Maggot debridement therapy-assisted wound care would be led by health care workers rather than physicians, which would allow the latter to focus on reconstructive and other surgical interventions. These properties suggest that medicinal maggots could assist health care professionals in the debridement of disaster wounds, to control or prevent infection, and to prepare the wound bed for reconstructive surgery. Maggot debridement therapy removes necrotic and devitalized tissue, controls wound infection, and stimulates wound healing. This report provides an overview of the wound burden experienced in various types of disaster, followed by a discussion of current treatment approaches, and the role MDT may play in the treatment of complex wounds in challenging health care conditions. Maggot debridement therapy (MDT) is one such wound care option and may prove to be an invaluable tool in the treatment of wounds post-disaster. In such compromised health care environments, low-tech and cheap wound care options are required that are in ready supply, easy to use, and have multiple therapeutic benefits. As a consequence, necrosis and wound infection in disaster patients is common and frequently leads to adverse health outcomes such as amputations, chronic wounds, and loss of life. In low-income countries, resources to assist the injured in a timely fashion may be limited. When disaster strikes, the number of patients requiring treatment can be overwhelming. Stadler, Frank Shaban, Ramon Z Tatham, Peter Maggot Debridement Therapy in Disaster Medicine. Maggot debridement therapy is an effective treatment of diabetic wounds. In 17 of 23 patients with multiple co-morbidities, the treatment of their complex diabetic wounds by MDT resulted in improvement or cure. None of the patients refused MDT due to aversion of this treatment modality and the majority of patients had minimal discomfort. Observations have indicated that maggots have the ability to debride wound beds, provide anti-microbial activity and also stimulate wound healing in diabetic patients. Maggot debridement therapy (MDT) is one alternative utilized with successful results. The growth and aging of the population of Hawai‘i with a high incidence of diabetes mandates a need for more effective strategies to manage the healing of complicated wounds. Herrington, Mark T Swenor, Karen M Eron, Lawrence J Maggot Debridement Therapy in the Treatment of Complex Diabetic Wounds Further studies should be aimed to identify other patient-associated factors which might influence growth and survival of the larvae during maggot debridement therapy. Larvae in venous ulcers were significantly smaller after 48 h, but not after 72 h treatment compared to the other wound types. Length of larvae after 48 h cycle of MDT reached on average 7.09-9.68 mm, and average width varied between 1.77 and 2.26 mm. Maggots in venous ulcers had on average 9-19% higher mortality than maggots within traumatic, ischemic, and diabetic ulcers. Survival of maggots after a 48-h cycle of MDT ranged between 63.6 and 82.7%. Survival, length, width and larval instar of the maggots within each bag were recorded and analyzed with respect to the wound type and duration of the treatment. In the present study, the bags with larvae (n = 52), which had been used to debride traumatic, ischemic, diabetic and venous ulcers, were collected and examined. Despite intense clinical research about its efficacy and effects of substances produced by the larvae, growth and development of maggots in the wounds remain largely unexplored. Maggot debridement therapy (MDT) is an established method of debridement of nonhealing wounds. Growth and Survival of Bagged Lucilia sericata Maggots in Wounds of Patients Undergoing Maggot Debridement Therapy.ĬiÄková, Helena Cambal, Marek Kozánek, Milan TakáÄ, Peter
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