Caracterización epidemiológica y microbiológica, mediante cultivo de biopsia, de los casos de úlceras venosas sobreinfectadas en el Hospital Universitario del Caribe.
- Autores:
-
Lozano Bretón, Camilo Eduardo
Ramírez Barakat, Efraín Augusto
Cuadrado Cano, Bernarda
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2020
- Institución:
- Universidad de Cartagena
- Repositorio:
- Repositorio Universidad de Cartagena
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.unicartagena.edu.co:11227/13409
- Acceso en línea:
- https://doi.org/10.32997/rcb-2020-3156
- Palabra clave:
- Venous insufficiency
Varicose ulcer
Culture techniques
Biopsy
Insuficiencia venosa
Úlcera varicosa
Técnicas de cultivo
Biopsia
- Rights
- openAccess
- License
- Revista Ciencias Biomédicas - 2020
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dc.title.spa.fl_str_mv |
Caracterización epidemiológica y microbiológica, mediante cultivo de biopsia, de los casos de úlceras venosas sobreinfectadas en el Hospital Universitario del Caribe. |
dc.title.translated.eng.fl_str_mv |
Epidemiological and microbiological characterization, by biopsy culture, of the cases of superinfected venous ulcers at the Hospital Universitario del Caribe. |
title |
Caracterización epidemiológica y microbiológica, mediante cultivo de biopsia, de los casos de úlceras venosas sobreinfectadas en el Hospital Universitario del Caribe. |
spellingShingle |
Caracterización epidemiológica y microbiológica, mediante cultivo de biopsia, de los casos de úlceras venosas sobreinfectadas en el Hospital Universitario del Caribe. Venous insufficiency Varicose ulcer Culture techniques Biopsy Insuficiencia venosa Úlcera varicosa Técnicas de cultivo Biopsia |
title_short |
Caracterización epidemiológica y microbiológica, mediante cultivo de biopsia, de los casos de úlceras venosas sobreinfectadas en el Hospital Universitario del Caribe. |
title_full |
Caracterización epidemiológica y microbiológica, mediante cultivo de biopsia, de los casos de úlceras venosas sobreinfectadas en el Hospital Universitario del Caribe. |
title_fullStr |
Caracterización epidemiológica y microbiológica, mediante cultivo de biopsia, de los casos de úlceras venosas sobreinfectadas en el Hospital Universitario del Caribe. |
title_full_unstemmed |
Caracterización epidemiológica y microbiológica, mediante cultivo de biopsia, de los casos de úlceras venosas sobreinfectadas en el Hospital Universitario del Caribe. |
title_sort |
Caracterización epidemiológica y microbiológica, mediante cultivo de biopsia, de los casos de úlceras venosas sobreinfectadas en el Hospital Universitario del Caribe. |
dc.creator.fl_str_mv |
Lozano Bretón, Camilo Eduardo Ramírez Barakat, Efraín Augusto Cuadrado Cano, Bernarda |
dc.contributor.author.spa.fl_str_mv |
Lozano Bretón, Camilo Eduardo Ramírez Barakat, Efraín Augusto Cuadrado Cano, Bernarda |
dc.subject.eng.fl_str_mv |
Venous insufficiency Varicose ulcer Culture techniques Biopsy |
topic |
Venous insufficiency Varicose ulcer Culture techniques Biopsy Insuficiencia venosa Úlcera varicosa Técnicas de cultivo Biopsia |
dc.subject.spa.fl_str_mv |
Insuficiencia venosa Úlcera varicosa Técnicas de cultivo Biopsia |
publishDate |
2020 |
dc.date.accessioned.none.fl_str_mv |
2020-07-15 00:00:00 |
dc.date.available.none.fl_str_mv |
2020-07-15 00:00:00 |
dc.date.issued.none.fl_str_mv |
2020-07-15 |
dc.type.spa.fl_str_mv |
Artículo de revista |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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info:eu-repo/semantics/publishedVersion |
