Leech management before application on patient: a nationwide survey of practices in French university hospitals - Université de Montpellier Accéder directement au contenu
Article Dans Une Revue Antimicrobial Resistance and Infection Control Année : 2018

Leech management before application on patient: a nationwide survey of practices in French university hospitals

Résumé

Background: Leech therapy in plastic/reconstructive microsurgery significantly improves a successful outcome of flap salvage but the drawback is a risk of severe infection that results in a drop of the salvage rates from 70-80% to below 30%. We report the results of a national survey conducted in all the French university hospitals to assess the current extent of use of leech for medical practices in the hospital and to investigate maintenance, delivery practices and prevention of the risk of infection. Methods: Data concerning conditions of storage, leech external decontamination, microbiological controls, mode of delivery and antibiotic prophylaxis were collected from all the French university hospitals in practicing leech therapy, on the basis of a standardized questionnaire. Results: Twenty-eight of the 32 centers contacted filled the questionnaire, among which 23 practiced leech therapy, mostly with a centralized storage in the pharmacy; 39.1% of the centers declared to perform leech external decontamination and only 2 centers recurrent microbiological controls of the water storage. Leech delivery was mostly nominally performed (56.5%), but traceability of the leech batch number was achieved in only 39.1% of the cases. Only 5 centers declared that a protocol of antibiotic prophylaxis was systematically administered during leech therapy: either quinolone (2), sulfamethoxazole/trimethoprim (2) or amoxicillin/clavulanic acid (1). Conclusions: Measures to prevent infectious complications before application to patient have to be better applied and guidelines of good practices are necessary.
Fichier principal
Vignette du fichier
s13756-018-0311-7.pdf (681.83 Ko) Télécharger le fichier
Origine : Fichiers éditeurs autorisés sur une archive ouverte

Dates et versions

hal-02105267 , version 1 (15-02-2021)

Licence

Paternité

Identifiants

Citer

Delphine Grau, Raphaël Masson, Maxime Villiet, Brigitte Lamy. Leech management before application on patient: a nationwide survey of practices in French university hospitals. Antimicrobial Resistance and Infection Control, 2018, 7, pp.19. ⟨10.1186/s13756-018-0311-7⟩. ⟨hal-02105267⟩
62 Consultations
82 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More