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These assessment tools were completed by caregiver and patient themselves, with the help of assigned nursing student, everyday morning, before wound dressing. Patients were assessed at baseline and followed up every alternate days.
The same nursing student assisted the same patient for assessment throughout the study period of 7 days. They were unaware of treatment regimen for myiasis.
All patients received standard drug regimen for treating myiasis, which is as follows: Tablet ivermectin 12 mg per day for 3 days Tablet albendazole 400 mg twice per day for 3 days Tablet clindamycin 300 mg three times per day for 5 days.
Even dead larvae were removed because it can cause local inflammation and foreign body granuloma formation.
Metronidazole ointment dressing was started only after the removal of all maggots. Other symptoms were controlled with supportive medications.
Oral care, general hygiene, nutrition, and other issues were also addressed. Patients were encouraged to do gargle with metronidazole solution and betadine mouthwash, alternatively, every 4 h.
Wound assessment, total number of maggots removed over previous 24 h, and ESAS were noted on days 0, 3, and 7. ECOG scoring was done on arrival and on day 7.
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