• 고신대학교 의과대학 학술지
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• 제33권2호
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• pp.159-170
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• 2018

Objectives: The purpose of this study was to compare antibiotic resistance patterns between first urinary tract infection (UTI) and recurrent UTI groups and to obtain information regarding empirical antibiotic selection for treating recurrent UTI. Methods: We retrospectively reviewed 148 children treated for UTIs from January 2009 to June 2016. The patients were divided into two groups: first UTI (N = 148) and recurrent UTI (17 patients and 20 episodes). Results: In both groups, Escherichia coli was the most frequent causative organism, accounting for 89.9% and 75.0% in the first and recurrent UTI groups, respectively. When E. coli or Klebsiella pneumoniae was the causative organism, extended-spectrum ${\beta}-lactamase$ (ESBL)-producing organisms were more frequent in the recurrent UTI group (17.6%) than in the first UTI group (14.0%); however, this difference was not statistically significant (P = 0.684). Cefotaxime was the most frequently used first-line empirical antibiotic in both groups. In the first UTI and recurrent UTI groups, 7.4% and 15.0% of patients were treated with intravenous antibiotics as definitive therapy, respectively (P = 0.250). Fifteen out of 17 patients having a second UTI had different causative organisms or antibiotic susceptibility patterns compared to their previous episode. Conclusions: Escherichia coli was the most frequent causative organism in the recurrent UTI group. There were no differences in the proportion of ESBL-producing organisms between the first UTI and recurrent UTI groups. Therefore, when a UTI recurs in children, the antibiotics effective on the most common causative organism might be administered as empirical antibiotics.

• 대한수의학회지
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• 제14권1호
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• pp.99-105
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• 1974

A total of 2,053 quarter milk samples of 518 dairy cows from 46 herds were examined for mastitis and results obtained were as follows: 1. A total of 428 quarters(20.8%) of 271 dairy cows(52.3%) from 41 herds(89%) were found to be infected with mastitis. 2. It was found that 71 quarters(3.5%) of 41 cows(7.9%) from 21 herds(45.6%) were clinical mastitis and 357 quarters(17.3%) of 230 cows(44.4%) from 20 herds (43.4%) were subclinical mastitis. 3. The main causative organisms of the mastitis were Staphylococcus aureus(26%), Streptococcus uberis(16%), and Streptococcus agalactiae(10%). 4. The majority of causative organisms were very resistant to colistin(85.9%), penicillin(67%), and streptomycin(39%). Most of the other drugs were highly effective as inhibitor for the most causative organisms in vitro. However sulfisoxazole was moderatively effective against them.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1972년도 춘계종합 학술대회 초록집
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• pp.1.2-1
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• 1972

만성중이염의 원인균에 대해서는 여러가지 방면으로 고찰되어 왔다. 저자들은 시대에 따르는 원인균의 분포와 아울러 새로운 항생제제의 개발에 따르는 내성 및 감수성의 정도와 변화 등을 고찰하기 위하여 임의로 선택된 중이염환자의 이루에서 채취된 세균에 대해 이를 분류하고 각종 항생제에 대한 감수성을 검사하였기에 보고한다. 65이에서 분류된 65균주에 대해 Ampicillin Chloramphenicol, Erythromysin, Kanamycin, Gentamycin, Orbenin, penicillin, Streptomycin, Terramyin 및 Colimycin등 10종류의 항생제제에 대한 감수성 청사를 하였다. Gram-negative 군인 pseudomonas(12례, 18.5%)에서는 Colimycin에 91.7% 및 Gentamycin에는 75%의 순으로 감수성이 높았고 proteus (11례 16.9%)에 가장 감수성이 높은 약제는 Ampicillin 81.8%이고 Genta-mycin에 81.8% 등이었다. Gram-positive인 Staphyloccus aureus(19례 29.2%)에서는 Erythromyin에 100% Orbenin에 94.7%의 순으로 감수성이 높았다.

• Journal of Chest Surgery
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• 제17권2호
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• pp.263-268
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• 1984

Four patients of acute purulent pericarditis were seen at the Jeonbug National University Hospital between January, 1979 and December 1983. All patients were proven to have acute purulent pericarditis by clinical evaluation, bacterial study, and biopsy. Three patients were male and one female. The three patients were in pediatric age. The primary focuses were meningitis, Rt. coxitis, lobar pneumonia, and gastro-enteritis. The causative organisms were staphylococcus aureus in two patients. In the other two patients, organisms were not cultured from the pericardial pus. The reason why the causative organisms were not cultured in pericardial pus was probably due to massive antimicrobial treatment before pus collection. All patients were treated with systemic antibiotic therapy and pericardiostomy with normal saline irrigation. The three patients were treated without specific complication. The one patient developed the chronic constrictive pericarditis. In this patient, pericardiectomy was performed.

