What Is Maggot Therapy &
How Can MEDIFLY Help?

Clean Wounds As Nature Intended

Maggot Therapy (also known as Maggot Debridement Therapy (MDT) or larval therapy), utilises sterile, live larvae of the Lucilia cuprina species, commonly known as greenbottle flies, to eliminate non-viable tissue and bacteria from chronic wounds. The maggots secrete enzymes that break down devitalised tissue, converting it into a liquid of semi-liquid form which they then consume. Assisted by microsurgery techniques, maggots selectively and gently remove unviable tissue and bacteria from the wound.

Introducing MEDIFLY, the only live maggot dressing available in Singapore and Hong Kong

Quick Facts About Maggots in MEDIFLY

  • Maggots are living creatures requiring oxygen and liquefied food to survive

  • Maggots have no teeth… only “sucking” parts

  • Maggots are chemical factories - secreting a powerful mixture of proteolytic enzymes which break down dead tissue, liquidizing it as they move on the surface of the wound

  • Maggots then ‘suck’ up this liquidized tissue, ingesting it and digesting it

  • Maggot enzymes only liquefy devitalized tissue including MRSA and leave healthy tissue undisturbed

  • Maggots also ingest and digest bacteria within the devitalized tissue from the wound, which are also ingested and digested in their gut

  • Maggots secrete chemicals with inherent antimicrobial activity which help combat infections

  • Reduced infections decreases inflammation and promotes wound healing

Brief History of Maggot Therapy

Early AD

The utilisation of maggots for wound healing has been well documented across the centuries in different cultures, including the Native Americans, Aboriginal tribes in Australia, and the Chinese.

16th - 18th Century

The beneficial effects of using maggots in wounds were first noticed by Ambrose Paré in 1557. While treating battle wounds in Napoleon’s army, Baron Larrey observed that maggots enhanced granulation formation.

19th Century

The therapeutic use of maggots was documented during the American Civil War. Medical officer Dr. J.F. Zacharias reported, "maggots in a single day would clean a wound much better than any agents we had at our command... I am sure I saved many lives by their use." He recorded a high survival rate in patients he treated with maggots.

1930s

Orthopedic surgeon William Baer refined the MDT technique by using sterile maggots to prevent maggot-induced wound infection. The therapy became increasingly more popular and was widely used for the treatment of chronic or infected wounds across North America and Europe during the 1930s.

1990s

With the rising incidence of antibiotic resistance in the late 1990s, there is renewed interest in maggots and their potential use in chronic wound management.

Present

Cuprina offers Maggot Debridement Therapy through its MEDIFLY product range in Singapore and Hong Kong, with more regions coming soon.

What Can MEDIFLY Do for Chronic Wounds?

1

Removes dead tissue without surgery

2

Disrupts bacteria from forming into biofilms

3

Kills bacteria that cause infections

4

Stops wound breakdown and promotes growth

5

Increases blood supply to the wound

6

Instantaneously reduces wound odour

Is MEDIFLY Right For Me?

Cuprina’s MEDIFLY products are indicated for the debridement of non-healing necrotic skin and soft tissue wounds, including but not limited to:

Maggot Debridement Therapy Larval Therapy Cuprina Before and After Results Singapore MEDIFLY Diabetic Foot Ulcer DFU patient Before Treatment Effectiveness of MDT

Diabetic Foot Ulcers

Before MEDIFLY

Maggot Debridement Therapy Larval Therapy Cuprina Before and After Results Singapore MEDIFLY Diabetic Foot Ulcer DFU patient After Treatment Effectiveness of MDT

After MEDIFLY

Maggot Debridement Therapy Larval Therapy Cuprina Before and After Results Singapore MEDIFLY Pressure Injury Bed Sore Elderly DFU patient Before Treatment Effectiveness of MDT

Pressure Injuries

Before MEDIFLY

Maggot Debridement Therapy Larval Therapy Cuprina Before and After Results Singapore MEDIFLY Pressure Injury Bed Sore Elderly DFU patient After Treatment Effectiveness of MDT

After MEDIFLY

Maggot Debridement Therapy Larval Therapy Cuprina Before and After Results Singapore MEDIFLY Amputation Site Wound patient After Treatment Effectiveness of MDT

Amputation Sites

Maggot Debridement Therapy Larval Therapy Cuprina Before and After Results Singapore MEDIFLY Amputation Site Wound patient Before Treatment Effectiveness of MDT

Before MEDIFLY

After MEDIFLY

Note: The presence of a red color in the wounds suggests an advancing stage of healing, as it signifies the formation of new blood vessels and tissue regeneration, reflecting the body's ongoing efforts to repair and restore the injured area.

Please consult your healthcare professional to assess if MEDIFLY is suitable for you.

MEDIFLY is also effective as a debridement tool on the following wounds:

Venous / Ischemic Ulcers

Malignant Wounds

Burn Wounds

Chronic Osteomyelitis

Traumatic Wounds

MEDIFLY can especially help if the wounds have:

Methicillin-resistant Staphylococcus aureus (MRSA) Infections

Devitalised Tissue

Biofilm

Painful Adhered Slough

Why Should I Choose MEDIFLY?

Patients select MEDIFLY as their chronic wound treatment of choice for many reasons:

(Click on each point below to read more)

What are some precautions of MEDIFLY?

MEDIFLY products should not be used on the following:

  • Wounds that are located close to an exposed major blood vessel

  • Patients that are on anticoagulants (e.g. Warfarin)

  • Wounds located close to exposed organs

  • Patients that have experienced adverse allergic or inflammatory responses to Maggot Debridement Therapy or its associated wound dressings in the past.

Don’t be alarmed if there is…

  • Increased exudate

  • Development of malodour

  • Discoloured exudate

  • Increase in pain

  • Light bleeding

What’s not normal…

  • Extreme, unbearable pain

  • Periwound skin irritation

  • Profuse bleeding

Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options.