Your SlideShare is downloading. ×
0
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Mighty Maggots and Bairnsdale Ulcer TOWN talk  21st Nov 2013
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Mighty Maggots and Bairnsdale Ulcer TOWN talk 21st Nov 2013

685

Published on

This is an example of one of the many community outreach talks I have been asked to deliver as the result of my pozible.com/mightymaggots crowdfunding campaign. It is hoped one day that Deakin will …

This is an example of one of the many community outreach talks I have been asked to deliver as the result of my pozible.com/mightymaggots crowdfunding campaign. It is hoped one day that Deakin will have KPIs for this kind of engagement, so I can get professional recognition on top of the warm fuzzy feelings I get from Outreach!

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
685
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
15
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. BAIRNSDALE ULCER & MIGHTY MAGGOTS CRICOS Provider Code: 00113B Dr Melanie Thomson – Deakin Medical School, Waurn Ponds m.thomson@deakin.edu.au
  • 2. WHAT IS MAGGOT DEBRIDEMENT THERAPY? CRICOS Provider Code: 00113B
  • 3. WHAT IS MDT? • • Maggot therapy is also known as maggot debridement therapy (MDT), larval therapy, larva therapy, larvae therapy, biodebridement or biosurgery. It is a type of biotherapy involving the introduction of live, disinfected maggots (fly larvae) into the non-healing skin and soft tissue wound(s) of a human for necrotic tissue debridement and disinfection CRICOS Provider Code: 00113B
  • 4. LIFE CYCLE OF THE FLY CRICOS Provider Code: 00113B
  • 5. HISTORY OF MAGGOT DEBRIDEMENT THERAPY CRICOS Provider Code: 00113B
  • 6. HISTORY OF MDT • • • Reports of the use of maggots for wound healing by Maya Native Americans and Koorie tribes in Australia Military physicians have observed that soldiers whose wounds had become colonized with maggots experienced significantly less morbidity and mortality MDT Used extensively until the widespread use of penicillin rendered larval therapy obsolete CRICOS Provider Code: 00113B
  • 7. HISTORY OF MDT CRICOS Provider Code: 00113B
  • 8. ST 21 IS MDT OBSOLETE IN CENTURY MEDICINE? CRICOS Provider Code: 00113B
  • 9. CRICOS Provider Code: 00113B
  • 10. CURRENT CLINICAL USES FOR MDT CRICOS Provider Code: 00113B
  • 11. HOW DOES MAGGOT THERAPY WORK? • • • The maggots debride the necrotic tissue, while disinfecting the wound They also change the wound environment to one that encourages new cell growth including granulation tissue development and fibroblast formation. The healthy tissue surrounding and underneath the wound remains untouched during larval therapy. CRICOS Provider Code: 00113B
  • 12. WHAT TYPE OF WOUNDS CAN BE TREATED? Wounds that can be debrided include: Most non-healing necrotic skin and soft tissue wounds ie: • pressure ulcers, • venous stasis ulcers, • foot ulcers • non-healing traumatic or post surgical wounds • M. ulcerans ??? CRICOS Provider Code: 00113B
  • 13. MDT FAQS “Can the maggots damage healthy tissue?” No, maggots will consume only dead tissue and wound debris. “Will the maggots develop into flies within the wound?” No, maggots will leave the wound to pupate, however the maggots are removed through normal wound management. CRICOS Provider Code: 00113B
  • 14. MDT FAQS “Aren’t maggots dirty?” No, the maggots are disinfected and actually destroy bacteria. “Will I be able to feel them & is it going to hurt?” It is uncommon for patients to experience any side effects. “What happens if the maggots escape?” Nothing, maggots are harmless and easily destroyed. The restrictive dressings keep them at the wound site. CRICOS Provider Code: 00113B
  • 15. WOUND DRESSING WITH MDT How many maggots do I use? The normal rate of application is 5-8 maggots/cm2 of wound surface area. How long are the maggots left on the wound? The maggots can be left on the wound site for 4872hours. Mature maggots will try to escape from the wound but the dressings should prevent this. Outer dressings changed every 24 hours, as liquefied tissue soaks through bandages CRICOS Provider Code: 00113B
  • 16. THE BAIRNSDALE ULCER – WHAT IS IT? CRICOS Provider Code: 00113B
  • 17. M. ULCERANS • Mycobacterium ulcerans causes a necrotising infection of skin and subcutaneous tissue • After tuberculosis and leprosy, it is the third most common mycobacterial infection worldwide among healthy individuals • Human cases HERE in Victoria’s Bellarine Peninsula were first reported in 1998, and this is now recognised as an endemic area with the highest burden of disease in Australia CRICOS Provider Code: 00113B
  • 18. THE BURULI ULCER • West Africa, Benin, Côte d’Ivoire and Ghana report most cases with Côte d’Ivoire reporting almost half of the global cases CRICOS Provider Code: 00113B
  • 19. M. ULCERANS • Studies of treatments have found that the combination of antibiotic therapy and surgical debridement of diseased tissue is the most successful, although full recovery from a lesion caused by BU may take many months CRICOS Provider Code: 00113B
  • 20. FUTURE OF M. ULCERANS RESEARCH IN GEELONG CRICOS Provider Code: 00113B
  • 21. MU RESEARCH • Clinical Epidemiology – Dan O’Brien and Eugene Athan at Barwon Health • Maggot (Larval) Therapy & Transmission studies using passive flying insect vectors, Dr Michelle Harvey, Deakin LES (GCF grant 34K June 2013 + 9.9K Pozible donors) • Transmission studies using marine ecosystem model – zebrafish, larval insects, Prof Alister Ward and Dr Mel Thomson (QPLCE grant $3K June 2013) • Comparative Genetic Studies, Dr James Wynne, CSIRO AAHL • GIS studies to look at Environmental Factors CRICOS Provider Code: 00113B
  • 22. CAN MDT TREAT THE BAIRNSDALE ULCER? CRICOS Provider Code: 00113B
  • 23. CLINICAL TRAIL OF MDT • Proposed feasibility study of the efficacy study of MDT vs manual surgical debridement in MU • In at Barwon Health HREC at the moment • Will we get any recruits??? Rare disease, increased community awareness……. • Novel Crowd Funding and Outreach approach to sourcing the funds for the project at: www.pozible.com/mightymaggots @MightyMaggots on Twitter ‘Mighty Maggots at Deakin’ on Facebook CRICOS Provider Code: 00113B
  • 24. MAGGOT ART AND RACING! http://www.youtube.com/watch?v=H1WJZiflxi8 https://www.facebook.com/photo.php?v=10151412579891793 CRICOS Provider Code: 00113B
  • 25. OUR MAGGOTS AND BUG IN CANBERRA! CRICOS Provider Code: 00113B
  • 26. ACKNOWLEDGEMENTS Barwon Health ID and Plastics teams: • Eugene Athan, Dan O’Brien & Anthony McDonald Deakin University: • Dr Michelle Harvey, LES SPONSORS: 129 individuals @pozible.com + CRICOS Provider Code: 00113B

×