Evaluación de diferentes métodos de aislamiento de Malassezia spp. causante de fungemia: una revisión sistemática
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Introducción: Malassezia, un género de levaduras lipofílicas y lipodependientes, puede desencadenar fungemia en pacientes con infecciones sistémicas, especialmente en recién nacidos prematuros en la Unidad de Cuidados Intensivos Neonatal (UCIN), sometidos a tratamientos amplios como antibióticos, nutrición parenteral prolongada y catéter venoso central (CVC). Objetivo: Realizar una evaluación de la eficiencia de los medios de cultivo fúngicos empleados en el aislamiento de levaduras lipodependientes, pertenecientes al género Malassezia, con el fin de garantizar un diagnóstico preciso de las fungemias asociadas a estas especies reportadas en una ventana de medición comprendida entre 2014 y 2023. Materiales y métodos: Se efectuó una revisión... Ver más
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Evaluación de diferentes métodos de aislamiento de Malassezia spp. causante de fungemia: una revisión sistemática Honnavar P., Dogra, S., Handa, S., Chakrabarti, A. and Rudramurthy, S. M. (2020). Molecular identification and quantification of Malassezia species isolated from Pityriasis Versicolor. Indian Dermatology Online Journal, 11(2), 167-170. https://doi.org/10.4103/idoj.IDOJ_142_19 Lee, J., Cho, Y. G., Kim, D. S., Choi, S. I. and Lee, H. S. (2019). First case of catheter-related Malassezia pachydermatis fungemia in an adult. Annals of Laboratory Medicine, 39(1), 99-101. https://doi.org/10.3343/alm.2019.39.1.99 Jagielski, T., Rup, E., Ziółkowska, A., Roeske, K., Macura, A. B. and Bielecki, J. (2014). Distribution of Malassezia species on the skin of patients with atopic dermatitis, psoriasis, and healthy volunteers assessed by conventional and molecular identification methods. BMC Dermatology, 14(3). https://doi.org/10.1186/1471-5945-14-3 Ilahi, A., Hadrich, I., Neji, S., Trabelsi, H., Makni, F. and Ayadi, A. (2017). Real-time PCR identification of six Malassezia species. Current Microbiology, 74, 671-677. https://doi.org/10.1007/s00284-017-1237-7 Iatta, R., Immediato, D., Montagna, M. T., Otranto, D. and Cafarchia, C. (2015). In vitro activity of two amphotericin B formulations against Malassezia furfur strains recovered from patients with bloodstream infections. Medical Mycology, 53(3), 1-6. https://doi.org/10.1093/mmy/myu089 Iatta, R., Figueredo, L. A., Montagna, M. T., Otranto, D. and Cafarchia, C. (2014). In vitro antifungal susceptibility of Malassezia furfur from bloodstream infections. Journal of Medical Microbiology, 63(11), 1467-1473. https://doi.org/10.1099/jmm.0.078709-0 Iatta, R., Cafarchia, C., Cuna, T., Montagna, O., Laforgia, N., Gentile, O., Rizzo, A., Boekhout, T., Otranto, D. and Montagna, M. T. (2014). Bloodstream infections by Malassezia and Candida species in critical care patients. Medical Mycology, 52(3), 264-269. https://doi.org/10.1093/mmy/myt004 Iatta, R., Battista, M., Miragliotta, G., Boekhout, T., Otranto, D. and Cafarchia, C. (2018). Blood culture procedures and diagnosis of Malassezia furfur bloodstream infections: strength and weakness. Medical Mycology, 56(7), 828-833. https://doi.org/10.1093/mmy/myx122 Honnavar, P., Ghosh, A. K., Paul, S., Shankarnarayan, S. A., Singh, P., Dogra, S., Chakrabarti, A. and Rudramurth, S. M. (2018). Identification of Malassezia species by MALDI-TOF MS after expansion of database. Diagnostic Microbiology and Infectious Disease, 92(2), 118-123. https://doi.org/10.1016/j.diagmicrobio.2018.05.015 Hobi, S., Cafarchia, C., Romano, V. and Barrs, V. R. (2022). Malassezia: zoonotic implications, parallels and differences in colonization and disease in humans and animals. Journal of Fungi, 8(7), 708. https://doi.org/10.3390/jof8070708 Prohic, A., Kuskunovic-Vlahovljak, S., Sadikovic, T. and Cavaljuga, S. (2015). The prevalence and species composition of Malassezia yeasts in patients with clinically suspected