None listed
Conditions
Brief summary
Non-healing soft tissue and malignant wounds can be very challenging to treat in the palliative care setting. Instead of complete healing, the goals of care in this setting are to reduce symptoms such as malodour, exudate and pain, to maintain patients’ dignity and to improve quality of life. This study aims to investigate the use of sterile larvae therapy in treating non-healing soft tissue and malignant wounds in the palliative care setting.
Interventions
(1) Sterile larvae therapy
Ward nurses will apply the wound therapy. Sterile larvae therapy (medical grade): The normal rate of application is 5-8 larvae per cm2 of wound surface area. The larvae are left on the wound site for 48-72 hours therefore wound dressings will be changed and sterile larvae therapy applied every 2-3 days. Wound assessment will be completed at each dressing change and includes assessment by treating nurses and patient reported assessment (rating pain, odour etc).
(2)
(1) Sterile larvae therapy Ward nurses will apply the wound therapy. Sterile larvae therapy (medical grade): The normal rate of application is 5-8 larvae per cm2 of wound surface area. The larvae are left on the wound site for 48-72 hours therefore wound dressings will be changed and sterile larvae therapy applied every 2-3 days. Wound assessment will be completed at each dressing change and includes assessment by treating nurses and patient reported assessment (rating pain, odour etc). (2) Standard wound management practices which vary according to the wound. Allocation is determined by participant consent.
Sponsors
St Vincent's Private Hospital Brisbane
Study design
Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1) with advanced disease who are inpatients of the SVPHB palliative care unit 2) have a non-healing soft tissue or malignant wound with one or more of the following elements o necrotic tissue o malodorous o profuse exudate
Exclusion criteria
1) have an allergy to fly larvae, chicken eggs or soybeans.
Outcome results
None listed