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Maggots in Medicine: A Narrative Review Discussing the Barriers to Maggot Debridement Therapy and Its Utilisation in the Treatment of Chronic Wounds

Zoe Mumford, Yamni Nigam Orcid Logo

Journal of Clinical Medicine, Volume: 13, Issue: 22, Start page: 6746

Swansea University Author: Yamni Nigam Orcid Logo

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DOI (Published version): 10.3390/jcm13226746

Abstract

Background: There is currently no standardised guidance that supports any particular method of debridement. Maggot debridement therapy (MDT) is often used as a last-resort therapy over more conventional treatments, despite mounting evidence of its benefits. Objectives: This review aimed to criticall...

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Published in: Journal of Clinical Medicine
ISSN: 2077-0383
Published: MDPI AG 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa68262
first_indexed 2024-11-25T14:21:46Z
last_indexed 2025-01-15T20:36:05Z
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spelling 2025-01-15T13:46:31.8905598 v2 68262 2024-11-13 Maggots in Medicine: A Narrative Review Discussing the Barriers to Maggot Debridement Therapy and Its Utilisation in the Treatment of Chronic Wounds 16d566efd3e2b483b5f08651f5515efb 0000-0001-5438-7712 Yamni Nigam Yamni Nigam true false 2024-11-13 HSOC Background: There is currently no standardised guidance that supports any particular method of debridement. Maggot debridement therapy (MDT) is often used as a last-resort therapy over more conventional treatments, despite mounting evidence of its benefits. Objectives: This review aimed to critically analyse the systemic and individual barriers to MDT implementation and utilisation. As the primary providers of wound care, discussions are primarily focused on nursing care. Search strategy: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was used to conduct a literature search of the studies published between 2012 and 2022 across four databases: CINAHL, Cochrane, British Nursing Index and PubMed. The keywords used for this search were based on the PICO (Population, Intervention, Comparison, Outcome) framework. Twenty-three main articles met the inclusion criteria. All the studies were quality appraised using a risk of bias tool and data were extracted using a predesigned form. The evidence base of the four main themes were discussed: (1) effectiveness of MDT compared to conventional treatments, (2) perceptions and stigma, (3) cost, training and accessibility and (4) side-effects. Conclusions: The findings of this review suggest that MDT is an underused and potentially very effective method of debridement compared to conventional treatments. The identified barriers could be mitigated with relatively low-cost solutions. More high-quality research is needed across all the barriers. Journal Article Journal of Clinical Medicine 13 22 6746 MDPI AG 2077-0383 maggots; maggot debridement therapy; MDT; Lucilia; wound care 9 11 2024 2024-11-09 10.3390/jcm13226746 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University Other This research received no external funding. 2025-01-15T13:46:31.8905598 2024-11-13T13:51:20.8022360 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Healthcare Science Zoe Mumford 1 Yamni Nigam 0000-0001-5438-7712 2 68262__33338__a5ffd524d9634321b79d0635de93e489.pdf 68262.VoR.pdf 2025-01-15T13:44:20.0841933 Output 291890 application/pdf Version of Record true © 2024 by the authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license. true eng https://creativecommons.org/licenses/by/4.0/
title Maggots in Medicine: A Narrative Review Discussing the Barriers to Maggot Debridement Therapy and Its Utilisation in the Treatment of Chronic Wounds
spellingShingle Maggots in Medicine: A Narrative Review Discussing the Barriers to Maggot Debridement Therapy and Its Utilisation in the Treatment of Chronic Wounds
Yamni Nigam
title_short Maggots in Medicine: A Narrative Review Discussing the Barriers to Maggot Debridement Therapy and Its Utilisation in the Treatment of Chronic Wounds
title_full Maggots in Medicine: A Narrative Review Discussing the Barriers to Maggot Debridement Therapy and Its Utilisation in the Treatment of Chronic Wounds
title_fullStr Maggots in Medicine: A Narrative Review Discussing the Barriers to Maggot Debridement Therapy and Its Utilisation in the Treatment of Chronic Wounds
title_full_unstemmed Maggots in Medicine: A Narrative Review Discussing the Barriers to Maggot Debridement Therapy and Its Utilisation in the Treatment of Chronic Wounds
title_sort Maggots in Medicine: A Narrative Review Discussing the Barriers to Maggot Debridement Therapy and Its Utilisation in the Treatment of Chronic Wounds
author_id_str_mv 16d566efd3e2b483b5f08651f5515efb
author_id_fullname_str_mv 16d566efd3e2b483b5f08651f5515efb_***_Yamni Nigam
author Yamni Nigam
author2 Zoe Mumford
Yamni Nigam
format Journal article
container_title Journal of Clinical Medicine
container_volume 13
container_issue 22
container_start_page 6746
publishDate 2024
institution Swansea University
issn 2077-0383
doi_str_mv 10.3390/jcm13226746
publisher MDPI AG
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Healthcare Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Healthcare Science
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description Background: There is currently no standardised guidance that supports any particular method of debridement. Maggot debridement therapy (MDT) is often used as a last-resort therapy over more conventional treatments, despite mounting evidence of its benefits. Objectives: This review aimed to critically analyse the systemic and individual barriers to MDT implementation and utilisation. As the primary providers of wound care, discussions are primarily focused on nursing care. Search strategy: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was used to conduct a literature search of the studies published between 2012 and 2022 across four databases: CINAHL, Cochrane, British Nursing Index and PubMed. The keywords used for this search were based on the PICO (Population, Intervention, Comparison, Outcome) framework. Twenty-three main articles met the inclusion criteria. All the studies were quality appraised using a risk of bias tool and data were extracted using a predesigned form. The evidence base of the four main themes were discussed: (1) effectiveness of MDT compared to conventional treatments, (2) perceptions and stigma, (3) cost, training and accessibility and (4) side-effects. Conclusions: The findings of this review suggest that MDT is an underused and potentially very effective method of debridement compared to conventional treatments. The identified barriers could be mitigated with relatively low-cost solutions. More high-quality research is needed across all the barriers.
published_date 2024-11-09T08:19:54Z
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