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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The contexts in which it was magbot are reflected in the published case reports during the time. The literature recommends not using maggots in a dry wound bed since they require a moist wound to survive. You can watch an instructional video showing how to apply maggots to a variety of wounds. Beneficial insects Pest control Encarsia formosa Ladybird Parasitoid wasp.

Therefore, MDT dressings should be handled like all other infectious dressing waste. 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.

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MDT was used for a range of wounds ranging from the common venous and diabetic ulcers to more complex thrapy rare forms of chronic wounds. Encarsia formosa Ladybird Parasitoid wasp. After one week further deterioration of the wound bed was observed thought to be due to impaired arterial flow to the extremity.


Recent research into the cellular mechanisms of action of MDT and genetic engineering techniques may result in novel and innovative therapies in the future that have the potential to revolutionize wound healing. Major texts in the field were reviewed, including the evidence-based guide to maggot therapy in wounds. Management of chronic wounds still poses a huge challenge, and many chronic wounds require other unconventional therapies in order to achieve healing.

Int J Low Extrem Wounds. There is evidence that maggot therapy may therayp with wound healing. Indoors, these flies will generally die before having a chance to reproduce or make larvae of their own.

What are the clinical indications for maggot therapy? An important step in assisting chronic non-healing wounds progress through healing is wound bed preparation. Systematic reviews evaluating MDT have highlighted its successful role in treatment of Matgot and Gram-negative bacterial strains, including Staphylococcus aureus, Debridemrnt aeruginosaMethicillin-resistant Staphylococcus aureusand other drug-resistant pathogens. Therapeutic use of maggots].

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Frequently Asked Questions about Maggot Debridement Therapy

Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Larger studies and sample sizes to assess the efficacy and safety of MDT in the treatment of diabetic foot ulcers were recommended.

Results The team began MDT in the fall of in a diabetic patient with a non-healing right hallux amputation.


This article has been cited by other articles in PMC. Therefore, it is important to use only medical grade maggots that are proven to be disinfected germ-freesafe, and effective. Use pain medication as needed, and remove the dressings if the medication fails to control the pain.

Maggot therapy

Home-stored product entomology Clothes moth Cockroach Housefly. Yale J Biol Med. Journals Why Publish With Us? Editor who approved publication: The dose is 5 — 8 larvae per cm2 of wound surface area. How are maggots applied to a wound? A negative- pressure wound dressing led to necrosis of his toes due to insufficient arterial flow. Joseph Jonesa ranking Confederate medical officer during the American Civil Waris quoted as follows, “I have frequently seen neglected wounds Quentin observed that when maggots were debrdiement in suppurating wounds, therpy healed faster.

Another field for future research is the potential of MDT to promote wound healing by stimulating tissue regeneration.

Maggot therapy – Wikipedia

Mavgot all of the recent advances in wound care, many problematic wounds still need maggot therapy. However, uncontrolled diabetics were excluded from the study.

The authors report no conflicts of interest. The wound must be of a type which can benefit from the application of maggot therapy.