Amputation-Sparing Treatment by Nature: “Surgical” Maggots Revisited

Maggots were used as adjunct treatment for infected wounds that showed no response to the classical approach of wound debridement and antibiotic therapy. We summarize findings for 11 patients with necrotic wounds who received treatment with "surgical" maggots (100-2900 applied in 3-10 chan...

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Bibliographic Details
Published in:Clinical infectious diseases 2002-12, Vol.35 (12), p.1566-1571
Main Authors: Jukema, G. N., Menon, A. G., Bernards, A. T., Steenvoorde, P., Rastegar, A. Taheri, van Dissel, J. T.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Amputation
Animals
Anti-Bacterial Agents - therapeutic use
Biological and medical sciences
Brief Reports
Debridement
Debridement - methods
Diabetes mellitus
Female
Foot joints
Gangrene
Gangrene - drug therapy
Gangrene - therapy
Humans
Infections
Larva
Larvae
Legs
Male
Medical sciences
Middle Aged
Necrosis
Osteomyelitis
Osteomyelitis - drug therapy
Osteomyelitis - microbiology
Osteomyelitis - therapy
Sepsis
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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Summary:Maggots were used as adjunct treatment for infected wounds that showed no response to the classical approach of wound debridement and antibiotic therapy. We summarize findings for 11 patients with necrotic wounds who received treatment with "surgical" maggots (100-2900 applied in 3-10 changes of dressing) for 11-34 days, which apparently aided in tissue remodeling and cure, and describe 2 typical patients in detail.
ISSN:1058-4838
1537-6591
DOI:10.1086/344904