• Clinical and Experimental Pediatrics
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• 제59권4호
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• pp.196-201
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• 2016

Chronic granulomatous disease (CGD) is a rare inherited disorder caused by defective nicotinamide adenine dinucleotide phosphate oxidase enzyme and characterized by recurrent bacterial and fungal infections. Although liver abscess is a common manifestation of CGD, its management in CGD patients is not well-defined. In addition, the generalized guidelines for treating liver abscesses do not necessarily apply to CGD patients. Corticosteroids are commonly used to control granulomatous complications, such as inflammatory gastrointestinal and genitourinary lesions, in patients with CGD, Corticosteroids have also been used in combination with antimicrobials to treat refractory infections in patients with CGD. Because corticosteroids are capable of suppressing symptomatic inflammation, all potential infections must be adequately controlled prior to corticosteroid initiation. We report 3 typical CGD cases with liver abscesses refractory to conventional treatments that were successfully treated with the concomitant use of corticosteroid and antimicrobials. It remains unclear whether corticosteroid therapy is required for liver abscesses in CGD refractory to conventional treatments. However, based on our observations, use of corticosteroids in combination with optimal antimicrobials should be considered for refractory liver abscesses in CGD.

• 한국동물위생학회지
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• 제31권1호
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• pp.17-29
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• 2008

In this study, antimicrobial resistance of E coli isolated from domestic beef on sale in Busan and Gyeongnam province was investigated from March to October 2007. A total of 600 beef samples were collected for the monitoring of antimicrobial resistance, and 92 (15.3%) strains of E coli were isolated. Antimicrobial resistance test was carried out by agar disc diffusion method with 17 antimicrobials. In general, E coli isolates showed the highest antimicrobial resistance to doxycycline (73.9%), followed by tetracycline (70.7%) andcefazolin (63.0%). Then they showed higher resistance to several antimicrobials like norfloxacin (48.9%). However, They had low antimicrobial resistance to amikacin (4.3%), colistin (1.1%). Of 92 isolates, 82 (89.1%) were resistant to more than 2 antimicrobials. Among 17 antimicrobials examined, tetracyclines were the most resistant, followed by cephalosporins, quinolone. The resistance was seemed to be correlated to amounts of antimicrobial use. In the result of this study, we suggest that there be need to regulate the abuse of antimicrobial on food-producing animals in Korea because the concern on antimicrobial resistant is gradually increased worldwide.

• The Ewha Medical Journal
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• 제40권3호
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• pp.99-103
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• 2017

Antimicrobials were one of the great invention of modern era. However, the abuse of antimicrobial both in human and animals has led to a high rate of occurrence of antimicrobial resistant microbes. Disease treatment caused by antimicrobial resistant microbes including superbacteria has emerged as critical issue worldwide. Communication and cooperation among researchers in diverse fields are needed to solve the resistance to antimicrobials. Culture Collection of Antimicrobial Resistant Microbes (CCARM) has taken a leadership role an intermediary among various research fields by providing certified antimicrobial resistant microbes with their information since 1999. CCARM collects antimicrobial resistant microbes from clinical, agricultural animals and products, and environmental fields, and classifies and stores them according to their origins, species and antimicrobial resistance mechanisms. CCARM is performing the roles (collection, deposit, preservation, distribution, service, and consulting) of Biological Resource Center designated by Organisation for Economic Co-operation and Development.

• 한국식품위생안전성학회지
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• 제24권3호
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• pp.262-266
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• 2009

기능성 음료의 저장성을 향상시키고자, 7종류의 천연항균물질($\varepsilon$-Polylysine, 유카추출물, TLS(Vitamin $B_1$ 유도체), BMB-FS(황금추출물), 키토올리고당, KDSP 001, KDSP 002) 곰팡이 성장저해활성을 비교 평가하였다. Aspergillus niger, Penicillium citrimum, Rhizopus oryzae, Fusarium moniliforme, Mucor rouxii, 5 종류의 곰팡이를 상대로 활성을 살펴보았으며, 성장저해활성이 가장 뛰어난 물질의 최소저해농도를 조사하였다. 모든 곰팡이에 대하여 성장 저해활성을 보인 물질은 vitamin $B_1$, 유도체인 TLS 이었으며, 100 ppm 이상의 농도에서는 균사체가 성장하지 못하였다. 황금추출 물 BMB-FS의 경우 F. moniliforme을 상대로 100 ppm이상의 모든 농도에서 성장저해활성을 보였으며 P. citrinum와 M. rouxii의 경우 1,000 ppm이상의 농도가 되어야 균체 성장을 저해하는 것으로 나타났다. 가장 뛰어난 활성을 보여준 TLS의 최소저해농도(MIC)는 A. niger를 제외한 4가지 곰팡이에 대하여 60ppm으로 나타났으며, A. niger에 대한 MIC는 100ppm으로 분석되었다. 이 같은 결과는 기능성 음료의 저장기간을 연장시키는데 중요한 정보를 제공하며, 천연보존료 연구에 도움이 될 것이라 생각된다.

