Analysis of the MAC® healing acceleration methodology with the use of propolis and toluidine blue in the healing of lower limb ulcers

Authors

  • Carolina Gonçalves Pinheiro Centro Universitário Vale do Salgado
  • Marcus Vinicius de Mello Pinto cCelulare Institute, Rio de Janeiro, Brazil; dCriador da Metodologia de Aceleração Cicatricial MAC®;
  • Miriam Viviane Baron eGraduate Program in Medicine and Health Sciences, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil; fInstituto Interdisciplinar de Educação Ciência e Saúde, Fortaleza, Ceará, Brazil;
  • Aline Ronis Sampaio cCelulare Institute, Rio de Janeiro, Brazil;
  • Esteban Fortuny gUniversidad Finis Terrae e Diagnostra, Santiago, Chile.
  • Otácio Pereira Gomes bCentro Universitário Vale do Salgado, Icó, Ceará, Brazil;
  • Vitória Freitas da Silva bCentro Universitário Vale do Salgado, Icó, Ceará, Brazil;
  • José Geraldo de Alencar Santos Júnior bCentro Universitário Vale do Salgado, Icó, Ceará, Brazil;
  • João Antônio Correa aCentro Universitário FMABC, Santo André, São Paulo, Brazil;

DOI:

https://doi.org/10.36311/jhgd.v34.15499

Keywords:

wounds, wound infection, regeneration, healing, phototherapy

Abstract

Introduction: Photodynamic Therapy has been an important ally in tissue repair, with positive effects in the treatment of wounds and infections.

Objective: To analyze the effects of the Healing Acceleration Methodology (MAC®) using propolis and toluidine blue on lower limb ulcers.

Methods: Single-center, experimental, randomized and controlled study. Carried out between April 2021 and May 2022 at the outpatient clinic of the school clinic in a Brazilian capital. Patients were randomly assigned in a 1:1 ratio to receive photodynamic therapy (experimental group) or conventional dressing alone (control group). Patients over 18 years of age diagnosed with lower limb ulcers were included. Ten patients comprised the experimental group and 10 the control group. Patients were seen three times a week and monitored for two months. The primary outcome was the assessment of healing progress and the secondary outcome was the microscopic analysis of wound smears for the presence of cells and microorganisms.

Results: In the experimental group, two wounds did not heal completely while in the control group, none of the 10 wounds healed completely during the 60-day follow-up. In the experimental group, 90% of patients did not have bacteria and fungi at the end of 30 days versus 40% in the control group.

Conclusion: The present study showed that photodynamic therapy is a potential effective treatment in the healing process of lower limb ulcers. This can impact cost reduction and quality of life. Larger, well-designed studies are needed to corroborate the findings of the present study.

Downloads

Download data is not yet available.

References

Resende, N. M., Nascimento, T. C., Lopes, F. R. F., Junior, A. G. P., & Souza, N. M. (2017). Cuidado de pessoas com feridas crônicas na Atenção Primária à Saúde. JMPHC| Journal of Management & Primary Health Care| ISSN 2179-6750, 8(1), 99-108.

Lentsck, M. H., Baratieri, T., Trincaus, M. R., Mattei, A. P., & Miyahara, C. T. S. (2018). Quality of life related to clinical aspects in people with chronic wound. Revista da Escola de Enfermagem da USP, 52.

Oliveira, A. C. D., Rocha, D. D. M., Bezerra, S. M. G., Andrade, E. M. L. R., Santos, A. M. R. D., & Nogueira, L. T. (2019). Qualidade de vida de pessoas com feridas crônicas. Acta Paulista de enfermagem, 32, 194-201.

Leren, L., Johansen, E. A., Eide, H., Sørum Falk, R., & Ljoså, T. M. (2021). Prevalence and factors associated with ulcer-related pain in persons with chronic leg ulcers—an explorative study. Journal of Clinical Nursing, 30(17-18), 2732-2741.

Bowers S, Franco E. Chronic Wounds: Evaluation and Management. Am Fam Physician. 2020 Feb 1;101(3):159-166.

Pires, Sandra Maria Bastos, Rodrigues, Ana Luzia, Bastos, Claudia Biancato, & Cubas, Marcia Regina. (2021). Validação de conteúdo dos enunciados do subconjunto cipe® para pessoas com úlceras vasculogênicas. Reme: Revista Mineira de Enfermagem, 25, e-1363. Epub 16 de julho de 2021

Tardivo, J. P., Serrano, R., Zimmermann, L. M., Matos, L. L., Baptista, M. S., Pinhal, M. A. S., & Atallah, Á. N. (2017). Is surgical debridement necessary in the diabetic foot treated with photodynamic therapy?. Diabetic Foot & Ankle, 8(1), 1373552.

Domingues, E. A. R., Urizzi, F., & de Souza, F. R. (2022). Efeito da terapia fotodinâmica em feridas agudas e crônicas: revisão de escopo. Revista Enfermagem Atual In Derme, 96(38).

