Effectiveness of Vacuum-supported and Larval Therapy on Persistent Pressure Injuries in Debilitated Bed-bound Patient

Abstract

Introduction: The management of pressure injuries (PIs) and immobility-related wounds poses significant clinical challenges, often requiring multimodal therapeutic interventions. This case report evaluates the integration of vacuum-assisted closure (VAC) therapy and larval debridement therapy (LDT) alongside systemic antibiotics and supportive care in a high-risk patient. Case: A 79-year-old bedridden male with advanced dementia, type 2 diabetes mellitus, and hypertension presented with a necrotic, infected sacral pressure injury. Conclusion: Following initial wound care and antibiotic therapy, sequential VAC and then LDT using (Lucilia sericata) were implemented, resulting in significant tissue granulation and infection resolution without complications. A ‘‘multidisciplinary approach’’ is crucial in managing complicated pressure injuries.