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Maggot debridement therapy in chronic wound care.
Hong Kong Med J. 2007 Oct; 13(5):382-6.HK

Abstract

OBJECTIVE

To review the current evidence on the mechanism of actions and clinical applications of maggot debridement therapy.

DATA SOURCES

Literature search of PubMed and Medline was performed up to January 2007.

STUDY SELECTION

Original and major review articles related to maggot debridement therapy were reviewed. Key words used in the literature search were 'maggot debridement therapy', 'wound healing', and 'chronic wound management'.

DATA EXTRACTION

All relevant English and Chinese articles.

DATA SYNTHESIS

The mechanism of such maggot therapy was shown to be due to the debridement, disinfection, and wound healing enhancement actions of maggot excretions/secretions. The efficacy of maggot debridement therapy in chronic wound management has been demonstrated in chronic venous ulcers, pressure ulcers, and diabetic ulcers. There is also a new delivery system for the excretions/secretions, which has been shown to be as effective as using live maggots.

CONCLUSIONS

Maggot debridement therapy has been shown to be a safe and effective means of chronic wound management. However, there are a number of limitations when considering its local applicability. Future development of the delivery system may help to overcome some of these limitations and improve its acceptability.

Authors+Show Affiliations

Centre for Education and Training, Department of Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

17914145

Citation

Chan, Dominic C W., et al. "Maggot Debridement Therapy in Chronic Wound Care." Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi, vol. 13, no. 5, 2007, pp. 382-6.
Chan DC, Fong DH, Leung JY, et al. Maggot debridement therapy in chronic wound care. Hong Kong Med J. 2007;13(5):382-6.
Chan, D. C., Fong, D. H., Leung, J. Y., Patil, N. G., & Leung, G. K. (2007). Maggot debridement therapy in chronic wound care. Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi, 13(5), 382-6.
Chan DC, et al. Maggot Debridement Therapy in Chronic Wound Care. Hong Kong Med J. 2007;13(5):382-6. PubMed PMID: 17914145.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maggot debridement therapy in chronic wound care. AU - Chan,Dominic C W, AU - Fong,Daniel H F, AU - Leung,June Y Y, AU - Patil,N G, AU - Leung,Gilberto K K, PY - 2007/10/5/pubmed PY - 2008/2/1/medline PY - 2007/10/5/entrez SP - 382 EP - 6 JF - Hong Kong medical journal = Xianggang yi xue za zhi JO - Hong Kong Med J VL - 13 IS - 5 N2 - OBJECTIVE: To review the current evidence on the mechanism of actions and clinical applications of maggot debridement therapy. DATA SOURCES: Literature search of PubMed and Medline was performed up to January 2007. STUDY SELECTION: Original and major review articles related to maggot debridement therapy were reviewed. Key words used in the literature search were 'maggot debridement therapy', 'wound healing', and 'chronic wound management'. DATA EXTRACTION: All relevant English and Chinese articles. DATA SYNTHESIS: The mechanism of such maggot therapy was shown to be due to the debridement, disinfection, and wound healing enhancement actions of maggot excretions/secretions. The efficacy of maggot debridement therapy in chronic wound management has been demonstrated in chronic venous ulcers, pressure ulcers, and diabetic ulcers. There is also a new delivery system for the excretions/secretions, which has been shown to be as effective as using live maggots. CONCLUSIONS: Maggot debridement therapy has been shown to be a safe and effective means of chronic wound management. However, there are a number of limitations when considering its local applicability. Future development of the delivery system may help to overcome some of these limitations and improve its acceptability. SN - 1024-2708 UR - https://www.unboundmedicine.com/medline/citation/17914145/Maggot_debridement_therapy_in_chronic_wound_care_ L2 - http://www.hkmj.org/abstracts/v13n5/382.htm DB - PRIME DP - Unbound Medicine ER -