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Maggot Debridement Therapy

Maggot Debridement Therapy. Give the “tiny surgeons” a chance!. History. Ancient Civilizations Maya, China, Australia Army War Surgeons Napoleon, Civil War William Baer John Hopkins Ronald Sherman House Burn Victim Episode. Importance to Healthcare . Diversity of wound types

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Maggot Debridement Therapy

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  1. Maggot Debridement Therapy Give the “tiny surgeons” a chance!

  2. History • Ancient Civilizations • Maya, China, Australia • Army War Surgeons • Napoleon, Civil War • William Baer • John Hopkins • Ronald Sherman • House • Burn Victim Episode

  3. Importance to Healthcare • Diversity of wound types • Remove necrotic flesh • Antimicrobial properties (MRSA) • Promote Wound Healing

  4. Wound Types • Any open purulent sore • Diabetic ulcers • Bed sores • Burns • Abscesses • Basal cell carcinoma • Vein and artery diseases • Many more

  5. Remove Necrotic Flesh • Mouthhooks • Excretory and secretory products • Enzymes •  liqification •  pH

  6. Antibiotic Resistance • ES kill bacteria • “Gut” test • Identification of antimicrobial factors • Evolution

  7. Healing factors • E/S stimulate EGF and IL-6 • Destroy fibrin cuffs • Activate PAR system causing vasodilation • Increase circulation thus oxygen to wound

  8. Maggot Biology

  9. Application of Use • Make Pattern of Wound • Place maggots inside • Cover with mesh • Place gauze bandage for drainage

  10. Cost and Insurance • $70/ 1000 larvae • Surgery • Antibiotics • Vancomycin $138/day

  11. Results • http://www.ucihs.uci.edu/com/pathology/sherman/cases.htm

  12. Results

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