• 제목/요약/키워드: Amikacin

검색결과 247건 처리시간 0.028초

녹농균의 항생제 내성의 특성 (Characteristics of Gentamicin Resistant Pseudomonas aeruginosa)

  • 김상윤;이유철;설성용;조동택;전도기
    • 대한미생물학회지
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    • 제21권1호
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    • pp.1-16
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    • 1986
  • Fifty-one strains of Pseudomonas aeruginosa were isolated from various clinical specimens. Among them, 26 (51%) strains were gentamicin-resistant (Gm') and 25 (49%) were susceptible to gentamicin (Gm'). The frequencies of resistant strains to piperacillin (Pi), cefotaxime, moxalactam, cefoperazone (Cz), and amikacin (Ak) ranged from 21.6 to 31.4%, and $MIC_{50}$ of these drugs were lower than the critical concentrations of susceptibility and resistance. Thirty (58.8%) strains were multiply resistant to 12 or more drugs. All Gm' strains were multiply resistant to 12 or more drugs and one was resistant to all 18 drugs tested, while only four Gm' strains were multiply resistant to 12 drugs and the multiplicity of resistance of the other Gm' strains were less than 10 drugs. Resistance to Gm appeared to have a significant correlation with the resistance to tobramycin (Tb), Ak, Pi, and Cz. All Gm' strains were resistant to Tb and about 38.4 to 46.1% of them were resistant to Ak, Pi, and Cz. The incorporation of $Ca^{++}$ and $Mg^{++}$ ions in Mueller-Hinton agar (MHA) did not influence the MICs of Gm, Tb, carbenicillin (Cb), Pi, and Cz as compared with the results obtained in MHA without these ions. Gm strains were studied on the combined effect of beta-lactam antibiotics and aminoglycosides by the methods of checkerboard and modified paper strip diffusion. Most Gm' strains showed significant synergistic effects by the FIC index between Ak and three beta-lactam antibiotics; Cb, Pi, and Cz, but these results did not in agreement the results obtained through the method of modified paper strip diffusion test. In order to know the nature of the drug resistance of P. aernginosa, the plasmid profile analysis was studied. Agarose gel electrophoresis of lysates processed by the method of Kado and Liu showed one or more plasmids in 22 (43.1%) strains. A group of 19 strains showed at least one band of plasmid and three strains two bands. The range of the molecular weight of plasmids was 3.8 to 243 Mdal. All strains carrying large plasmids larger than 200 Mdal were isolated from wound specimens. Three Gm' strains also harboured the plasm ids of 13 to 203 Mdal.

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양만장 사육조에서 분리한 Edwardsiella tarda의 약제 내성과 R Plasmid (Antibiotic Resistance and R Plasmids in Edwardsiella tarda)

  • 최민순;김영길
    • 한국어병학회지
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    • 제7권1호
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    • pp.37-46
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    • 1994
  • 서해안 일원의 가온 양만장 사육조로부터 분리한 E. tarda균에 대한 약제내성검사 및 내성균의 내성인자 전달 시험을 실시하였다. 공시한 항생제에 대한 내성률은 LM, PM, SD, SF 등에는 100%, AP, CH, SM, OT 및 CP 등에는 89% 이상, OA 및 KM에는 70% 정도 그리고 AK, GM 및 EF 등에는 30% 이하의 내성률을 보였으며, 이와같은 내성률은 각 양만장에서 분리한 균주간에 차이를 보이지 않았다. 내성유형은 총 34유형으로 모든 분리균주가 8~14제의 다제내성을 보였으며, 그 중 LM PM SD SF CP CH SM OT AP OA KM(22주, 21.4%) 및 LM PM SD SF CP CH SM OT AP OA(12주, 11.7%) 유형등이 고빈도로 출현하였다. 내성균의 내성인자 전달유형은 총 55형으로 단제에서 13제까지의 다양한 내성인자가 전달되었는데, 그 중 LM PM SD SF CP CH SM OT AP OA(10주. 10%), LM PM SD SF CP CH SM OT AP OA KM(7주, 7%) 및 LM PM SD SF CP CH AP OA(7주, 7%) 등의 다제내성유형이 고빈도의 전달률을 보였으며, 약재별로는 GM, EF 및 AK 등에는 저빈도(0~20%), OT, SM, KM 및 OA 등에는 중등도(49~62%), AP, PM, LM, SF, CP, CH 및 SD 등에는 고빈도(71~94%)로 내성인자를 전달하였다.

