TY - JOUR
T1 - Leech-transmitted ciprofloxacin-resistant Aeromonas hydrophila
AU - Wang, Eric W.
AU - Warren, David K.
AU - Ferris, Vicky M.
AU - Casabar, Ed
AU - Nussenbaum, Brian
PY - 2011/2
Y1 - 2011/2
N2 - The use of medicinal leeches (Hirudo medicinalis) is effective in establishing venous outflow in congested flaps and replants.1,2 Leech therapy also has associated risks, including significant blood loss requiring transfusions and infections from Aeromonas, a gram-negative bacilli.2 Leeches maintain a symbiotic relationship with Aeromonas species, which are resident to their gut in order to digest blood. Aeromonas hydrophila infections can result in extensive soft-tissue infections and myonecrosis.3 To prevent this devastating nosocomial infection, ciprofloxacin and/or trimethoprim-sulfamethoxazole (TMP-SMX) are the most commonly used prophylactic antibiotics when patients undergo leech therapy.1,4
AB - The use of medicinal leeches (Hirudo medicinalis) is effective in establishing venous outflow in congested flaps and replants.1,2 Leech therapy also has associated risks, including significant blood loss requiring transfusions and infections from Aeromonas, a gram-negative bacilli.2 Leeches maintain a symbiotic relationship with Aeromonas species, which are resident to their gut in order to digest blood. Aeromonas hydrophila infections can result in extensive soft-tissue infections and myonecrosis.3 To prevent this devastating nosocomial infection, ciprofloxacin and/or trimethoprim-sulfamethoxazole (TMP-SMX) are the most commonly used prophylactic antibiotics when patients undergo leech therapy.1,4
UR - https://www.scopus.com/pages/publications/79952028780
U2 - 10.1001/archoto.2010.257
DO - 10.1001/archoto.2010.257
M3 - Article
C2 - 21339408
AN - SCOPUS:79952028780
SN - 0886-4470
VL - 137
SP - 190
EP - 193
JO - Archives of Otolaryngology - Head and Neck Surgery
JF - Archives of Otolaryngology - Head and Neck Surgery
IS - 2
ER -