• 한국의료질향상학회지
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• 제1권1호
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• pp.32-43
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• 1994

The 'Pharmacy and Therapeutic Committee' decided to restrict the use of vancomycin which was categorized into restricted antimicrobials, among general, reserved and restricted antimicrobials. The committee also established prescribing guidelines of vancomycin in Seoul National University Hospital, May, 1991. Especially, the restricted antimicrobials should be used after approval by infectious disease specialist physician. A retrospective drug use evaluation (DUE) on vancomycin has been conducted to compare with the previous vancomycin DUE study in 1990. 'Criteria for DUE on vancomycin' was modified from Am J Hosp Pharm. Total 65 charts of patients were retrospectively reviewed from July 1991 to June 1992 in Seoul National University Children's Hospital. The justification of use was improved from 56% to 75% comparing with the previous study. In analyzing process indicators, several criteria including body temperature monitoring, WBC monitoring and use of concomitant antibiotics were well documented, but serum creatinine monitoring, culture and sensitivity test and level monitoring were infrequently performed, while the accepted level has been improved. Accepted level for appropriate initial dosage and duration of therapy were decreased. In outcome analysis, blood culture after discontinuing the drug was relatively well documented compared with the previous study. As the results, the approval vancomycin use was shown to be effective and rational in antibiotic therapy. And it is suggested that the above findings should be communicated to the medical staff, and a active intervention, such as feedback control, also be necessary for rational drug use.

• Journal of Dairy Science and Biotechnology
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• 제29권2호
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• pp.81-85
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• 2011

Recently, antimicrobial resistance of microorganisms has been a major concern of its relation to food safety and national health, therefore, customer's needs to organic animal food is still increasing. In this study, we reviewed the usage of antimicrobials in animal farms and antimicrobial resistance of microorganisms isolated from organic dairy farm environments. The isolates from dairy farms were Acinetobacter sp., A. lwoffi, A. johnsonii, A. towneri, Aerococcus viridans, Aeromonas media, A. veronii, Bacillus pseudofirmus, B. pumilus, B. licheniformis, Corynebacterium glutamicum, Escherichia coli, Enterococcus faecium, Lysinibacillus fusiformis, Paenibacillus illinoisensis, Staphylococcus epidermidis, S. hominis, Streptococcus equinus, S. lutetiensis, and Saccharomyces cerevisiae. Indicator microorganisms isolated from organic dairy farms were tested for susceptibility to 20 types of antimicrobials. E. coli (ATCC 25922) isolated from dairy farm fence showed resistance to 8 types of antimicrobials, such as oxacillin, penicillin, vancomycin, etc., and E. faecium isolated from feces showed resistance to 9 types of antimicrobials, such as cephalothin, oxacillin, streptomycin, etc., respectively. However, these results showed less antimicrobial resistance compare with customary dairy farm.

• 한국동물위생학회지
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• 제46권3호
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• pp.211-218
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• 2023

This study was carried out to investigate the prevalence and antimicrobial resistance of Salmonella serotypes in duck farms of Jeollanam-do Province, South Korea. A total of 1112 samples (breeder ducks, 286; broiler ducks, 826) were collected from 196 duck farms (breeder duck farms, 25; broiler duck farms, 171) between January 2018 and November 2019. The total prevalence of Salmonella serotypes was 45.4% (89/196) in the duck farms, with no significant difference between prevalence in breeder and broiler duck farms (48% and 45%, respectively; P>0.05). The most prevalent serotype among the 127 Salmonella isolates was Salmonella Typhimurium (20.5%) followed by Salmonella Albany (17.3%), Salmonella Hadar (15.7%), and Salmonella Enteritidis (11.8%). Maximum resistance was observed against penicillin (78.74%), followed by tetracycline (68.50%), and kanamycin (65.35%). Of the 127 isolates, 117 (92.13%) were resistant to ≥3 antimicrobials and 2 to all 18 antimicrobials. Our results demonstrate the presence of Salmonella strains and their resistance to multiple antimicrobials, thus indicating a public health concern in South Korea. The emergence of Salmonella stains that are resistant to multiple drugs highlight the need for careful use of antimicrobials in duck farms.