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면역 기능의 이상이 발견되지 않은 영아에서의 침습성 녹농균 감염증 2례 (Two Cases of Invasive Pseudomonas aeruginosa Infection that Developed in the Apparently Immunocompetent Infants)

  • 강민재;김소희;김남희;이진아;은병욱;최은화;이환종
    • Pediatric Infection and Vaccine
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    • 제13권2호
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    • pp.180-185
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    • 2006
  • 침습적 Pseudomonas 감염은 대개 면역 저하 환자들에서 발생하며, 이는 높은 사망률과 관련이 있다. 그러나 드물게는 면역력이 정상인 숙주에서도 발생할 수 있다. 첫 번째 증례는 괴저성 농창과 Pseudomonas 패혈증이 발생한 5개월 여아이며, 두번째 증례는 9개월 남아에서 지역사회 감염으로 발생한 폐렴과 Pseudomonas 패혈증이다. 두 환아 모두에서 녹농균이 배양검사로 증명되어 감수성 있는 항생제를 사용하였으며, T 림프구, B 림프구, 보체, 식세포 등 면역력에 대한 검사는 모두 정상이었다. 저자들은 이전에 건강했던 영아들에서 발생한 침습성 녹농균 감염증 2례를 경험하였기에 이를 보고하는 바이다.

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유방염 우에서 원인균분리 및 sulfadimethoxine sodium 투여 후 혈청 및 유즙내 잔류량 추이 (Identification of bacterial agents causing mastitis in dairy cattle and observation of residual changes of sulfadimethoxine in serum and milk of the cattle after administration of sulfadimethoxine sodium)

  • 조민희;도재철;송희종;정종식
    • 한국동물위생학회지
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    • 제24권1호
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    • pp.31-41
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    • 2001
  • This study was carried out to identify causative agents from california mastitis test(CMT) positive mastitic milk, and to examine the antimicrobial susceptibility of 50 heads in Seongju and Chilgok area of Gyeongbuk province. Sulfadimethoxine sodium(SMS) was intramuscularly administered once to four mastitis Infected dairy cattle at the rate of 10mg/kg body weight. After injection of SMS, the depletion rate of serum and milk from the cattle were periodically measured for five days. The CMT positive number from 50 heads showed 46% and that of 200 quarters was 47(23.5%). From 39 quarters of 47 heads 39 different microorganisms were identified. These organisms were classified into 12 species : Staphylococcus aureus 8(20.5%), Sta hemolyticus 6(15.4%), Streptococcus bovis 4(10.3%), Sta hyicus 3(7.7%), Sta epidemidis. Sta xylosus, Sta sciuri 2(5.1%), Str agalactiae 2(5.1%), Escherichia coli(10.3%), three Enterobacter cloacae(7.7%), two Ent aerogenes(5.1%) and one Salmonella spp(2.6%). As the results of antibiotic susceptibility test, gentamicin(Gm, 11 species 27 strains, 69.5%), cephalotin(Cf, 9 species 24 strains, 61.5%), sulfamethoxazole(Stx, 8 species 14 strains, 43.6%), tetracycline(Tc, 8 species 14 strains, 35.9%), and streptomycin(Sm), lincomycin(Lm), cefoperazon(Cp) and penicillin(Pc) have a highly resistance(7.7% ~5.1%). However, carbenicillin (Cb), amikacin(Ah) have no susceptible for all drugs. The mean residual concentration of SMS in serum according to the time lapsed were showed 33.964 $\pm$ 4.435ppm at the 4 hours after intramuscularly injection(AII). It was significantly(p<.05) decreased to 6.596 $\pm$ 3.402, 0.217 $\pm$ 0.119 and 0.005 $\pm$ 0.004ppm at the 1st, 3rd and 5th day AII. The mean concentration of SMS in milk was significantly(p<.05) decreased from 0.920 $\pm$ 0.42ppm to 0.084 $\pm$ 0.016ppm between 8 hours and 1 day AII. As the results of this experiments, sulfadimethoxine was residued at the level of no less than 0.01ppm in milk on the 2nd day AII. Thus, this results would be able to be used the basic index for prevention of sulfonamides residue in milk after treatment of dairy mastitis.