• 대한수의학회지
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• 제15권2호
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• pp.315-320
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• 1975

A total of 364 quarter milk samples of 91 dairy cattle from 4 area around Jeonju in Jeonbug area were examined for infection rate and causative abets of mastitis by the Laboratory Procedures used in the Connecticut Mastitis-Control Program. The results obtained were as follows: 1. One hundred and thirty quarters (35.7%) from 67 cows (73.6%) were found to be infected with mastitis. It was found that 5 (1.37%) of the infected quarters were clinical mastitis and all of the rest were subclinical mastitis (125 quarters). 2. The main causative agents were found to be Staphylococcus aureus (46 quarters), Streptococcus agalactiae (49 quarters), streptococcus disgalactiae (18 quarters), Steptococcus uberis (13 quarters). Corynebacteria, Coliform organisms, Pseudomonas were also occasionally found to be causative organisms. 3. Having examined the number of infection Quarter per head of mastitis dairy cattle samplings, major findings were that the average number of infection quarter to total dairy cattle examined was 1.4 quarters, and that average number of infection quarter to the infected cattle was 1.9 quarters.

• 대한간호학회지
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• 제24권3호
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• pp.345-363
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• 1994

This study attempted to identify important problems of the factors related to the indwelling catheter with closed drainage and to enhance recognization of Urinary Tract Infection management to protect patients with indwelling catheter from UTI. We selected the 58 patients with indwelling catheter with closed drainage from md-surg. intensive care units, and general neurological and neurosurgical ward, in one hospital in Pusan, Korea from May 30 to October 15, 1993. Patients were examined by urinary analysis before inserting catheter and then by urine cultures three times. The obtained data was analized using an SPSS /PC$^{+}$ The statistical analyses employed here was the frequency, percentage and x$^2$-tests. 1. Analyses for Indwelling Catheter induced UTI and infection rates were found to be presented in patients related to the factors of being on antibiotic drugs (x$^2$=14.105, p=.000) and the duration of the indwelling catheter(x$^2$=58.0, p=.000), both of which were found to affect the UTI. 2. UTI rates according to the duration of the in-dwelling catheter were high 8.6％ for the 2nd day, 27.6 for the 4th day, and 36.2% for the 7th day, and as the duration for the indwelling catheter was longer, UTI rates were higher. 3. The UTI rates according to the duration of the indwelling catheter related re factors, on the 7th day, were high-52.0% for women, 37.0% for more than 50 years in ages, 30.0% for patients under sur-gery, 33.3% for altered mental states outsides the alert, 76.7% for patients not given antibiotic drugs, 36.4% for less than 3500cc of fluids intakes, it was found that these affected to increase the UTI. 4. Causative organisms of UTI were found ; E.Coli appears the most than all other isolated organisms in women and Klebsiella and Pseudomonas in men. For antibiotic susceptibility of causative organisms, all causative organisms were found to be susceptible to Sul -cefoperazone, Trim-prim, and unasyn and Pseudomonas mostly net susceptible.e.

• 대한수의학회지
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• 제14권1호
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• pp.91-97
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• 1974

A total of 820 dairy cattle were examined formastitis by California mastitis test method and 181 dairy cattle were examined bacteriologically according to the method of Connecticut mastitis control program. The results obtained were as followings: 1. Milk samples from 1.231(38.1%) of 3,225 quarters and 568(69.3%) of 820 dairy cattle were positive for mastitis by California mastitis test method. 2. Among 181 cattle examined bacteriologically by the method of Connecticut mastitis control program 159(22.9%) quarters of 102(56.4%) cattle were infected. Clinical mastitis was found in 5 cattle. 3. Important causative organisms were found to de Staphylococcus aureus(44.8%), Streptococcus agalactiae(21.5%), and non-str, agalactiae Streptococcus(26.4%). Corynebacterium ssp., Pseudomonas spp., Coliforms and Yeasts were also occasionally found to be causative organisms. 4. Strains of Staphylococcus aureus isolated from bovine udders were tested for sensitivity to antibiotics. The rates of resistant strain were 13.7%, 11.8%, 8.8%, 5.9%, 100%, 4.9% and 4.9% for penicillin G, streptomycin, terramycin, erythromycin, chloramphenicol, ampicillin and kanamycin, respectively.

• 대한수의학회지
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• 제15권1호
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• pp.109-114
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• 1975

A total of 2,065 quarter milk samples of 534 dair cows from 35 herds were examined for mastis and the results obtained were as follows: 1. 654 quarters (31.6%) of 301 dairy cows (56.3%) from 34 herds (97.1%) were infected with mastitis. It was found that 8 cows (1.5%) showed clinical mastitis and other cows were subclinical. 2. Low infection rate of mastis was shown in first delivery cattle and higher infection rate in more deliverable of cattle. 3. The main causative organisms of the matitis were Staphylococcus aureus (19.4%), Streptococcus agalactiae (11.3%) and Streptococcus dysgalatiae (5%). 4. The majority of causative organisms were very resistant to colistin and highly sensitive to tetracycline. Especially Streptococcus strains were highly sensitive to leukomycin, and Staphylococcus aureus were highly sensitive to tetracycline and the other bacteria were highly sensitive to tetracycline and kanamycin.

