What should be done if a bedridden elderly dementia patient develops maggots in pressure ulcers?

Pressure ulcer with maggot infestation in elderly dementia patients can be treated through general management, medication, or surgical intervention. The specific approaches are as follows:

1. General Management

Families should regularly turn the patient to relieve pressure and frequently change their position. It is recommended to reposition the patient every 2–3 hours. Pressure-relief devices such as air cushions or rings may be used locally; ideally, an air mattress should be employed to prevent prolonged pressure and effectively improve blood circulation in affected areas. The skin should be cleaned daily with warm water, and moisturizers should be applied locally to keep the skin lubricated, clean, and dry.

2. Medication

Patients may use medications such as ibuprofen sustained-release capsules, naproxen capsules, or penicillin V potassium tablets to promote healing of skin ulcers.

3. Surgical Treatment

In severe cases of pressure ulcers with maggot infestation or extensive tissue necrosis, surgical treatment at a hospital may be necessary. This may involve transplanting healthy skin tissue from nearby areas into the affected region.

During treatment, it is important to maintain a high-protein diet to promote wound healing and achieve optimal recovery outcomes.