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Berglund, Cecilia, 2013. The use of maggots in canine, feline and equine wound care. First cycle, G2E. Skara: SLU, Dept. of Animal Environment and Health

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Abstract

Maggots' abilities to aid in treatment of infected and necrotic wounds have been known for centuries. Larval therapy (LT) was used frequently in human patients in the first half of the 20th century, but usage declined with the introduction of antibiotics. It regained popularity only recently due to the emergence of antibiotic resistance. In veterinary patients though, the treatment is still rare, and clinical studies are few and of poor quality. The objective of this veterinary nursing under-graduate project is to assemble relevant literature on larval therapy to form a theoretical foundation from which further steps towards clinical use of LT in companion animals can be taken. Currently, maggots are used in humans primarily to treat chronic ulcers not responding to conventional treatment. Indications for use in small animals include pressure ulcers and traumatic wounds. In horses LT is most commonly used to treat different diseases of the hoof. Findings indicate that maggots are effective in debridement and disinfection of wounds, as well as promoting granulation tissue formation. Maggots are also effective in treating wounds colonised with MRSA. Adverse effects are few and infrequent, with pain being the most commonly mentioned. In practice, sterile larvae are applied to the wound either freely or contained in a biobag. Dressings are adapted to enclose maggots, to be absorbent of heavy exudation while still allowing oxygen to reach the maggots and to protect the peri wound skin from wound exudate and larval excretions/secretions. For clinical use in the veterinary field, further research is required in several areas, including establishing number of maggots needed for safe yet efficient treatment and determining which patients are likely to benefit from the therapy. Problems to overcome related to veterinary nursing are likely to be difficulties in dressing wounds, prevention and identification of pain and overcoming issues with owner acceptance of therapy.

Main title:The use of maggots in canine, feline and equine wound care
Authors:Berglund, Cecilia
Supervisor:Svendenius, Lena
Examiner:Palmgren Karlsson, Carina
Series:Studentarbete / Sveriges lantbruksuniversitet, Institutionen för husdjurens miljö och hälsa
Volume/Sequential designation:509
Year of Publication:2013
Level and depth descriptor:First cycle, G2E
Student's programme affiliation:VK003 Veterinary Nursing - Bachelor's programme 180 HEC
Department:(VH) > Dept. of Animal Environment and Health
Keywords:maggots, larvae, debridement, wound care, veterinary nursing, fluglarver, debridering, sårvård, djuromvårdnad
URN:NBN:urn:nbn:se:slu:epsilon-s-3006
Permanent URL:
http://urn.kb.se/resolve?urn=urn:nbn:se:slu:epsilon-s-3006
Subjects:Veterinary science and hygiene - General aspects
Language:English
Deposited On:29 Jan 2014 13:28
Metadata Last Modified:29 Jan 2014 13:28

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