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Nurse, the maggots [UK hospitals use of maggots for healing wounds]
The Times (UK) ^ | March 12, 2007 | by Peta Bee

Posted on 03/11/2007 7:14:02 PM PDT by aculeus

Maggots clean wounds 18 times faster than normal treatments, can conquer MRSA and would save the NHS millions.

It’s enough to make your skin crawl — yet flesh-eating maggots being applied to a festering wound that fails to heal could become a familiar sight in our hospitals. Last week Madeleine Moon, Labour MP for Bridgend, hailed maggots as an alternative to expensive antibiotic gels and lotions. She pointed out that maggots could speed recovery times, help to free hospital beds and fight MRSA. In a parliamentary motion backed by 35 MPs from all parties, she urged the Government to carry out clinical research into the widespread use of maggots.

Recent studies have indicated that maggot therapy can cut treatment duration from 89 days to just five, and slash the cost from £2,200 to £300 per patient.

Moon describes the grubs as “a highly cost-effective, highly efficient but forgotten and undervalued method of treatment”, and Caroline Flint, the Public Health Minister, says that using fly larvae (maggots) is “increasingly common” and “an illuminating idea”

In trials in Wales and Manchester, says Moon, patients not only recovered faster but noticed less smell and felt less pain from their rotting flesh when maggots were allowed to eat it. “Maggots are highly precise,” she says. “Unlike surgeons, they remove only the rotting tissue. Surgeons have to cut out healthy tissue to clear the wound, thereby creating a larger wound and more bleeding.”

Last year 30,000 NHS patients had maggots applied to their wounds. A study published in the Journal of Wound Care suggested that if larvae were used more widely the annual saving could be £162 million.

Maggot, or larval, therapy is not new. Civilisations worldwide, from Australian Aborigines to Burmese hill tribes and the Mayans, have used fly larvae to clean damaged wounds for centuries. During the First World War, Dr William Baer, of the Johns Hopkins School of Medicine in Baltimore, described finding two soldiers who had been wounded on the battlefield and left alone for days. When their clothes were removed, thousands of maggots were present in their wounds — yet beneath them the doctor was astonished to find clean, pink flesh. Baer renewed interest in maggots among the medical profession but it was short-lived; by the 1930s, with the arrival of antibiotics and modern surgical appproaches, they fell from favour.

But with the spread of resistance to antibiotics and the rise of “superbugs” such as MRSA, antibiotics are no longer considered the panacea they once were. Instead, the tiny grubs are squirming their way back into mainstream medicine. It is now known that enzymes produced when maggots eat rotting meat break down the dead tissue, which is sucked up and turned into new protein. Crucially, the enzymes stop working on contact with healthy or clean tissue, so when they are applied — either loosely beneath a bandage or inside a sealed bag — to a leg ulcer, for instance, they will consume only the rotting materials and leave the wound clean. Because they are regulated by the European Medicines Agency (EMEA), maggots used for medical purposes are considered pharmaceuticals and therefore had to undergo years of rigorous safety and efficacy tests before being approved for use on patients. Now, though, they are being introduced in hospitals from Belgium to Poland with reports of great success.

Of course, there is a glaring downside to maggot therapy, and one that may prove an impenetrable barrier to its mainstream use — namely the “yuck” factor. Yet researchers who have been investigating the medical benefits insist that, for the good of our health, we should disregard it.

Dr Stephen Britland, a reader in cell biology at the University of Bradford, says that much of the stigma attached to maggot therapy, although understandable, is entirely undeserved. “From a scientific point of view it is fascinating how maggots have evolved to get the nutrients they need to grow from a wound,” he says. “People think they are dirty, but maggots are very careful about what they do and carry out a very clean procedure.”

Among the pioneers of maggot treatment in the UK is ZooBiotic Ltd, one of the first profitable spin-off companies formed from an NHS trust — in this case the Bro Morgannwg Trust’s biosurgical research unit at the Princess of Wales Hospital, Bridgend. ZooBiotic farms maggots from the sterilised eggs of the common greenbottle, Lucila sericata. Its brand of sterile maggots, marketed as LarvE, was accepted for use by the NHS in 2004 and the company now supplies them to 3,800 hospitals in the UK.

“We keep the adult flies in 150 insect-rearing tanks, then collect their eggs and sterilise them,” says Dr Alan Morgan, the firm’s research director. “They are applied to a wound when they are tiny — smaller than a grain of rice — and can grow to more than a centimetre in length by the time they are removed.”

