• 대한임상검사과학회지
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• 제47권3호
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• pp.140-146
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• 2015

다제내성균의 증가는 사용할 항생제가 적거나 심지어 선택할 항생제가 없기 때문에 감염환자의 치료에 커다란 위협이 되고 있다. 최근 다양한 천연 추출물이 내성세균에서 항균효과 및 상승효과를 보인다는 보고가 많다. 어성초(Houttuynia cordata)는 항균, 항바이러스 및 항산화 효과를 보이는 전통적 약초이다. 이에 저자들은 임상의 주요 내성균에 대한 어성초의 항균효과를 알아보고, 이들의 적절한 항균효과 측정방법을 평가하고자 한다. 우선 현재 가장 많은 문제를 야기하는 주요 내성균인 methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus faecium (VRE), carbepenem-resistant Acinetobacter baumannii(CRAB) 각각 10 균주를 선택하여, CLSI 기준으로 디스크 확산법 및 미량액체배지희석법으로 감수성 시험을 하였다. CLSI 기준으로 시행한 디스크 확산법에서 $4,096{\mu}g/mL$에서 $30,000{\mu}g/mL$ 까지의 농도에서 모든 균의 억제대는 관찰되지 않았다. 그러나 액체배지 희석법에서는 MRSA, VRE, CRAB의 $MIC_{90}$이 각각 $4,096{\mu}g/mL$, $8,192{\mu}g/mL$, $4,096{\mu}g/mL$를 보였다. 결론적으로 어성초는 MRSA, VRE, CRAB 등 주요 임상 내성균에서 우수한 항균효과를 보이며 천연물의 항균효과를 평가에 디스크 확산법보다 액체배지 희석법이 유용하다고 할 수 있다. 만약 디스크 확산법으로 항균효과를 측정하려면 천연물에 대한 균 접종 농도의 변경 등 새로운 기준이 요구된다.

• 사물인터넷융복합논문지
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• 제6권2호
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• pp.19-24
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• 2020

본 연구에서, 세균의 생물학적 정보와 이산화염소 가스의 생화학적 정보들을 활용하여, 그람 양성 세균인 Alloiococcus otitis, Erysipelothrix rhusiopathiae, Staphylococcus caprae, Staphylococcus lentus 및 그람 음성 세균인 Acinetobacter baumannii complex, Aeromonas salmonicida, Brucella melitensis, Oligella ureolytica에 대한 이산화염소가스의 성장 억제 효과를 분석하였다. 전체적으로, 이산화염소 가스는 10 CFU 미만으로 세균의 성장을 약 99 % 억제하였다. 하지만, 그람 양성인 Alloiococcus otitis 및 그람 음성인 Aeromonas salmonicida는 약 50 CFU 이상인 것으로 밝혀졌다. 여러 세균과의 실험 결과를 비교할 때, 이산화염소 가스의 농도는 세균 억제에 대해 10 ppm 내지 400 ppm 일 것이라고 제안한다. 이 연구의 결과는 이산화염소 가스의 임상적 유용성을 평가하기 위한 기본 데이터로 사용될 수 있을 것이다. 이 연구가 임상에 있는 근무자가 병원에서 감염을 일으키는 미생물의 존재를 인식하고 예방하는 사전 지식에 도움이 되는 경우, 융합분야 중, 임상에서처럼 환자 치료와 같은 활동에 도움이 될 것이다. 향후에, 이산화염소 가스에 대해 억제되는 미생물들의 정보의 데이터를 활용하여, 환자에게 감염된 미생물들을 신속히 억제하는데 기초가되는 연구결과가 될 것으로 사료된다.

• Tuberculosis and Respiratory Diseases
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• 제74권2호
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• pp.63-69
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• 2013

Background: Aiming to improve outcome of lung transplantation (LTx) patients, we reviewed risk factors and treatment practices for the LTx recipients who experienced respiratory infection in the late post-LTx period (>1 month after LTx). Methods: We analyzed the clinical data of 48 recipients and donors from 61 LTx, who experienced late respiratory infections. Late respiratory infections were classified according to the etiology, time of occurrence, and frequency of donor-to-host transmission or colonization of the recipient prior to transplantation. Results: During the period of observation, 42 episodes of respiratory infections occurred. The organisms most frequently involved were gram (-) bacteria: Acinetobacter baumannii (n=13, 31.0%), Pseudomonas aeruginosa (n=7, 16.7%), and Klebsiella pneumoniae (n=4, 10.0%). Among the 42 episodes recorded, 14 occurred in the late post-LTx period. These were bacterial (n=6, 42.9%), fungal (n=2, 14.3%), viral (n=4, 28.5%), and mycobacterial (n=2, 14.3%) infections. Of 6 bacterial infections, 2 were from multidrug-resistant (MDR) A. baumannii and one from each of MDR P. aeruginosa, extended spectrum ${\beta}$-lactamase (+) K. pneumoniae, methicillin-resistant Staphylococcus aureus and Streptococcus pneumoniae. Infection-related death occurred in 6 of the 14 episodes (43%). Conclusion: Although the frequency of respiratory infection decreased sharply in the late post-LTx period, respiratory infection was still a major cause of mortality. Gram (-) MDR bacteria were the agents most commonly identified in these infections.

