Growth and Survival of Bagged Lucilia sericata Maggots in Wounds of Patients Undergoing Maggot Debridement Therapy
Table 1
Patients and wound characteristics.
Wound type
Traumatic
Ischemic
Venous
Diabetic
Duration of MDT cycle
48 hours
48 hours
48 hours
72 hours
48 hours
72 hours
Total number of analyzed bags
4
7
4
9
7
21
Patient characteristics
Age
<60 years (%)
4 (100.0)
1 (14.3)
1 (25.0)
2 (22.2)
4 (57.1)
0 (0.0)
>60 years (%)
0 (0.0)
6 (85.7)
3 (75.0)
7 (77.8)
3 (42.9)
21 (100.0)
Sex
Male (%)
4 (100.0)
7 (100.0)
1 (25.0)
2 (22.2)
7 (100.0)
4 (19.0)
Female (%)
0 (0.0)
0 (0.0)
3 (75.0)
7 (77.8)
0 (0.0)
17 (81.0)
Wound characteristics
Size (%)
<15 cm (%)
0 (0.0)
1 (14.3)
2 (50.0)
3 (33.3)
0 (0.0)
0 (0.0)
15–50 cm (%)
1 (25.0)
3 (42.9)
2 (50.0)
2 (22.2)
5 (71.4)
17 (81.0)
>50 cm (%)
(75.0)
3 (42.9)
0 (0.0)
4 (44.4)
2 (28.6)
4 (19.0)
Location
Hand and wrist (%)
(75.0)
0 (0.0)
0 (0.0)
0 (0.0)
0 (0.0)
0 (0.0)
Foot (%)
0 (0.0)
1 (14.3)
0 (0.0)
0 (0.0)
7 (100.0)
20 (95.2)
Ankle (%)
1 (25.0)
0 (0.0)
3 (75.0)
3 (33.3)
0 (0.0)
1 (4.8)
Calf (%)
0 (0.0)
6 (85.7)
1 (25.0)
6 (66.7)
0 (0.0)
0 (0.0)
Duration
<3 months (%)
4 (100.0)
1 (14.3)
4 (100.0)
4 (44.4)
5 (71.4)
13 (61.9)
>3 months (%)
0 (0.0)
6 (85.7)
0 (0.0)
5 (55.6)
2 (28.6)
8 (38.1)
Depth
Superficial (%)
1 (25.0)
0 (0.0)
4 (100.0)
9 (100.0)
0 (0.0)
2 (9.5)
Deep (%)
(75.0)
7 (100.0)
0 (0.0)
0 (0.0)
7 (100.0)
19 (90.5)
Treatment preceding2 MDT
Systemic and local antibiotic/antimycotic therapy, surgical debridement (%)
(75.0)
6 (85.7)
0 (0.0)
0 (0.0)
4 (57.1)
9 (42.9)
Local antiseptic treatment only (%)
0 (0.0)
1 (14.3)
3 (75.0)
2 (22.2)
1 (14.3)
7 (33.3)
Local antiseptic treatment and natural products (%)
0 (0.0)
0 (0.0)
1 (25.0)
6 (66.7)
2 (28.6)
4 (19.0)
Enzymatic debridement (%)
0 (0.0)
0 (0.0)
0 (0.0)
0 (0.0)
0 (0.0)
1 (4.8)
Autolytic debridement (%)
1 (25.0)
0 (0.0)
0 (0.0)
1 (11.1)
0 (0.0)
0 (0.0)
Wounds were classified as superficial if they affected only epidermal and dermal layers and deep if they included tendons or bones. Up to 7 days prior to application of bagged maggots. Natural products applied topically included medicinal honey and herbal extracts. A single wound over 180 cm of irregular shape was treated with 3 bags (>50 cm each) placed on different parts of the wound.
