The case involved a 5 year old girl with Down Syndrome who presented at the Emergency Department of the Queen’s Medical Centre, Nottingham, with a bacterial infection (Streptococcus pyogenes) but who was sent home without antibiotics as it was thought more likely that she was suffering with a virus. The clinicians accepted in evidence that they had failed to apply the Sepsis 6 pathway or NICE guidelines or to take account of the fact that Ava was more vulnerable to infection as a result of her Down Syndrome. They also accepted that had antibiotics been administered and the Sepsis 6 guidance been followed then she would have survived.

The case has been widely reported on the news and can be viewed here:

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