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Awareness and Attitude of Nurses on the Use of Maggot Therapy in the Treatment of Diabetic Ulcers at the Bamenda Regional Hospital, Cameroon

Received: 10 October 2016    Accepted: 15 October 2016    Published: 10 November 2016
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Abstract

Maggot therapy (MT) is a type of therapy in which live, disinfected maggots cultured in a sterile manner is placed into a non-healing skin and soft tissue wound of humans to clean out the necrotic tissue within a wound and to disinfect it. This therapy has been used for centuries for treatment of non-healing soft tissue wounds until the arrival of antibiotics and modern surgical techniques, by the beginning of the 40’s, MT when it was quickly substituted and forgotten. The purpose of this study was to determine the nurses’ awareness and attitude on the use of maggot therapy in the treatment of diabetic ulcers in Bamenda Regional Hospital. A hospital based descriptive study design was used in which 43 nurses were randomly selected with inclusion criteria being nurses at the diabetic unit and data collected using questionnaires. From the results obtained, 46.7% of nurses were aware of maggot therapy and their attitude towards MT was both positive and negative at almost equal levels. The main source of awareness here was the internet on the use of MT in treating diabetic ulcers. With the increasing burden of high blood pressure and diabetes in Africa there is the need use all the available tools in the treatment of the complications these patients can face; use of maggots inclusive which is cheaper especially in the resource limited context of Cameroon. With the divided awareness and attitude towards the use of maggots in the treatment of diabetic ulcers in this health facility, there is thus the need to increase awareness amongst the nurses on its importance in the treatment of diabetic ulcers.

Published in World Journal of Public Health (Volume 1, Issue 1)
DOI 10.11648/j.wjph.20160101.12
Page(s) 6-9
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Awareness, Maggot Therapy, Diabetic Ulcers, Cameroon

References
[1] Amstrong DG, Salas P, Short B, et al, (2005). Maggot therapy in “lower-extremities hospice” wound care: fewer amputations and more antibiotic-free days. J Am Podiatr Med Assoc 2005; 95: 254-7.
[2] Armstrong, DG., Mossel, J., Short, B., Nixon, B. P., Knowles, E. A., &Boulton, A. J. (2002). Maggot debridement therapy: A primer.. Journal of the American Podiatric Medical Association, 92 (7), 398-401.
[3] Sherman RA. Maggot versus conservative debridement therapy for the treatment of pressure ulcers. Wound repair Rege 2002; 10: 208-14.
[4] Sherman RA. Maggot therapy for treating diabetic foot ulcers unresponsive to conventional therapy. Diabetes care 2003; 26: 446-51.
[5] Bale, S. & Jones, V. 2006. Wound care nursing: a patient-centered approach. 2. ed. Edinburgh, Mosby Elsevier.
[6] Guo, S. &DiPietro, L. A. 2010. Factors affecting wound healing. Journal of Dental Research. 89 (3), 219-229.
[7] Thomas S, Jones M., (2001). Wound Debridement: Evaluating the cost. Nurs Stand 2001; 15: 59-61.
[8] Gupta A. (2008). A review of the use of maggots in wound therapy. Annals of Plastic Surgery, 60, 224-227.
[9] Chambers L, Woodrow S, Brown AP, et al. Degradation of extracellular matrix components by defined for the clinical debridement of non-healing wounds. Br J Dermatol 2003; 148: 14-23.
[10] Beasley W, Hirst G (2004). Making a meal of MRSA-the role of bio-surgery in hospital-acquired infection, journal of Hospital Infection 56 (1): 6-9.
[11] Daeschelein, (2007). In vitro antibacterial activity ofLuciliasericata maggot secretionsSkinPharmacolPhysiol, 2007 20 (2): p. 112-5
[12] Horobin AJ, Shakesheff KM, Pritchard DI. Maggots and wound healing: an investigation of the effects of secretions from. Wound Repair Regen 2005; 13: 422-33.
[13] Mumcuoglu KY, Miller J, Mumcuoglu M, Friger M, Tarshis M. Destruction of bacteria in the digestive tract of the maggot of Luciliasericata (Diptera: Calliphoridae). J Med Entomol 2001; 38: 161-6.
[14] Steenvoorde P 2008. Maggot debridement therapy in surgery. PhD Dissertation.
Cite This Article
  • APA Style

    Samuel Nambile Cumber, Kuhvinyoh Boris Limnyuy, Jackson Jr. Nforbewing Ndenkeh, Shalom Jaila, Nancy Bongkiynuy. (2016). Awareness and Attitude of Nurses on the Use of Maggot Therapy in the Treatment of Diabetic Ulcers at the Bamenda Regional Hospital, Cameroon. World Journal of Public Health, 1(1), 6-9. https://doi.org/10.11648/j.wjph.20160101.12