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http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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http://purl.org/coar/resource_type/c_6501 |
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Text |
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Journal article |
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2215-7840 |
dc.identifier.doi.none.fl_str_mv |
10.32997/rcb-2020-3156 |
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2389-7252 |
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https://doi.org/10.32997/rcb-2020-3156 |
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Revista Ciencias Biomédicas |
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https://revistas.unicartagena.edu.co/index.php/cbiomedicas/article/download/3156/2683 |
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Núm. 2 , Año 2020 |
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dc.relation.references.spa.fl_str_mv |
Pizano Ramírez ND. Guías colombianas para el diagnóstico y el manejo de los desórdenes crónicos de las venas. Bogotá: Asociación Colombiana de Angiología y Cirugía Vascular; 2009. Abbad C, Horcajo R, Ortega D, Madrid C, Capitulo español de Flebología y Linfología. Guía de práctica clínica en enfermedad venosa crónica. Sociedad Española de Cirugía V ascular y Angiología. 2015;68(1):55-62. https://doi.org/10.1016/j.angio.2015.09.011 O'Donnell T, Passman M, Marston W, Ennis W, Dalsing M, Kistner R, et al. Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg. 2014;60(2):3-59. https://doi.org/10.1016/j.jvs.2014.04.049 Díaz-Tello J, Rojas-Jaimes J, Ibarra-Trujillo J, Tárraga-Gonzales D. Sensibilidad antimicrobiana de la microbiota ambiental de las unidades de cuidados intensivos de un hospital peruano. Rev Per Med Exp y Sal Pub. 2017; 34(1): 93. https://doi.org/10.17843/rpmesp.2017.341.2709 Pugliese D. Infection in V enous Leg Ulcers: Considerations for Optimal Management in the Elderly. Drugs & Aging. 2016;33(2):87-96. https://doi.org/10.1007/s40266-016-0343-8 Stevens D, Bisno A, Chambers H, Dellinger E, Goldstein E, Gorbach S, et al. Practice Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections: 2014 Update by the Infectious Diseases Society of America. Clin Infect Dis. 2014; 59(2): e10- e52. https://doi.org/10.1093/cid/ciu296 Marston W, Tang J, Kirsner R, Ennis W. Wound healing society 2015 update on guidelines for venous ulcers. Wound Repair Regen. 2016;24(1):136-144. https://doi.org/10.1111/wrr.12394 Mallick R, Lal B, Daugherty C. Relationship between patient-reported symptoms, limitations in daily activities, and psychological impact in varicose veins. J Vasc Surg. 2017;5(2):224-237. https://doi.org/10.1016/j.jvsv.2016.11.004 Paty J, Turner-Bowker D, Elash C, Wright D. The VVSymQ® instrument: Use of a new patient-reported outcome measure for assessment of varicose vein symptoms. Phlebology.. 2016;31(7):481-488. https://doi.org/10.1177/0268355515595193 Bland J, Dumville J, Ashby R, Gabe R, Stubbs N, Adderley U, et al. Validation of the VEINES-QOL quality of life instrument in venous leg ulcers: repeatability and validity study embedded in a randomised clinical trial. BMC Cardiovasc Disord. 2015;15(1):17-25. https://doi.org/10.1186/s12872-015-0080-7 Di Domenico E, Farulla I, Prignano G, Gallo M, Vespaziani M, Cavallo I, et al. Biofilm is a Major Virulence Determinant in Bacterial Colonization of Chronic Skin Ulcers Independently from the Multidrug Resistant Phenotype. International J Molr Science. 