Michael Horsnell
Win VIP tickets
A newborn baby became the youngest victim of MRSA in Britain when he died in hospital after contracting the virulent superbug, a coroner ruled yesterday.
Luke Day was only 36 hours old when he died, though he may have been saved if medical staff had followed procedures and given him special care, an inquest into his death was told.
An attempt by doctors to resuscitate him failed after he was found lifeless in a cot beside his mother on the maternity ward at Ipswich Hospital in February 2005. An internal inquiry revealed that staff had failed to recognise signs that Luke could have been ill up to 16 hours before his death.
Specialists said they could not be sure MRSA was the cause of death, but Peter Dean, the Suffolk coroner, said that on the balance of probabilities Luke had died as a result of contracting it.
Staff at the hospital were unable to find the source of the bug, despite carrying out extensive inquiries.
Luke’s mother, Glynis Day, now 19, a kitchen assistant from Woodbridge, Suffolk, attended the hearing with Luke’s father, Kevin Fenton, 26. They criticised the hospital’s failure to detect warning signs. “I think it is disgusting,” Ms Day said. Mr Fenton said that hearing the details of how Luke died “makes me sick”.
Marion Malone, who conducted a postmortem examination at Great Ormond Street Hospital in London, which found MRSA in Luke’s lungs, heart and spleen, told the hearing that she believed his death had been caused by septicaemia due to bacterial infection.
The inquest heard how Luke should have been tested for possible infections after staff noticed that his temperature was low, that he had low blood-sugar levels and he appeared “lethargic and slightly floppy”. Tests later revealed that his blood contained MRSA — methicillin-re-sistant staphylococcus aureus — as well as a less dangerous form ofstaphylococcus.
Peter Wilson, a consultant microbiologist at University College Hospital, London, who analysed Luke’s blood samples, said the balance of probability was that Luke’s death was caused by the bacteria. But he added that he could not say for sure if the MRSA strain was responsible or whether death was caused by septicaemia or toxins in the blood caused by the bacteria.
The coroner asked him: “Are you saying that there were signs that should have triggered referral and it would appear these signs were not picked up so Luke therefore did not have the benefit of an infection screen?
“Is it fair to say that his chances would have been better had protocol been followed? [That] we don’t know if the outcome would have been different, but [that] Luke would have had a better chance?”
Dr Wilson replied: “Yes, that is correct. It all depends on whether the signs that were present should have been spotted.”
He added that Luke could have been treated with antibiot-ics if infection was suspected, which could have saved him by preventing the septicaemia from spreading.
The inquest heard how Luke weighed a healthy 7lb 7oz when born naturally at 6.53am on February 2, 2005. Staff had no concerns about his condition, but then found he was “grunting”, had low glucose levels in his blood and a lower than normal temperature at 2.10am the next day.
Jane Gosling, the senior midwife, was later attending to Ms Day when she noticed that Luke was cold. He was immediately transferred for resuscitation but was declared dead 30 minutes later.
The internal hospital inquiry report said there were deviations from clinical guidelines and that a paediatrician should have been called to examine Luke because of his low temperature and blood-sugar levels.
It added that some of the clinical guidelines were ambiguous, but that there was “no overarching coordination of Luke’s care”.
Win a luxury weekend to Newcastle and its neighbour Gateshead, find out more here
Risk, resilience and embracing new technology
Industry sectors news at a glance. Interactive heatmap, video and podcast
Discover the power of collective thinking. Submit a solution and be in with a chance to win a Media Hub Home Entertainment System
The inside track on current trends in the charity, not for profit and social enterprise sectors
Everything the Business Traveller needs to know to make a better trip
Make the most of the summer and enter our fabulous photographic competition, you could win a £5000 holiday
Corsica is an island of beauty and contrast, an ideal holiday destination
Enjoy further reading from Travel to Fashion, Business to Sport, discover more
Shortcuts to help you find sections and articles
The clever way to lease a new car is with Car leasing made simple™
2009
per month on 36-month
Personal Contract Hire (PCH)
2008
42850
Car Insurance
£23,093 - £56,211
The Office for National Statistics
Newport, South Wales
£60,000
The Environment Agency
Bristol
Up to £90K
Boots
Midlands
OTE £85k
Credit Protection Association
Nationwide Opportunities
Completely London
Luxury Condo's in Manhattan with NYC views
The best new homes in Wimbledon?
Nationwide
Fabulous Cruise And Cruise & Stay Offers Including Virgin Atlantic Flights Prices Start From Only £699pp!
Last Minute Cruise And Cruise & Stay Offers. Med From £499pp, Caribbean From £699pp!
5 star quality at a 3 star price.
8 fabulous Canadian cities ...you won’t find cheaper
Contact our advertising team for advertising and sponsorship in Times Online, The Times and The Sunday Times, or place your advertisement.
Times Online Services: Dating | Jobs | Property Search | Used Cars | Holidays | Births, Marriages, Deaths | Subscriptions | E-paper
News International associated websites: Globrix Property Search | Property Finder | Milkround
Copyright 2009 Times Newspapers Ltd.
This service is provided on Times Newspapers' standard Terms and Conditions. Please read our Privacy Policy.To inquire about a licence to reproduce material from Times Online, The Times or The Sunday Times, click here.This website is published by a member of the News International Group. News International Limited, 1 Virginia St, London E98 1XY, is the holding company for the News International group and is registered in England No 81701. VAT number GB 243 8054 69.
MRSA is increasing in all communities. Consideration must be given for routine testing of all obstretrical patients, and treatment for positive status. Education for all staff should be required, with emphasis placed upon signs and symptoms of MRSA infection in the newborn, and prevention of transmission of MRSA infection in the environment.
Sandy, Whiteriver, AZ,
Was the mother tested for MRSA? Did the nurse not do further assessments when the blood sugar and temp was down and baby was floopy? Wouldn't you recheck this patient frequently?
Barbara, Arizona
Barbara, Whiteriver, USA, AZ
what was the mother doing when the baby was dying next to her?
kaye sanford, Sulphur, okla
MRSA is a very topical issue and this is an example of another tragedy, but I do not think the assumption that the health authority is to blame is correct. To my knowledge the general public can be carriers of MRSA before entering hospital, indeed in some instances swobs are taken on admission. But what of the visitors to the wards? Who come in "unwashed" and handle many surfaces. Liberal visiting hours and the carrying in of foodstuffs offer further risks. I think we must accept MRSA as a fact of life in the current culture of hospital life. Unless everyone is screened, including visitors. Patients would need to be screened in a seperate building on admission, if infected they would not be permitted into the hospital proper. Now this sounds a bit "draconian"- is there a choice?
Barry, leeds, england