MDT has and is being used extensively in the United Kingdom and the United States, where sterile maggots are commercially available. It has been used as one of the modalities for the treatment of infected diabetic foot ulcers. The species used in these temperate climates is the blowfly Lucilia sericata. Here in Malaysia, being a country with tropical weather, we have the tropical blowfly lucillia cuprina, instead of lucillia sericata. MDT with L cuprina to our knowledge has never been published. It has been tried once before here in Malaysia on 12 patients with diabetic foot wounds at the Lumut Naval Hospital. Two patients in this study had MDT discontinued. The other 10 had their wounds heal satisfactorily. This was a descriptive study by post grad medical student and assisted by IMR. They have tried to build on this by conducting a prospective case controlled study to prove that MDT with lucillia cuprina is as effective as conventional debridement in the treatment of infected diabetic foot ulcers.
Currently MDT treatment only available at Hospital Kuala Lumpur (HKL) and Hospital Sg. Buloh. Sterilarvae is a control product and can only be applied by prescription from registered Medical Officers. Thus, patients who want to apply this treatment have first to seek recommendation from doctors and sterilarvae will only applied once recommended.
With a good demand from end users, MDT treatment can also be applied by appointment. We'll arrange for medical examination and if recommended, MDT can be applied. For appointment, please email to : medbiotherapy@gmail.com. TQ
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