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Maggot therapy

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wound with sufficient oxygen supply is a prerequisite. Not all wound-types are suitable: wounds which are dry, or open wounds of body cavities do not provide a good environment for maggots to feed. In some cases it may be possible to make a dry wound suitable for larval therapy by moistening it with
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necrotic tissue, and absorb the semi-liquid result within a few days. In an optimum wound environment maggots molt twice, increasing in length from about 2 mm to about 10 mm, and in girth, within a period of 48–72 hours by ingesting necrotic tissue, leaving a clean wound free of necrotic
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In January 2004, the FDA granted permission to produce and market maggots for use in humans or animals as a prescription-only medical device for the following indications: "For debriding non-healing necrotic skin and soft tissue wounds, including pressure ulcers, venous stasis ulcers, neuropathic
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Patients and doctors may find maggots distasteful, although studies have shown that this does not cause patients to refuse the offer of maggot therapy. Maggots can be enclosed in opaque polymer bags to hide them from sight. Dressings must be designed to prevent any maggots from escaping, while
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Van Der Plas, M. J. A.; Jukema, G. N.; Wai, S.-W.; Dogterom-Ballering, H. C. M.; Lagendijk, E. L.; Van Gulpen, C.; Van Dissel, J. T.; Bloemberg, G. V.; Nibbering, P. H. (2007). "Maggot excretions/secretions are differentially effective against biofilms of Staphylococcus aureus and Pseudomonas
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In maggot therapy, large numbers of small maggots consume necrotic tissue far more precisely than is possible in a normal surgical operation, and can debride a wound in a day or two. The area of a wound's surface is typically increased with the use of maggots due to the undebrided surface not
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Cazander, G.; Van Veen, K.E.B.; Bernards, A.T.; Jukema, G.N. (2009). "Do maggots have an influence on bacterial growth? A study on the susceptibility of strains of six different bacterial species to maggots of Lucilia sericata and their excretions/secretions".
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and large flesh wounds. The soldier arrived at the hospital with maggots infesting his wounds but had no fever or other signs of infection and survived his injuries, which would normally have been fatal. After the war, Baer began using maggot therapy at
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Mumcuoglu, Kosta Y.; Ingber, Arieh; Gilead, Leon; Stessman, Jochanan; Friedmann, Reuven; Schulman, Haim; Bichucher, Hellen; Ioffe-Uspensky, I; Miller, J; Galun, R; Raz, I (1999). "Maggot therapy for the treatment of intractable wounds".
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times. Military physicians observed that soldiers whose wounds had become colonized with maggots experienced significantly less morbidity and mortality than soldiers whose wounds had not become colonized. These physicians included
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Those flies whose larvae feed on dead animals will sometimes lay their eggs on the dead parts (necrotic or gangrenous tissue) of living animals. The infestation by maggots of live animals is called
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The first documented therapeutic use of maggots in the United States is credited to a second Confederate medical officer Dr. J.F. Zacharias, who reported during the American Civil War that:
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revealing the actual underlying size of the wound. They derive nutrients through a process known as "extracorporeal digestion" by secreting a broad spectrum of proteolytic enzymes that
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Cazander, Gwendolyn; Schreurs, Marco W. J.; Renwarin, Lennaert; Dorresteijn, Corry; Hamann, Dörte; Jukema, Gerrolt. N. (2012). "Maggot excretions affect the human complement system".
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I have frequently seen neglected wounds ... filled with maggots ... as far as my experience extends, these worms eat only dead tissues, and do not injure specifically the well parts."
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However, there have not been many case studies done with maggot debridement therapy on animals, and as such it can be difficult to accurately assess how successful it is.
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Tian, X; Liang, XM; Song, GM; et al. (September 2013). "Maggot debridement therapy for the treatment of diabetic foot ulcers: a meta-analysis".
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The NIH Record; Medieval Miracle Workers — Are Maggots Making a Medical Comeback? The National Institutes of Health experience with maggot therapy
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allowing air to get to the maggots. Dressings are also designed to minimize the uncomfortable tickling sensation that the maggots often cause.
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Sherman, Ronald A.; Morrison, Scott; Ng, David (2007). "Maggot debridement therapy for serious horse wounds – A survey of practitioners".
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Heuer, Heike; Heuer, Lutz (2011). "Blowfly Strike and Maggot Therapy: From Parasitology to Medical Treatment". In Mehlhorn, Heinz (ed.).
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found maggot therapy to be broadly as effective as most other methods, but the study also noted that the quality of data was poor.
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Sherman, R. A.; Hall, M. J. R.; Thomas, S. (2000). "Medicinal Maggots: An Ancient Remedy for Some Contemporary Afflictions".
