Work package F: Infectious/hygienic recommendations for HDMB in Germany
HAND INFECTION, RECRUITMENT
Based on the current evidence and German legal requirements, a manual for HDMB will be developed. The manual will offer practice-oriented, scientifically founded hygienic and infection guidelines for HMBs, which will serve as a basis for the implementation of HDMB in the context of the intervention. For this purpose, internationally available guidelines on the operation of HDMBs, national recommendations, and the scientific literature with a special focus on microbiological screening and pasteurisation will be reviewed. The manual will include guidelines for the requirements of milk donors and their recruitment, hygienic aspects of collection, transport, processing and storage, as well as recommendations for microbiological testing of DHM. The final manuscript will be evaluated and approved by national experts in this field from different professions, including clinically active neonatologists and infectiologists, as well as microbiologists and hygienists. Evaluation of the manual will be conducted via a Delphi technique. Comments and remarks of all experts will be collected in a first round. In a second round, the revised manuscript will be checked again and unresolved issues will then be listed and discussed. The authors will record these issues and show, in a last step, how they will solve these open issues in the manuscript. Finally, the manual and documentation of the Delphi technique will be agreed upon by all involved experts. Apart from this manual, a Hazard Analysis and Critical Control Point (HACCP) concept will be developed, which is required by law to ensure food safety. This is a systematic approach aiming to identify, evaluate, and control possible food safety hazards throughout all processes from collection to application of DHM.