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

Autor: Brigitte Lamy, Delphine Grau, Raphaël Masson, Maxime Villiet
Přispěvatelé: Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Hydrosciences Montpellier (HSM), Institut national des sciences de l'Univers (INSU - CNRS)-Institut de Recherche pour le Développement (IRD)-Université Montpellier 2 - Sciences et Techniques (UM2)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS), Geneva University Hospital (HUG), Centre méditerranéen de médecine moléculaire (C3M), Université Nice Sophia Antipolis (... - 2019) (UNS), COMUE Université Côte d'Azur (2015-2019) (COMUE UCA)-COMUE Université Côte d'Azur (2015-2019) (COMUE UCA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Côte d'Azur (UCA), Centre Hospitalier Universitaire de Nice (CHU Nice), Université Nice Sophia Antipolis - Faculté de Médecine (UNS UFR Médecine), COMUE Université Côte d'Azur (2015-2019) (COMUE UCA)-COMUE Université Côte d'Azur (2015-2019) (COMUE UCA), Institut de Recherche pour le Développement (IRD)-Institut national des sciences de l'Univers (INSU - CNRS)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS), Université Nice Sophia Antipolis (1965 - 2019) (UNS), KARLI, Mélanie
Jazyk: angličtina
Rok vydání: 2018
Předmět:
0301 basic medicine
Microsurgery
[SDV.MHEP.CHI] Life Sciences [q-bio]/Human health and pathology/Surgery
030230 surgery
Surgical Flaps
Hospitals
University
Drug Delivery Systems
0302 clinical medicine
Medical microbiology
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Surveys and Questionnaires
Pharmacology (medical)
Antibiotic prophylaxis
Cross Infection
Risk of infection
Leeching
Anti-Bacterial Agents
3. Good health
Leech therapy
Infectious Diseases
[SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases
France
medicine.drug
Microbiology (medical)
medicine.medical_specialty
animal structures
030106 microbiology
Leech
Pharmacy
[SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery
Healthcare-associated infections
Amoxicillin-Potassium Clavulanate Combination
lcsh:Infectious and parasitic diseases
03 medical and health sciences
Leeches
Trimethoprim
Sulfamethoxazole Drug Combination
Leech Therapy
medicine
Animals
Humans
lcsh:RC109-216
Salvage Therapy
National survey
business.industry
Research
Public Health
Environmental and Occupational Health
Antibiotic Prophylaxis
Plastic Surgery Procedures
Amoxicillin
Trimethoprim
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
Emergency medicine
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
Practices of leech management
Zdroj: Antimicrobial Resistance and Infection Control
Antimicrobial Resistance and Infection Control, BioMed Central, 2018, 7, pp.19. ⟨10.1186/s13756-018-0311-7⟩
Antimicrobial Resistance and Infection Control, 2018, 7, pp.19. ⟨10.1186/s13756-018-0311-7⟩
Antimicrobial Resistance and Infection Control, Vol 7, Iss 1, Pp 1-7 (2018)
ISSN: 2047-2994
DOI: 10.1186/s13756-018-0311-7⟩
Popis: International audience; 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.
Databáze: OpenAIRE
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