I would like to thank Lynne Watret for her comments. We have also had a few cases of early death of larvae and have found that, in our experience, the wound needs to be moist prior to treatment. This gives the larvae an easier environment in which to develop.
Infection is a problem in the diabetic foot even when larvae are not used. Very careful and frequent inspections of all open diabetic wounds are required.
It is essential that patients are carefully selected for treatment with larvae in order for it to be successful.