2017;18(5):1077. https://doi.org/10.3390/ijms18051077 Romero Cabello R. Microbiología y parasitología humana. México: Medica Panamericana; 2007:145- 161. Dressel S, Harder J, Cordes J, Wittersheim M, Meyer- Hoffert U, Sunderkötter C, et al. Differential expression of antimicrobial peptides in margins of chronic wounds. Exp Dermatol. 2010;19(7):628-632. https://doi.org/10.1111/j.1600-0625.2009.01030.x Satokawa H, Yamaki T, Iwata H, Sakata M, Sugano N, Nishibe T, et al. Treatment of Primary Varicose Veins in Japan: Japanese V ein Study XVII. Ann V asc Dis. 2016; 9(3): 180-187. https://doi.org/10.3400/avd.oa.16-00064 Caprini J, Partsch H, Simman R. Venous Ulcers. J Am Coll Clin Wound Spec. 2012;4(3):54-60. https://doi.org/10.1016/j.jccw.2013.11.001 Ortiz J, García R, Segovia T, Cantero M, Sánchez I, Ramos A. Microbiología de las infecciones de úlceras por presión y de origen vascular. Rev Esp Geriatr Gerontol. 2015; 50(1): 5-8. https://doi.org/10.1016/j.regg.2014.08.001 Rahim K, Saleha S, Zhu X, Huo L, Basit A, Franco O. Bacterial Contribution in Chronicity of Wounds. Microbial Ecology. 2016;73(3):710-721. https://doi.org/10.1007/s00248-016-0867-9 Honorato-Sampaio K, Martins Guedes A, Nogueira Lima V, Borges E. Bacterial biofilm in chronic venous ulcer. Braz J Infect Dis. 2014;18(3):350-351. https://doi.org/10.1016/j.bjid.2014.01.003 Martins M, Santos S, Leão L, Araújo N, Bachion M. Prevalence of resistance phenotypes in Staphylococcus aureus and coagulase-negative isolates of venous ulcers of primary healthcare patients. Rev Soc Bras Med Trop. 2012; 45(6): 717-722. https://doi.org/10.1590/S0037-86822012000600012 Dowd S, Sun Y, Secor P, Rhoads D, Wolcott B, James G, et al. Survey of bacterial diversity in chronic wounds using Pyrosequencing, DGGE, and full ribosome shotgun sequencing. BMC Microbiol. 2008; 8(1): 43. https://doi.org/10.1186/1471-2180-8-43 O'Meara S, Al-Kurdi D, Ologun Y , Ovington James M, Richardson R. Antibiotics LG, Martyn-Stand antiseptics for venous leg ulcers. Cochrane Database Syst Rev. 2014;(1): 12-17. https://doi.org/10.1002/14651858.CD003557.pub5 Dos Santos S, Martins M, do Prado M, Soriano J, Bachion M. Are there clinical signs and symptoms of infection to indicate the presence of multidrug-resistant bacteria in venous ulcers? J V asc Nurs. 2017;35(4):178-186. https://doi.org/10.1016/j.jvn.2017.08.001 Jud P, Valentin T, Regauer S, Gary T, Hackl G, Rief P, et al. Invasive Candida krusei infection and Candida vasculitis of a leg ulcer in an immunocompetent patient: A case report. Int J Infect Dis. 2017;55(1):96- 98. https://doi.org/10.1016/j.ijid.2017.01.010 Lazareth I. Quand s'inquiéter devant un ulcère de jambe d'origine vasculaire ?. J Mal Vasc. 2016;41(5):307-314. https://doi.org/10.1016/j.jmv.2016.07.008 Sopata M, Kucharzewski M, Tomaszewska E. Antiseptic with modern wound dressings in the treatment of venous leg ulcers: clinical and microbiological aspects. J Wound Care. 2016; 25(8): 419-426. https://doi.org/10.12968/jowc.2016.25.8.419 Bianchi T, Wolcott R, Peghetti A, Leaper D, Cutting K, Polignano R, et al. Recommendations for the management of biofilm: a consensus document. J Wound Care. 2016; 25(6): 305-317. https://doi.org/10.12968/jowc.2016.25.6.305 González de la Torre H, Quintana-Lorenzo M, Perdomo-Pérez E, V erdú J. Correlation between health-related quality of life and venous leg ulcer's severity and characteristics: a cross-sectional study. Int Wound J. 2016;14(2):360-368. https://doi.org/10.1111/iwj.12610 Kirsner R, Vivas A. Lower-extremity ulcers: diagnosis and management.Br J Dermatol. 2015;173(2):379- 390. https://doi.org/10.1111/bjd.13953 Kelechi T, Johnson J, Yates S. Chronic venous disease and venous leg ulcers: An evidence-based update. J V asc Nursing. 