Clinical and microbiological efficacy of @entity4057 in the treatment of XXXX .

@entity1 @entity6 @entity39 @entity1066 @entity4057 @entity4058 @entity4760
OBJECTIVE: To assess the clinical and microbiological efficacy of @entity4057 ( @entity4057 ) in the management of @entity4760 unresponsive to conventional treatment and surgical intervention. METHOD: Consecutive @entity6 @entity1 with foot wounds presenting at the vascular surgery unit and the @entity6 foot unit of Alexandria Main University Hospital were selected for @entity4057 . @entity4058 medicinal maggots were applied to the @entity1066 for three days per week. Changes in the percentage of @entity39 tissue and @entity1066 surface area were recorded each week over the 12-week follow-up period. Semiquantitative swab technique was used to determine the bacterial load before and after @entity4057 . RESULTS: The sample comprised 10 @entity1 with 13 @entity4760 . The mean baseline @entity1066 surface area was 23.5cm2 (range 1.3-63.1), and the mean percentage of @entity39 tissue was 74.9% (range 29.9-100). Complete debridement was achieved in all @entity1066 in a mean of 1.9 weeks (range 1-4). Five @entity1066 (38.5%) were completely debrided with one three-day @entity4057 cycle. The mean reduction in @entity1066 size was significant at 90.2%, and this occurred in a mean of 8.1 weeks (range 2-12). The mean weekly reduction in @entity1066 size was 16.1% (range 8.3-50). Full wound healing occurred in 11 @entity1066 (84.6%) within a mean of 7.3 weeks (range 2-10). The bacterial load of all @entity1066 reduced sharply after the first @entity4057 cycle to below the 10(5) threshold, which facilitates healing. CONCLUSION: The results highlight the potential benefits of @entity4057 in @entity6 wound care in developing countries. @entity4057 was proved to be a rapid, simple and efficient method of treating these @entity1066 .