Morgan says that preliminary trials were conducted at the Princess of Wales Hospital on five patients with MRSA-infected wounds that were not responding to conventional antibiotic treatment. “In each case, treatment with maggots cleansed the wounds, eliminated the MRSA and allowed healing to commence in four days,” he says. A larger and more significant study at Manchester Royal Infirmary last year showed that maggot therapy reduced problems in 12 out of 13 cases of ulcers colonised by MRSA. “The maggots cleared the wounds of MRSA,” Morgan explains. “They don’t cure MRSA but they will reduce the chance of cross-infection and allow it to be treated effectively.”

[balance of article at the link]


TOPICS: Extended News; United Kingdom
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To: null and void
No its mine to do with as I please. I have to collect all the scraps of paper and put it together. Some of it is hard to read. She doesn't give measurements . I have some remedies from her I wrote down that are clearer. Its interesting as she had odd bits in it like cleaning with baking soda and vinegar. Some of it I have found other people know about too. One day I will sort it out and get it in order. She also used to grab a bunch of spider webs if someone was bleeding badly and put them into the wound. My grandma didn't speak English well . She had 17 children , 10 that lived. I can not in my wildest imagination see how she got to Hazleton PA from Ellis Island with two small boys without being able to read or speak English. She was also a bought bride. My grandfather bought her when she was 14 yrs old from her mother after my great grandfather was killed. He was many years older then her. She lived until she was 88 if I remember correctly. I think I better start writing my memories of her down . The farm they lived on is now part of the Suarloaf golf course. She got swindled out of her farm by a trusting neighbor. None of my relatives wanted that farm.....I guess all the hard work brought back bad memories. I sure wish I had it now.
41 posted on 03/11/2007 8:29:03 PM PDT by pandoraou812 ( zero tolerance to the will of Allah ...... dilligaf? with an efg.....)
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To: Cicero
A 2004 study in the journal Gut found that patients with Crohn’s disease who swallowed a worm for a 24-week period showed significant improvement."


Why not just have a Tequila?
42 posted on 03/11/2007 8:37:04 PM PDT by Grizzled Bear ("Does not play well with others.")
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To: aculeus

If maggots are so wonferful why was everybody so upset when Ann Coulter used the word?


43 posted on 03/11/2007 8:39:20 PM PDT by eleni121 ( + En Touto Nika! By this sign conquer! + Constantine the Great))
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To: eleni121

wonferful = wonderful


44 posted on 03/11/2007 8:40:23 PM PDT by eleni121 ( + En Touto Nika! By this sign conquer! + Constantine the Great))
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To: metmom

As long as they don't get stoned too and sit around watching TV all day. Or consume the healthy new flesh with the bad on a munchie bender. :-D


45 posted on 03/11/2007 8:41:40 PM PDT by Titan Magroyne ("Y'know, I've always thought of politics as show business for ugly people." Jay Leno:Al Gore 11/29)
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To: metmom
I think using the old ways can be better....My sister got a staph infection in her head years ago during a brain operation. She had to have some of her skull removed and a plate put in. She takes antibiotics everyday for it. I really don't like or trust too many doctors. If I can use a natural way to heal I do. What we went through this year with Lela was terrible. She has asthma and was on Singulair and Zyrtec. Lela was getting worse not better. Thanks to TigersEye's research and help we figured out she was having adverse side affects to these meds. Now she is just on an inhaler and is doing so much better. I really have to give credit to TigersEye because he took the time & interest into helping me when the doctors just kept telling me to give her those meds. Even the doctors have now admitted she is one of the few (so they say) children who just can not take those meds. ~P~
46 posted on 03/11/2007 8:41:50 PM PDT by pandoraou812 ( zero tolerance to the will of Allah ...... dilligaf? with an efg.....)
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To: pandoraou812
No its mine to do with as I please.

As you say. I didn't mean to presume to even sound like I was trying to boss you around.

Still, it would be interesting, and perhaps life saving for the rest of us.

47 posted on 03/11/2007 8:43:20 PM PDT by null and void ("If you have always done it that way, it is probably wrong." - Charles F. Kettering)
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To: SmoothTalker

Their used in the US too for some burn wounds.


