1. Panton Valentine LeukocidinStaphylococcus aureus(PVL-SA)Helen DaviesInfection Prevention and Control SpecialistNurse

2. What is PVL-SA? SA is a bacterium that commonly lives onhealthy skin PVL is a toxin produced by some strains of SA Damages white blood cells Carried by less than 2% ofSA 3. Clinical Features All SA including PVL-SAs can cause harm ifthey get an opportunity to enter the body -cut/graze Can cause boils or skin abscesses Infections of the lungs, blood, joints andbones Some SA are more likely to causeinfections than others 4. Risk Factors Infection can occur in fit & healthy people Skin-to-skin contact eg close family memberduring contact sports Contact with a contaminated item or surfaceeg shared gym equipmentshared razorsshared towels 5. Management of cases General care Antibiotics Decolonisation Screening of household and close contactseg partners/children and treatment 6. Case Study 1 8 year old boy Previously fit and well Walked into A&E Blood cultures taken on admission Condition deteriorated Transferred out of area Communication 7. The bigger picture! Safeguarding Temporary re-location for family Siblings Screening Decolonisation Building relationships Gaining trust 8. Post Infection Review(PIR) Timeline Contact Screening Devices Skin integrity Risk Factors Learning Outcomes Preventing harm for thefuture 9. Case study 2 6 year old girl Fit and well Recurrent boils Antibiotics Decolonisation Anxiety/reassurance Education Preventing harm for the future 10. Case Study 3 31 year old male Gym/Steroid user (deltoid), Melanotan 29/1/12 A&E 30/1/12 ITU necrotising pneumonia 4/2/12 ICU for extracorporeal membraneoxygenation (ECMO) 11. Case Study 3 7/2/12 result released 28/2/12 returned to acute 7/3/12 discharged home 12. Lessons to Learn Can increasing the number of stakeholdersincrease the risk of error? Communication across trusts critical Keep clear time lines Leave no stone unturned Check, check and check again 13. Thank you!