Maggot debridement therapy for pressure injury management in a tetraplegic patient in Malaysia

• Main Authors: Roslan, Muhammed Whisz, Abu Hassan, Salmah Anim
• Format: Conference or Workshop Item
• Language: English; English
• Published: 2021
• Subjects: RZ Other systems of medicine
• 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/
• Institution: Universiti Islam Antarabangsa 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 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.