EuropeSouth AsiaAsia PacificAmericasMiddle EastAfricaBBC HomepageWorld ServiceEducation
News image
News image
News image
News imageNews image
News image
Front Page
News image
World
News image
UK
News image
UK Politics
News image
Business
News image
Sci/Tech
News image
Health
News image
Education
News image
Sport
News image
Entertainment
News image
Talking Point
News image
News image
News image
On Air
Feedback
Low Graphics
Help
News imageNews imageNews image
News imageSaturday, March 6, 1999 Published at 11:43 GMT
News image
News image
Health
News image
Doctor! There's a maggot in my wound
News image
Maggots can help to clean ulcers and other wounds
News image
Maggots have had a bad press. Normally associated with disease and rotting flesh, doctors now realise they can treat infections.

The squirming larvae were first found to have curative properties during World War I.

Dr William Baer noticed that maggots were getting into the wounds of people injured on the battlefield.

Instead of making the wound worse, they helped clear it up.

Dr Baer starting using maggot therapy at Johns Hopkins Hospital in Baltimore - with excellent results.

But with the advent of antibiotics in the 1940s, the therapy went out of fashion.

However, according to the BBC's Trust Me I'm a Doctor programme, they are now making a comeback because of concerns about infections that are resistant to antibiotic treatment.

Breathing through their bottoms

Dr Stephen Thomas is the sole UK breeder of maggots.

He keeps flies in a sealed room and feeds them on pig's liver.

The flies lay their eggs on the liver. These are then separated and sterilised and develop into maggots.

The tiny maggots are sent out to hospitals in vials.

Maggots clean wounds by eating dead tissue. They first spit out enzymes that liquefy the tissue and then suck up like soup.

"They are very gregarious creatures and like to feed in close groups so they all get the benefits of the secretions they are producing."

Maggots are also able to breathe through their bottoms which means they can work very quickly because they do not have to keep coming up for air while they are feeding.

Bradford Royal Infirmary's leg ulcer unit is one hospital which uses maggot therapy.

'Better than surgeons'

Kath Vowden, a nurse at the hospital, says people think the maggots are going to be big fishing-type maggots.

But the ones used for treating wounds are very tiny.


[ image: Maggots are traditionally associated with death and fishing]
Maggots are traditionally associated with death and fishing
They are put on the surface of the wound and then sealed in with a bandage.

The maggots only feed on the dead tissue.

Kath's husband Matthew Vowden is a vascular surgeon at the hospital.

He said: "Maggots are very small. They can be very exact about what they do. They can dissolve and digest dead tissue.

"A surgeon cannot be that exact and will harm some of the living tissue."

During the course of a three-day treatment, the maggots' bodies, full of dead tissue, expand from an average length of two milimetres to three times the size.

They leave wounds pink and healthy.

Mr Vowden says many doctors are still reluctant to use maggot therapy. He believes this is because they are not advertised like drugs are and because patients are put off by them.

"Patients expect tablets. They don't expect maggots," he said.

Trust Me I'm a Doctor is on BBC Two on Fridays at 8pm. The maggot item is on 12 March.

News image


Advanced options | Search tips


News image
News image
News imageBack to top | BBC News Home | BBC Homepage |
News image

News imageNews imageNews image
Health Contents
News image
News imageBackground Briefings
News imageMedical notes
News imageNews image
Relevant Stories
News image
14 Jan 99�|�Health
When a dog's bite is worse than its bark
News image
20 Nov 98�|�Health
Cow hormones beat burns
News image

News image
News image
News image
News imageInternet Links
News image
News imageNews image
Trust me I'm a doctor
News image
Maggot therapy
News image
Flies and insects links
News image
News imageNews image
The BBC is not responsible for the content of external internet sites.

News image
News image
News image
News imageIn this section
News image
Disability in depth
News image
Spotlight: Bristol inquiry
News image
Antibiotics: A fading wonder
News image
Mental health: An overview
News image
Alternative medicine: A growth industry
News image
The meningitis files
News image
Long-term care: A special report
News image
Aids up close
News image
From cradle to grave
News image
NHS reforms: A guide
News image
NHS Performance 1999
News image
From Special Report
NHS in crisis: Special report
News image
British Medical Association conference '99
News image
Royal College of Nursing conference '99
News image

News image
News image
News image