Abstract
Infected peripheral ulcers represent the major reason for leg amputation. We formed a multidisciplinary team for patients who needed to undergo amputation that combined the use of conventional interventions and maggot debridement therapy (MDT). Various factors were reviewed to clarify the problem and ideal application as well as determine the importance of multidisciplinary / MDT treatment for limb salvage.
A questionnaire was provided to the nurse and patients. Seventy-eight patients underwent maggot debridement therapy (between Jan 2008 and November 2011). Prognoses including adverse events and conflicting clinical factors were analyzed by multiple regression analysis.
Answers provided on the questionnaire indicated the importance of a multidisciplinary team approach. Multiple regression analysis revealed that patients on hemodialysis and those complicated with antibiotic-resistant bacterial infections had worse outcomes. Thus, intractable ulcers with MDT are best treated by a multidisciplinary team of physicians and co-medical experts, resulting in a 93% clinical successful rate (against death and limb amputation).
