Application of Lucilia sericata larvae in debridement of pressure wounds in outpatient settings

2021
journal article
article
4
dc.abstract.enBiological therapy using Lucilia sericata larvae has numerous advocates worldwide, yet it is still fairly unknown and not commonly applied in daily practice because of the limited awareness and insufficient experience of medical and nursing personnel. There are case reports suggesting that maggot therapy can be applied and supported by lay caregivers, provided they are supervised and informed by physicians/nurses. The foregoing observation suggests that the method should be considered for implementation by a wider group of caregivers if accepted and meticulously supervised by trained and experienced medical staff. The concerns related to the therapeutic use of maggots in certain regions seem understandable, but are not supported by scientific facts. It should be noted that many therapeutic agents (including brood) used in medicine are of natural origin, and are associated with low production costs and high possibilities of implementation in the course of therapy. By analyzing the literature and using our own clinical and research experience, we have come to conclusions related to using larvae therapy, as a quick and safe method providing cleaning and revitalization in the process of treating wounds of various etiologies, especially pressure ulcers. In the current study, medical-grade Lucilia sericata maggots were applied to remove necrotic tissue from deep pressure sores. The treatment is mostly accepted by both caregivers and patients. In most cases, it is conducted by trained and experienced medical personnel in home and outpatient settings. Over the course of the conducted analyzes involving the collected specimens, there were no statistically significant relationships (p> 0.05) confirmed between the wound surface successfully cleared by brood and variables, such as time from wound formation, location, surface size, and the depth of damage to the tissue structure. The lack of statistical dependence may result from the small size of the studied group. Based on the current findings, we have formulated the following conclusions: Maggot Debridement Therapy (MDT) is a fast and effective method enabling the preparation of the wound bed. The use of MDT in outpatient settings is safe and acceptable for patients and their caregivers.
dc.affiliationWydział Nauk o Zdrowiu : Instytut Pielęgniarstwa i Położnictwapl
dc.cm.date2022-04-08T06:23:54Z
dc.cm.id106942pl
dc.cm.idOmegaUJCMd2ae485b295e472fb43406718c662781pl
dc.contributor.authorBazaliński, Dariuszpl
dc.contributor.authorWięch, Pawełpl
dc.contributor.authorSzymańska, Paulinapl
dc.contributor.authorMuster, Marekpl
dc.contributor.authorKózka, Maria - 200551 pl
dc.date.accession2022-02-01pl
dc.date.accessioned2022-04-08T06:23:54Z
dc.date.available2022-04-08T06:23:54Z
dc.date.issued2021pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number178pl
dc.description.versionostateczna wersja wydawcy
dc.identifier.articleide62590pl
dc.identifier.doi10.3791/62590pl
dc.identifier.issn1940-087Xpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/290405
dc.identifier.weblinkhttps://www.jove.com/t/62590/application-lucilia-sericata-larvae-debridement-pressure-woundspl
dc.languageengpl
dc.language.containerengpl
dc.pbn.affiliationDziedzina nauk medycznych i nauk o zdrowiu : nauki o zdrowiu
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode.pl
dc.share.typeinne
dc.source.integratorfalse
dc.subtypeArticlepl
dc.titleApplication of <I>Lucilia sericata</I> larvae in debridement of pressure wounds in outpatient settingspl
dc.title.journalJournal of Visualized Experimentspl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.en
Biological therapy using Lucilia sericata larvae has numerous advocates worldwide, yet it is still fairly unknown and not commonly applied in daily practice because of the limited awareness and insufficient experience of medical and nursing personnel. There are case reports suggesting that maggot therapy can be applied and supported by lay caregivers, provided they are supervised and informed by physicians/nurses. The foregoing observation suggests that the method should be considered for implementation by a wider group of caregivers if accepted and meticulously supervised by trained and experienced medical staff. The concerns related to the therapeutic use of maggots in certain regions seem understandable, but are not supported by scientific facts. It should be noted that many therapeutic agents (including brood) used in medicine are of natural origin, and are associated with low production costs and high possibilities of implementation in the course of therapy. By analyzing the literature and using our own clinical and research experience, we have come to conclusions related to using larvae therapy, as a quick and safe method providing cleaning and revitalization in the process of treating wounds of various etiologies, especially pressure ulcers. In the current study, medical-grade Lucilia sericata maggots were applied to remove necrotic tissue from deep pressure sores. The treatment is mostly accepted by both caregivers and patients. In most cases, it is conducted by trained and experienced medical personnel in home and outpatient settings. Over the course of the conducted analyzes involving the collected specimens, there were no statistically significant relationships (p> 0.05) confirmed between the wound surface successfully cleared by brood and variables, such as time from wound formation, location, surface size, and the depth of damage to the tissue structure. The lack of statistical dependence may result from the small size of the studied group. Based on the current findings, we have formulated the following conclusions: Maggot Debridement Therapy (MDT) is a fast and effective method enabling the preparation of the wound bed. The use of MDT in outpatient settings is safe and acceptable for patients and their caregivers.
dc.affiliationpl
Wydział Nauk o Zdrowiu : Instytut Pielęgniarstwa i Położnictwa
dc.cm.date
2022-04-08T06:23:54Z
dc.cm.idpl
106942
dc.cm.idOmegapl
UJCMd2ae485b295e472fb43406718c662781
dc.contributor.authorpl
Bazaliński, Dariusz
dc.contributor.authorpl
Więch, Paweł
dc.contributor.authorpl
Szymańska, Paulina
dc.contributor.authorpl
Muster, Marek
dc.contributor.authorpl
Kózka, Maria - 200551
dc.date.accessionpl
2022-02-01
dc.date.accessioned
2022-04-08T06:23:54Z
dc.date.available
2022-04-08T06:23:54Z
dc.date.issuedpl
2021
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
178
dc.description.version
ostateczna wersja wydawcy
dc.identifier.articleidpl
e62590
dc.identifier.doipl
10.3791/62590
dc.identifier.issnpl
1940-087X
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/290405
dc.identifier.weblinkpl
https://www.jove.com/t/62590/application-lucilia-sericata-larvae-debridement-pressure-wounds
dc.languagepl
eng
dc.language.containerpl
eng
dc.pbn.affiliation
Dziedzina nauk medycznych i nauk o zdrowiu : nauki o zdrowiu
dc.rights
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri
https://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode.pl
dc.share.type
inne
dc.source.integrator
false
dc.subtypepl
Article
dc.titlepl
Application of <I>Lucilia sericata</I> larvae in debridement of pressure wounds in outpatient settings
dc.title.journalpl
Journal of Visualized Experiments
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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