AN OVERVIEW OF OSTEOMYELITIS WITH REFERENCE TO TREATMENT IN PARTICULAR MAGGOT DEBRIDEMENT THERAPY (MDT)
EL-TAWDY, A., IBRAHIM, E., MORSY, T. (2016). AN OVERVIEW OF OSTEOMYELITIS WITH REFERENCE TO TREATMENT IN PARTICULAR MAGGOT DEBRIDEMENT THERAPY (MDT). EKB Journal Management System, 46(3), 613-624. doi: 10.21608/jesp.2016.88266
AHMED HASSAN FAWZI EL-TAWDY; EISSA ABDEL HAMED IBRAHIM; TOSSON A. MORSY. "AN OVERVIEW OF OSTEOMYELITIS WITH REFERENCE TO TREATMENT IN PARTICULAR MAGGOT DEBRIDEMENT THERAPY (MDT)". EKB Journal Management System, 46, 3, 2016, 613-624. doi: 10.21608/jesp.2016.88266
EL-TAWDY, A., IBRAHIM, E., MORSY, T. (2016). 'AN OVERVIEW OF OSTEOMYELITIS WITH REFERENCE TO TREATMENT IN PARTICULAR MAGGOT DEBRIDEMENT THERAPY (MDT)', EKB Journal Management System, 46(3), pp. 613-624. doi: 10.21608/jesp.2016.88266
EL-TAWDY, A., IBRAHIM, E., MORSY, T. AN OVERVIEW OF OSTEOMYELITIS WITH REFERENCE TO TREATMENT IN PARTICULAR MAGGOT DEBRIDEMENT THERAPY (MDT). EKB Journal Management System, 2016; 46(3): 613-624. doi: 10.21608/jesp.2016.88266

AN OVERVIEW OF OSTEOMYELITIS WITH REFERENCE TO TREATMENT IN PARTICULAR MAGGOT DEBRIDEMENT THERAPY (MDT)

Journal of the Egyptian Society of Parasitology
Article 18, Volume 46, Issue 3, December 2016, Page 613-624  XML PDF (248.22 K)
Document Type: Original Article
DOI: 10.21608/jesp.2016.88266
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Authors
AHMED HASSAN FAWZI EL-TAWDY1; EISSA ABDEL HAMED IBRAHIM1; TOSSON A. MORSY2
1Military Medical Academy, Cairo 11291, Egypt
2Department of Parasitology, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt
Abstract
Osteomyelitis occurs either as a result of hematogenous seeding, contiguous spread of infection to bone from adjacent soft tissues and joints, or direct inoculation of infection into the bone as a result of trauma or surgery. Hematogenous osteomyelitis is usually monomicrobial, while osteomyelitis due to contiguous spread or direct inoculation is usually polymicrobial. Staphylococcus aureus, coagulase-negative staphylococci and aerobic gram-negative bacilli are the most common organisms; other pathogens including streptococci, enterococci, anaerobes, fungi and mycobacteria have also been implicated. Acute osteomyelitis typically presents with gradual onset of pain over several days. Local findings (tenderness, warmth, erythema and swelling) and systemic symptoms (fever, rigors) may also be present. Chronic osteomyelitis tends to occur in the setting of previous osteomyelitis and presents with recurrent pain, erythema
or swelling, sometimes in association with a draining sinus tract. Treatment of osteomyelitis often requires both surgical debridement of necrotic material and antimicrobial therapy for eradication of infection. The optimal duration of antibiotic therapy is not certain; but continuing parenteral antimicrobial therapy at least six weeks from the last debridement.
Maggot therapy is an effective and environmentally friendly treatment of complicated necrotic wounds that are resistant to conventional treatment and should also be considered in earlier stages of treatment. The history of maggot therapy, and the mechanisms by which it works, is discussed.
Keywords
Osteomyelitis; microbial infection; Infection treatment; Maggot debridement therapy
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