(1) Recently, emerging strains of enterococci have acquired resistance to erythromycin, chloramphenicol , tetracycline, fluoroquinolones, and vancomycin.(2) Gentamicin, tetracycline, chloramphenicol and fluoroquinolones are alternative treatments.(3) Basic drugs were available throughout the study period but affordable antibiotics for example, such as penicillin, chloramphenicol , and gentamicin were normally used.(4) This strain was resistant to methicillin, cephalothin, gentamicin, erythromycin, chloramphenicol and tetracycline.(5) The best way to avoid infections of this kind from A. buntonensis is to apply antibiotics such as gentamicin, amikacin, chloramphenicol and tetracycline to the wound immediately after the leech has released itself.