GENERAL PATIENT CARE
The area around leech bite wounds should be routinely observed for local infection, and swabs taken if indicated.
If bleeding is present, patient's hemoglobin levels should be checked daily. It is quite possible for significant falls in hemoglobin levels to occur.
POST-BITE CARE OF WOUNDS
The major therapeutic effect of leech application occurs during the post-bite period, and depends greatly on the care given to the bite wounds. Each bite must be encouraged to bleed by the gentle removal of any locally forming clot at regular intervals. Clinical response of the tissue being treated should be closely observed during this period.