Maggot Therapy for Treating Wounds: Microbial Minutes
How can maggots be used to treat wounds and fight infection? What’s standing in the way of maggot therapy becoming mainstream?
What's Hot in the Microbial Sciences?
ASM presents Microbial Minutes, a video series of trending topics in the microbial sciences.Chronic and hard-to-heal wounds can have devastating impacts on an individual’s livelihood. What happens when conventional treatment methods fail? Maggot therapy could offer a solution. The practice involves applying medicinal maggots to wounds to promote healing and prevent infection. Though the use of maggots in wound care dates back centuries, the practice has received renewed attention in recent years, in part from the growing threat of antimicrobial resistance. Here, we dive into the history of maggot therapy, its antimicrobial and clinical applications and barriers to its widespread use. Take-away points and resources used in this Microbial Minutes are listed below.
Take-Away Points
- Maggots offer several benefits for treating wounds, including wound debridement, promoting healthy tissue growth and disinfection.
- Medicinal maggots can help control infection by consuming microbes at the wound site and by excreting and secreting antimicrobial compounds. Though scientists have started to characterize the antimicrobial properties of maggots, there is plenty left to uncover.
- Educating health professionals and patients about the benefits, applications and potential of maggot therapy is key for promoting its use.
Key Resources
What is Maggot Therapy?
- Naik G., Harding K.G. Maggot debridement therapy: the current perspectives. .
- Stadler F. (Ed.). A Complete Guide to Maggot Therapy. .
Maggot Therapy in the News
- Kollewe J. ‘People are shocked’: the Welsh firm breeding maggots to heal wounds. .
- MacNeill Al., Tufts doctors, staff were out of options. Then they brought in the maggots. .
- Renault M. A Truly Revolting Treatment Is Having a Renaissance. .
Antimicrobial Functions and Clinical Applications
- Abdel Samad M. R. K. Antiviral and virucidal activities of Lucilia cuprina maggots’ excretion/secretion (Diptera: Calliphoridae): first work. .
- Becerikli M., et al. Maggot Extract Interrupts Bacterial Biofilm Formation and Maturation in Combination with Antibiotics by Reducing the Expression of Virulence Genes. .
- Bexfield A., et al. The antibacterial activity against MRSA strains and other bacteria of a <500 Da fraction from maggot excretions/secretions of Lucilia sericata (Diptera: Calliphoridae). .
- Evans R., Dudley E., Nigam Y. Detection and partial characterization of antifungal bioactivity from the secretions of the medicinal maggot, Lucilia sericata.
- Hirsch R., et al. Profiling antimicrobial peptides from the medical maggot Lucilia sericata as potential antibiotics for MDR Gram-negative bacteria. .
- Nezakati E., et al. Effects of Lucilia sericata Maggot Therapy in Chronic Wound Treatment: A Randomized Clinical Trial. .
- Pérez-Acevedo, G., Bosch-Alcaraz, A., Torra-Bou, J.E. Larval Therapy for Treatment of Chronic Wounds Colonized by Multi-resistant Pathogens in a Pediatric Patient: A Case Study. .
- Zhang Z., et al. Activity of antibacterial protein from maggots against Staphylococcus aureus in vitro and in vivo..
Barriers to Maggot Therapy Use
- Hopkins R.C.N., et al. Evaluating nursing opinion and perception of maggot therapy for hard-to-heal wound management. .
- Nigam Y., et al. An exploration of public perceptions and attitudes towards maggot therapy. .
- Pajarillo C., et al. Health professionals' perceptions of maggot debridement therapy. .
