1887

Abstract

Surface bacterial flora, as well as homogenates, of medical leeches, and , were surveyed and the susceptibility of these isolates to 15 antimicrobial agents was examined. spp. were isolated from all leeches, and and other glucose-non-fermenting gram-negative rods (NF-GNR) were frequent isolates. Isolates were highly resistant to cephalosporins but susceptible to carbapenems, aminoglycosides and ofloxacin. The results indicate that prophylaxis with antimicrobial agents active against spp. and NF-GNR is necessary to avoid opportunist infections caused by indigenous leech flora during medical leech therapy on immunocompromised patients.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/00222615-45-6-490
1996-12-01
2022-01-19
Loading full text...

Full text loading...

/deliver/fulltext/jmm/45/6/medmicro-45-6-490.html?itemId=/content/journal/jmm/10.1099/00222615-45-6-490&mimeType=html&fmt=ahah

References

  1. Henderson H. P., Matti B., Laing A. G., Morelli S., Sully L. Avulsion of the scalp treated by microvascular repair: the use of leeches for post-operative decongestion. Br J Plast Surg 1983; 36:235–239
    [Google Scholar]
  2. Batchelor A. G., Davison P., Sully L. The salvage of congested skin flaps by the application of leeches. Br J Plast Surg 1984; 37:358–360
    [Google Scholar]
  3. Mutimer K. L., Banis J. C., Upton J. Microsurgical reattachment of totally amputated ears. Plast Reconstr Surg 1987; 79:535–541
    [Google Scholar]
  4. Wells M. D., Manktelow R. T., Boyd J. B., Bowen V. The medical leech: an old treatment revisited. Microsurgery 1993; 14:183–186
    [Google Scholar]
  5. Muñoz P., Fernández-Baca V., Peláez T., Sanchez R., Rodriguez-Creixems M., Bouza E. Aeromonas peritonitis. Clin Infect Dis 1994; 18:32–37
    [Google Scholar]
  6. Blatz D. J. Open fracture of the tibia and fibula complicated by infection with Aeromonas hydrophila. A case report. J Bone Joint Surg Am 1979; 61A:790–791
    [Google Scholar]
  7. Janda J. M., Guthertz L. S., Kokka R. P., Shimada T. Aeromonas species in septicemia: laboratory characteristics and clinical observations. Clin Infect Dis 1994; 19:77–83
    [Google Scholar]
  8. Lineaweaver W. C., Hill M. K., Buncke G. M. Aeromonas hydrophila infections following use of medicinal leeches in replantation and flap surgery. A nn Plast Surg 1992; 29:238–244
    [Google Scholar]
  9. National Committee for Clinical Laboratory Standards Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically M7-A2. 2nd edn Villanova, PA: 1990
    [Google Scholar]
  10. Bickel K.D., Lineaweaver W. C., Follansbee S., Feibel R., Jackson R., Buncke H. J. Intestinal flora of the medicinal leech Hirudinaria manillensis . J Reconstr Microsurg 1994; 10:83–85
    [Google Scholar]
  11. Hermansdorfer J., Lineaweaver W., Follansbee S., Valauri F. A., Buncke H. J. Antibiotic sensitivities of Aeromonas hydrophila cultured from medicinal leeches. Br J Plast Surg 1988; 41:649–651
    [Google Scholar]
  12. Richerson J. T., Davis J. A., Meystrik R. Aeromonas, acclimation, and penicillin as complications when leeches are applied to skin flaps in rabbits. Lab Anim 1990; 24:147–150
    [Google Scholar]
  13. Braga A., Lineaweaver W. C., Whitney T. M., Follansbee S., Buncke H. J. Sensitivities of Aeromonas hydrophila cultured from medicinal leeches to oral antibiotics. J Reconstr Microsurg 1990; 6:135–137
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/00222615-45-6-490
Loading
/content/journal/jmm/10.1099/00222615-45-6-490
Loading

Data & Media loading...

Most cited this month Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error