onychomycosis. Medical Archives, 69(2), 81-84. https://doi.org/10.5455/medarh.2015.69.81-84. Prohic, A., Jovovic Sadikovic, T., Krupalija Fazlic, M. and Kuskunovic Vlahovljak S. (2015). Malassezia species in healthy skin and in dermatological conditions. International Journal of Dermatology, 55(5), 494-504. https://doi.org/10.1111/ijd.13116 Harada, K., Saito, M., Sugita, T. and Tsuboi, R. (2015). Malassezia species and their associated skin diseases. The Journal of Dermatology, 42(3), 250-257. https://doi.org/10.1111/1346-8138.12700 Hamdino, M., Saudy, A. A., El-Shahed, L. H. and Taha, M. (2022). Identification of Malassezia species isolated from some Malassezia associated skin diseases. Journal of Medical Mycology, 32(4), 101301. https://doi.org/10.1016/j.mycmed.2022.101301 Hadrich, I., Khemakhem, N., Ilahi, A., Trabelsi, H., Sellami, H., Makni, F., Neji, S. and Ayadi, A. (2023). Genotypic Analysis of the population structure in Malassezia globosa and Malassezia restricta. Journal of Fungi, 9(2), 263. https://doi.org/10.3390/jof9020263 Haddaway, N. R., Page, M. J., Pritchard, C. C. and McGuinness, L. A. (2022). PRISMA 2020: An R package and shiny app for producing PRISMA 2020‐compliant flow diagrams, with interactivity for optimised digital transparency and open synthesis. Campbell Systematic Reviews, 18(2), e1230. https://doi.org/10.1002/cl2.1230 Gholami, M., Mokhtari, F. and Mohammadi, R. (2020). Identification of Malassezia species using direct PCR-sequencing on clinical samples from patients with pityriasis versicolor and seborrheic dermatitis. Current Medical Mycology. https://doi.org/10.18502/CMM.6.3.3984 Eghtedarnejad, E., Khajeh, S., Zomorodian, K., Ghasemi, Z., Yazdanpanah, S. and Motamedi, M. (2023). Direct molecular analysis of Malassezia species from the clinical samples of patients with pityriasis versicolor. Current Medical Mycology, 9(1), 28-31. https://doi.org/10.18502/CMM.2023.345029.1398 Diongue, K., Kébé, O., Faye, M. D., Samb, D., Diallo, M. A., Ndiaye, M., Seck, M. C., Badiane, A. S., Ranque, S. y Ndiaye, D. (2018). MALDI-TOF MS identification of Malassezia species isolated from patients with pityriasis versicolor at the seafarers’ medical service in Dakar, Senegal. Journal the Mycologie Médicale, 28(4), 590-593. https://doi.org/10.1016/j.mycmed.2018.09.007 Didehdar, M., Sayed, A., Mehbod, A., Eslamirad, Z., Mosayebi, M., Hajihossein, R., Ghorbanzade, B. and Khazaei, M. (2014). Identification of Malassezia species isolated from patients with pityriasis versicolor using PCR-RFLP method in Markazi province, Central Iran. Iranian Journal of Public Health, 43(5), 682-686. Pedrosa, A. F., Lisboa, C. and Gonçalves Rodrigues A. (2018). Malassezia infections with systemic involvement: figures and facts. The Journal of Dermatology, 45(11), 1278-1282. https://doi.org/10.1111/1346-8138.14653 Rathie, B., Theelen, B., Laurence, M. and Shapiro, R. S. (2023). Antimicrobial susceptibility testing for three Malassezia species. Microbiology Spectrum, 11. https://doi.org/10.1128/spectrum.05076-22 Chen, I. L., Chiu, N. C., Chi, H., Hsu, C. H., Chang, J. H., Huang, D. and Huang, F. Y. (2017). Changing of bloodstream infections in a medical center neonatal intensive care unit. Journal of Microbiology, Immunology and Infection, 50(4), 514-520. https://doi.org/10.1016/j.jmii.2015.08.023 info:eu-repo/semantics/article Text http://purl.org/coar/access_right/c_abf2 info:eu-repo/semantics/openAccess http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/publishedVersion http://purl.org/redcol/resource_type/ART http://purl.org/coar/resource_type/c_2df8fbb1 http://purl.org/coar/resource_type/c_6501 Zhang, X., Jin, F., Ni, F., Xu, Y., Lu, Y. y Xia, W. (2023). Clinical data analysis of 86 patients with invasive infections caused by Malassezia furfur from a tertiary medical center and 37 studies. Frontiers in Cellular and Infection Microbiology, 13. https://doi.org/10.3389/fcimb.2023.1079535 Rhimi, W., Theelen, B., Boekhout, T., Otranto, D. and