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Sherman, R. A.; Hall, M. J. R.; Thomas, S. (2000). "Medicinal Maggots: An Ancient Remedy for Some Contemporary Afflictions".
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Andersen, A. S.; Joergensen, B.; Bjarnsholt, T.; Johansen, H.; Karlsmark, T.; Givskov, M.; Krogfelt, K. A. (2009).
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maggot debridement therapy (MDT), larval therapy, larva therapy, larvae therapy, biodebridement, biosurgery
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William S. Baer recorded the case of a soldier left for several days on the battlefield who had sustained
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Jordan, Ashley; Khiyani, Neeraj; Bowers, Steven R.; Lukaszczyk, John J.; Stawicki, Stanislaw P. (2018).
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Reames, Mark K.; Christensen, Chris; Luce, Edward A. (1988). "The Use of Maggots in Wound Debridement".
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studies have shown that maggots inhibit and destroy a wide range of pathogenic bacteria including
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Chan, Dominic CW; Fong, Daniel HF; Leung, June YY; Patil, NG; Leung, Gilberto KK (October 2007).
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The wound must be of a type that can benefit from the application of maggot therapy. A moist,
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Secretions from maggots believed to have broad-spectrum antimicrobial activity include
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as a wound treatment. There are reports of the use of maggots for wound healing by
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Nigam, Yamni; Bexfield, Alyson; Thomas, Stephen; Ratcliffe, Norman Arthur (2006).
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Army doctors published in 2013 found that 10% of them had used maggot therapy.
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Bowling, Frank L.; Salgami, Eleanna V.; Boulton, Andrew J.M. (February 2007).
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Jones, Gemma; Wall, Richard (2008). "Maggot-therapy in veterinary medicine".
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Gethin, Georgina; Cowman, Seamus; Kolbach, Dinanda N. (14 September 2015).
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for use as a "medical device" in the US for the purpose of treatment of:
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The use of maggots to clean dead tissue from animal wounds is part of
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He recorded a high survival rate in patients he treated with maggots.
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Heitkamp, Rae A.; Peck, George W.; Kirkup, Benjamin C. (2013-11-14).
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in many parts of the world. It is particularly helpful with chronic
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National Geographic video segment on Maggot Medicine on youtube.com
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There is evidence that maggot therapy may help with wound healing.
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Written records have documented that maggots have been used since
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foot ulcers, and non-healing traumatic or post-surgical wounds."
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Whitaker, I. S.; Twine, C; Whitaker, M. J.; et al. (2007).
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Sun, Xinjuan; Jiang, Kechun; Chen, Jingan; et al. (2014).
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of a human or other animal for the purpose of cleaning out the
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Maggot debridement therapy on a wound from a diabetic foot
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Bowler, P. G.; Duerden, B. I.; Armstrong, D. G. (2001).
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tribes in Australia. Maggot treatment was reported in
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Evidence-Based Complementary and Alternative Medicine
