Maggot debridement therapy for pressure injury management in a tetraplegic patient in Malaysia
Infected pressure injury is among life threatening complications in spinal cord injury (SCI) patients and mostly requires multifaceted management strategy. This case report illustrates wound healing progress of a 56-year-old man with incomplete tetraplegia from cervical spondylotic myelopathy compli...
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| Main Authors: | , |
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| Format: | Conference or Workshop Item |
| Language: | English English |
| Published: |
2021
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/95857/15/95857_%20Maggot%20debridement%20therapy%20for%20pressure_book%20programme.pdf http://irep.iium.edu.my/95857/16/95857_%20Maggot%20debridement%20therapy%20for%20pressure_poster.pdf http://irep.iium.edu.my/95857/ |
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| Institution: | Universiti Islam Antarabangsa Malaysia |
| Language: | English English |
| Summary: | Infected pressure injury is among life threatening complications in spinal cord injury (SCI) patients and mostly requires multifaceted management strategy. This case report illustrates wound healing progress of a 56-year-old man with incomplete tetraplegia from cervical spondylotic myelopathy complicated with infected bilateral ischial tuberosity pressure injury. Presence of multidrug-resistant organism infection, Pseudomonas aeruginosa, deemed wound management to be unsuccessful despite 14 days intravenous antibiotic therapy using polymyxin E, coupled with multiple intraoperative and bedside surgical debridement, with modern dressing throughout admission. Reduction of bacterial burden was seen after third intraoperative surgical debridement followed by Maggot Debridement Therapy (MDT). This case highlights MDT success in large unhealthy pressure injuries coupled with holistic wound care management specific to spinal cord injury community. |
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