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Maggot debridement therapy: free-range or contained? An in-vivo study.
Adv Skin Wound Care 2005; 18(8):430-5AS

Abstract

OBJECTIVE

To determine which method of maggot debridement therapy--free-range or contained--is more effective for wound healing.

METHODS

In vivo study of 64 patients with 69 chronic wounds that showed signs of gangrenous or necrotic tissue. Patients were treated with either free-range or contained maggot debridement therapy according to maggot availability, dressing difficulty, and physician preference.

RESULTS

Significantly better outcomes were achieved with the free-range technique versus the contained technique (P = .028). With the free-range technique, the mean number of maggot applications and the total number of maggots per treatment were significantly lower than with the contained application technique (P = .028 and P < .001, respectively).

CONCLUSION

This clinical in vivo study supports in vitro studies in which containment of maggots was found to reduce the effectiveness of maggot debridement therapy.

Authors+Show Affiliations

Department of Surgery, Rijnland Hospital, Leiderdorp, The Netherlands.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16217155

Citation

Steenvoorde, Pascal, et al. "Maggot Debridement Therapy: Free-range or Contained? an In-vivo Study." Advances in Skin & Wound Care, vol. 18, no. 8, 2005, pp. 430-5.
Steenvoorde P, Jacobi CE, Oskam J. Maggot debridement therapy: free-range or contained? An in-vivo study. Adv Skin Wound Care. 2005;18(8):430-5.
Steenvoorde, P., Jacobi, C. E., & Oskam, J. (2005). Maggot debridement therapy: free-range or contained? An in-vivo study. Advances in Skin & Wound Care, 18(8), pp. 430-5.
Steenvoorde P, Jacobi CE, Oskam J. Maggot Debridement Therapy: Free-range or Contained? an In-vivo Study. Adv Skin Wound Care. 2005;18(8):430-5. PubMed PMID: 16217155.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maggot debridement therapy: free-range or contained? An in-vivo study. AU - Steenvoorde,Pascal, AU - Jacobi,Cathrien E, AU - Oskam,Jacques, PY - 2005/10/12/pubmed PY - 2006/3/15/medline PY - 2005/10/12/entrez SP - 430 EP - 5 JF - Advances in skin & wound care JO - Adv Skin Wound Care VL - 18 IS - 8 N2 - OBJECTIVE: To determine which method of maggot debridement therapy--free-range or contained--is more effective for wound healing. METHODS: In vivo study of 64 patients with 69 chronic wounds that showed signs of gangrenous or necrotic tissue. Patients were treated with either free-range or contained maggot debridement therapy according to maggot availability, dressing difficulty, and physician preference. RESULTS: Significantly better outcomes were achieved with the free-range technique versus the contained technique (P = .028). With the free-range technique, the mean number of maggot applications and the total number of maggots per treatment were significantly lower than with the contained application technique (P = .028 and P < .001, respectively). CONCLUSION: This clinical in vivo study supports in vitro studies in which containment of maggots was found to reduce the effectiveness of maggot debridement therapy. SN - 1527-7941 UR - https://www.unboundmedicine.com/medline/citation/16217155/full_citation/Maggot_debridement_therapy:_free_range_or_contained_An_in_vivo_study L2 - http://Insights.ovid.com/pubmed?pmid=16217155 DB - PRIME DP - Unbound Medicine ER -