Maggot Debridement Therapy

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The use of disinfected fly larvae (green bottle fly, Phaenicia sericata, Medical Maggots™) to clean skin wounds and soft tissue which have necrotic tissue in the wounds that slow healing
Indications Debridment of non-healing necrotic skin and soft tissue wounds, including pressure ulcers, venous stasis ulcers, neuropathic foot ulcers, and non-healing traumatic or post surgical wounds
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But modern healthcare will today take a leaf out of the physician's handbook of yesteryear as maggot therapy becomes available on prescription across the UK.
Maggot therapy was abandoned in the 1940s as new antibiotics to fight infection were developed and widely used.
Centrally important to maggot therapy is that the larvae used in the treatment of wounds should reduce the infections and improve the nutrition of tissues for rapid improvement of wounds.
Conventional treatments for these problems can take months to achieve a successful outcome but maggot therapy usually involves no more than two treatments, each lasting up to five days.
Maggot therapy was very popular in the 1930s until it was superseded by the arrival of antibiotics and modern surgical procedures.
Editor's note: In my role as WOCN I have used Maggot Therapy to remove necrotic tissue.
The Bridgend-based company ZooBiotic has developed a new dressing system that will allow maggot therapy to be used worldwide.
NURSE consultant Fiona Burton has been using maggot therapy for about six years to treat infected wounds.
Maggot therapy introduces fly larvae into a wound and allows them to clear out dead tissue.
According to a recent British survey, 95 percent of doctors who have used maggot therapy were pleased with the results.
Improvements in surgical techniques and antibiotics displaced maggot therapy, as earlier advances had largely supplanted the medical use of leeches (see box, page 267).