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Carrie Arnold for Scientific American. April 1, 2013
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Evidence-Based Complementary and Alternative Medicine
2009: 1494:. Pt 6. Vol. 152. 8 May 2006. pp. 7, 908. 658: 456:resorted to maggot therapy to treat severe wounds. 265:aerobic and anaerobic strains. Other bacteria like 74:(fly larvae) into non-healing skin and soft-tissue 1504: 1147: 936:"Maggot debridement therapy in chronic wound care" 933: 1884: 1598: 1273: 831:ScavĂ©e, V; Polis, X; Schoevaerdts, J. C. (2003). 621: 283:spp. are not attacked by maggots, and in case of 2667: 1105:"Maggot debridement therapy: A practical review" 733: 727: 136:Non-healing necrotic skin and soft tissue wounds 70:involving the introduction of live, disinfected 1269: 1267: 1576:Honey, Mud, Maggots, and Other Medical Marvels 781:"Larval therapy in wound management: A review" 576: 533: 2586: 1995: 1154:. Parasitology Research Monographs. pp.  329:: the blow fly species used most commonly is 154:Non-healing traumatic or post-surgical wounds 1592: 1302: 1264: 1096: 833:"Maggot therapy: Many hands make light work" 541:International Journal of Infectious Diseases 1441:Grunt: The Curious Science of Humans at War 963: 961: 778: 2593: 2579: 2002: 1988: 1443:(1 ed.). W. W. Norton & Company. 1145: 1110:International Journal of Academic Medicine 1025:Journal of Diabetes Science and Technology 789:International Journal of Clinical Practice 713:"Product Classification: Maggots, Medical" 577:Nasoori, A.; Hoomand, R. (December 2017). 113:there is tentative evidence of benefit. A 27: 1939: 1867: 1689: 1633: 1549:New Science Shows How Maggots Heal Wounds 1524: 1379: 1336: 1247: 1237: 1196: 1122: 1044: 995: 985: 755: 688: 678: 553: 529: 527: 184:The maggots have four principal actions: 1359: 958: 307: 294: 243:, proteolytic enzymes, and many others. 96: 1671: 1463: 1018: 967: 666:Cochrane Database of Systematic Reviews 179: 2668: 2286:List of crop plants pollinated by bees 894: 524: 508:, and post-surgical site cleaning for 2574: 1983: 1710:Journal of Antimicrobial Chemotherapy 1574:; Root-Bernstein, Michèle M. (1998). 1438: 1410:The Journal of Bone and Joint Surgery 772: 734:Gottrup, Finn; Jørgensen, Bo (2011). 290: 1807:International Journal of Dermatology 1402: 661:"Debridement for venous leg ulcers" 261:), group A and B streptococci, and 105:Maggot therapy improves healing in 13: 1665: 388:French campaign in Egypt and Syria 117:of methods for the debridement of 14: 2692: 2600: 1957: 779:ParnĂ©s, A.; Lagan, K. M. (2007). 475: 448:There were reports that American 2555: 1819:10.1046/j.1365-4362.1999.00770.x 1781:10.1111/j.1524-475X.2012.00850.x 1082:10.1097/00000637-198810000-00017 802:10.1111/j.1742-1241.2006.01238.x 287:even the maggots are in danger. 1627: 1564: 1553: 1541: 1498: 1484: 1457: 1432: 1396: 1353: 1213: 1172: 1139: 1061: 1012: 927: 218: 92: 2401:Home-stored product entomology 1636:Research in Veterinary Science 888: 852:10.1080/00015458.2003.11679453 824: 705: 680:10.1002/14651858.CD008599.pub2 652: 615: 570: 215:tissue when they are removed. 204: 158: 82:(dead) tissue within a wound ( 1: 2484:Decline in insect populations 2077:List of insect-inspired songs 1860:10.1128/CMR.14.2.244-269.2001 1848:Clinical Microbiology Reviews 1769:Wound Repair and Regeneration 1464:Nimmons, Don Stewart (2003). 518: 466: 386:. Larrey reported during the 1899:10.1146/annurev.ento.45.1.55 1470:. 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(1931). 1070:Annals of Plastic Surgery 940:Hong Kong Medical Journal 895:Morgan, Rosemary (2002). 191:Disinfection of the wound 46: 38: 26: 21: 2479:Colony collapse disorder 2474:Bees and toxic chemicals 1966:produced by Robert Cibis 1691:10.2337/diacare.26.2.446 1560:FDA CDRH 510(k) summary 1329:10.1136/pgmj.2006.055905 393:Joseph Jones, a ranking 369:, Native Americans, and 338:Protophormia terraenovae 314:Protophormia terraenovae 2381:Insect bites and stings 2358:Drosophila melanogaster 2271:Biological pest control 1672:Sherman, R. A. (2003). 1019:Sherman, R. A. (2009). 968:Sherman, R. A. 