The efficacy of maggot debridement therapy compared to non-surgical conventional debridement method /

Diabetic foot ulcer or DFU is a hard to heal chronic wound, quite resistant to conventional methods and mainly associated with foot complications such as infection, gangrene and lower limb amputations. Maggot debridement therapy, commonly known as MDT has been widely used for decades as an alternati...

Full description

Saved in:
Bibliographic Details
Main Author: Pirehma Marimuthu (Author)
Format: Thesis
Language:English
Published: Kuantan, Pahang : Kulliyyah of Nursing, International Islamic University Malaysia, 2020
Subjects:
Online Access:Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library.
Tags: Add Tag
mdt 1
thesis 1
LEADER 037190000a22003610004500
008 200914s2020 my a f m 000 0 eng d
040 |a UIAM  |b eng  |e rda 
041 |a eng 
043 |a a-my--- 
100 1 |a Pirehma Marimuthu,  |e author 
245 1 4 |a The efficacy of maggot debridement therapy compared to non-surgical conventional debridement method /  |c by Pirehma Marimuthu 
264 1 |a Kuantan, Pahang :   |b Kulliyyah of Nursing, International Islamic University Malaysia,   |c 2020 
300 |a xiii, 150 leaves :  |b colour illustrations ;  |c 30cm. 
336 |2 rdacontent  |a text 
337 |2 rdamedia  |a unmediated 
338 |2 rdacarrier  |a volume 
338 |2 rdacarrier  |a online resource 
347 |2 rdaft  |a text file  |b PDF 
500 |a Abstracts in English and Arabic. 
500 |a "A thesis submitted in fulfilment of the requirement for the degree of Master of Biobehavioral Health Sciences." --On title page. 
502 |a Thesis (MBBHS)--International Islamic University Malaysia, 2020. 
504 |a Includes bibliographical references (leaves 89-105). 
520 |a Diabetic foot ulcer or DFU is a hard to heal chronic wound, quite resistant to conventional methods and mainly associated with foot complications such as infection, gangrene and lower limb amputations. Maggot debridement therapy, commonly known as MDT has been widely used for decades as an alternative tool in the debridement of chronic wounds to remove slough, necrotic tissue from the wound bed. However, comparison studies between MDT and conventional method in the treatment of DFU remained limited and inconclusive. The aim of the study was to evaluate the effectiveness of MDT using Lucilia cuprina in the treatment of DFU as compared to non-surgical conventional method based on slough percentage and size of ulcer on day 3, 6 ,9. The study was conducted in University Malaya Medical Centre (UMMC) on 110 adult diabetics with sloughy foot ulcer, less than 2cm deep and ankle brachial index (ABI) of 0.8 or higher. The patients were divided into 2 group whereby 55 in MDT group and 55 in conventional group. Slough percentage and size of ulcer were measured using the wound monitoring application, NDKareTM. Data analysis with descriptive inferential statistics (Rm-ANCOVA) was performed using the Statistical Package for the Social Sciences Version 23. The result showed significant difference in slough percentage on day 3, 6 and 9 between both groups (p<0.001). Rapid reduction of slough on day 3, complete debridement achieved on day 6, 9 was observed with MDT whereas there was still 67.31% of slough on day 9 in the ulcers treated with conventional method. However, size reduction was not significantly different between both groups. Site of ulcer was shown to have significant relationship with slough percentage in the study. Due to the shorter time to debridement with MDT, it is highly recommended MDT to be integrated into the treatment protocol of DFU in the debridement of DFU to improve wound healing outcomes and prevent foot complications. 
596 |a 6 
655 7 |a Theses, IIUM local 
690 |a Dissertations, Academic  |x Kulliyyah of Nursing  |z IIUM 
700 0 |a Aniawanis Makhtar,  |e degree supervisor 
700 0 |a Wan Mohd Azizi Wan Sulaiman,  |e degree supervisor 
710 2 |a International Islamic University Malaysia.  |b Kulliyyah of Nursing 
856 4 |u http://studentrepo.iium.edu.my/handle/123456789/10290  |z Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library. 
900 |a sz to nzj 
999 |c 439231  |d 470953 
952 |0 0  |6 XX(563588.10)  |7 0  |8 THESES  |9 763319  |a KIMC  |b KIMC  |c CLOSEACCES  |g 0.00  |o XX(563588.10)  |p 11100424135  |r 1900-01-02  |t 1  |v 0.00  |y THESIS