Treatment of pressure ulcers with larvae of Lucilia sericata

Sirekbasan, Serhat; GÖKALP, Hilal; POLAT, Erdal; AKARIRMAK, ZEYNEP ÜLKÜ; Kutlubay, Zekayi

Treatment of pressure ulcers with larvae of Lucilia sericata

Erdal POLAT, (Department of Medical Microbiology, Cerrahpaşa Medical Faculty, İstanbul University, İstanbul, Turkey)

Zekayi KUTLUBAY, (Department of Medical Microbiology, Cerrahpaşa Medical Faculty, İstanbul University, İstanbul, Turkey)

Serhat SİREKBASAN, (Department of Dermatology, Cerrahpaşa Medical Faculty, İstanbul University, İstanbul, Turkey)

Hilal GÖKALP, (Department of Medical Microbiology, Cerrahpaşa Medical Faculty, İstanbul University, İstanbul, Turkey)

ZEYNEP ÜLKÜ AKARIRMAK (Department of Dermatology, Koç University Medical Faculty, İstanbul, Turkey Received: September 2016 Accepted: December 2016)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

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Yıl: 2017 Cilt: 63 Sayı: 4 Sayfa Aralığı: 307 - 312 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Treatment of pressure ulcers with larvae of Lucilia sericata

Öz:

Objectives: This study aims to investigate the use of the Lucilia sericata larvae in patients with decubitus ulcers resistant to hyperbaric oxygen treatment, vacuum-assisted closure, surgical debridement, and other conventional therapies.Patients and methods: A total of 36 patients (21 females, 15 males; mean age 63.7 years; range 16 to 90 years) who were admitted to our hospital for decubitus ulcers between February 2011 and July 2016 were included in our study. All patients had one or more lesions in the sacral region, trochanteric area, dorsal region, or on the heel of the foot. Nine patients had spinal cord injuries, six of them were injured during a car accident, and three of them had spinal cord injuries due to gunshot. One patient had concomitant lung cancer, one had heart failure, and two patients had a diagnosis of multiple sclerosis. Thirty three of 36 patients were admitted to the wound therapy unit within the department of emergency medicine, and three were admitted to the physical therapy and rehabilitation clinic. For each patient, Lucilia sericata maggots were applied on the lesions for 72 hours and, then, washed away. This procedure was repeated two times a week. Twenty nine patients (78.9%) had four to six sessions and seven patients (21.1%) had eight to 12 sessions.Results: Twenty nine lesions (78.9%) were Grade 2 and 3 and were completely healed after four to eight treatment sessions, while seven lesions (21.1%) were completely cured at the end of 10 to 14 sessions. There was complete clearance of necrotic debris at the end of two sessions within the first week for 15 lesions, whereas 10 lesions (27.8%) were cured after four sessions within two weeks, seven lesions (19.4%) within five sessions after three weeks, and four lesions (11.1%) were treated at the end of seven sessions for four weeks. All the necrotic crusts over the surface of the ulcers were cleaned and bad odor of the lesions disappeared.Conclusion: Lucilia sericata larvae debridement is a rapid and effective treatment option for the management of chronic decubitus ulcers which are resistant to conventional therapies and other treatment modalities such as hyperbaric oxygen, vacuum-assisted closure, and surgical debridement.

Anahtar Kelime:

Konular: Rehabilitasyon

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	POLAT E, Kutlubay Z, Sirekbasan S, GÖKALP H, AKARIRMAK Z (2017). Treatment of pressure ulcers with larvae of Lucilia sericata. , 307 - 312.
Chicago	POLAT Erdal,Kutlubay Zekayi,Sirekbasan Serhat,GÖKALP Hilal,AKARIRMAK ZEYNEP ÜLKÜ Treatment of pressure ulcers with larvae of Lucilia sericata. (2017): 307 - 312.
MLA	POLAT Erdal,Kutlubay Zekayi,Sirekbasan Serhat,GÖKALP Hilal,AKARIRMAK ZEYNEP ÜLKÜ Treatment of pressure ulcers with larvae of Lucilia sericata. , 2017, ss.307 - 312.
AMA	POLAT E,Kutlubay Z,Sirekbasan S,GÖKALP H,AKARIRMAK Z Treatment of pressure ulcers with larvae of Lucilia sericata. . 2017; 307 - 312.
Vancouver	POLAT E,Kutlubay Z,Sirekbasan S,GÖKALP H,AKARIRMAK Z Treatment of pressure ulcers with larvae of Lucilia sericata. . 2017; 307 - 312.
IEEE	POLAT E,Kutlubay Z,Sirekbasan S,GÖKALP H,AKARIRMAK Z "Treatment of pressure ulcers with larvae of Lucilia sericata." , ss.307 - 312, 2017.
ISNAD	POLAT, Erdal vd. "Treatment of pressure ulcers with larvae of Lucilia sericata". (2017), 307-312.

APA	POLAT E, Kutlubay Z, Sirekbasan S, GÖKALP H, AKARIRMAK Z (2017). Treatment of pressure ulcers with larvae of Lucilia sericata. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 63(4), 307 - 312.
Chicago	POLAT Erdal,Kutlubay Zekayi,Sirekbasan Serhat,GÖKALP Hilal,AKARIRMAK ZEYNEP ÜLKÜ Treatment of pressure ulcers with larvae of Lucilia sericata. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 63, no.4 (2017): 307 - 312.
MLA	POLAT Erdal,Kutlubay Zekayi,Sirekbasan Serhat,GÖKALP Hilal,AKARIRMAK ZEYNEP ÜLKÜ Treatment of pressure ulcers with larvae of Lucilia sericata. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.63, no.4, 2017, ss.307 - 312.
AMA	POLAT E,Kutlubay Z,Sirekbasan S,GÖKALP H,AKARIRMAK Z Treatment of pressure ulcers with larvae of Lucilia sericata. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2017; 63(4): 307 - 312.
Vancouver	POLAT E,Kutlubay Z,Sirekbasan S,GÖKALP H,AKARIRMAK Z Treatment of pressure ulcers with larvae of Lucilia sericata. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2017; 63(4): 307 - 312.
IEEE	POLAT E,Kutlubay Z,Sirekbasan S,GÖKALP H,AKARIRMAK Z "Treatment of pressure ulcers with larvae of Lucilia sericata." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 63, ss.307 - 312, 2017.
ISNAD	POLAT, Erdal vd. "Treatment of pressure ulcers with larvae of Lucilia sericata". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 63/4 (2017), 307-312.