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525: 521: 478: 469: 359: 293: 221: 207: 182: 161: 140:Pressure ulcers 115:Cochrane review 95: 66:) is a type of 62:(also known as 53: 34: 17: 12: 11: 5: 2694: 2684: 2683: 2678: 2661: 2660: 2658: 2657: 2655:Vasculogenesis 2652: 2651: 2650: 2640: 2635: 2630: 2625: 2620: 2618:Maggot therapy 2615: 2609: 2606: 2605: 2598: 2597: 2590: 2583: 2575: 2566: 2565: 2553: 2550: 2549: 2547: 2546: 2541: 2536: 2530: 2528: 2522: 2521: 2519: 2518: 2517: 2516: 2511: 2506: 2496: 2491: 2486: 2481: 2476: 2470: 2468: 2464: 2463: 2461: 2460: 2453:Lafcadio Hearn 2450: 2438: 2433: 2428: 2426:Jan Swammerdam 2422: 2420: 2416: 2415: 2412: 2411: 2409: 2408: 2403: 2398: 2393: 2388: 2383: 2377: 2375: 2367: 2366: 2364: 2363: 2362: 2361: 2352:Model organism 2349: 2344: 2343: 2342: 2332: 2327: 2322: 2321: 2320: 2310: 2309: 2308: 2303: 2298: 2293: 2288: 2283: 2273: 2268: 2262: 2260: 2252: 2251: 2249: 2248: 2243: 2238: 2233: 2228: 2226:Insect farming 2223: 2218: 2213: 2208: 2203: 2197: 2195: 2191: 2190: 2188: 2187: 2182: 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2682: 2679: 2677: 2674: 2673: 2671: 2656: 2653: 2649: 2646: 2645: 2644: 2641: 2639: 2636: 2634: 2631: 2629: 2628:Growth factor 2626: 2624: 2621: 2619: 2616: 2614: 2611: 2610: 2607: 2603: 2602:Wound healing 2596: 2591: 2589: 2584: 2582: 2577: 2576: 2573: 2563: 2558: 2551: 2545: 2542: 2540: 2537: 2535: 2532: 2531: 2529: 2523: 2515: 2512: 2510: 2509:Neonicotinoid 2507: 2505: 2502: 2501: 2500: 2497: 2495: 2492: 2490: 2487: 2485: 2482: 2480: 2477: 2475: 2472: 2471: 2469: 2465: 2458: 2454: 2451: 2448: 2447: 2442: 2439: 2437: 2434: 2432: 2429: 2427: 2424: 2423: 2421: 2417: 2407: 2404: 2402: 2399: 2397: 2394: 2392: 2389: 2387: 2384: 2382: 2379: 2378: 2376: 2374: 2368: 2360: 2359: 2355: 2354: 2353: 2350: 2348: 2345: 2341: 2338: 2337: 2336: 2333: 2331: 2328: 2326: 2323: 2319: 2316: 2315: 2314: 2311: 2307: 2304: 2302: 2299: 2297: 2294: 2292: 2289: 2287: 2284: 2282: 2279: 2278: 2277: 2274: 2272: 2269: 2267: 2264: 2263: 2261: 2259: 2253: 2247: 2244: 2242: 2239: 2237: 2234: 2232: 2229: 2227: 2224: 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1708:aeruginosa". 1705: 1701: 1697: 1692: 1687: 1684:(2): 446–51. 1683: 1679: 1678:Diabetes Care 1675: 1670: 1669: 1657: 1653: 1649: 1645: 1641: 1637: 1630: 1622: 1618: 1614: 1610: 1606: 1602: 1595: 1587: 1581: 1577: 1573: 1567: 1561: 1556: 1550: 1544: 1536: 1532: 1527: 1522: 1518: 1514: 1513: 1508: 1501: 1493: 1487: 1479: 1477:9781591604600 1473: 1469: 1468: 1460: 1452: 1450:9780393245448 1446: 1442: 1435: 1421:on 2016-01-07 1420: 1416: 1412: 1411: 1406: 1399: 1391: 1387: 1382: 1377: 1373: 1369: 1368: 1363: 1356: 1348: 1344: 1339: 1334: 1330: 1326: 1322: 1318: 1317: 1312: 1305: 1297: 1293: 1289: 1285: 1281: 1277: 1270: 1268: 1259: 1255: 1250: 1245: 1240: 1235: 1231: 1227: 1223: 1216: 1208: 1204: 1199: 1194: 1190: 1186: 1185:Diabetes Care 1182: 1175: 1167: 1161: 1157: 1152: 1151: 1142: 1134: 1130: 1125: 1120: 1116: 1112: 1111: 1106: 1099: 1091: 1087: 1083: 1079: 1076:(4): 388–91. 1075: 1071: 1064: 1056: 1052: 1047: 1042: 1038: 1034: 1031:(2): 336–44. 1030: 1026: 1022: 1015: 1007: 1003: 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Retrieved 1419:the original 1414: 1408: 1398: 1371: 1365: 1355: 1320: 1314: 1304: 1279: 1275: 1232:(2): 400–7. 1229: 1226:Microbiology 1225: 1215: 1188: 1184: 1174: 1150:Nature Helps 1149: 1141: 1117:(1): 21–34. 1114: 1108: 1098: 1073: 1069: 1063: 1028: 1024: 1014: 977: 973: 946:(5): 382–6. 943: 939: 929: 904: 900: 890: 879:. 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US: 697:  687:  644:  607:  562:  490:ulcers 170:saline 76:wounds 2296:Honey 2013:with 1869:88973 1831:S2CID 1793:S2CID 1158:–23. 1129:S2CID 917:S2CID 875:(PDF) 864:S2CID 836:(PDF) 814:S2CID 784:(PDF) 434:femur 109:. 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Index


edit on Wikidata
biotherapy
maggots
wounds
necrotic
debridement

chronic ulcers
diabetic foot ulcers
Cochrane review
venous leg ulcers
Food and Drug Administration
common green bottle fly
Pressure ulcers
Venous stasis ulcers
Neuropathic foot ulcers
exudating
saline
Biofilm
liquefy
allantoin
urea
phenylacetic acid
phenylacetaldehyde
calcium carbonate
In vitro
methicillin
MRSA
Gram-positive

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