2015;33(2):36-46. https://doi.org/10.1016/j.jvn.2015.01.003 SunX,NiP,WuM,HuangY,YeJ,XieT.A clinicoepidemiological profile of chronic wounds in wound healing Department in Shanghai. Int J Low Extrem Wounds. 2017;16(1):16-34. https://doi.org/10.1177/1534734617696730 Stansal A, Lazareth I, Gautier V, Sfeir D, Attal R, Priollet P. Comment réduire la douleur liée à un ulcère de jambe?. Collège Français de Patholigie Vasculaire. 2016; 4936(5): 305-351. https://doi.org/10.1016/j.jmv.2016.07.004 Lurie F, Bittar S, Kasper G. Optimal Compression Therapy and Wound Care for Venous Ulcers. Surg Clin North Am. 2018; 98(2): 349-360. https://doi.org/10.1016/j.suc.2017.11.006 Raffetto J. Pathophysiology of Chronic Venous Disease and Venous Ulcers. Surg Clin North Am. 2018; 98(2): 337-347. https://doi.org/10.1016/j.suc.2017.11.002 Winter M, Schernthaner G, Lang I. Chronic complications of venous thromboembolism. J Thromb Haemost. 2017; 15: 1531-40. https://doi.org/10.1111/jth.13741 Appelen D, van Loo E, Prins M, Neumann M, Kolbach. Compression therapy for prevention of post-thrombotic syndrome. Cochrane Database Syst. Rev. 2017; 9(9): CD004174. https://doi.org/10.1002/14651858.CD004174 HernándezB,VelascoH.EncuestasTransversales.En: Hernández M. Epidemiología. Diseño y análisis de estudios. México: Editorial Médica Panamericana. 2000. Bergoglio L, Mestman J. The National Academy of Clinical Biochemistry Consensus Guide for the Diagnosis and Follow-up of Thyroid Disease. Acta Bioquim Clin Latinoam. 2007;41(1):87-119. Castañeda J, Vanegas H, Rodríguez M. Presentación de datos estadísticos. En: Ruiz A, Morillo LE. Epidemiología clínica: Investigación clínica aplicada. Colombia: Editorial Medica Panamericana. 2015. p 487-507. Zhou Q, Zhu K. Deep cutaneous ulcers and sinus formation in an immunocompetent adult. An Bras Dermatol. 2019; 94(6): 744-746. https://doi.org/10.1016/j.abd.2018.12.003 Andersen A, Hill K, Stephens P, Thomas D, Jorgensen B, Krogfelt K. Bacterial profiling using skin grafting, standard culture and molecular bacteriological methods. J Wound Care. 2007;16(4):171-5. https://doi.org/10.12968/jowc.2007.16.4.27025 Holloway S. Skin considerations for older adults with wounds. 2019;24(6):234-241. https://doi.org/10.12968/bjcn.2019.24.Sup6.S15 Bonkemeyer S, Gan R, Townsend P. Venous Ulcers: Diagnosis and Treatment. Am Fam Physician. 2019;100(5):298-305. Fife E, Horn D. The Wound Healing Index for Predicting Venous Leg Ulcer Outcome. Adv Wound Care. 2020;9(2):68-77. https://doi.org/10.1089/wound.2019.1038 Bui U, Finlayson K, Edwards H. The diagnosis of infection in chronic leg ulcers: A narrative review on clinical practice. Int Wound J. 2019; 16:601-620. https://doi.org/10.1111/iwj.13069 Pereira J. Antibiogram in the biopsy of chronic venous ulcers related to sudden changes in the pain profile. G Chir. 2019;40(2):149-152. Bui U, Finlayson K, Edwards H. Risk factors for infection in patients with chronic leg ulcers: A survival analysis. Inter J Clin Pract. 2018;72(12):e13263. https://doi.org/10.1111/ijcp.13263 Ou L, Yeh F, Fang R, Yu K. Bacteriology of necrotizing fasciitis: a review of 58 cases. Zhonghua Yi Xue Za Zhi (Taipei). 1993;51(4):271-5. Ribeiro DML, Carvalho Júnior AR, Vale de Macedo GHR, Chagas VL, Silva LDS, Cutrim B, et al. Polysaccharide-Based Formulations for Healing of Skin-Related Wound Infections: Lessons from Animal Models and Clinical Trials. Biomolecules. 