Cafarchia, C. (2020). Malassezia spp. Yeasts of emerging concern in fungemia. Frontiers in Cellular and Infection Microbiology, 10. https://doi.org/10.3389/fcimb.2020.00370 Wu, G., Zhao, H., Li, C., Rajapakse, M. P., Wong, W. C., Xu, J., Saunders, C. W., Reeder, N. L., Reilman, R. A., Scheynius, A., Sun, S., Billmyre, B. R., Li, W., Averette, A. F., Mieczkowski, P., Heitman, J.,Theelen, B., Schröder, M. S., Florez De Sessions, P… Dawson, T. L. (2015). Genus-wide comparative genomics of Malassezia delineates its phylogeny, physiology, and niche adaptation on human skin. PLoS Genetics, 11(11), e1005614. https://doi.org/10.1371/journal.pgen.1005614 Wang, K., Cheng, L., Li, W., Jiang, H., Zhang, X., Liu, S., Huang, Y., Quiang, M., Dong, T., Li, Y., Wang, J., Feng, S. and Li, H. (2020). Susceptibilities of Malassezia strains from Pityriasis versicolor, Malassezia folliculitis and seborrheic dermatitis to antifungal drugs. Heliyon, 6(6), e04203. https://doi.org/10.1016/j.heliyon.2020.e04203 Velegraki, A., Cafarchia, C., Gaitanis, G., Iatta, R. and Boekhout, T. (2015). Malassezia infections in humans and animals: pathophysiology, detection, and treatment. PLoS Pathogens, 11(1), e1004523.https://doi.org/10.1371/journal.ppat.1004523 Tetsuka, N., Muramatsu, H., Iguchi, M., Oka, K., Morioka, H., Takahashi, Y. and Yagi, T. (2022). Difficulties in diagnosing Malassezia furfur bloodstream infection and possibility of spontaneous resolution in a patient undergoing chemotherapy for neuroblastoma: a case report. Journal of Infection and Chemotherapy, 28(7), 987-990. https://doi.org/10.1016/j.jiac.2022.02.026 Teoh, Z., Mortensen, J. and Schaffzin, J. K. (2022). Invasive Malassezia pachydermatis infection in an 8-year-old child on lipid parenteral nutrition. Case Reports in Infectious Diseases, 1-4. https://doi.org/10.1155/2022/8636582 Sparber, F., Ruchti, F. and LeibundGut-Landmann, S. (2020). Host immunity to Malassezia in health and disease. Frontiers in Cellular and Infection Microbiology, 10. https://doi.org/10.3389/fcimb.2020.00198 Sparber, F., De Gregorio, C., Steckholzer, S., Ferreira, F. M., Dolowschiak, T., Ruchti, F., Kirchner, F. R., Mertens, S., Prinz, I., Joller, N., Buch, T., Glatz, M., Sallusto, F. and LeibundGut-Landmann, S. (2019). The skin commensal yeast Malassezia triggers a type 17 response that coordinates anti-fungal immunity and exacerbates skin inflammation. Cell Host and Microbe, 25(3), P389-403.E6. https://doi.org/10.1016/j.chom.2019.02.002 Sosa, M. A., Rojas, F., Mangiaterra, M. and Giusiano, G. (2013). Prevalencia de especies de Malassezia asociadas a lesiones de Dermatitis seborreica en pacientes de Argentina. Revista Iberoaméricana de Micología, 30(4), 239-242. https://doi.org/10.1016/j.riam.2013.02.002 Saunte, D. M., Gaitanis, G. and Hay, R. J. (2020). Malassezia-associated skin diseases, the use of diagnostics and treatment. Frontiers in Cellular and Infection Microbiology, 10. https://doi.org/10.3389/fcimb.2020.00112 Chen, I. T., Chen, C. C., Huang, H. C., Kuo and K. C. (2020). Malassezia furfur emergence and candidemia trends in a neonatal intensive care unit during 10 years. Advances in Neonatal Care, 20(1), E3-E8. https://doi.org/10.1097/ANC.0000000000000640 Celis, A. M., Vos, A. M., Triana, S., Medina, C. A., Escobar, N., Restrepo, S., Wösten, H. A. B. and De Cock, H. (2017). Highly efficient transformation system for Malassezia furfur and Malassezia pachydermatis using Agrobacterium tumefaciens-mediated transformation. Journal of Microbiological Methods, 134, 1-6. https://doi.org/10.1016/j.mimet.2017.01.001 Campigotto, A., Richardson, S. E., Sebert, M., McElvania TeKippe, E., Chakravarty, A. and Doern, C.D. (2016). Low utility of paediatric isolator blood culture system for detection of fungemia in children:a 10-year review. Journal of Clinical Microbiology, 54(9). https://doi.org/10.1128/JCM.00578-16 catéter 1 19 sistémico (DeCS) lípido levadura enriquecido Garzón Castaño, Sandra Catalina application/pdf Montoya