Pressure Ulcers Table 20 Maggot Therapy for Healing of Pressure Ulcers Post SCI

Author Year
Country
Score
Research Design
Total Sample Size

Methods

Outcome

Sherman et al. 1995
USA
Downs & Black score=9
Prospective Control Trial
N=8

Population: Age = 44-68 yrs; Gender: males = 81; Level of injury: paraplegia = 7, tetraplegia = 1; Ulcer stages: III & IV.
Treatment: 3-4 wks of conventional therapy preceded maggot placement under porous sterile dressings, for 48-72 hr cycles. Sodium hypochorite, normal saline or wet-to-dry gauze dressings were applied every 8 hours in between maggot cycles. 
Outcome Measures: Healing of pressure ulcer; Wound area size.

  1. Maggot therapy decreased pressure ulcer surface area by 22% per week (p<0.001).
  2. No adverse consequences of treatment were noted.