Table 1.
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 cm2 (%) | 0 (0.0) | 1 (14.3) | 2 (50.0) | 3 (33.3) | 0 (0.0) | 0 (0.0) |
15–50 cm2 (%) | 1 (25.0) | 3 (42.9) | 2 (50.0) | 2 (22.2) | 5 (71.4) | 17 (81.0) |
>50 cm2 (%) | 34 (75.0) | 3 (42.9) | 0 (0.0) | 4 (44.4) | 2 (28.6) | 4 (19.0) |
Location | ||||||
Hand and wrist (%) | 34 (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) |
Depth1 | ||||||
Superficial (%) | 1 (25.0) | 0 (0.0) | 4 (100.0) | 9 (100.0) | 0 (0.0) | 2 (9.5) |
Deep (%) | 34 (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 (%) | 34 (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 products3 (%) | 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) |
1Wounds were classified as superficial if they affected only epidermal and dermal layers and deep if they included tendons or bones.
2Up to 7 days prior to application of bagged maggots.
3Natural products applied topically included medicinal honey and herbal extracts.
4A single wound over 180 cm2 of irregular shape was treated with 3 bags (>50 cm2 each) placed on different parts of the wound.