Gregory Fenati, DO, is Attending Physician, Department of Emergency Medicine, Arrowhead Regional Medical Center, Colton, California, United States, and Assistant Professor of Emergency Medicine, California University of Science and Medicine, Colton. Santana Youssoffi, BS, is Medical Student, California University of Science and Medicine. Shriya Vejendla, BS, and Cameron C. Neeki are Research Assistants, Arrowhead Regional Medical Center. Vinh T. Nguyen, BS, is Medical Student, California University of Science and Medicine. Fanglong Dong, PhD, is Professor, Department of Emergency Medicine, Arrowhead Regional Medical Center. Michael M. Neeki, DO, MS, is Attending Physician, Department of Emergency Medicine, Arrowhead Regional Medical Center, and Professor of Emergency Medicine, California University of Science and Medicine.
Adv Skin Wound Care. 2024 Oct 1;37(10):555-559. doi: 10.1097/ASW.0000000000000209.
Maggot therapy, also known as larval therapy or biosurgery, is the use of live, sterilized maggots to debride necrotic tissue. Alternatively, wound infestation by maggots, known as myiasis, can occur in patients with poor wound management, particularly in those living in poor socioeconomic conditions. In the case of myiasis, various maggot extraction solutions are used to encourage the live larvae to emerge from the wound on their own. Current recommendations include the use of hypochlorous acid, sodium hypochlorite solutions, isopropyl alcohol, betadine, and hydrogen peroxide for wound cleansing. This case report focuses on a unique utilization of commercial bacon strips for the extraction of maggots in an infested necrotic wound. The use of commercial bacon strips in selective patients as a noninvasive technique for the removal of maggots from necrotic wounds can be an additional tool for medical providers.
蛆虫疗法,也称为幼虫疗法或生物外科,是利用活的、经过消毒的蛆来清除坏死组织。或者,在伤口管理不善的患者中,特别是在生活在贫困社会经济条件下的患者中,可能会发生蛆虫感染,称为蝇蛆病。在蝇蛆病的情况下,使用各种蛆虫提取溶液来鼓励活的幼虫自行从伤口中出来。目前的建议包括使用次氯酸钠、次氯酸钠溶液、异丙醇、洗必泰、过氧化氢进行伤口清洗。本病例报告重点介绍了商业培根条在感染性坏死伤口中提取蛆虫的独特应用。在选择性患者中,将商业培根条用作从坏死伤口中去除蛆虫的非侵入性技术,可以为医疗提供者提供另一种工具。