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Silicon is likely present as silicon dioxide quartz microparticles, an abrasive that can have sharp edges randomly distributed inside and on the surface of the fibers.
Eur J Clin Microbiol Infect Dis.
Competing interests The authors declare that they have no competing interests.
Strengths and limitations Our study has several strengths, including large sample size of children and adults, the participation of 11 family physicians from different clinics, a single microbiological laboratory that examined all cultures and the use of newer microbiological techniques than those used in prior studies.