• 대한의생명과학회지
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• 제18권3호
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• pp.299-306
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• 2012

Recently, the prevalence of 16S rRNA methylase conferring high-level resistance to aminoglycosides has been increasing in Gram-negative bacilli globally. We determined the prevalence and genotype of these methylase-producing bacteria, and characterized the co-resistance to ${\beta}$-lactam antibiotics and quinolone in Gram-negative clinical isolates collected in 2010 at a hospital in Korea. Among 65 amikacin-resistant isolates screened from 864 Gram-negative bacilli (GNB), 16S rRNA methylase genes were detected from 49 isolates, including Acinetobacter baumannii (43), Klebsiella pneumoniae (2), Proteus mirabilis (2) and Serratia marcescens (1), Empedobacter brevis (1). All of the 16S rRNA methylase genotype was armA and no variant sequences of amplified PCR products for armA were noted. The 16S rRNA methylase producing bacteria showed much higher resistance to aminoglycoside for Enterobacteriaceae and glucose non-fermenting (NF)-GNB and to imipenem for glucose NF-GNB, than the non-producing isolates. All of the 16S rRNA methylase producing Enterobacteriaceae had the extended-spectrum-${\beta}$-lactamase. In addition, two K. pneumoniae concurrently produced both plasmid-mediated AmpC ${\beta}$-lactamase and qnrB gene. All of the amikacin-resistant A. baumannii (43) co-harbored armA 16S rRNA methylase and $bla_{OXA-23}$ carbapenemase. In conclusion, 16S rRNA methylase producing bacteria were very prevalent among GNB in South Korea, and were commonly associated with co-resistance, including carbapenem and quinolone.

• 대한의생명과학회지
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• 제20권2호
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• pp.77-84
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• 2014

Periodic analysis of local epidemiologic data of prevalent pathogens of blood culture can provide clinicians with relevant information to guide empirical antibiotic therapy. In this study, we analyzed a pattern of change of causative microorganisms and antimicrobial resistance at a tertiary medical center in Chungcheong province from 2003 to 2012, retrospectively. Of 70,258 blood specimens cultured, 6,063 (8.6%) were positive. Among the positive isolates, 95.9% were aerobic or facultative anaerobic bacteria, 0.1% were anaerobes, and 3.9% were fungi. Coagulase-negative Staphylococci (CoNS) (32.9%), Escherichia coli (16.7%), Staphylococcus aureus (9.1%), Klebsiella pneumoniae (6.4%), and ${\alpha}$-hemolytic Streptococcus (5.9%) were commonly isolated bacteria, and Candida albicans (1.4%) was the most commonly isolated fungi. Enterococcus faecium progressively increased but Streptococcus pneumoniae, Acinetobacter baumannii and Proteus species gradually decreased over a period of 10 years. The multidrug-resistant microorganisms such as methicillin-resistant S. aureus (MRSA), vancomycin-resistant enterococci (VRE), cefotaxime-resistant E. coli, imipenem-resistant Pseudomonas aeruginosa (IRPA) and imipenem-resistant A. baumannii (IRAB), were significantly increased. Therefore, there is a need for a more strict control of antibiotics and a more updated guideline for the treatment of bloodstream infection.

• 대한의생명과학회지
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• 제14권4호
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• pp.257-261
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• 2008

Cellular phones are the most used electronic device everyday in modern life and are always in contact with our hands, Although many studies have revealed microorganisms living on our hands, there are only a few reports on the research about products or places which are in contact with our hands. Therefore, the purpose of this study is to verify microorganisms living in cellular phones. Microorganisms were scraped from cellular phones of students and professors from the clinical laboratory science department in Daegu Health College, and cultured at Brain Heart Infusion agar and MacConkey agar following API kit to identify them. The average colony number was $1.5{\times}10^2$ on BHI agar and $40{\times}10$ on MacConkey agar. There was no difference according to gender. In Gram stain result, Gram(+) Cocci showed the highest frequency. Also in BHI agar plates, Micrococcus spp and Acinetobacter baumannii identified with high frequency. Moreover, S. aureus, which is very well known as strong food poisoning bacteria, was isolated. Klebsiella pneumonia ssp pneumonia was isolated with the highest frequency from the MacConkey agar or S-S agar plate. From these results show, there are as many different microorganisms from cellular phones as from our hands. This is the first report isolating strong food poisoning bacteria in cellular phones. Since infection in hospitals have been an important issue to be aware of, it is equally necessary to investigate cell phones and products which hospital workers touch with their hands.

