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Als Folge des Klimawandels migrieren die pathogenen Fliegen in n\u00f6rdlichere Klimazonen, sodass das Krankheitsbild auch in Europa pr\u00e4valenter wird.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Fragestellung<\/jats:title>\n                    <jats:p>Es gibt aktuell keine Daten aus Deutschland \u00fcber die patientenbezogenen Risikofaktoren, die H\u00e4ufigkeit, den Verlauf und die zu erwartenden Komplikationen. Diese Fallserie soll diese L\u00fccke schlie\u00dfen. Ebenso soll ein Zusammenhang mit Wetterdaten diskutiert werden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>In dieser retrospektiven Fallanalyse von 6\u00a0Patienten werden Risikofaktoren, systemisch-septische Komplikationen, Behandlungsschemata, die L\u00e4nge der Krankenhausaufenthalte und Wetterdaten diskutiert.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Patienten waren im Median\u00a060,5\u00a0Jahre alt und hatten 4\u00a0Vorerkrankungen. Risikofaktoren waren m\u00e4nnliches Geschlecht (67\u202f%), sozio\u00f6konomische Benachteiligung (84\u202f%), schlechte K\u00f6rperhygiene (67\u202f%), arterieller Hypertonus (84\u202f%), Alkoholismus (50\u202f%) und Verletzungen der unteren Extremit\u00e4t (100\u202f%, 67\u202f% frakturassoziiert). Die mittlere Krankenhausaufenthaltsdauer betrug 49\u202f\u00b1\u200925,39\u00a0Tage. In allen F\u00e4llen wurde eine bakterielle Superinfektion nachgewiesen. \u202fAlle station\u00e4r aufgenommenen F\u00e4lle wurden operativ, 80\u202f% begleitend antibiotisch behandelt. In 33\u202f% der F\u00e4lle war eine Amputation notwendig. Kein Patient musste aufgrund einer Septik\u00e4mie intensivmedizinisch behandelt werden. Alle F\u00e4lle traten im Sommer und im Sp\u00e4tfr\u00fchling auf. Am Aufnahmetag betrug die Temperatur tags\u00fcber im Median\u00a020,6\u202f\u00b0C und nachts 14,6\u202f\u00b0C bei einer medianen Luftfeuchtigkeit von 66,6\u202f%; die Temperaturen tags\u00fcber lagen am Aufnahmetag h\u00f6her als in der Woche zuvor und im Monat zuvor. Bez\u00fcglich der Luftfeuchtigkeit gab es ebenso keine statistisch signifikanten Unterschiede zwischen den 3\u00a0Vergleichszeitpunkten.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Die traumatische Myiasis ist in Europa angekommen. Temperatur- und ggf. auch Feuchtigkeitsspitzen k\u00f6nnten das Schl\u00fcpfen der Maden triggern und damit die klinische Pr\u00e4sentation beg\u00fcnstigen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00113-025-01643-1","type":"journal-article","created":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T14:27:32Z","timestamp":1760970452000},"page":"67-72","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Made In Germany\u00a0\u2013 traumatische Myiasis im (Klima\u2011)Wandel","Made in Germany\u2014Climate change and traumatic myiasis"],"prefix":"10.1007","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1237-9405","authenticated-orcid":false,"given":"Anna-Lena","family":"Hauser","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiane","family":"Kruppa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas Armin","family":"Schildhauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,20]]},"reference":[{"key":"1643_CR1","doi-asserted-by":"publisher","first-page":"905","DOI":"10.3201\/eid2105.141680","volume":"21","author":"FJ Africano","year":"2015","unstructured":"Africano\u00a0FJ, Faccini-Martinez\u00a0AA, P\u00e9rez\u00a0CE et\u00a0al (2015) Pin-site myiasis caused by screwworm fly, Colombia. 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