• 제목/요약/키워드: Amikacin

검색결과 247건 처리시간 0.022초

돼지 폐렴병소에서 분리한 Pasteurella multocida의 특성 및 항생제 감수성 양상 (Characteristics and Antimicrobial Susceptibility Patterns of Pasteurella multocida Isolated from Pneumonic Lung Lesions of Swine)

  • 손준형;최성균;조길재
    • 생명과학회지
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    • 제19권5호
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    • pp.615-619
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    • 2009
  • 영남지방 5개 농장에서 사육중인 돼지 251두의 폐렴병소로부터 P. multocida를 분리한 결과 91주의 P. multocida가 분리되어 분리율은 36.3%로 나타났다. 생화학적 특성을 조사한 후 PCR로 최종 확인한 결과 P. multocida species-specific 유전자 460 bp의 특이 증폭산물을 관찰하였다. 분리균 91주의 P. multocida에 대한 약제 감수성 검사 결과 amikacin (91.2%), cephalothin (87.9%), cefoxitin (84.6%), florofenicol (93.4%), norfloxacin (65.9%), ofloxacin (80.2%) 등의 약제에 비교적 높은 감수성을 나타내었다. 또한 대부분의 분리주는 5종 이상의 약제에 대해 다재 내성 양상을 나타내었다.

Mixed Infection of Mycobacterium abscessus subsp. abscessus and Mycobacterium tuberculosis in the Lung

  • Sohn, Sungmin;Wang, Sungho;Shi, Hyejin;Park, Sungrock;Lee, Sangki;Park, Kyoung Taek
    • Journal of Chest Surgery
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    • 제50권1호
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    • pp.50-53
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    • 2017
  • A mixed infection of Mycobacterium abscessus subsp. abscessus (Mab) and Mycobacterium tuberculosis (MTB) in the lung is an unusual clinical manifestation and has not yet been reported. A 61-year-old woman had been treated for Mab lung disease and concomitant pneumonia, and was diagnosed with pulmonary tuberculosis (PTB). Despite both anti-PTB and anti-Mab therapy, her entire left lung was destroyed and collapsed. She underwent left pneumonectomy and received medical therapy. We were able to successfully treat her mixed infection by pneumonectomy followed by inhaled amikacin therapy. To the best of our knowledge, thus far, this is the first description of a mixed Mab and MTB lung infection.

Isolation and Characterization of Antibiotic and Heavy Metal-Resistant Pseudomonas aeruginosa from Different Polluted Waters in Sohag District, Egypt

  • Soltan, El-Sayed.M.
    • Journal of Microbiology and Biotechnology
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    • 제11권1호
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    • pp.50-55
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    • 2001
  • Different polluted water samples were collected from a wastewater treatment plant, agricultural drainage canals, the River Nile, and irrigation canals. The samples were examined for the enumeration of Pseudomonas aeruginosa in the Sohag area, Egypt over a period of one year. A total of 240 isolates were collected and tested for their resistance to 12 common antibiotics and 6 heavy metals. The isolates were found to be less resistant to norfloxacin(1.7%), ofloxacin(4.6%), amikacin(9.6%), tobramycin (10.4), carbenicillin (15.4), and gentamycin (41.3%), yet more sensitive to rifampicin (75%), kanamycin (89.6%), ampicillin (90.8%), chloramphenicol (91.7%), streptomycin (92.9%), and tetracyclin(96.3%). In contrast, 7.1%, 12.9%, 25.4%, and 53.7% of the isolates were resistant to lead, cadmium, mercury, and zinc, respectively. None of the isolates had developed a resistance to silver or molybdenum. The high frequency of metal-antibiotic double resistance existed between lead and amikacin (56.5%), cadmium and ofloxacin (72.7%), zinc and norfloxacin (100%), and mercury and carbenicillin (94.6%). The high occurrence of antibiotic-resistant bacteria in natural water could be related to the widespread use of antibiotics, with possible public health hazard.

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Random Amplified Polymorphic DNA Analysis for Typing Extended-Spectrum-β-Lactamase of Klebsiella pneumoniae

  • Yang, Byoung-Seon
    • 대한임상검사과학회지
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    • 제37권3호
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    • pp.149-154
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    • 2005
  • 대학병원의 임상검체에서 extended-spectrum-${\beta}$-lactamase (ESBL)생성 Klebsiella pneumoniae 51균주를 분리하였다. ESBL생성 K. pneumoniae 51균주는 광범위한 항생제에 내성을 보였고 대부분의 균주는 amikacin, gentamycin과 ciprofloxacin항생제에 내성을 나타내었다. 대학병원에서 분리한 51균주를 randomly amplified polymorphic DNA (RAPD)로 분석한 결과 충남대학병원 21균주와 충북대학병원에서 분리한 10균주는 Ia 와 Ib에 속하였고 경상대학 병원에서 분리한 20균주는 IIa, IIb에 속하였다. ESBL 생성 K. pneumoniae 51균주는 RAPD 분석으로 4가지의 유전형으로 구분 할 수 있었고 유전적으로 다양하였다. 이상의 결과로 RAPD 분석은 유전형분석에 빠르고 단순하고 경제적인 방법임을 알 수 있었다.