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    ACS Style

    Samuel Nambile Cumber; Kuhvinyoh Boris Limnyuy; Jackson Jr. Nforbewing Ndenkeh; Shalom Jaila; Nancy Bongkiynuy. Awareness and Attitude of Nurses on the Use of Maggot Therapy in the Treatment of Diabetic Ulcers at the Bamenda Regional Hospital, Cameroon. World J. Public Health 2016, 1(1), 6-9. doi: 10.11648/j.wjph.20160101.12

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    AMA Style

    Samuel Nambile Cumber, Kuhvinyoh Boris Limnyuy, Jackson Jr. Nforbewing Ndenkeh, Shalom Jaila, Nancy Bongkiynuy. Awareness and Attitude of Nurses on the Use of Maggot Therapy in the Treatment of Diabetic Ulcers at the Bamenda Regional Hospital, Cameroon. World J Public Health. 2016;1(1):6-9. doi: 10.11648/j.wjph.20160101.12

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  • @article{10.11648/j.wjph.20160101.12,
      author = {Samuel Nambile Cumber and Kuhvinyoh Boris Limnyuy and Jackson Jr. Nforbewing Ndenkeh and Shalom Jaila and Nancy Bongkiynuy},
      title = {Awareness and Attitude of Nurses on the Use of Maggot Therapy in the Treatment of Diabetic Ulcers at the Bamenda Regional Hospital, Cameroon},
      journal = {World Journal of Public Health},
      volume = {1},
      number = {1},
      pages = {6-9},
      doi = {10.11648/j.wjph.20160101.12},
      url = {https://doi.org/10.11648/j.wjph.20160101.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20160101.12},
      abstract = {Maggot therapy (MT) is a type of therapy in which live, disinfected maggots cultured in a sterile manner is placed into a non-healing skin and soft tissue wound of humans to clean out the necrotic tissue within a wound and to disinfect it. This therapy has been used for centuries for treatment of non-healing soft tissue wounds until the arrival of antibiotics and modern surgical techniques, by the beginning of the 40’s, MT when it was quickly substituted and forgotten. The purpose of this study was to determine the nurses’ awareness and attitude on the use of maggot therapy in the treatment of diabetic ulcers in Bamenda Regional Hospital. A hospital based descriptive study design was used in which 43 nurses were randomly selected with inclusion criteria being nurses at the diabetic unit and data collected using questionnaires. From the results obtained, 46.7% of nurses were aware of maggot therapy and their attitude towards MT was both positive and negative at almost equal levels. The main source of awareness here was the internet on the use of MT in treating diabetic ulcers. With the increasing burden of high blood pressure and diabetes in Africa there is the need use all the available tools in the treatment of the complications these patients can face; use of maggots inclusive which is cheaper especially in the resource limited context of Cameroon. With the divided awareness and attitude towards the use of maggots in the treatment of diabetic ulcers in this health facility, there is thus the need to increase awareness amongst the nurses on its importance in the treatment of diabetic ulcers.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Awareness and Attitude of Nurses on the Use of Maggot Therapy in the Treatment of Diabetic Ulcers at the Bamenda Regional Hospital, Cameroon
    AU  - Samuel Nambile Cumber
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    AU  - Jackson Jr. Nforbewing Ndenkeh
    AU  - Shalom Jaila
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    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
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    EP  - 9
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20160101.12
    AB  - Maggot therapy (MT) is a type of therapy in which live, disinfected maggots cultured in a sterile manner is placed into a non-healing skin and soft tissue wound of humans to clean out the necrotic tissue within a wound and to disinfect it. This therapy has been used for centuries for treatment of non-healing soft tissue wounds until the arrival of antibiotics and modern surgical techniques, by the beginning of the 40’s, MT when it was quickly substituted and forgotten. The purpose of this study was to determine the nurses’ awareness and attitude on the use of maggot therapy in the treatment of diabetic ulcers in Bamenda Regional Hospital. A hospital based descriptive study design was used in which 43 nurses were randomly selected with inclusion criteria being nurses at the diabetic unit and data collected using questionnaires. From the results obtained, 46.7% of nurses were aware of maggot therapy and their attitude towards MT was both positive and negative at almost equal levels. The main source of awareness here was the internet on the use of MT in treating diabetic ulcers. With the increasing burden of high blood pressure and diabetes in Africa there is the need use all the available tools in the treatment of the complications these patients can face; use of maggots inclusive which is cheaper especially in the resource limited context of Cameroon. With the divided awareness and attitude towards the use of maggots in the treatment of diabetic ulcers in this health facility, there is thus the need to increase awareness amongst the nurses on its importance in the treatment of diabetic ulcers.
    VL  - 1
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Author Information
  • College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa

  • Under Privileged Children and Women Assistance (UPCAWA-SWEDEN), Bamenda City, Cameroon

  • State Registered Nursing School, Bamenda, Cameroon

  • Under Privileged Children and Women Assistance (UPCAWA-SWEDEN), Bamenda City, Cameroon

  • Under Privileged Children and Women Assistance (UPCAWA-SWEDEN), Bamenda City, Cameroon

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