• 한국산학기술학회논문지
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• 제12권11호
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• pp.4951-4958
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• 2011

본 연구에서는 전 세계적으로 표준화된 전통적 항균제 감수성 검사방법인 CLSI(C linical and Laboratory Standards Institute)디스크 확산법과 디스크 확산법을 이용 해 MIC를 측정할 수 있도록 새롭게 고안된 E-test 방법과 최근 도입된 미량 액체 배지 희석법을 이용한 항균제 감수성 검사 자동화 장비인 MicroScan MICroSTR EP plus panel를 이용한 MIC 측정방법들의 일치도를 비교하여 MicroScan MICroS TREP plus panel 검사방법의 유용성을 관찰하고자 하였다. 대상균주는 2009년 2월부터 8월까지 6개월 동안 대전의 한 대학병원 임상환자에서 분리된 폐렴사슬알균 53균주와 알파용혈 사슬알균 51균주를 대상으로 하였으며 항 균제는 cefotaxime, chloramphenicol, clindamycin, erythromycin, levofloxacin, penicillin, tetracycline, trimethoprim/sulfamethoxazole, vancomycin 등 9가지 항균제를 평가 대상으로 하였다. 폐렴사슬알균 뿐만 아니라 알파용혈 사슬균에 대해서도 비교분석을 하였고 그 결과 알파용혈 사슬균에 대해 높은 일치율이 관찰되어 임상미생물 검사실에서 신속 정확한 최소발율 억제농도를 측정하는데 많은 도움이 되리라 생각된다.

• 대한기관식도과학회지
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• 제3권2호
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• pp.293-301
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• 1997

The tonsillitis has long been one of the most common disease in the otolaryngologic field. Peritonsillar abscess occurs when bacterial infection of the tonsil spreads to the potential peritonsillar space deep behind the tonsil, and it usually occurs in patients with recurrent tonsillitis or in those with tonsillitis who have been inadequately treated. We studied retrospectively 71 patients who had been diagnosed as acute tonsillitis and 82 patients who had been diagnosed as peritonsillar abscess and had admitted in our department of the Ulsan Dong Kang Hospital from January, 1995 to September, 1997. Especially in the bacteriologic studies, we compared acute tonsillitis and peritonsillar abscess with chronic tonsillitis. The following results were obtained： 1) The sex distributions of acute tonsillitis were 47 males(66%) and 24 females(34%) cases, but 57 males(70%) and 25 females(30%) in cases of peritonsillar abscess. There were predominant in male and frequently affected in second and third decades in 53 cases(76%) of acute tonsillitis and 56 cases(68%) of peritonsillar abscess. 2) It was same found in each season. 3) The duration from onset of symptom to visit in our department was 3.92 days in cases of acute tonsillitis and 5.95 days in cases of peritonsillar abscess in average 4) The major symptoms were sore throat, swallowing difficult. And others were fever, fatigability, dysarthria, trismus, headache, otalgia. 5) Among the 71 cases of acute tonsillitis and 82 cases of peritonsillar abscess, most temperature of patients at visit were 36.6-37.5 $^{\circ}C$ in each 36 cases(51%), 57 cases(70%). 6) In each disease, 35 cases(47%), 45 cases(75%) consisted of single infection and 39 cases(53%), 15 cases(25%) consisted of mixed infection. In acute tonsillitis, 111 strains were isolated from 74 cases, the most common strain was 69 strains(62.2%) of $\alpha$-hemolytic streptococci. In the peritonsillar abscess, 77 strains were isolated from 60 cases, the most common strain was 49 strains(63.6%) of $\alpha$-hemolytic streptococci. In chronic tonsillitis, 563 strains were isolated from 382 cases, the most common strain was 334 strains(50.3%) of $\alpha$-hemolytic streptococci. 7) In acute tonsillitis and peritonsillar abscess, the most common leukocyte levels were reported with 10, 000-15, 000/$\mu$L in 23 cases(32%). The CRP levels were reported with abnormal findings in 61 cases(97%), 63 cases(95%) above 0.3 in each cases.