Polat Nevra, Mollahaliloglu Salih, Koc Murat
Department of Traditional Complementary and Integrative Medicine, Institute of Public Health, Ankara Yıldırım Beyazıt University, Ankara, Turkey.
Department of Internal Medical Sciences, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, Turkey.
Parasitol Res. 2025 Jun 27;124(6):70. doi: 10.1007/s00436-025-08515-y.
Maggot therapy (MT) is the most common medical use of sterile fly larvae of Lucilia sericata and other species of the family Calliphoridae as an alternative to surgery and long-term antiseptic therapy in the treatment of deep and infected non-healing wounds. Effective and reliable MT requires an aseptic technique to prevent bacterial infection of the wound. However, due to the habitat of Calliphoridae flies, the outer surface of their eggs is often contaminated with bacteria. In this study, Lucilia sericata eggs were sterilized using two techniques. NaOCI (sodium hypochlorite), which is widely used as a sterilant (Sterilant 1-S1), and Lysol surface disinfectant, which is rarely used (Sterilant 2-S2), and a control (unsterilized) were chosen. Sterilization efficacy, egg survival, and mortality were evaluated comparatively at 0.05, 1, 2, and 3 (%) concentrations and 1-, 2-, 3-, and 4-min application times at each concentration, and bacterial growth in the post-sterilization environment was controlled. In the in vitro sterility efficiency and reliability test, no bacterial colonies were found in sterilized eggs transferred to tryptic soy agar (TSA) culture. In contrast, bacterial and fungal growth was detected in unsterilized eggs. Protocol S1 provided effective egg surface sterilization at a concentration of 0.05% with a 1-min exposure time. This treatment resulted in 85.12% survival rate and 14.88% egg mortality. Based on its optimal balance of low mortality, high viability, and effective sterilization, we recommend a 1-min immersion in 0.05% NaOCl solution for sterilization of Lucilia sericata eggs.
蛆虫疗法(MT)是最常见的医学应用,即使用丝光绿蝇及丽蝇科其他物种的无菌蝇幼虫,替代手术和长期抗菌疗法来治疗深部感染的难愈合伤口。有效且可靠的蛆虫疗法需要无菌技术以防止伤口细菌感染。然而,由于丽蝇科苍蝇的栖息地环境,其卵的外表面常被细菌污染。在本研究中,采用两种技术对丝光绿蝇卵进行消毒。选择广泛用作消毒剂的次氯酸钠(Sterilant 1-S1)、很少使用的来苏尔表面消毒剂(Sterilant 2-S2)以及一个对照(未消毒)组。在0.05%、1%、2%和3%的浓度以及每个浓度下1分钟、2分钟、3分钟和4分钟的作用时间下,比较评估消毒效果、卵的存活率和死亡率,并控制消毒后环境中的细菌生长。在体外无菌效率和可靠性测试中,转移至胰蛋白胨大豆琼脂(TSA)培养基中的消毒卵未发现细菌菌落。相比之下,未消毒的卵检测到细菌和真菌生长。方案S1在浓度为0.05%、暴露时间为1分钟时可有效进行卵表面消毒。该处理导致存活率为85.12%,卵死亡率为14.88%。基于其低死亡率、高活力和有效消毒的最佳平衡,我们建议将丝光绿蝇卵在0.05%的次氯酸钠溶液中浸泡1分钟进行消毒。