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Presurgical Maggot Debridement of Soft Tissue Wounds Is Associated with Decreased Rates of Postoperative Infection
Ronald A. Sherman1,2 and Kathleen J. Shimoda3
1Department of Pathology, University of California, Irvine, and 2BioTherapeutics, Education, and Research Foundation, Irvine, and 3Veterans Affairs Long Beach Healthcare System, Long Beach, California
Postoperative complications were assessed for all patients who received presurgical maggot debridement therapy (MDT) and for a matched group of patients who did not.
Ten wounds were debrided by maggots within 117 days prior to surgical closure. Debridement was effective in all cases, and there were no postoperative wound infections.
Six (32%) of 19 wounds not treated presurgically with MDT developed postoperative wound infections (95% CI, 10%54%; P < .05).
Presurgical MDT was effective in preparing the wound bed for surgical closure, without increased risk of postsurgical wound infection.
Clinical Infectious Diseases 2004;39:1067-1070
1058-4838/2004/3907-0028
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