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세균의 약제 감수성에 관한 연구 II (Studies on the Resistance to Antibiotics)

  • 정규선
    • 약학회지
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    • 제30권2호
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    • pp.55-61
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    • 1986
  • A total of 130 of Staphylococcus strains isolated from various clinical specimens of admitted patients of a university hospital with systemic or severe cases of infection. All of these were tested for the antimicrobial susceptibility to 11 drugs of common use. The hospital strains isolated showed higher frequency of resistance against four drugs including gentamicin, penicillin, erythromycin, kanamycin but amikacin, cephalothin, streptomycin were effective. And also 47.7% of methicillin-resistant Staphylococcus were isolated from the clinical patients. However, isolated Escherichia coli strains showed higher frequency of resistance, but two drugs, tobramycin and gentamicin were effective to them.

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경주마의 호흡기질환 유래균의 약제 감수성 시험 (Antimicrobial drugs susceptibility of bacterial flora in horses with respiratory tract infections)

  • 조길재;조광현
    • 한국동물위생학회지
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    • 제27권2호
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    • pp.153-157
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    • 2004
  • Bacteria isolated from nasal cavity of 50 Thoroughbred horses with respiratory tract infection were examined. There were isolated Pseudomonas aeruginosa(33.5%), Escherichia coli(10.2%), Pseudomonas spp(7.6%), Klebsiella oxytoca(5.9%), Streptococcus equi subsp zooepidemious(6.2%), Klebsiella pneumoniae(3.4%), Acinetobacter spp(5.5%) and coagulase negative staphylococcus(2.1%). The majority of isolates were highly susceptible to amikacin, amoxicillin, aztreonam, cefotaxime, cefepime, cefotetan, ceftazidime, cefuroxime, chloramphenicol, ciprofloxacin, clindamycin, erythromycin, gentamicin, imipenem, tetracyclin and vancomycin. These results can provide basic information for the treatments of respiratory tract infections in Thoroughbred horses.

한국인 성인 환자를 대상으로 한 1일 1회 요법 아미카신의 약물동태학 (Pharmacokinetics of Once-Daily Amikacin in Korean Adult Patients)

  • 김혜경;지은희;안보숙;신완균;오정미
    • 한국임상약학회지
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    • 제21권3호
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    • pp.208-214
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    • 2011
  • 목적: 이 연구의 목적은 한국인 성인 환자를 대상으로 아미카신 1일 1회 요법을 시행하였을 때의 약동학적 파라미터를 평가하고, 신기능에 따른 아미카신의 약동학적 파라미터를 비교함으로써 최적의 개인화 약물요법을 설계할 수 있도록 하는 것이다. 방법: 그람 음성균 감염에 대해 1일 1회 요법으로 아미카신을 투여 받았던 353명의 한국 성인 환자를 대상으로 항정상태에서 아미카신의 농도를 2회(약물 투여 전 1시간 이내, 약물투여 종료 후 0.5~1시간 이내) 측정하였다. 각 환자의 약동학적 파라미터(분포용적, 청소율, 반감기) 및 혈중 최고 농도, 최저 농도는 환자의 나이, 체중, 신장, 성별, 혈중 크레아티닌 농도, 투여된 약물용량, 측정된 약물의 혈중농도, 감염의 종류 등을 감안하여 산출하였다. 크레아티닌 청소율에 따라 환자를 4군으로 분류하여 아미카신의 약동학적 파라미터를 비교분석하였다. 결과: 본 연구에서 아미카신 혈중 최저, 최고 농도의 평균 ${\pm}$ 표준편차는 각각 $1.14{\pm}1.95mg/L$, $26.35{\pm}9.28mg/L$이며, 청소율, 분포용적 및 반감기의 평균 ${\pm}$ 표준편차는 각각 $55.40{\pm}23.72mL/hr/kg$, $0.35{\pm}0.12L/kg$, 그리고 $5.22{\pm}3.34hrs$로 산출되었다. 크레아티닌 청소율에 따른 아미카신의 청소율, 분포용적 및 반감기의 유의한 차이가 관찰되었다. 종합적으로 아미카신의 혈중 최저 농도는 크레아티닌 청소율이 40 mL/min 미만인 경우 40 mL/min 이상인 경우에 비해 유의하게 증가하였다. 결론: 아미카신의 약동학적 파라미터들은 신기능에 따라 유의한 차이가 있으므로 최적의 치료효과를 위해서는 환자의 크레아티닌 청소율에 따른 개인화 약물요법이 필요하다.

