Carla London · Prevention of Future Deaths report

On the 15 Day of April 2014 I opened an investigation touching the death of Carla London , 12 days old. The inquest concluded on the 21st November 2014. The conclusion of the inquest was "Natural Causes", the medical cause of death was 1a E Coli septicaemia 1b Extreme Prematurity

Carla was born on the 14th April 2011 weighing 970 gms in hospital. On the 20th April Carla was given a course of antibiotics for a suspected sepsis. The antibiotics were stopped on the 24th April 2011. During the afternoon of the 25th April 2011 Carla was noticed to be unwell by her mother and was reassured by a nurse.
Carla was recognised to be unwell by the staff on the morning of the 26th April 2011 and rapidly deteriorated and died in hospital at 14.30 hrs on the same day.

Expert evidence heard at the inquest suggested that there should be NICE guidance on late onset sepsis in under 1500 gms babies and that and for research in to HeRO or other infection monitoring systems.

That coroner shares the concerns expressed by the independent expert that consideration should be given to NICE guidance on late onset sepsis in under 1500 gms babies and that and for research in to HeRO or other infection monitoring systems.