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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J Spinal Cord Med. Maggot therapy takes us back to the future of wound care: There is evidence that maggot therapy thetapy help with wound healing. Wet-to-dry dressings were instituted and successful closure of the wound was obtained. Table 1 presents an overview of the context in which MDT has been used. J Am Podiatr Med Assoc.

Inthe FDA cleared maggots for use as a medical device in the United States for the purpose of treatment of: The flies used most often for the purpose of maggot therapy are blow flies of the Calliphoridae: Author information Copyright and License information Disclaimer.

Conclusions Maggots are able to debride diabetic wounds and stimulate wound healing. Received 1 May Larval therapy from antiquity to the present day: Maggot therapy is one such ancient method that has stood the test of time and is still being widely used to achieve wound debridement in difficult and therwpy wounds.


In Januarythe U. Evid Based Complement Alternat Med. International Journal of Clinical Practice. Therpay DI, Nigam Y. The literature identifies three primary actions of medicinal maggots on wounds: The patients were then scheduled for follow-up appointments 48 hours later if they were out-patients, or treated in their hospital room 48 hours later if they were in-patients.

In a sixth patient who was status-post surgical debridement of a wound, excessive inflammatory reaction at the margins of the wound necessitated discontinuation of MDT. You can learn about what data of yours we retain, how it is processed, who it is shared with and your right to have your data deleted by reading our Privacy Policy.

Maggot debridement therapy with Lucilia cuprina: This encouraged the rapid formation of granulation tissue.

Maggot therapy – Wikipedia

We will assist with appeals. J Wound Ostomy Continence Nurs.

They are obligate air-breathers. For the procedure code, consider using a CPT code for selective debridement without anesthesia if the wound is 20 sq cm or a CPT code for misc.

Therapists can use pre-manufactured dressings or they can construct their own dressings, using commonly available dressing materials. We could make that! Maggots do not survive in pyoderma gangrenosum. Therefore, MDT dressings should be handled like all other infectious dressing waste.

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If maggots are sterile, can they still reproduce? A systematic review of maggot debridement therapy for chronically infected wounds and ulcers. Magogt J Biol Med. Support Center Support Center.


Wounds can naturally heal by themselves, but humans have noticed several natural remedies that would speed up the process, especially if the wounds were chronic. In order to provide our website visitors and registered users with a service tailored to their individual preferences we use cookies to analyse visitor traffic and personalise content.

A negative-pressure dressing resulted in enlargement of the wound, which the team later realized was due to pathology, as she was then diagnosed as having pyoderma gangrenosum.

We conducted a review of articles published in PubMed, NICE evidence documents, and linked literature with the aim of providing a brief perspective on magtot evolution of MDT, and the context in which maggot therapy is currently used along with evidence behind such methods.

If you need assistance with your appeal, contact us straight away. How are maggots applied to a wound?

How many maggots are applied what is the dose?

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