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Shigella균속의 항균제내성 및 전달성 R-Plasmid에 관한 연구 (Drug Resistance and R-Plasmids of Shigella Strains Isolated from Humans, Korea)

  • 김지연;이연태
    • 대한미생물학회지
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    • 제19권1호
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    • pp.11-24
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    • 1984
  • Shigella remains to be an important enteric pathogen in this country for the present. Moreover, most of the isolates have become multiple resistant to various antibiotics which used to be drugs of choice for shigellosis. This study was made as an attempt to assess the present stage of antibiotic resistance and the incidence and transferability of R factors of Shigella. A total of one hundred and seventeen strains of Shigella isolated from patients in Seoul and provincial area between 1982 and 1983 were tested for their resistant to antimicrobial agents and transmission of R-plasmid. Antibiotic susceptibilities were determined by an agar dilution method. Muller hinton agar were used for the assay of drug resistance and tryptic soy broth were used for propagating medium for conjugation. Shigella isolated found to be one or more antibiotics were considered potential donor of R-plasmid. The following results were obtained. 1. Among 117 strains of Shigella isolated, 111 strains(94.9%) were found to be resistant to one or more drugs tested and 97.3% of these resistant strains were multiply resistant, indicating the multiply resistant strains were more than the single resistant strains. Only six strains were susceptible to all drugs tested. 2. Among 117 strains of Shigella isolated, 107 strains(91.5%) were resistant to Tetracyclin(Tc), 106 strains(90.6%) to Chloramphenicol(Cp) and Streptomycin(Sm), 97 strains(82.9%) to Ampicillin(Ap), 68 strains(58.1%) to Cephaloridine(Cr), 10 strains(8.5%) to Nalidixic acid(Na), 5 strains(4.3%) to Kanamycin(Km) and 2 strains(1.7%) to Rifampicin. No strain was resisfant to Amikacin(Ak) and Gentamicin(Gm). 3. All drug-resistant Shigella strains, except three, were multiply resistant to two or more drugs. Fifty eight strains were resistant to five drugs, followed by 26 strains resistant to dour drugs, 12 strains resistant to three drugs and 11 strains resistant to six drugs. 4. The 73% of multiply drug-resistant Shigella transferred their resistance to E. coli by conjugation and the resistance was considered to be mediated by R-plasmid. Resistance to Nalidixic acid and Rifampicin were not transferred by conjugation to recipient. As for the transferability of resistance to each seperate drug, Ap resistance was transferred with 73.2% frequence and Cm and Tc resistance were transferred with approximately 50-60% frequence whereas Sm and Cr resistance were transferred in 19.1-21.4% The other four drugs resistant failed to transfer their resistance to recipient. 5. As for the incidence and transferability of resistance to each seperate drug, the strains resistant to Tc and Cm were encountered most frequently with the rate of 91-92%, whereas transfer of Tc and Cm were low, 51-52%. The incidence of Sm resistance was very high(90.6%) but transferability of drugs resistance was much lower(25.4%). Though the incidence of Km reristance was much lower(4.3%) transferability of Km resistance was considerably higher(60%). 6. The greater the multiplicity of resistance, the greater was the likelihood that part of all of the resistance markers would be transferable.

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뱀장어 병어로부터 분리한 Edwardsiella tarda의 약제내성 (Survey of drug resistance in Edwardsiella tarda isolated from diseased eels(Anguilla japonica))

  • 최민순;최상훈;박관하;장선일;윤창용;조정곤;송희종
    • 한국어병학회지
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    • 제9권2호
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    • pp.195-201
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    • 1996
  • 군산근교의 양만장에서 애드와드병에 이환된 뱀장어로부터 총 96균주의 E.tarda균을 분리한 후 이들 분리균의 약제감수성 검사를 실시하고 아울러 내성균의 내성인자 전달 시험을 실시하였다. 공시한 모든 균주는 SM, AK, NF 및 GM등에는 100% 감수성을 보였으나, 대부분의 균주가 SD(86균주), AM(84균주), PM(80균주), NA(67균주), OT(44균주) 및 OA(37균주) 등의 내성을 보였다. 내성유형은 20유형으로서 거의 모든 균주가 2제 이상의 다제내성을 보였으며, 그중 SD-AM-PM-NA-OA(16균주), SD-AM-PM-NA(14균주), SD-AM-PM-NA-OT-OA(12균주), SD-AM-PM-OT(10균주) 및 SD-AM-PM-NA-OT(8균주) 유형등이 고빈도로 출현하였다. 내성균주의 내성인자 전달 빈도는 94균주중에서 78균주가 단계에서 6제까지의 다제내성인자의 전달을 보였다. 그중 AM 및 AM-PM-NA유형(8균주), PM,SD 및 AM-SD유형(6균주), AM-PM, PM-SD 및 AM-SD-OT유형(4균주)등이 고빈도 출현을 보였다. 이러한 결과는 양만장에서 다양한 항균제를 사용하였기 때문에 다제내성현상이 확산되어진 것으로 사료된다.

