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Maggot debridement therapy: the current perspectives Gurudutt Naik, Keith G Harding Welsh Wound Innovation Centre, Cardiff University. Maggot therapy is also known as maggot debridement therapy (MDT), larval therapy, larva therapy, larvae therapy, bio-debridement or bio-surgery. It is a type of. Revived in recent years, maggot debridement therapy (MDT)—a type of biotherapy using live disinfected maggots as a form of wound care—is an effective.

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But over time, as the larvae grow, they might be felt moving by people who have sensitive wounds. Check out these links: We have identified 24 different clinical situations where MDT has been tried.

Increase in skin perfusion pressure after maggot debridement therapy for critical limb ischaemia. Maggot therapy Maggot debridement therapy on a wound on a diabetic foot.

Frequently Asked Questions about Maggot Debridement Therapy

The Journal of Bone and Joint Surgery. By using this site, you agree to the Terms of Use and Privacy Policy. Javascript is currently thfrapy in your browser. Spine Phila Pa Abstract Fulltext Metrics Get Permission. Food and Drug Administration granted permission to Dr.

After three further months of MDT, complete debridement of exposed bone was obtained Figure 1. MDT was successful in 22 out of 24 clinical scenarios. Can you do maggot therapy on animals? MDT can play an adjunct role to wound care.

Maggot Debridement Therapy in the Treatment of Complex Diabetic Wounds

Pressure Ulcers Venous stasis ulcers Neuropathic foot ulcers Non-healing post surgical wounds Non-healing traumatic wounds Are medicinal maggots still available? Out of 88 subjects who were included, 64 completed the study. Yes, veterinarians can request medicinal maggots for use in animals.

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Subjects in the MDT arm experienced more ulcer-related pain or discomfort than the subjects in the hydrogel arm. The time to healing of the ulcer was significantly shorter among patients treated with MDT. The other method is to use free-range larvae applied directly on the wound. Similar observations were made by American Civil War surgeons who ultimately realized that maggots could have beneficial effects. The use of insects or their products is not new; honey 9 from bees, cobwebs, 10 ant-heads 11 to aid wound closure, and leeches 11 to help draw excessive wound congestion have all been tried in the past.

Even so, it can be hard to come up with the money to pay for them, so here are some solutions:.

Do I need special training or certification to do maggot therapy? Recent research into the cellular mechanisms of action of MDT and genetic engineering techniques may result in novel jaggot innovative therapies in the future that have the potential to revolutionize wound healing. A fifth patient, severely debilitated from a coronary artery bypass graft, congestive heart failure, a cerebral vascular accident, and thrombocytopenia, was anti-coagulated with heparin.

Editor who approved publication: However, uncontrolled diabetics were excluded from the study. Another important species, Protophormia terraenovaeis also notable for its feeding secretions, which combat infection by Streptococcus pyogenes and S. Human interactions with insects. Currently, MDT is used mostly when other conventional therapies fail or when non-surgical debridement of debrixement wound is being considered.

The Health Service Executive Republic of Ireland in their evidence based wound management guidance suggest that in general, removal of all necrotic or devitalized tissue by various methods including MDT leads to a more normal wound-healing process. Evidence-based Complementary and Alternative Medicine. You can watch an instructional video showing how to apply maggots to a variety of wounds. Complete debridement was achieved in Definitely read all relevant package inserts before applying the maggots and preferably before ordering.


Patients and doctors may find maggots distasteful, although studies have shown that this does not cause magbot to refuse the offer of maggot therapy. There has been a renewed interest in MDT and its role as a form of antimicrobial treatment for infected wounds. If you agree to our use of cookies and the contents of our Privacy Policy please click ‘accept’.

J Am Podiart Med Assoc. Historical use of maggots in wound treatment The history of wound care probably dates back to the origin of human species. Response letter, medical maggots. Place the bag with the other infectious dressing waste in an appropriate infectious waste container and autoclave or incinerate within 24 hours, according to local waste management policies.

Well-conducted systematic reviews were included as part of the evidence base, as well as authoritative articles about the wound healing and suggested best practice guides.

Previous studies 910 have demonstrated fewer amputations using MDT when compared to conventional therapy.

Bleeding complications in patients treated with maggot debridement therapy. Am J Hosp Palliat Care. The team avoided MDT in patients allergic to eggs, soybeans or fly larvae.