Giraldo, Luz A. Echeverri Herrera, Daniela Gil Grajales, Ángela M. Galvis Marín, Juan Camilo Giraldo Ospina, Beatriz Introducción: Malassezia, un género de levaduras lipofílicas y lipodependientes, puede desencadenar fungemia en pacientes con infecciones sistémicas, especialmente en recién nacidos prematuros en la Unidad de Cuidados Intensivos Neonatal (UCIN), sometidos a tratamientos amplios como antibióticos, nutrición parenteral prolongada y catéter venoso central (CVC). Objetivo: Realizar una evaluación de la eficiencia de los medios de cultivo fúngicos empleados en el aislamiento de levaduras lipodependientes, pertenecientes al género Malassezia, con el fin de garantizar un diagnóstico preciso de las fungemias asociadas a estas especies reportadas en una ventana de medición comprendida entre 2014 y 2023. Materiales y métodos: Se efectuó una revisión minuciosa conforme a las directrices de la declaración PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis), complementada con un análisis metodológico según las directrices STROBE (fortalecimiento de la notificación de estudios observacionales en epidemiología, por sus siglas en inglés), abarcando un total de 16 estudios epidemiológicos de naturaleza transversal, observacional y descriptiva. Estos estudios se centraron en la detección de la presencia de Malassezia spp. en muestras clínicas, detallando los métodos empleados para el aislamiento de cepas de Malassezia spp. causante de fungemia. Resultados: De un total de 1335 publicaciones, provenientes de cuatro bases de datos, se seleccionaron 16 estudios significativos que abordaron la presencia de M. furfur, M. restricta, M. pachydermatis, M. globosa y M. sympodialis. Los medios de cultivo destacados fueron Agar Dextrosa Sabouraud, Agar mDixon y Agar FastFung. Conclusión: La detección precisa y temprana de Malassezia spp., mediante métodos de aislamiento complementados por diagnóstico molecular, no solo es crucial para orientar el tratamiento, sino que también desempeña un papel fundamental en la gestión efectiva de diversas enfermedades dermatológicas asociadas a Malassezia spp. Núm. 1 , Año 2020 : Enero-Junio Artículo de revista Universidad de Caldas Español Atsü, N., Ergin, Ç., Caf, N., Türkoğlu, Z., Döğen, A. and İlkit, M. (2022). Effectiveness of FastFung agar in the isolation of Malassezia furfur from skin samples. Mycoses, 65(7), 704-708. https://doi.org/10.1111/myc.13450 Arendrup, M. C., Boekhout, T., Akova, M., Meis, J. F., Cornely, O. A. and Lortholary, O. (2014). ESCMID and ECMM joint clinical guidelines for the diagnosis and management of rare invasive yeast infections. Clinical Microbiology and Infection, 20(Spl 3), 76-98. https://doi.org/10.1111/1469-0691.12360 Al-Sweih, N., Ahmad, S., Joseph, L., Khan, S. and Khan, Z. (2014). Malassezia pachydermatis fungemia in a preterm neonate resistant to fluconazole and flucytosine. Medical Mycology Case Reports, 5, 9-11. https://doi.org/10.1016/j.mmcr.2014.04.004 Abdillah, A. and Ranque, S. (2021). Chronic diseases associated with Malassezia yeast. Journal of Fungi, 7(10), 855. https://doi.org/10.3390/jof7100855 Abdillah, A., Khelaifia, S., Raoult, D., Bittar, F. and Ranque, S. (2020). Comparison of three skin sampling methods and two media for culturing Malassezia yeast. Journal of Fungi, 6(4). https://doi.org/10.3390/jof6040350 https://creativecommons.org/licenses/by-nc-sa/4.0/ https://revistasojs.ucaldas.edu.co/index.php/biosalud/article/view/9858 Publication Biosalud systemic (MeSH) Introduction: Malassezia, a genus of lipophilic and lipo-dependent yeasts, can induce fungemia in patients with systemic infections, particularly in preterm infants in the neonatal intensive care unit (NICU) undergoing extensive treatment with antibiotics, prolonged parenteral nutrition and central venouscatheters (CVCs). Objective: To evaluate the efficiency of fungal culture media used in the isolation of lipodependent yeasts belonging to the genus Malassezia, in order to ensure accurate