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한방사료 첨가제의 항균성 및 재래닭에서의 Campylobacter jejuni 방제효과 (Antimicrobial Activity and Preventive Effect of Oriental Herbal Medicine Feed Additives for Campylobacter jejuni in Korean Native Chickens)

  • 김곤섭;정태성;신기욱;한대용;차혜진;김용환
    • 한국임상수의학회지
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    • 제23권1호
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    • pp.41-49
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    • 2006
  • In this study, antimicrobial activity of oriental herbal medicine extract (OHME) was tested for some organisms and the preventive effects of OHME for the colonization of Campylobacter jejuni on epithelium of small intestine were examined in Korean native broiler chickens fed a forage added 1.0% OHME. The isolated Campylobacter spp were biotyped, serotyped and the susceptiblility of isolates to antimicrobial agent were examined. The growth of Staphylococcus aureus was inhibited in 0.25% OHME. C. jejuni and C. coli were inhibited in 0.1% OHME, and Salmonella spp, Lactobacillus acidophilus and Escheichia coli 0157 were inhibited in 2.0% OHME. For the application of forage added 1.0% OHME in broiler chicken farm, the frequency of Campylobacter spp from feces, liver and spleen sample of chickens were examined during 2 weeks interval. The frequence of Campylobacter spp in feces from chickens fed assorted forage (control group) was increased from 25% in first week to 75% in seventh week. But the frequence of Campylobacter spp in feces sample from chickens 134 forage added OHME was slightly reduced from 25% in first week to 15% in seventh week. The frequence of Campylobacter spp in liver, and spleen was 13.7% and 10% respectively after seventh week in control group, but the Campylobacter spp was not isolated after fifth week in live and spleen from chickens fed forage added OHME. Isolated 56 strains of thermophilic Campyiobacter from Korean native chickens was classified as C. jejuni (76.7%), C. coli (214%) and C. laridis (1.6%). The majority of 43 isolates of C. jejuni was classified on biotype I (60.4%), II (30.2%). Most of 12 isolates of C.coli were biotype I (83.3%). Isolated 31 strains C. jejuni of showed 11 different serotype, and serotype 36 (18.6%), 17 (13.9%)were most frequent. Isolated 10 strains of C. coli showed 5 different serotypes and serotype 31 (33.3%) and 21 (25%) were relatively common. Isolated Campylobacter spp were highly susceptible to nalidixic acid, amikacin, gentamicin, colistin and chloramphenucol.

집단 사육 되는 토끼에서 호발하는 피부병에 관한 병인론적 연구 (An Etiologic Study of Rabbit Dermatitis at Large Rabbit Farms in South Korea)

  • 김성호;이재훈;장화석;강은희;정다정;김휘율
    • 생명과학회지
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    • 제19권11호
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    • pp.1499-1505
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    • 2009
  • 본 실험은 2007년 8월에서 9월 동안, 집단 사육되는 토끼에서 피부병을 유발한 주 병원체를 확인하고 역학적인 특성을 조사하기 위해 실시되었다. 총 10개의 농장에서 임상적으로 피부병이 명확한 토끼들을 선별하여 실험에 공시하였다. 40마리의 토끼 피부병변에서 모발 및 피부 조직 520개를 채취하여 진균학적, 세균학적, 기생충학적으로 검사를 실시하였다. 피부사상균, 세균성 피부염 그리고 기생충성 피부염의 발병율은 각각 95%, 92.5% 그리고 7.5%로 나타났다. 진균 배양 결과에서 피부 사상균의 주된 원인체로 Trichophyton mentagrophyte (95%)가 가장 많이 검출되었고, 그 다음으로 Aspergillus s(5%)와 Cryptococcus humilocus (2.5%)가 순차적으로 검출되었다. 세균 배양 결과에서는 토끼의 세균성 피부염을 유발하는 원인체로 Staphylococcus coagulase가 가장 많이 검출되었고, Staphylococcus aureus가 두 번째로 많은 비율을 차지하였다. 이 연구에서는 외부 기생충의 검출은 낮게 나타났으며, Psoroptes cuniculi가 40마리의 토끼 중 3마리에서(7.5%) 검출되었다. 본 실험의 결과는 토끼 피부병 치료와 연구에 관련한 기초 정보를 제공할 것이라 판단된다.