• Pediatric Infection and Vaccine
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• 제13권2호
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• pp.155-162
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• 2006

목 적 : 감염병 치료를 위해서 항생제의 적절한 선택은 필수적이며 잘못된 사용은 내성균주의 출현과 확산, 치료의 실패, 약물 부작용, 의료비 상승 등의 다양한 문제점을 초래한다. 저자들은 임상에서 특정 항생제의 사용을 제한하는 전산 프로그램의 운용이 항생제의 부적절한 사용을 억제하고 약제 사용량 감소에 도움이 되는지 알아보고자 본 연구를 시행하였다. 방 법 : 항생제관리위원회의 의결로 내성의 우려가 있는 고가의 항생제와 과거에 부적절한 사용 경향을 보였던 약제 등 총 7계열의 16개 품목을 제한 항생제로 선정하였다. 입원환자를 대상으로 제한 항생제 관리용 전산 프로그램 운용 후인 2004년과 2005년 5~7월(연구군) 및 운용 전인 2002년과 2003년 동일기간(대조군)에 처방된 항생제의 사용 내역을 후향적으로 조사하였다. 항생제 사용량 비교를 위한 지표는 1일당 재원환자 100명당 항생제 사용자수(명)로 하였으며 일별 항생제 사용 환자수를 조사한 후 재원환자 100명당 사용자수를 산정하였으며, 계열별로 양군간 비교를 시도하였다. 결 과 : 1일 재원 환자수는 대조군($823.5{\pm}37.1$명)이 연구군($809.2{\pm}39.3$명)보다 많았으며(P<0.001), 1일 퇴원 환자수(연구군 : $81.2{\pm}16.0$명 vs. 대조군 : $81.5{\pm}16.9$명)와 재원일수(연구군 : $9.9{\pm}1.6$ vs. 대조군 : $10.0{\pm}2.1$)는 양군간 비슷하였다. 1일당 재원환자 100명당 항생제 사용자수(연구군 vs. 대조군)는 항진균제($0.6{\pm}0.3$명 vs. $0.7{\pm}0.4$명)와 glycopeptides ($4.1{\pm}0.7$명 vs. $4.2{\pm}0.6$명)는 양군간 비슷하였고, carbapenems($1.9{\pm}0.5$명 vs. $0.9{\pm}0.3$명)과 piperacillin-tazobactam($0.7{\pm}0.3$명 vs. $0.3{\pm}0.2$명), quinolones ($2.2{\pm}0.6$명 vs. $1.6{\pm}0.5$명)은 연구군에서 더 많았으며(P<0.001), 고가의 광범위 cephalosporins($1.3{\pm}0.4$명 vs. $1.6{\pm}0.3$명)와 부적절한 사용 경향을 보였던 약제($1.1{\pm}0.5$명 vs. $6.0{\pm}1.4$명)는 연구군에서 유의하게 감소하였다(P<0.001). 결 론 : 항생제 사용을 제한하는 전산 프로그램의 운용은 임상자료 분석에서 부적절한 사용 경향을 가진 항생제의 사용을 줄이는데 효과적이나 내성균 치료제나 고가 약제의 사용량 감소를 위해서는 미흡한 조치이며 이에 대한 추가적인 대책이 필요하다.

• 한국식품위생안전성학회지
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• 제13권4호
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• pp.344-354
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• 1998

식육 및 우유 중에 고시된 설파제 등 16종 합성항균제를 HPLC로 동시에 정성, 정량할 수 있는 동시분석방법을 검토하였다. MSPD법으로 시료를 전처리를 하였으며 용출 용매로는 ethylacetat : acetonitrile(4:1)을 사용하였다. 이동사으로는 A 용매로 water : methanol : acetonitrile : phosphric acid(700: 250: 50: 0.2)와 B 용매로서 100% acetonitrile을 선택하여 그래디언트 컨트롤러를 사용하여 UV 266 nm에서 HPLC로 분석하였다. 현 식품공전법에 비해 유기용매는 99.1%, 실험단계는 94% 줄일 수 있어 분석시간과 인력은 95%, 비용은 98.8% 절감할 수 있었다. 각 시료의 평균 회수율은 닭고기에서는 67.7%, 96.2%, 소고기에서는 67.7%, 96.6% , 돼지고기에서는 70.0%, 96.2% 그리고 우유에서는 13.8%, 97.8%로 나타났다.

• 한국응용과학기술학회지
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• 제30권1호
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• pp.96-115
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• 2013

본 연구는 항균성 코팅제의 개념과 동향파악으로 항균성 코팅제의 연구개발의 방향을 설정하는데 도움을 주기 위한 것이다. 항균제는 미생물을 제거하거나 성장을 저지하는데 사용되는 화합물이며 항균 코팅제에 함유되는 항균제용 재료는 무기물, 금속, 저분자 유기물, 천연유기물, 고분자가 있다. 항균코팅제는 생활용품, 병원용품, 산업용품, 전자제품, 의류, 건축 내장재 등의 표면의 항균성 부여에 쓰인다. 기존 항생제는 세균의 세포벽을 손상하지 않고 미생물을 침투하나 항균성 고분자는 세포막을 파괴하므로 항생제의 내성을 방지할 수 있다. 대부분의 고분자 항균제는 양이온 고분자에 초점을 맞추고 있다. 항균제의 분자설계와 코팅제 배합의 합리화로 항균제의 선택성, 내구성, 독성 문제가 개선될 것이다.