subscriber to Uptodate, this is a matter that the Trust is likely to be in a position to take up with them.”

No published response was found on judiciary.uk.