Maggot debridement therapy and complementary wound care: a case series from Nigeria
| Autor: | Mustapha Ahmed Yusuf, Bashir Mohammed Ibrahim, Azeez-Akande Oyebanji, Firdausi Abubakar, Mustapha Ibrahim, Rabiu Ibrahim Jalo, Aliyu Aminu, Kamran Akbarzadeh, Malekian Azam, Abdulrahman Abba Sheshe, Oseni Oyediran Ganiyu, Mohammed Kabir Abubakar, Waliu Jahula Salisu, Razieh Shabani Kordshouli, Almukhtar Yahuza Adamu, Hamisu Takalmawa, Isa Daneji, Mansur Aliyu, Muhammad Getso Ibrahim, Auwal Idris Kabuga, Alhassan Sharrif Abdullahi, Mohammad Adamu Abbas |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Journal of Wound Care. 31:996-1005 |
| ISSN: | 2052-2916 0969-0700 |
| Popis: | Objective: Maggot debridement therapy (MDT) is an emerging procedure involving the application of sterile maggots of the Dipteran species (commonly Lucilia sericata) to effect debridement, disinfection and promote healing in wounds not responding to antimicrobial therapy. Data on MDT in sub-Saharan Africa (including Nigeria) are scarce. This study aimed to use medicinal grade maggots as a complementary method to debride hard-to-heal necrotic ulcers and thereby promote wound healing. Method: In this descriptive study, we reported on the first group of patients who had MDT at Aminu Kano Teaching Hospital (AKTH), a tertiary hospital in northern Nigeria. The first instar larvae of Lucilia sericata were applied using the confinement (free-range) maggot therapy dressing method under aseptic conditions. Results: Diabetic foot ulcer (DFU) grade III–IV constituted more than half of the wounds (53.3%), followed by necrotising fasciitis (30%), and post-traumatic wound infection (10%). Others (6.7%, included pyomyositis, surgical site infection and post traumatic wound infection). The median surface area of the wounds was 56cm 2 . Of the 30 patients, half (50%) had two MDT cycles with a median time of four days. Of the wounds, 22 (73%) were completely debrided using maggots alone while eight (27%) achieved complete debridement together with surgical debridement. Wound culture pre-MDT yielded bacterial growth for all the patients and Staphylococcus aureus was the predominant isolate in 17 wounds (56.7%) while Pseudomonas aeruginosa and Streptococcus pyogenes were predominant in five wounds (16.7%) each. Only four (13.3%) wound cultures yielded bacterial growth after MDT, all Staphylococcus aureus. Conclusion: A good prognosis was achieved post-MDT for various wounds. MDT effectively debrides and significantly disinfects wounds involving different anatomical sites, thus enhancing wound healing and recovery. MDT is recommended in such wounds. |
| Databáze: | OpenAIRE |
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