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KMID : 1190620110070010014
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Journal of the Korean Wound Care Society
2011 Volume.7 No. 1 p.14 ~ p.17
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The Comparison between Maggot Therapy and Conventional Management in the Diabetic Foot Patients
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Kim Jee-Nam
Choi Hang-Suk
Han Kyu-Seok
Shin Dong-Hyeok
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Abstract
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Chronic wound has been a challenging problem to surgeon in wound management, especially in person with medical problem such as a diabetes. It has been known that maggots have potent debriding ability of removing necrotic tissue. The objective of this study is to assess the efficacy of maggot therapy for the treatment of diabetic foot patients. In the period between August 2006 and Feburary 2008, 17 diabetic foot patients who seemed suited for maggot debridement therapy (MDT) were included in the study. Control group was 44 patients. Most wounds were the worst-case scenarios, in which maggot therapy was a treatment of last choice. Sterile maggots of Lucilia (Phaenicia) sericata are used for treatment. Maggots were introduced in the wound and stayed for 3 days at each application. In control group, It takes 31.4 days from diagnosis to operation. In MDT group, it takes 22.5 days (P=0.042). The duration for admission was 48.1 days in control group, and 39.5 days in MDT group (P=0.16). The microbiologic results of swab culture from first visit to become no growth, It takes 28.9 days and 19.7 days respectively (P=0.048). In our study, maggot therapy has been proven to be an effective modality for managing diabetic foot. And also, treatment period can be shortening by maggot therapy.
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KEYWORD
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Maggot therapy, Diabetic foot
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