diagnosis of fungal infections associated with these species reported in a measurement window between 2014 and 2023. Materials and methods: A thorough review was performed according to the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines, supplemented by a methodological analysis according to the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines, including a total of 16 epidemiological studies of cross-sectional, observational and descriptive nature. These studies focused on the detection of Malassezia spp. in clinical samples and described the methods used to isolate strains of Malassezia spp. causing fungemia. Results: From a total of 1335 publications from four databases, 16 significant studies were selected that addressed the presence of M. furfur, M. restricta, M. pachydermatis, M. globosa and M. sympodialis. Culture media highlighted included Sabouraud dextrose agar, mDixon agar and FastFung agar. Conclusion: Accurate and early detection of Malassezia spp. by isolation methods complemented by molecular diagnostics is not only crucial for treatment guidance, but also plays a fundamental role in the effective management of various dermatological diseases associated with Malassezia spp. Journal article Evaluation of different methods for the isolation of Malassezia spp. causing fungemia: a systematic review yeast enriched catheter lipid https://doi.org/10.17151/biosa.2020.19.1.4 2462-960X https://revistasojs.ucaldas.edu.co/index.php/biosalud/article/download/9858/7759 10.17151/biosa.2020.19.1.4 88 103 2025-02-05 2025-02-05T00:00:00Z 2025-02-05T00:00:00Z 1657-9550 |
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UNIVERSIDAD DE CALDAS |
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https://nuevo.metarevistas.org/UNIVERSIDADDECALDAS/logo.png |
country_str |
Colombia |
collection |
Biosalud |
title |
Evaluación de diferentes métodos de aislamiento de Malassezia spp. causante de fungemia: una revisión sistemática |
spellingShingle |
Evaluación de diferentes métodos de aislamiento de Malassezia spp. causante de fungemia: una revisión sistemática Garzón Castaño, Sandra Catalina Montoya Giraldo, Luz A. Echeverri Herrera, Daniela Gil Grajales, Ángela M. Galvis Marín, Juan Camilo Giraldo Ospina, Beatriz catéter sistémico (DeCS) lípido levadura enriquecido systemic (MeSH) yeast enriched catheter lipid |
title_short |
Evaluación de diferentes métodos de aislamiento de Malassezia spp. causante de fungemia: una revisión sistemática |
title_full |
Evaluación de diferentes métodos de aislamiento de Malassezia spp. causante de fungemia: una revisión sistemática |
title_fullStr |
Evaluación de diferentes métodos de aislamiento de Malassezia spp. causante de fungemia: una revisión sistemática |
title_full_unstemmed |
Evaluación de diferentes métodos de aislamiento de Malassezia spp. causante de fungemia: una revisión sistemática |
title_sort |
evaluación de diferentes métodos de aislamiento de malassezia spp. causante de fungemia: una revisión sistemática |
title_eng |
Evaluation of different methods for the isolation of Malassezia spp. causing fungemia: a systematic review |
description |
Introducción: Malassezia, un género de levaduras lipofílicas y lipodependientes, puede desencadenar fungemia en pacientes con infecciones sistémicas, especialmente en recién nacidos prematuros en la Unidad de Cuidados Intensivos Neonatal (UCIN), sometidos a tratamientos amplios como antibióticos, nutrición parenteral prolongada y catéter venoso central (CVC). Objetivo: Realizar una evaluación de la eficiencia de los medios de cultivo fúngicos empleados en el aislamiento de levaduras lipodependientes, pertenecientes al género Malassezia, con el fin de garantizar un diagnóstico preciso de las fungemias asociadas a estas especies reportadas en una ventana de medición comprendida entre 2014 y 2023. Materiales y métodos: Se efectuó una revisión minuciosa conforme a las directrices de la declaración PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis), complementada