48 posted on 03/11/2007 8:45:30 PM PDT by Total Package (TOLEDO, OHIO THE MRSA INFECTION IN THE STATE)
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To: pandoraou812

Wow! I really hope you choose to publish. You will have a lot of Freeper customers if you do. If you do publish; please include your Grandma's story. That would really make the book special. The "Spider-Web" cure is a new one to me! It's terrible to hear about the farm. I think the cures are an even better birth-right. God bless you in all of your endeavors!


49 posted on 03/11/2007 8:45:32 PM PDT by Grizzled Bear ("Does not play well with others.")
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To: Popocatapetl

I thought museums used a species of beetle to dispose of flesh off of animal bones.


50 posted on 03/11/2007 8:47:19 PM PDT by Grizzled Bear ("Does not play well with others.")
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To: aculeus

Got some personal experience, and it works. Somebody dumped an old bulldog near my farm a few years ago, and he got pretty wild over a period of months. I decided to see if I could tame him, as I was couple of dogs low at the time. Meantime, somebody took a shot at him, grazed his back, and left a wound maybe 6 inches long, an inch deep, and it opened up 2 inches wide. I couldn't catch him to treat it, but I could get close enough to see that in a week or so it was totally full of maggots. He was still active, just acted as if it irritated him a bit. Eventually all the maggots disappeared, by which time he was willing to let me approach him. I sprinkled Terramycin powder on the clean wound for a couple of weeks until it healed, and he was just fine. Pretty good dog for a couple of years until he died of old age.


51 posted on 03/11/2007 8:47:35 PM PDT by tickmeister (tickmeister)
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To: pandoraou812

I guess some just feel it's easier to medicate the problem away than investigate and find out what's causing the problem and taking care of that.

My oldest daughter is allergic to carmine and Red Lake 7, which is in Benadryl. She breaks out with a severe hives reaction on her face and neck from it, along with breathing difficulty.

Sometimes it's the inactive ingredients that can cause problems.


52 posted on 03/11/2007 8:50:23 PM PDT by metmom (Welfare was never meant to be a career choice.)
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To: aculeus

The government hospitals in the UK are so ancient and filthy, they don't need to import any maggots.


53 posted on 03/11/2007 8:51:56 PM PDT by FormerACLUmember
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To: pandoraou812

I use baking powder and vinegar for cleaning! And add in hydrogen peroxide, too.....what's old is new again....and less costly, and less toxic! (Don't mix vinegar and hydr. perox. in a bottle together though!)


54 posted on 03/11/2007 8:53:05 PM PDT by goodnesswins (We need to cure Academentia)
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To: cherry

Was the guy dead?


55 posted on 03/11/2007 8:53:20 PM PDT by 353FMG (I never met a liberal I didn't dislike.)
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To: pandoraou812

If you ever put this book together, and want to share, can you ping me with the remedies?

Sounds fascinating.


56 posted on 03/11/2007 8:54:11 PM PDT by diamond6 (Everyone who is for abortion has been born. Ronald Reagan)
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To: goodnesswins
Don't mix vinegar and hydr. perox. in a bottle together though!)



Ooooh! What happened, what happened??!!
57 posted on 03/11/2007 8:55:37 PM PDT by Grizzled Bear ("Does not play well with others.")
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To: Grizzled Bear

I haven't tried it, but I've read they shouldn't be mixed together....and on this board "I" didn't want to be responsible for any "explosions" or whatever.


58 posted on 03/11/2007 9:00:22 PM PDT by goodnesswins (We need to cure Academentia)
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To: null and void

Oh no I didn't take it that way....its one of the few things I have from my babba ( grandma). I would be glad to share anything in her book. She would want other people to benefit from anything she knew. She also was a midwife for the neighbors. She was a very tiny woman who lived a very hard simple life. When she died she was still very beautiful , with no wrinkles and long white hair almost to her knees. My one son has her blue eyes. I have that now too, I really never thought of it that way. I do see her eyes when I look at his...~P~


59 posted on 03/11/2007 9:04:17 PM PDT by pandoraou812 ( zero tolerance to the will of Allah ...... dilligaf? with an efg.....)
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To: aculeus

Info about the sterile maggots used for wound treatment:

http://www.dressings.org/Dressings/larve.html

http://www.zoobiotic.com/


60 posted on 03/11/2007 9:04:31 PM PDT by LibFreeOrDie (L'Chaim!)
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