title: Infection risk related to the use of medicinal leeches.
abstract: OBJECTIVE
  To assess the incidence of postoperative wound infections related to treatment with medicinal leeches at Ghent University Hospital.
  
  
  METHODS
  A 2-year retrospective analysis of bacteriologic culture results of soft tissue infections in patients treated with medicinal leeches.
  
  
  RESULTS
  Cultures of suspected wound infections were taken and susceptibility testing of isolates was performed on 17 of 47 patients (36.2%). Aeromonas was frequently isolated (18.5%).
  
  
  CONCLUSIONS
  A high incidence of infection during and after application of medicinal leeches, despite their external decontamination, necessitates an antibiotic prophylaxis. In particular Aeromonas must be covered, as soft tissue infections with these bacteria can give serious complications. The prophylactic antibiotic should cover the most frequent isolated species taking into account the importance of Aeromonas and the susceptibility pattern. Based on the results, fluoroquinolones seem to be a good choice. The authors believe that practical recommendations to hospital pharmacists on prophylaxis during Hirudo medicinalis treatment, might enhance the safety of it's use by reducing the number of infections.
authors.affiliation: Department of Pharmacy, University Hospital, De Pintelaan 185, B-9000, Ghent, Belgium. tiene.bauters@uzgent.be
authors.forename: Tiene G M
authors.initials: TG
authors.lastname: Bauters
authors.forename: Franky M A
authors.initials: FM
authors.lastname: Buyle
authors.forename: Gerda
authors.initials: G
authors.lastname: Verschraegen
authors.forename: Karen
authors.initials: K
authors.lastname: Vermis
authors.forename: Dirk
authors.initials: D
authors.lastname: Vogelaers
authors.forename: Geert
authors.initials: G
authors.lastname: Claeys
authors.forename: Hugo
authors.initials: H
authors.lastname: Robays
mesh_terms: D000293:Adolescent; D000328:Adult; D000333:Aeromonas / Q000302:isolation & purification*; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000453:epidemiology / Q000382:microbiology*; D001530:Belgium; D002648:Child; D002675:Child, Preschool; D002710:Chlorhexidine / Q000627:therapeutic use; D003428:Cross Infection; D004202:Disinfectants / Q000627:therapeutic use; D047709:Hirudo medicinalis / Q000382:microbiology*; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D007223:Infant; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies; D018461:Soft Tissue Infections / Q000453:epidemiology / Q000382:microbiology*; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents; D004202:Disinfectants; D002710:Chlorhexidine