모돈 유즙으로부터 분리한 세균의 분포 및 항균제 감수성 조사 (Isolation and antimicrobial susceptibility of microorganisms from milk samples of healthy postpartum sows)

  • 김성태;김선득;박준영;조인영;최종성;정지영;이주단;허태영;정영훈;최창용;신성식;손창호;오기석;서국현
    • 한국동물위생학회지
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    • 제34권4호
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    • pp.361-368
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    • 2011
  • The growth rate of piglets will be decreased and the mortality of piglets will be increased in the postpartum sow with mastitis. The aim of this study was to isolate microorganisms from milk samples found in postpartum sows with suckling piglets and to further investigate antimicrobial susceptibility against isolated bacteria. Milk samples were collected from 567 udders of 42 lactating sows and the isolated bacteria was then identified. Isolated bacteria were tested with 12 antimicrobial agents. Bacteria were isolated from 260 milk samples (64.5%). Staphylococcus spp. were the most common microorganisms (74.5%) isolated from sow milk, followed by Streptococcus hyicus (53.9%), Staphylococcus epidermis (11.8%), Staphylococcus aureus (9.8%), and Staphylococcus haemolyticus (53.9%). In the Staphylococcus spp., Streptococcus pneumoniae (5.1%) was isolated as was Streptococcus sanguinis (3.8%) and Streptococcus ovis (2.9%). Results indicated that bacteria isolated from healthy sow milk were mostly susceptible to cephalothin (88.0%), amikacin (85.3%) and cefoxitin (82.4%), but were resistant to streptomycin (10.0%), kanamycin (33.1%) and tetracycline (19.6%).

Prevalence of Multi-drug Resistant Acinetobacter baumannii Producing OXA-23-like from a University Hospital in Gangwon Province, Korea

  • Jang, In-Ho;Lee, Gyu-Sang;Choi, Il;Uh, Young;Kim, Sa-Hyun;Park, Min;Woo, Hyun-Jun;Choi, Yeon-Im;Kim, Jong-Bae
    • 대한의생명과학회지
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    • 제18권1호
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    • pp.79-82
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    • 2012
  • Acinetobacter infections are of great concern in clinical settings because of multi-drug resistance (MDR) and high mortality of the infected patients. The MDR Acinetobacter baumannii has emerged as a significant infectious agent in hospitals worldwide. The purpose of this study was to determine for molecular characterization of MDR A. baumannii clinical isolates obtained from the Wonju Christian Hospital in Gangwon province of Korea. A total of seventy nonduplicate A. baumannii isolates were collected from the Wonju Christian Hospital in Korea from March to April in 2011. All of the MDR A. baumannii isolates were encoded by $bla_{OXA-23-like}$ gene and all isolates with the $bla_{OXA-23-like}$ gene had the upstream element ISAba1 to promote increased gene expression and subsequent resistance to carbapenem. 16S rRNA methylase gene (armA) was detected in 44 clinical isolates which were resistant to amikacin, and phosphotransferase genes encoding aac(3)-Ia and aac(6')-Ib were the most prevalent. A combination of 16S rRNA methylase and aminoglycoside-modifying enzyme genes (armA, aac(3)-Ia, aac(6')-Ib, and aph(3')-Ia) were found in 31 isolates. The sequencing results for the quinolone resistance-determining region (QRDR) of gyrA and parC revealed the presence of Ser (TCA) 83 Leu (TTA) and Ser (TCG) 80 Leu (TTG) substitutions in the respective enzymes for all MDR. Molecular typing for MDR A. baumannii could be helpful in confirming the identification of a common source or cross-contamination. This is an important step in enabling epidemiological tracing of these strains.