• Pediatric Infection and Vaccine
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• 제22권3호
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• pp.178-185
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• 2015

목적: 국내 소아 그람음성균혈증에서 항생제 내성변화 및 항생제 사용량과의 관계를 분석하였다. 방법: 최근 10년간 18세 이하 입원 환자의 혈액에서 분리된 그람음성균의 항생제 내성률 변화 및 항생제 사용량과의 관계를 분석하였다. 결과: 폐렴막대균, 대장균, 녹농균, 아시네토박터 바우마니의 분리율은 연간 혈액배양 1,000건당 각각 4.6례, 3.5례, 3.4례 및 2.2례였다. 폐렴막대균에서 광범위 세팔로스포린에 대한 내성변화는 없었으나 2010년부터 카바페넴 내성 폐렴막대균이 동정된 후 점차 빈도가 증가하였다. 대장균의 광범위 세팔로스포린 내성이 10%에서 50%로 아시네토박터 바우마니의 카바페넴 내성이 11%에서 71%로 크게 증가하였다(P for trend <0.01). 녹농균은 여러 항생제에 높은 내성을 보였으나 유의한 내성변화를 보이지 않았다. 대장균의 cefepime 내성과 cefepime 사용량 사이에 유의한 양의 상관관계를 보였다(r=0.900, P=0.037). 결론: 국내 소아에서 발생한 그람음성균 균혈증 분석시 카바페넴 및 광범위 세팔로스포린 내성이 증가하였고 일부에서 항생제 사용량과의 관련성을 확인하였다. 이는 원내 경험적 항생제 결정시 중요한 고려 사항이며 추후에도 지속적인 원내 항생제 사용량 및 내성률에 대한 감시가 필요하겠다.

• 대한임상검사과학회지
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• 제45권4호
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• pp.154-158
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• 2013

The unnatural dead body refers to a corpse which is suspicious of unusual death and the dead case has been occurred more than 20 thousands times every year during the recent five years and most of them are found decayed. Police Scientific Investigators investigate unnatural dead bodies and its surroundings in all-around way and determine whether the death is involved with a crime, and most of the Scientific Investigators are exposed to a danger to get infected with pathogenic bacteria which are generated during the decaying process of dead body and are mostly to cause serious injuries on human beings. In line with the fact, the present study conducted a bacterial analysis by collecting excretions from 60 dead bodies and culturing the bacteria to evaluate infection risk of the police agents. The study cultured bacteria from 60 bodies and classified pathogenic bacteria of 108 strains, and its main bacteria are found to be them (; Acinetobacter baumannii 20 strains (19%), Pseudomonas aeruginosa 19 strains (18%), E. coli 18 strains (17%), Klebsiella pneumoniae 11 strains (10%), Proteus mirabillis 10 strains (9%), Enterococcus faecium 10 strains (9%), Staphylococcus aureus 9 strains (8%), Bacillus spp. 5 strains (5%), Streptococcus pneumoniae 3 strains (3%), Candida albicans 2 strains (2%), Mycobacterium tuberculosis 1 strains (1%)). The study results are expected to be used as educational data for preventing the Police Scientific Investigator from infections with bacteria or as a minimum data for improving work environment of the agents.

• 한국미생물·생명공학회지
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• 제34권4호
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• pp.363-367
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• 2006

Food wastes were decomposed into the Mugri (Isung Engineering, Korea), a food waste reduction machine, with adding sawdust of cryptomeria. Degradation effects were better when the machine worked at over 45$^{\circ}C$ than those at the lower temperature. Thermophilic bacteria were isolated from cryptomeria sawdust and the food waste products degraded by the machine. The isolates from cryptomeria sawdust were classified into 3 genera (Acinetobacter baumannii, Enterobacter sp. and Erwinia cypripedii) and almost all the isolates from the degraded products were partially identified as Bacillus sp. by 16S rDNA sequence analysis. The isolated thermophilic bacteria showed degradative enzyme activities. In the case of addition of the 30 thermophilic bacteria into the machine, degradation rate of food wastes was almost twice as high with increasing process temperature up to 6$^{\circ}C$.

• Journal of Korean Biological Nursing Science
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• 제4권2호
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• pp.127-137
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• 2002

The purpose of this study was to compare the hand disinfection effect of waterless alcohol gel hand washing agent with that of soap and water, 4% chlorhexidine gluconate, and 10% povidone-iodine. Hands of fourty subjects were artificially contaminated with Acinetobacter baumannii $5m{\ell}$ and randomly distributed to each hand washing methods. Samples were collected from gloved hand by glove juice sampling procedure. Mean log reduction after hand washing were compared with baseline values. Number of microorganisms were converted to log and tested by ANOVA in SPSSWIN 10.0. Mean log reduction of soap and water, alcohol gel, 4% chlorhexidine gluconate, 10% povidone-iodine were $2.76{\pm}0.62$, $2.97{\pm}0.56$, $4.66{\pm}1.70$, $4.60{\pm}0.91$, respectively. The bactericidal effect of alcohol gel was similar to that of soap and water, but the effect was much less than chlorhexidine gluconate and povidone-iodine(p<0.001). In terms of microorganism reduction, the efficacy of waterless alcohol gel was almost the same as soap and water hand washing. Further evaluation of the bactericidal effect of waterless alcohol gel is needed because waterless alcohol gel is simple, convenient, and non-irritating hand washing agent and also very effective in busy hospital environment.