2019;10(1):63. https://doi.org/10.3390/biom10010063 Gök Ş, Türk Dağı H, Kara F. Investigation of Antibiotic Resistance and Virulence Factors of Enterococcus faecium and Enterococcus faecalis Strains Isolated from Clinical Samples. Mikrobiyol Bul. 2020;54(1):26-39. https://doi.org/10.5578/mb.68810 Drzewiecka D. Significance and Roles of Proteus spp. Bacteria in Natural Environments. Microb Ecol. 2016; 72(4): 741‐758. https://doi.org/10.1007/s00248-015-0720-6 Mordi R, Momoh M. Incidence of Proteus species in wound infections and their sensitivity pattern in the Universitiy of Benin Teaching Hospital. Afr J Biotechnol. 2009; 8(5): 725-730. Armbruster C, Mobley H, Pearson M. Pathogenesis of Proteus mirabilis infection. EcoSal Plus. 2018;8(1): 10.1128/ecoplus.ESP-0009-2017. https://doi.org/10.1128/ecosalplus.ESP-0009-2017 García-Orozco A, Padilla-Arellano J, Orozco-Jáuregui D, Orozco-Velazco F, Rodriguez-Mena A, Mayorga J. Frecuencia de resistencia bacteriana en púlceras cutáneas crónicas de los miembros inferiores. Dermatol Rev Mex. 2014; 58:150-156. Whitman WB. Bergey's Manual of Systematics of Archaea and Bacteria. Hoboken, New Yersey: Wiley; 2015. Hidalgo Tallón F. Fibromialgia: Un trastorno de estrés oxidativo. Rev. Soc. Esp. Dolor. 2012;19(2):95-100. |
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Lozano Bretón, Camilo EduardoRamírez Barakat, Efraín AugustoCuadrado Cano, Bernarda2020-07-15 00:00:002020-07-15 00:00:002020-07-152215-784010.32997/rcb-2020-31562389-7252https://doi.org/10.32997/rcb-2020-3156application/pdfspaUniversidad de CartagenaRevista Ciencias Biomédicashttps://revistas.unicartagena.edu.co/index.php/cbiomedicas/article/download/3156/2683Núm. 2 , Año 2020912769Pizano Ramírez ND. Guías colombianas para el diagnóstico y el manejo de los desórdenes crónicos de las venas. Bogotá: Asociación Colombiana de Angiología y Cirugía Vascular; 2009.Abbad C, Horcajo R, Ortega D, Madrid C, Capitulo español de Flebología y Linfología. Guía de práctica clínica en enfermedad venosa crónica. Sociedad Española de Cirugía V ascular y Angiología. 2015;68(1):55-62. https://doi.org/10.1016/j.angio.2015.09.011O'Donnell T, Passman M, Marston W, Ennis W, Dalsing M, Kistner R, et al. Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg. 2014;60(2):3-59. https://doi.org/10.1016/j.jvs.2014.04.049Díaz-Tello J, Rojas-Jaimes J, Ibarra-Trujillo J, Tárraga-Gonzales D. Sensibilidad antimicrobiana de la microbiota ambiental de las unidades de cuidados intensivos de un hospital peruano. Rev Per Med Exp y Sal Pub. 2017; 34(1): 93. https://doi.org/10.17843/rpmesp.2017.341.2709Pugliese D. Infection in V enous Leg Ulcers: Considerations for Optimal Management in the Elderly. Drugs & Aging. 2016;33(2):87-96. https://doi.org/10.1007/s40266-016-0343-8Stevens D, Bisno A, Chambers H, Dellinger E, Goldstein E, Gorbach S, et al. Practice Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections: 2014 Update by the Infectious Diseases Society of America. Clin Infect Dis. 2014; 59(2): e10- e52. https://doi.org/10.1093/cid/ciu296Marston W, Tang J, Kirsner R, Ennis W. Wound healing society 2015 update on guidelines for venous ulcers. Wound Repair Regen. 2016;24(1):136-144. https://doi.org/10.1111/wrr.12394Mallick R, Lal B, Daugherty C. Relationship between patient-reported symptoms, limitations in daily activities, and psychological impact in varicose veins. J Vasc Surg. 2017;5(2):224-237. https://doi.org/10.1016/j.jvsv.2016.11.004Paty J, Turner-Bowker D, Elash C, Wright D. The VVSymQ® instrument: Use of a new patient-reported outcome measure for assessment of varicose vein symptoms. Phlebology.. 