• 한국임상수의학회지
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• 제21권2호
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• pp.129-132
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• 2004

Causative agents of mastitis were isolated from glandular tissues of 101 culled Holstein cow udders and tested with antimicrobials by standardized disc diffusion method. Pathogens most commonly isolated were coagulase-negative staphylococci (43.9%) and streptococci (21.4%). Most of the udders (88.5%) showed mixed infections with more than two species of bacteria. Antimicrobial sensitivity tests revealed that 90.0% and 84.5% of the isolated organisms were susceptible to amoxicillin and gentamicin, while most organisms were resistant to erythromycin. Coliforms were resistant to ampicillin, cephalothin, cefazolin, erythromycin, kanamycin, neomycin, penicillin and tetracycline and streptococci to erythromycin, kanamycin, neomycin, trimethoprim/sulfamethoxazole and tetracycline.

• Tuberculosis and Respiratory Diseases
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• 제42권1호
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• pp.67-75
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• 1995

연구배경: 최근 세균성 폐렴을 일으키는 원인균주의 변화양상, 폐렴의 임상상, 균주에 따른 항생제의 감수성 및 치료성적등을 알아보기위해 순천향대학병원에서 세균성 폐렴으로 진단된 190예를 후향적으로 입원기록 검토를 통하여 분석하였다. 방법: 1989년 1월부터 1992년 12월까지 4년간 순천향대학병원에서 폐렴으로 진단된 환자 897예 중 화농성 객담, 호흡곤란, 흉통등의 증상, 이학적 소견, 흉부 X-선에서 새로운 또는 진행하는 폐 병변, 혈액배양 및 의미 있는 객담에서 다수 또는 순수배양 상태로 나온 것을 병원균으로 간주하고, 항균제치료에 대한 반응등으로 세균성 폐렴으로 진단 받은 환자 190예를 대상으로 하였으며, 병원체는 혈액이나 객담 배양검사로 원인균이 확인된 것만을 대상으로 하여 대상 환자의 나이, 성별, 기저절환, X-선소견, 원인균에 대한 항생제 감수성 및 사망률에 대해 후향적으로 검토하였다. 결과: 1) 대상 환자는 모두 190예이었고 성별빈도는 남자가 123예(65%), 여자가 67예(35%)로서, 남녀의 비가 1.8:1이었으며, 평균연령은 61세(17~84세)이고, 60대 이상이 반수(53%)이상을 차지했다. 2) 세균성 폐렴환자의 기저질환은 175예에서 관찰되었으며 기저질환이 없었던 예는 22예 뿐이었다. 기저질환으로는 폐결핵 및 만성폐쇄성폐질환등 호흡기계 질환이 78예(43%)로 가장 많았고, 뇌혈종 및 경색의 뇌혈관계 질환은 33예(20%), 악성종양 29예(16%), 당뇨 19예(12%) 및 만성 신부전증 10예(5%) 순이었다. 3) 객담배양은 173예에서 양성을 보였고, 균주빈도는 그람음성간균이 154예(89%), 그람양성구균은 19예(11%)이었으며, 이중 가장 흔히 동정된 균주는 Pseudomonas 49예(28%), Klebsiella pneumoniae 29예(17%), Enterobacter species 25예(14%), Acinetobacter species 20예(12%) 순이었고, 원내폐렴에서도 Pseudomonas 균주가 13예(34%)로 가장 많았다. 4) 혈액배양은 16예에서 양성을 보였고, 균주빈도는 그람음성간균이 7예(43%), 그람양성구균은 9예(57%), 이중 가장 흔히 동정된 균주는 Staphylococcus aureus 6예(38%)으며, 그 다음 흔한 균주는 Pseudomonas specise 3예(19%)의 순이었다. 5) 항생제 감수성 검사에서 Pseudomonas species는 amikacin(56%), ciprofloxacin(91%), aztreonam(85%), ceftazidime(50%)에 50% 이상의 감수성을 보였고, piperacillin(60%), gentamicin(73%), carbenicillin(79%)에는 60% 이상의 내성을 보였다. Klebsiella species는 chloramphenicol(74%), gentamicin(75%), cefotetan(78%)에 70% 이상의 감수성을 보였고, carbenicillin(73%), ampicillin(81%)에는 70% 이상의 저항성을 보였다. Staphylococcus의 감수성 검사에서는 methicillin에 64%의 감수성을 보였고, Streptococcus pneumoniae의 경우 oxacillin에 94%의 감수성을 보였다. 6) 세균성 폐렴의 치료결과 154명(81%)이 치유되었고 사망 및 가사상태로 퇴원한 경우는 36명(19%)이었으며, 병원획득폐렴 환자의 사망율은 25예(75%)로 높았다. 결론: 항생제의 개발과 더불어 폐렴의 임상상의 변화, 원인균주의 변화 및 새로운 내성균의 출현등을 고려할 때 무분별한 항생제 투여를 지향하고 세균배양 및 감수성검사를 바탕으로 한 적절한 항생제의 투여가 절실히 요구된다.