con un análisis metodológico según las directrices STROBE (fortalecimiento de la notificación de estudios observacionales en epidemiología, por sus siglas en inglés), abarcando un total de 16 estudios epidemiológicos de naturaleza transversal, observacional y descriptiva. Estos estudios se centraron en la detección de la presencia de Malassezia spp. en muestras clínicas, detallando los métodos empleados para el aislamiento de cepas de Malassezia spp. causante de fungemia. Resultados: De un total de 1335 publicaciones, provenientes de cuatro bases de datos, se seleccionaron 16 estudios significativos que abordaron la presencia de M. furfur, M. restricta, M. pachydermatis, M. globosa y M. sympodialis. Los medios de cultivo destacados fueron Agar Dextrosa Sabouraud, Agar mDixon y Agar FastFung. Conclusión: La detección precisa y temprana de Malassezia spp., mediante métodos de aislamiento complementados por diagnóstico molecular, no solo es crucial para orientar el tratamiento, sino que también desempeña un papel fundamental en la gestión efectiva de diversas enfermedades dermatológicas asociadas a Malassezia spp.
|
description_eng |
Introduction: Malassezia, a genus of lipophilic and lipo-dependent yeasts, can induce fungemia in patients with systemic infections, particularly in preterm infants in the neonatal intensive care unit (NICU) undergoing extensive treatment with antibiotics, prolonged parenteral nutrition and central venouscatheters (CVCs). Objective: To evaluate the efficiency of fungal culture media used in the isolation of lipodependent yeasts belonging to the genus Malassezia, in order to ensure accurate diagnosis of fungal infections associated with these species reported in a measurement window between 2014 and 2023. Materials and methods: A thorough review was performed according to the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines, supplemented by a methodological analysis according to the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines, including a total of 16 epidemiological studies of cross-sectional, observational and descriptive nature. These studies focused on the detection of Malassezia spp. in clinical samples and described the methods used to isolate strains of Malassezia spp. causing fungemia. Results: From a total of 1335 publications from four databases, 16 significant studies were selected that addressed the presence of M. furfur, M. restricta, M. pachydermatis, M. globosa and M. sympodialis. Culture media highlighted included Sabouraud dextrose agar, mDixon agar and FastFung agar. Conclusion: Accurate and early detection of Malassezia spp. by isolation methods complemented by molecular diagnostics is not only crucial for treatment guidance, but also plays a fundamental role in the effective management of various dermatological diseases associated with Malassezia spp.
|
author |
Garzón Castaño, Sandra Catalina Montoya Giraldo, Luz A. Echeverri Herrera, Daniela Gil Grajales, Ángela M. Galvis Marín, Juan Camilo Giraldo Ospina, Beatriz |
author_facet |
Garzón Castaño, Sandra Catalina Montoya Giraldo, Luz A. Echeverri Herrera, Daniela Gil Grajales, Ángela M. Galvis Marín, Juan Camilo Giraldo Ospina, Beatriz |
topicspa_str_mv |
catéter sistémico (DeCS) lípido levadura enriquecido |
topic |
catéter sistémico (DeCS) lípido levadura enriquecido systemic (MeSH) yeast enriched catheter lipid |
topic_facet |
catéter sistémico (DeCS) lípido levadura enriquecido systemic (MeSH) yeast enriched catheter lipid |
citationvolume |
19 |
citationissue |
1 |
citationedition |
Núm. 1 , Año 2020 : Enero-Junio |
publisher |
Universidad de Caldas |
ispartofjournal |
Biosalud |
source |
https://revistasojs.ucaldas.edu.co/index.php/biosalud/article/view/9858 |
language |
Español |
format |
Article |
rights |
http://purl.org/coar/access_right/c_abf2 info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by-nc-sa/4.0/ |
references |
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