2016;31(7):481-488. https://doi.org/10.1177/0268355515595193Bland J, Dumville J, Ashby R, Gabe R, Stubbs N, Adderley U, et al. Validation of the VEINES-QOL quality of life instrument in venous leg ulcers: repeatability and validity study embedded in a randomised clinical trial. BMC Cardiovasc Disord. 2015;15(1):17-25. https://doi.org/10.1186/s12872-015-0080-7Di Domenico E, Farulla I, Prignano G, Gallo M, Vespaziani M, Cavallo I, et al. Biofilm is a Major Virulence Determinant in Bacterial Colonization of Chronic Skin Ulcers Independently from the Multidrug Resistant Phenotype. International J Molr Science. 2017;18(5):1077. https://doi.org/10.3390/ijms18051077Romero Cabello R. Microbiología y parasitología humana. México: Medica Panamericana; 2007:145- 161.Dressel S, Harder J, Cordes J, Wittersheim M, Meyer- Hoffert U, Sunderkötter C, et al. Differential expression of antimicrobial peptides in margins of chronic wounds. Exp Dermatol. 2010;19(7):628-632. https://doi.org/10.1111/j.1600-0625.2009.01030.xSatokawa H, Yamaki T, Iwata H, Sakata M, Sugano N, Nishibe T, et al. Treatment of Primary Varicose Veins in Japan: Japanese V ein Study XVII. Ann V asc Dis. 2016; 9(3): 180-187. https://doi.org/10.3400/avd.oa.16-00064Caprini J, Partsch H, Simman R. Venous Ulcers. J Am Coll Clin Wound Spec. 2012;4(3):54-60. https://doi.org/10.1016/j.jccw.2013.11.001Ortiz J, García R, Segovia T, Cantero M, Sánchez I, Ramos A. Microbiología de las infecciones de úlceras por presión y de origen vascular. Rev Esp Geriatr Gerontol. 2015; 50(1): 5-8. https://doi.org/10.1016/j.regg.2014.08.001Rahim K, Saleha S, Zhu X, Huo L, Basit A, Franco O. Bacterial Contribution in Chronicity of Wounds. Microbial Ecology. 2016;73(3):710-721. https://doi.org/10.1007/s00248-016-0867-9Honorato-Sampaio K, Martins Guedes A, Nogueira Lima V, Borges E. Bacterial biofilm in chronic venous ulcer. Braz J Infect Dis. 2014;18(3):350-351. https://doi.org/10.1016/j.bjid.2014.01.003Martins M, Santos S, Leão L, Araújo N, Bachion M. Prevalence of resistance phenotypes in Staphylococcus aureus and coagulase-negative isolates of venous ulcers of primary healthcare patients. Rev Soc Bras Med Trop. 2012; 45(6): 717-722. https://doi.org/10.1590/S0037-86822012000600012Dowd S, Sun Y, Secor P, Rhoads D, Wolcott B, James G, et al. Survey of bacterial diversity in chronic wounds using Pyrosequencing, DGGE, and full ribosome shotgun sequencing. 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Dolor. 2012;19(2):95-100.Revista Ciencias Biomédicas - 2020https://creativecommons.org/licenses/by-nc-sa/4.0/http://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessEsta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.https://revistas.unicartagena.edu.co/index.php/cbiomedicas/article/view/3156Venous insufficiencyVaricose ulcerCulture techniquesBiopsyInsuficiencia venosaÚlcera varicosaTécnicas de cultivoBiopsiaCaracterización epidemiológica y microbiológica, mediante cultivo de biopsia, de los casos de úlceras venosas sobreinfectadas en el Hospital Universitario del Caribe.Epidemiological and microbiological characterization, by biopsy culture, of the cases of superinfected venous ulcers at the Hospital Universitario del Caribe.Artículo de revistainfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articleJournal articlePublicationOREORE.xmltext/xml2714https://repositorio.unicartagena.edu.co/bitstreams/986827c0-c75f-4a56-ad07-363d846177ff/download8108396c5be6d1f1231a75bf38527d55MD5111227/13409oai:repositorio.unicartagena.edu.co:11227/134092024-09-05 15:30:25.167https://creativecommons.org/licenses/by-nc-sa/4.0/Revista Ciencias Biomédicas - 2020metadata.onlyhttps://repositorio.unicartagena.edu.coBiblioteca Digital Universidad de Cartagenabdigital@metabiblioteca.com |