Maggot Debridement Therapy for Chronic Wounds

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Abstract
This article presents a general overview of maggot debridement therapy, as used in the management of chronic infected wounds. Much has been written about this treatment method, both historically and in the past decade. Current clinical practice is discussed and clinical and laboratory research are reviewed, with attention to the inherent challenges of such research. The nature of microbial and fungal bio-film formation in chronic wounds is considered, although little is yet known of the extent and characterization of this phenomenon. The prospects for the future are addressed. These include the need for globally acceptable criteria for clinical outcomes and guidelines for “best practice,” together with the pressing need for appropriately structured randomized controlled studies.