Clinical and epidemiological aspects and acceptability of larval therapy in patients with chronic wounds

Taís Paim Fidalgo do Nascimento, Ana Carolina Medeiros Debelian, Tomás Cardoso Yokozawa, Wellington Thadeu de Alcantara Azevedo, Valéria Magalhães Aguiar, Cláudia Soares Santos Lessa
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Abstract

Objective: To evaluate the epidemiological and clinical profile of patients with wounds and acceptability to Larval Therapy (LT). Method: Followed 15 patients with chronic wounds and recorded in clinical records. Results: Patients didn’t know LT. Ages varied (45 to 73 y.o.), were black (46.66%), white (26.66%) and yellow (20.00%), predominantly women (73.33%). They had Elementary (53.33%), High (20.00%) and Higher education (26.60%). 60% lived in Rio de Janeiro; Wounds (mean age of 6 years; mean area of 9.4 cm²) in the distal third of the legs (53.00%) and feet (47.00%), with vascular origin (40.88%), pressure (31.69%), diabetic (16.66%) and infectious ulcers (10.77%). Patients had three (20.00%), two (20.00%) or one wound (60.00%), with necrosis (80.00%), infection (37.60%), granulation (50.30%), epithelialization (15.00%), pain (54.00%) and locomotion difficulty (47.00%). Venous insufficiency as the most observed pathological antecedent. Acceptability for LT was 93.33%. Conclusion: LT is an alternative to better quality of life.
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慢性伤口患者幼虫治疗的临床和流行病学方面及可接受性
目的:了解创伤患者的流行病学、临床特点及对幼虫疗法的可接受性。方法:对15例慢性创伤患者进行随访,并记录临床资料。结果:患者不知道lt,年龄45 ~ 73岁,黑人(46.66%)、白人(26.66%)、黄种人(20.00%),以女性为主(73.33%)。小学(53.33%)、高中(20.00%)和高等教育(26.60%)。60%居住在里约热内卢;伤口(平均年龄6岁;下肢远端三分之一(53.00%)和足部(47.00%)的平均面积为9.4 cm²,血管起源(40.88%),压力(31.69%),糖尿病(16.66%)和感染性溃疡(10.77%)。患者有3处(20.00%)、2处(20.00%)或1处(60.00%)伤口,并伴有坏死(80.00%)、感染(37.60%)、肉芽肿(50.30%)、上皮化(15.00%)、疼痛(54.00%)和运动困难(47.00%)。静脉功能不全是最常见的病理前因。LT的可接受度为93.33%。结论:肝移植是提高生活质量的一种选择。
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