Maggots as potential vector for pathogen transmission and consequences for infection control in waste management MadenalspotentiellerVektorfürdieÜbertragungvonKrankheitserregern und Konsequenzen für die Entsorgung

Abstract Backgroundandaims:Debridementtherapywithsterilebredlarvaeinnon-healingwoundsisawidelyacceptedsafeandefficienttreatment GeorgDaeschlein 1 KevinReese 2 modality.However,duringapplicationinthecontaminatedwoundbedmicrobialcontaminationwithpotentialmicrobialpathogenspreadafter MatthiasNapp 2 escapefromthewoundorafterunreliabledisposalproceduremay RomySpitzmueller 2 happen,particularlyinthecaseofnotusingbio-bags.Theaimsofthis PeterHinz 2 workwerefirsttoinvestigatethereleaseofingestedbacteriaintotheenvironmentbymaggotsandsecondtoexaminethecommonpractice MichaelJuenger 1 offreezingthemaggotsafteruseand/ordisposalintrash-bags.Potential AxelKramer 3 methodsforhygienicsafedisposalofusedmaggotsshouldbededuced.Methods:First,MaggotswerecontaminatedwithS.aureusbyallowingthemtocrawloveranagarsurfacecompletelycoveredwithbacterial 1ClinicofDermatology,UniversityMedicine,Ernst- growthover24hat37°C.Afterexternaldisinfectionmaggotswere Moritz-ArndtUniversity transferredontosterileColumbiaagarplatesandsheddingofS.aureus