돼지 액상정액 내 세균오염과 항생제 감수성에 관한 연구 (Characterization of Bacteria and Their Antibiotic Sensitivities in Porcine Liquid Semen)

  • 유재원;조규호;홍준기;김명직;박준철;정일병;김인철
    • Journal of Animal Science and Technology
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    • 제50권6호
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    • pp.793-798
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    • 2008
  • 정액 내 세균오염 종류와 검출 빈도를 조사한 결과는 Table 1에서 보는 바와 같다. 돼지 정액 내 오염세균 중 검출빈도는 Staphylo- coccus genus, Proteus genus, Bacillus genus, Pasteulla genus, Acinetobacte genus 및 Serratia genus 등의 순으로 나타났다. 동정된 세균 중 33종의 세균에 대하여 디스크법을 이용하여 8종의 항생제에 대한 감수성을 조사 한 결과는 Table 2와 3에서 보는 바와 같다. 검출된 세균의 항생제 감수성을 조사한 결과 항생제 감수성이 높은 항생제는 Amikacin, Polymyxin B, Neomycin, Streptomycin, Kanamycin, Tetracycline, Erythromycin 및 Penicillin순 이었다. Enterococcus faecium와 Streptococcus uberis는 Streptomycin을 제외한 모든 항생제에 대하여 저항성이 있는 것으로 조사되었다.

Antimicrobials Effective for Inhibition of Enterohemorrhagic Escherichia coli Strains O26, O111, and O157 and Their Effects on Shiga Toxin Releases

  • Lee, John-Hwa;Stein, Barry D.
    • Journal of Microbiology and Biotechnology
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    • 제19권10호
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    • pp.1238-1243
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    • 2009
  • The susceptibilities of major enterohemorrhagic Escherichia coli (EHEC) strains to antimicrobial agents and the cytotoxicity of these agents were examined using a total of 38 strains of E. coli O26, O111, and O157, which are the major serogroups of EHEC. Among the 38 strains, 35, 36, and 36 were susceptible to amikacin, imipenem, and norfloxacin, respectively. These antimicrobial agents were further examined to determine their cytotoxicity on Vero cells as well as their effect on the release of Shiga toxins along with trimethoprim/sulfamethoxazole. Each of the E. coli O26, O111, and O157 strains containing both the stx1 and stx2 genes were grown in the absence or presence of these agents at 1/4 minimal inhibitory concentration for 6 h, 12 h, and 18 h. At the concentrations used in this study, none of the agents significantly altered cell count compared with the control group. The level of cytotoxicity in the imipenem group was lower at 12 hand 18 h than their respective controls. In contrast, the level of cytotoxicity in cultures treated with trimethoprim/sulfamethoxazole, norfloxacin, and amikacin was increased. The strains were also examined for the release of Shiga toxins 1 and 2 following treatment with the agents, which were measured by the reversed passive latex agglutination (RPLA) method. The RPLA assay showed a suppression of release of Shiga toxin 2 in the strain cultures containing imipenem. These results indicate that imipenem may be a safe and effective agent for inhibition of these bacteria, which has clinical implications for the treatment of EHEC infections.

임상검체에서 Pseudomonas spp.의 분리빈도와 항균제 감수성 (Isolation Frequency and Antimicrobial Susceptibility of Pseudomonas Species from Clinical Materials)

  • 신현성;박연보;조경진
    • 대한임상검사과학회지
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    • 제39권3호
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    • pp.167-177
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    • 2007
  • From the total 121,294 clinical materials submitted to the Department of Laboratory Medicine of "C" hospital from December 1, 2004 to November 30, 2006, 3,408 Pseudomonas spp. were isolated. The isolation frequencies of Pseudomonas spp. were as follows, P. aeruginosa 95.5%, P. putida 2.5%, P. fluorescens 0.8%, along with low frequencies of P. luteola, P. alcaligenes, P. stutzeri, P. oryzihabitants, P. mendocina and unidentified Pseudomonas species. The isolation rates of Pseudomonas spp. according to season and sex were evenly distributed. The isolated frequency of Pseudomonas spp. in male was two times higher than that of in female showing significantly more male patients in surgical areas and more female patients in internal areas (p<0.001). In monthly analysis, Pseudomonas spp. were the most frequently isolated in July (10.4%), but lowest in February (5.6%). Half of Pseudomonas spp. were isolated from sputum (48.2%). In the susceptibility analysis of Pseudomonas spp. by VITEK II AST cards, the Pseudomonas spp showing higher susceptibility against antimicrobial agents were piperacillin/tazobactam (82.7%) in P. aeruginosa; amikacin (84.7%), colistin (83.3%) in P. putida; and amikacin (96.3%), cefepime (87.5%), ceftazidime (87.5%) ciprofloxacin (92.3%), colistin (88.5%) gentamicin (96.2%), isepamicin (96,1%), meropenem (92.3%), netilmicin (96.0%), piperacillin/ tazobactam (95.4%) and tobramycin (92.6%) in P. fluorescens.

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