A systematic review of efficacy on larva debridement in diabetic foot ulcers

Larva therapy, also known as maggot therapy, biodebridement, or maggot debridement therapy, involved the application of live fly larva to a patient’s wound for debridement, disinfection, and wound healing. Despite its wide application in diabetic foot ulcers, the efficacy of this intervention remain...

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Main Authors: Andi Safutra Suraya, Ninuk Dian Kurniawati, Herdina Mariyanti, Ira Suarilah
Format: Article
Language:English
Published: PAGEPress Publications 2024-01-01
Series:Healthcare in Low-resource Settings
Subjects:
Online Access:https://www.pagepressjournals.org/hls/article/view/11839
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author Andi Safutra Suraya
Ninuk Dian Kurniawati
Herdina Mariyanti
Ira Suarilah
author_facet Andi Safutra Suraya
Ninuk Dian Kurniawati
Herdina Mariyanti
Ira Suarilah
author_sort Andi Safutra Suraya
collection DOAJ
description Larva therapy, also known as maggot therapy, biodebridement, or maggot debridement therapy, involved the application of live fly larva to a patient’s wound for debridement, disinfection, and wound healing. Despite its wide application in diabetic foot ulcers, the efficacy of this intervention remains uncertain. This review aimed to examine the benefits of larva therapy in diabetic foot ulcers by conducting systematic review. This systematic review sought relevant articles using MeSH-based keywords in databases such as Scopus, PubMed, Science Direct, and ProQuest. The inclusion criteria for the articles were as follows: population - patients with diabetic foot ulcers, intervention - the use of debridement or therapeutic application of maggot therapy with Lucilia sericata, comparison - none, outcome - the results of articles demonstrating the effectiveness of using Lucilia sericata maggot therapy on diabetic foot ulcers. Article quality assessment was conducted using the Joanna Briggs Institute guidelines. Descriptive analysis was performed with a narrative approach, considering articles published from 2018 to 2023. Based on the literature search, 237 articles were found with matching keywords from Scopus (103), PubMed (77), Science Direct (14), and ProQuest (43). After screening for inclusion and exclusion criteria, 11 articles were identified for inclusion in this review. These 11 articles indicate that larva therapy can be an effective method in treating diabetic foot ulcers, especially when used correctly and tailored to each patient’s condition and needs. Green bottle fly larva, Lucilia sericata, produce proteolytic enzymes that can assist in wound healing. Larva therapy is effective when combined with other procedures. In clinical practice, it is highly recommended that nurses provide an individualized approach and assess potential side effects.
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spelling doaj.art-f0caf5b4f3a545aea01cfd55d2f758282024-04-03T23:14:36ZengPAGEPress PublicationsHealthcare in Low-resource Settings2281-78242024-01-0110.4081/hls.2024.11839A systematic review of efficacy on larva debridement in diabetic foot ulcersAndi Safutra Suraya0Ninuk Dian Kurniawati1Herdina Mariyanti2Ira Suarilah3Faculty of Nursing, Universitas Airlangga, SurabayaFaculty of Nursing, Universitas Airlangga, SurabayaFaculty of Nursing, Universitas Airlangga, SurabayaFaculty of Nursing, Universitas Airlangga, SurabayaLarva therapy, also known as maggot therapy, biodebridement, or maggot debridement therapy, involved the application of live fly larva to a patient’s wound for debridement, disinfection, and wound healing. Despite its wide application in diabetic foot ulcers, the efficacy of this intervention remains uncertain. This review aimed to examine the benefits of larva therapy in diabetic foot ulcers by conducting systematic review. This systematic review sought relevant articles using MeSH-based keywords in databases such as Scopus, PubMed, Science Direct, and ProQuest. The inclusion criteria for the articles were as follows: population - patients with diabetic foot ulcers, intervention - the use of debridement or therapeutic application of maggot therapy with Lucilia sericata, comparison - none, outcome - the results of articles demonstrating the effectiveness of using Lucilia sericata maggot therapy on diabetic foot ulcers. Article quality assessment was conducted using the Joanna Briggs Institute guidelines. Descriptive analysis was performed with a narrative approach, considering articles published from 2018 to 2023. Based on the literature search, 237 articles were found with matching keywords from Scopus (103), PubMed (77), Science Direct (14), and ProQuest (43). After screening for inclusion and exclusion criteria, 11 articles were identified for inclusion in this review. These 11 articles indicate that larva therapy can be an effective method in treating diabetic foot ulcers, especially when used correctly and tailored to each patient’s condition and needs. Green bottle fly larva, Lucilia sericata, produce proteolytic enzymes that can assist in wound healing. Larva therapy is effective when combined with other procedures. In clinical practice, it is highly recommended that nurses provide an individualized approach and assess potential side effects. https://www.pagepressjournals.org/hls/article/view/11839Debridementdiabetic footlarva therapy
spellingShingle Andi Safutra Suraya
Ninuk Dian Kurniawati
Herdina Mariyanti
Ira Suarilah
A systematic review of efficacy on larva debridement in diabetic foot ulcers
Healthcare in Low-resource Settings
Debridement
diabetic foot
larva therapy
title A systematic review of efficacy on larva debridement in diabetic foot ulcers
title_full A systematic review of efficacy on larva debridement in diabetic foot ulcers
title_fullStr A systematic review of efficacy on larva debridement in diabetic foot ulcers
title_full_unstemmed A systematic review of efficacy on larva debridement in diabetic foot ulcers
title_short A systematic review of efficacy on larva debridement in diabetic foot ulcers
title_sort systematic review of efficacy on larva debridement in diabetic foot ulcers
topic Debridement
diabetic foot
larva therapy
url https://www.pagepressjournals.org/hls/article/view/11839
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