Souza Viana, B. A., Endo, M. S., & Pavan, N. N. O. (2021). Uso da terapia fotodinâmica na redução de microrganismos das infecções endodônticas. Archives of health investigation, 10(3), 474-479.

Krupka, M., Bożek, A., Bartusik-Aebisher, D., Cieślar, G., & Kawczyk-Krupka, A. (2021). Photodynamic therapy for the treatment of infected leg ulcers—A pilot study. Antibiotics, 10(5), 506.

Pinto, M. V. M., Vilardi J.R., N. P., Petrone, F., Sampaio, A. R., Fortuny, E, Passos, T. P. P., Meyer, P. F., Oliveira Júnior, M. P., Baron, M. V. (2021). Analysis of the M.A.C® healing acceleration methodology in a muscle injury. International Journal of Development Research, 11 (11), 51670-51675.

Su, G., Wei, Z., Wang, L., Shen, J., Baudouin, C., Labbé, A., & Liang, Q. (2020). Evaluation of toluidine blue-mediated photodynamic therapy for experimental bacterial keratitis in rabbits. Translational vision science & technology, 9(3), 13-13.

Medellin-Luna, M. F., Castaneda-Delgado, J. E., Martínez-Balderas, V. Y., & Cervantes-Villagrana, A. R. (2019). Medicinal plant extracts and their use as wound closure inducing agents. Journal of Medicinal Food, 22(5), 435-443.

Moreira, C. M. A., Pinheiro, C. G., Sampaio, A. R., dos Santos, M. P., Santamaria, A. F. M., Baron, M. V., ... & de Mello Pinto, M. V. (2020). Use of the Scar Acceleration Method/Método de Aceleração Cicatricial—MAC®—in the Treatment of Capsular Contracture: Case Report. Open Journal of Therapy and Rehabilitation, 8(04), 131.

Moura, J. P. G., Brandão, L. B., & Barcessat, A. R. P. (2018). Estudo da Terapia Fotodinâmica (PDT) no reparo de lesões teciduais: estudo de casos clínicos. Estação Científica (UNIFAP), 8(1), 103-110.

Pinto, M.V.M. Fototerapia: aspectos clínicos da reabilitação. São Paulo: Andreoli, 2011.

Barbosa, M. H., Zuffi, F. B., Maruxo, H. B., & Jorge, L. L. R. (2009). Ação terapêutica da própolis em lesões cutâneas. Acta Paulista de Enfermagem, 22, 318-322.

Hochman, B., Nahas, F. X., & Ferreira, L. M. (2005). Photography in medical research. Acta Cirúrgica Brasileira, 20, 19-25.

Bavaresco, T., Osmarin, V. M., Pires, A. U. B., Moraes, V. M., & Lucena, A. D. F. (2019). Terapia a laser de baixa potência na cicatrização de feridas. Rev. enferm. UFPE on line, 216-226.

Brandão, M. G. S. A., Ximenes, M. A. M., Cruz, G. S., Brito, E. H. S., Veras, V. S., Barros, L. M., & Araújo, T. M. (2020). Terapia fotodinâmica no tratamento de feridas infectadas nos pés de pessoas com diabetes mellitus: síntese de boas evidências: Photodynamic therapy in the treatment of infected wounds on the feet of people with diabetes mellitus. Revista Enfermagem Atual In Derme, 92(30).

Morley, S., Griffiths, J., Philips, G., Moseley, H., O’grady, C., Mellish, K., ... & Rhodes, L. E. (2013). Phase IIa randomized, placebo-controlled study of antimicrobial photodynamic therapy in bacterially colonized, chronic leg ulcers and diabetic foot ulcers: a new approach to antimicrobial therapy. British Journal of Dermatology, 168(3), 617-624.

Fischer, G., Hübner, S. O., Vargas, G. D., & Vidor, T. (2021). Imunomodulação pela própolis. Arquivos do Instituto Biológico, 75, 247-253.

Longhini, R., Raksa, S. M., Oliveira, A. C. P., Svidzinski, T. I., & Franco, S. L. (2007). Obtenção de extratos de própolis sob diferentes condições e avaliação de sua atividade antifúngica. Revista Brasileira de Farmacognosia, 17, 388-395.

Lustosa, S. R., Galindo, A. B., Nunes, L. C., Randau, K. P., & Rolim Neto, P. J. (2008). Própolis: atualizações sobre a química e a farmacologia. Revista Brasileira de Farmacognosia, 18, 447-454.

de Campos Vidal, B., & Mello, M. L. S. (2019). Toluidine blue staining for cell and tissue biology applications. Acta histochemica, 121(2), 101-112.

Dubey, T., Gorantla, N. V., Chandrashekara, K. T., & Chinnathambi, S. (2019). Photoexcited toluidine blue inhibits tau aggregation in Alzheimer’s disease. ACS omega, 4(20), 18793-18802.

Published

2024-07-31

Issue

Section

ORIGINAL ARTICLES