Zastosowanie larw Lucilia sericata w oczyszczaniu ran przewlekłych – opis trzech przypadków

Bazaliński, Dariusz; Karnas, Magdalena; Wołkowicz, Magdalena; Kózka, Maria; Więch, Paweł

doi:10.15374/lr2018017

Cited by 9 publications

(21 citation statements)

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“…They are bred and propagated according to a strictly defined protocol, under aseptic conditions on special sterile substrates, and the eggs are sterilised three times with 0.25% chloramine. 8,10,15 MDT is a recommended form of cleaning wounds in the situation where the surgical cleaning of necrotic tissue cannot be used. The cleansing of wounds with the use of L sericata larvae is particularly recommended in situations where necrosis has penetrated deep into the tissue, which cannot be removed mechanically using a traditional technique.…”

Section: Discussionmentioning

confidence: 99%

“…Besides the efficient removal of necrotic tissue and the acceleration of wound healing, the benefits of maggot debridement therapy (MDT) include wound disinfection. 9,10 A variety of growth factors and antimicrobial peptides delivered by the larvae in maggot excretions to the wound environment have been already reported in the literature with the aim of enhancing wound healing. 11,12 The study aim was to evaluate changes in the microflora in patients treated with L sericata larvae due to leg ulcers and diabetic foot.…”

Section: Introductionmentioning

confidence: 99%

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Microbiological effects in patients with leg ulcers and diabetic foot treated with Lucilia sericata larvae

Szczepanowski¹,

Grabarek

Boroń

et al. 2021

International Wound Journal

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Lucilia sericata bottle fly worms can be used to heal infected, chronic, or necrotic wounds, including those associated with ulceration and diabetic foot.The study aimed to evaluate changes in the microflora in patients treated with L sericata larvae due to leg ulcers and diabetic foot. One hundred twenty-nine patients diagnosed with lower limb ulceration and diabetic foot were enrolled in the study, of which 80 of them met the eligibility criteria for maggot debridement therapy (MDT). On the contrary, 49 unqualified patients were offered ozone therapy (22 with leg ulcers; 27 with diabetic foot). In each of these patients, a microbiological swab was performed before and after the start of therapy. The group of 80 patients was further divided into four equal groups in terms of the treated area (lower leg vs foot) and the number of larvae/cm 2 (5 vs 10). Twenty-three particular species of bacteria in the infected wound were studied microbiologically in terms of presence/absence within the wound environment before and after treatment of patients with diabetic foot and lower limb ulceration. It was noted that there was a more intensive bacterial accumulation in the feet of patients compared to legs; furthermore, this applies to almost all analysed species. Diabetes status is also a clinical factor that generates a lower chance of bacterial appearance in the wound environment. Densification of MDT larvae per wound area unit also reduced the chance of the presence of Corynebacterium species, Enterobacteriaceae, Pseudomonas aeruginosa, Staphylococcus aureus MSSA, and Streptococcus coagulase negativa; however, it increased the likelihood of occurrence for Proteus mirabilis and the Proteus species. A microbiological analysis in this non-reference study shows the efficacy of larval therapy for leg and foot ulcers. Rearrangement of the microflora within the wound has been reported as a result of the therapy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Microbiological effects in patients with leg ulcers and diabetic foot treated with Lucilia sericata larvae

Szczepanowski¹,

Grabarek

Boroń

et al. 2021

International Wound Journal

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“…Appropriate treatment of the injury translates into therapeutic success, but so far ideal dressings for burn wounds have not been developed and implemented on a large scale that would allow their complete self-healing without constant control and care. Currently, there are several hydrogels, hydrocolloid, and hydro fiber dressings available on the market [4,5]. Despite many preventive measures, various types of complications may arise during the therapeutic process.…”

Section: Introductionmentioning

confidence: 99%

Burn Wound Healing: Clinical Complications, Medical Care, Treatment, and Dressing Types: The Current State of Knowledge for Clinical Practice

Markiewicz-Gospodarek

Kozioł

Tobiasz³

et al. 2022

IJERPH

161

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According to the World Health Organization (WHO), it is estimated that each year approximately 11 million people suffer from burn wounds, 180,000 of whom die because of such injuries. Regardless of the factors causing burns, these are complicated wounds that are difficult to heal and are associated with high mortality rates. Medical care of a burn patient requires a lot of commitment, experience, and multidirectional management, including surgical activities and widely understood pharmacological approaches. This paper aims to comprehensively review the current literature concerning burn wounds, including classification of burns, complications, medical care, and pharmacological treatment. We also overviewed the dressings (with an emphasis on the newest innovations in this field) that are currently used in medical practice to heal wounds.

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“…The use of negative pressure wound therapy (NPWT) is effective in shrinking the wound, reducing exudate and bacteria, and stimulating neoangigenesis, specialized dressings, in the case of superficial and penetrative lesions that do not qualify for surgery [41,42,43]. There are clinical situations, especially in terminally ill patients, in which wounds debrided from necrotic tissue are only managed with dressings, due to the patient’s condition and poor prognosis [22].…”

Section: The Mechanism Of Actionmentioning

confidence: 99%

“…The growing demand for related products results in the decreased overall cost of treatment with the use of larvae, as well as the greater practicality of MDT compared to other methods, which can be observed in recent decades, in other countries as well as in Poland [5]. For example, 100 larvae purchased from a free-range colony are sufficient to debride a wound that is 10–50 cm 2 in size, with 5–10 larvae used per 1 cm 2 , which accounts for a cost of 120–200 PLN (26–44 EUR), depending on the producer (Biolab® or Biomantis®) [22]. Considering the cost of the sample therapy with 100 loose larvae, it is cost-effective for the patient from both an economic and a medical perspective.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Chronic Wound Debridement with the Use of Larvae of Lucilia Sericata

Bazaliński

Kózka

Karnas³

et al. 2019

JCM

Self Cite

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The process of successful wound healing depends on effective debridement and infection control. One method of wound debridement, known since antiquity, is based on the use of fly larvae. Solid scientific evidence proves that maggot debridement therapy (MDT), like surgical intervention, can be effectively and safely used to remove necrotic tissue. Based on a review of the related literature, this study was designed to assess the effectiveness of chronic wound cleansing with the use of larvae of Lucilia sericata (Phaenicia sericata). Maggot therapy, applied in wound debridement and treatment, is a safe and effective method. Its benefits are associated with debridement, disinfection and faster tissue growth. MDT may reduce the duration of antibiotic therapy and the need for hospitalization, or it may decrease the number of outpatient visits required. It is a relatively cost-effective method, and, in addition to financial gains, it may reduce the frequency of inpatient treatment. In the literature, an increasing amount of scientific evidence confirms that such treatment can effectively reduce the biofilm and bacterial load in a wound.

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Zastosowanie larw Lucilia sericata w oczyszczaniu ran przewlekłych – opis trzech przypadków

Cited by 9 publications

References 0 publications

Microbiological effects in patients with leg ulcers and diabetic foot treated with Lucilia sericata larvae

Microbiological effects in patients with leg ulcers and diabetic foot treated with Lucilia sericata larvae

Burn Wound Healing: Clinical Complications, Medical Care, Treatment, and Dressing Types: The Current State of Knowledge for Clinical Practice

Effectiveness of Chronic Wound Debridement with the Use of Larvae of Lucilia Sericata

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