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Maggots within a wound are typically not a major danger (and in fact sometimes a good thing, as they seem to confine themselves to consuming only necrotic tissue). This gives you time to assess the situation and choose an effective, safe approach.

Ideally, flushing maggots from the wound with sterile saline works very well. Sterile saline is pretty harmless stuff and is used to remove pretty much any foreign material from open wounds. Alternately, in the case of a very small number of individuals, you can also remove maggots from a wound with tweezers.

You most definitely don't want to use toxins to kill them. First, as you're dealing with an open wound, the toxins you use will find easy access to the patient's system. Secondly, maggots can decompose when dead, thus introducing a bacterial threat.

Bear in mind that maggots are a larval stage, and as such will not reproduce within a wound.

Note also that maggots are sometimes used clinically, especially in cases where super-sensitive debridement of necrotic tissued, especially from burns, is desirable. In this case, the maggots in question are sterilzed (both in the antiseptic and reproductive sense).

Old school paramedics will also tell you that discovering maggots in the bandaged wounds of transients and people that cannot perform good wound care, is a good sign, usually meaning that the wound will be clean and uninfected.

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13y ago

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