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Inquest Uncovers Tenfold Atracurium Overdose and Antibiotic Lapse in Newborn’s Death

Manchester University NHS Foundation Trust responded with overhauled antibiotic guidelines, updated clinician guidance, enhanced safety protocols, revised training

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Overview

  • Pathologist Dr Naomi Carter told the inquest there was no dispute that Polly Ida Lindop received ten times the recommended dose of atracurium in the hours after her premature birth
  • Medical testimony revealed Polly suffered severe lung damage and was found to have the rare pseudomonas aeruginosa infection in her lungs and spleen
  • Consultant obstetrician Dr Yara Mohammed identified a missed opportunity to prescribe Kimberly Lindop an alternative antibiotic for her penicillin allergy before Polly’s delivery
  • Greater Manchester Police confirmed their gross negligence manslaughter investigation concluded without sufficient grounds for criminal charges
  • The trust has initiated changes to antibiotic prescribing guidance and strengthened clinician support and safety measures following the inquest findings