[Staphylococcus aureus producing Panton-Valentine leukocidin: notions in clinical practice]

Sara Pérez1, André Liaudet1, Bernard Favrat1

  • 1Policlinique médicale universitaire, 1011 Lausanne.

Revue Medicale Suisse
|November 1, 2018
PubMed

Insights

Staphylococcal skin infections linked to Panton-Valentine leucocidin (PVL) toxin require specific treatment. Early PCR diagnosis of PVL-producing Staphylococcus strains aids in effective management and understanding prevalence.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Dermatology

Background:

  • Staphylococcal skin infections, particularly recurrent or treatment-resistant abscesses, are a growing clinical concern.
  • The Panton-Valentine leucocidin (PVL) toxin is frequently implicated in severe staphylococcal infections.
  • Increasing prevalence of PVL-producing strains is observed in clinical practice.

Purpose of the Study:

  • To highlight the association between PVL toxin and challenging staphylococcal skin infections.
  • To emphasize the diagnostic utility of PCR for PVL detection.
  • To underscore the need for epidemiological studies on PVL-producing strains in Europe.

Main Methods:

  • Polymerase Chain Reaction (PCR) for rapid diagnosis of PVL-producing Staphylococcus.
  • Clinical assessment of staphylococcal skin infections.
  • Monitoring of antibiotic resistance patterns.

Main Results:

  • PVL toxin is a common factor in staphylococcal skin infections unresponsive to standard treatments.
  • PCR provides diagnostic results for PVL within 24 hours.
  • The frequency of PVL-producing strains appears to be increasing.

Conclusions:

  • PVL-producing Staphylococcus strains are significant in clinical staphylococcal infections.
  • Rapid PCR diagnosis is crucial for guiding treatment decisions.
  • Further epidemiological research is necessary to ascertain the prevalence of PVL-producing strains in Europe due to factors like migration.

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