Nipple soreness and wounds are a common problem during lactation, especially in the first weeks after birth. These is-sues are associated with an increased risk of mastitis, poor weight gain in the newborn, formula supplementation, and premature cessation of breastfeeding. Prevention and early diagnosis are fundamental tasks for medical staff caring for both the mother and infant. The most common cause is the baby latching onto the breast too shallowly.
Treating hard-to-heal wounds in the post-pandemic period is an even more significant global challenge than before. Problematic contact with medical staff during the pandemic, including reduced visits to treatment rooms or the patient’s home and postponed scheduled surgical procedures, have contributed to the deterioration of patients’ health, including hard-to-heal wounds. There is currently a lack of statistics on lower limb amputations and data on deaths indirectly related to patient deterioration, such as from ascending infection and sepsis.
Maggot debridement therapy (MDT) is a topical therapy for difficult-to-heal (chronic) wounds, recognised by scientific societies and healthcare system organisations in many countries for its contribution to the wound healing process. Maggot debridement therapy has been increasingly used in Poland for over a decade, both in outpatient and inpatient settings.
By issuing this document, the Polish Wound Management Association supports the use of this method by physicians and nurses licensed to treat wounds, subject to separate regulations. With a view to continually improving the quality of wound management in Poland, the Association recognises the need to standardise the principles of this therapy.