Maggot debridement therapy in the treatment of nonhealing chronic wounds

dc.contributor.author	Martin, Dodie
dc.date.accessioned	2007-11-06T20:58:50Z
dc.date.available	2007-11-06T20:58:50Z
dc.date.copyright	2006
dc.date.issued	2007-05
dc.identifier.uri	http://hdl.handle.net/10057/1089
dc.description	A project presented to the Department of Physician Assistant of Wichita State University in partial fulfillment of the requirements for the degree of Master of Physician Assistant.	en
dc.description.abstract	Maggot therapy utilizes freshly emerged, sterile larvae of the common greenbottle fly, Phaenicia (Lucilia) sericata, which secrete digestive enzymes that selectively dissolve necrotic tissue, disinfect the wound, and thus stimulate wound healing. Introduction: The purpose of this paper was to review the literature in an attempt to determine the efficacy of maggot debridement therapy (MDT) of skin ulcers (e.g. diabetic foot ulcers, venous stasis, osteomyelitis), with specific focus on assessing the healing time and amputation rate. Methodology: Efficacy was measured by comparing MDT to traditional treatment (i.e., antibiotics and surgical debridement). Level of evidence included case-control, cohort retrospective, retrospective, prospective control, non-randomized in-vivo, and report studies. Results: Overall results of the thirteen articles that met the inclusion criteria indicate that MDT healing time was equal to or significantly shorter and amputation rate was less compared to traditional treatment. Limitations: Limitations to these studies include minimal amount of subjects involved in each study, the inability to conduct randomized control studies and insufficient number of articles found. Conclusion: Preliminary studies confirm that MDT successfully accelerates debridement of long-standing chronic wounds leading to enhanced healing time and reduced amputation rates, making it a particularly safe and affective method in wound care.	en
dc.format.extent	447640 bytes
dc.format.mimetype	application/pdf
dc.format.mimetype	application/pdf
dc.language.iso	en_US	en
dc.publisher	Wichita State University. Graduate School	en
dc.subject	Maggot debribement therapy	en
dc.subject	Nonhealing Chronic Wounds	en
dc.subject	Nonhealing chronic wounds	en
dc.subject	Diabetic ulcers	en
dc.subject	Biosurgery	en
dc.title	Maggot debridement therapy in the treatment of nonhealing chronic wounds	en
dc.type	Research project	en
dc.DoNotUse.field	Pitetti, Ken