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Use of Cochliomyia macellaria F. (Diptera: Calliphoridae) and evaluation of its larval density for therapeutic use in the recovery of tegumentar lesions

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Author(s):
Mariana Prado Nassu
Total Authors: 1
Document type: Master's Dissertation
Press: Campinas, SP.
Institution: Universidade Estadual de Campinas (UNICAMP). Instituto de Biologia
Defense date:
Examining board members:
Patricia Jacqueline Thyssen; Arício Xavier Linhares; Carolina Reigada Montoya
Advisor: Patricia Jacqueline Thyssen
Abstract

Larval therapy (LT) is the application of sterile larvae of carrion flies (Diptera) on chronic or infected wounds to promote or accelerate the healing process. To ensure safety and success two aspects must be met: the sterility of the larvae and confirmation that the species consume only necrotic tissue during the feeding process. The present study intended to evaluate whether the species Cochliomyia macellaria F. (Calliphoridae), widely distributed in Brazil, could be a viable candidate for application of LT, taking into account their behavior and biology. Sterilization and post-sterilization viability of larvae of C. macellaria were evaluated after being treated with sodium hypochlorite (NaClO) at 0.5% during one and three minutes. Additionally, lesions were induced in Wistar rats to evaluate the healing quality and healing time against different types of treatment. For that, the rats were divided in five experimental groups, in one of them the animals were not subjected to any treatment and in another only mechanical debridement was performed. It was also evaluated which larval density (5, 15 or 25 maggots/cm2) is the most suitable for better quality of healing and at the same time, shorter period of application, in order to improve the LT to an outpatient care type, that is, without hospitalization. The healing process was assessed qualitatively (from the measurement of certain parameters associated with injuries) and quantitatively (time). Skin fragments were collected before treatment and 12 h, 7 days and 14 days post-treatment, and processed for histological analysis. Regarding the behavior, it was observed that immature C. macellaria fed only of necrotic tissue. The use of NaClO 0.5% solution for three minutes is the most recommended to obtain sterile larvae with high viability rate. There was no significant difference in healing times between the experimental groups. However, it was observed that in the group of 25 maggots/cm2 there was a higher degree of vascularization in tissues, as compared to other treatments. The mechanisms involved in this process are unknown, but it appears that the larvae have an important role in modulating the host immune response, and their use in higher density than that recommended in the literature is probably promising (AU)

FAPESP's process: 12/06033-5 - Selection of candidate species and evaluation of its larval density for use in larval therapy in order to recover tegumentary injuries
Grantee:Mariana Prado Nassu
Support Opportunities: Scholarships in Brazil - Master