Flap Infection Associated with Medicinal Leeches in Reconstructive Surgery: Two New Drug-Resistant Organisms

被引：16

作者：

Bibbo, Christopher ^{[1
]}

Fritsche, Thomas ^{[2
]}

Stemper, Mary ^{[2
]}

Hall, Matthew ^{[3
]}

机构：

[1] Marshfield Clin Fdn Med Res & Educ, Dept Orthopaed, Marshfield, WI 54449 USA

[2] Marshfield Clin Fdn Med Res & Educ, Dept Pathol & Microbiol, Marshfield, WI 54449 USA

[3] Marshfield Clin Fdn Med Res & Educ, Dept Infect Dis, Marshfield, WI 54449 USA

来源：

JOURNAL OF RECONSTRUCTIVE MICROSURGERY | 2013年 / 29卷 / 07期

关键词：

flap; venous congestion; leeches; infection;

D O I：

10.1055/s-0033-1343956

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The use of medicinal leeches in reconstructive surgery has proven value for the salvage of flaps with venous congestion but is associated with a risk of leech-acquired infection. The most common leech-associated organism is Aeromonas hydrophila, which antibiotic prophylaxis is typically directed against. The authors describe two new multidrug-resistant organisms acquired from medicinal leech therapy that resulted in flap infection. The evaluation of suspected leech-borne infection and management protocol for this leech-acquired resistant multi-organism infection is presented.

引用

页码：457 / 460

页数：4

共 5 条

[1] INTESTINAL FLORA OF THE MEDICINAL LEECH HIRUDINARIA-MANILLENSIS [J].

BICKEL, KD ;

LINEAWEAVER, WC ;

FOLLANSBEE, S ;

FEIBEL, R ;

JACKSON, R ;

BUNCKE, HJ .

JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 1994, 10 (02) :83-85

[2] Spatial and temporal population dynamics of a naturally occurring two-species microbial community inside the digestive tract of the medicinal leech [J].

Kikuchi, Yoshitomo ;

Graf, Joerg .

APPLIED AND ENVIRONMENTAL MICROBIOLOGY, 2007, 73 (06) :1984-1991

[3] Aeromonas species isolated from medicinal leeches [J].

Mackay, DR ;

Manders, EK ;

Saggers, GC ;

Banducci, NR ;

Prinsloo, J ;

Klugman, K .

ANNALS OF PLASTIC SURGERY, 1999, 42 (03) :275-279

[4] Leech-Transmitted Ciprofloxacin-Resistant Aeromonas hydrophila [J].

Wang, Eric W. ;

Warren, David K. ;

Ferris, Vicky M. ;

Casabar, Ed ;

Nussenbaum, Brian .

ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2011, 137 (02) :190-193

[5] The efficacy of medicinal leeches in plastic and reconstructive surgery: A systematic review of 277 reported clinical cases [J].

Whitaker, Iain S. ;

Oboumarzouk, Omar ;

Rozen, Warren M. ;

Naderi, Naghmeh ;

Balasubramanian, S. P. ;

Azzopardi, Ernest A. ;

Kon, Moshe .

MICROSURGERY, 2012, 32 (03) :240-250

← 1 →