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Medium-chain triglycerides inhibit growth ofMalassezia:Implications for prevention of systemic infection

 

作者: Charis Papavassilis,   Kerstin Mach,   Peter Mayser,  

 

期刊: Critical Care Medicine  (OVID Available online 1999)
卷期: Volume 27, issue 9  

页码: 1781-1786

 

ISSN:0090-3493

 

年代: 1999

 

出版商: OVID

 

关键词: Malassezia;Malasseziagrowth and development;Malasseziadrug effects;sepsis;sepsis prevention and control;catheter-associated;medium-chain triglyceride-enriched;lipid emulsions;neonatal pediatric;immunocompromised host

 

数据来源: OVID

 

摘要:

Objective:LipophilicMalasseziaspecies may induce catheter-associated sepsis in newborns and immunocompromised patients receiving parenteral lipids. Therefore, we tested whetherM. furfurand six otherMalasseziaspecies can use commercially available infusions as a lipid source.Design:Prospectivein vitrostudy.Setting:Research laboratory in a university hospital.Interventions:None.Measurements and Main Results:With the exception ofM. restricta,allMalasseziaspecies grow on lipid infusions. There are no substantial differences among the different brands. The most rapid growth is shown byM. furfur,which grows better on agar containing a 20% rather than a 10% lipid infusion. Growth ofM. furfurandM. sympodialiscan be reduced by infusions containing medium-chain triglycerides. Incubated in triglycerides,M. furfuris strongly suppressed by 50% medium-chain triglycerides andM. sympodialisby 8% medium-chain triglycerides. When medium-chain free fatty acids are added to triglycerides, both species can be suppressed by about 1% free fatty acids.Conclusion:Medium-chain triglycerides and medium-chain free fatty acids are toxic forMalasseziaspecies. Commercially available infusions containing medium-chain triglycerides might be used to prevent systemicMalasseziainfections.

 



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