• 대한임상검사과학회지
• /
• 제40권2호
• /
• pp.75-79
• /
• 2008

86 clinical isolates of Acinetobacter baumannii and 116 clinical isolates of Pseudomonas aeruginosa strains isolated from clinical specimens were collected from a hospital in Daegu city area. We investigated the Antimicrobial susceptibility patterns of A. baumannii and P. aeruginosa isolated from sputum, urine, wound, blood, nasal swab, body fluid. The antimicrobial resistance of A. baumannii were shown 96% for piperacillin, carbenicillin 82%. cefotaxime 78%, ciprofloxacin 77%, sulfamethoxazole/trimethoprime 76%, ceftazidime 75%, tobramycin 72%. For P. aeruginosa, the resistance of cefotaxime and sulfamethoxazole/trimethoprime were 100%, carbenicillin 49%, piperacillin 47%, ticarcillin 45%, ticarcillin/ clavulanic acid 40%.

• 한국응용약물학회:학술대회논문집
• /
• 한국응용약물학회 1996년도 춘계학술대회
• /
• pp.162-162
• /
• 1996

새로 합성된 6-exomethylene penamsulfone derivatives 7종에 대해 In Vitro antibacterial activities를 Broth Microdilution법으로 Sulbactam-Na(SAM), Clavulanic acid-K(CLA)와 Cefotaxime-Na(CFT), Ampicillin Trihydrates(AMP), Amoxicillin-Na(AMX), Cefoperazone(CFZ)을 병용투여하여 $\beta$-lactamase 생성 균주(30 여종)에 실시, MIC를 구하였다. 균주에 따라 SAM, CLA에 비해 CH1145, CH1155 등이 우수한 효과를, CH1140, CH2150등이 유사한 효과를 보였다.

• 한국동물위생학회지
• /
• 제27권1호
• /
• pp.75-80
• /
• 2004

This survey was performed to investigate avian salmonellosis from broiler farms in Namwon area for 4 years. The whole samples from farms were 541 and chicken samples were 294. Out of 294, 83 cases were identified with avian salmonellosis for 4 years by various serological and biochemical tests. There was no outbreak of pullorum disease, but fowl typhoid occurred in 36 farms. The outbreak of avian salmonellosis occurred continuously regardless of seasons throughout the year. Avian salmonellosis mostly happened within 10 days of age which were 52 cases(63%). The selection of susceptible antibiotics has changed from Quinoline group in 2000 to amoxacillin + clavulanic acid(AmC).

• Journal of Microbiology and Biotechnology
• /
• 제3권3호
• /
• pp.174-180
• /
• 1993

A strain SMF14 producing an extracellular $\beta$-lactamase was isolated from soil and identified to be a strain of Streptomyces aureofaciens. $\beta$-Lactamase was purified from the cell free culture broth through batchwise hydroxyapatite adsorption, anion exchange chromatography on DEAE Sephadex A-50, gel filtration on Sephadex G-75, and adsorption chromatography on hydroxyapatite. The molecular mass was estimated to be about 43 kDa by SDS-PAGE. The $\beta$-lactamase had substrate specificity to penicillins and it was inhibited by clavulanic acid, being classified to the group 2a of penicillinase.. The optimal reaction pH and temperature were pH 6.0~7.5 and $50^{\circ}C$. The $K_m, and V_{max}$ values of $\beta$-lactamase for penicillin G were calculated to be 1.72 mM and 5.4$\times$$10^5 \mu M \cdot min^{-1}$, respectively.

• 한국동물위생학회지
• /
• 제33권1호
• /
• pp.23-27
• /
• 2010

This survey was performed to investigate the seroprevalence of antibodies to Brucella canis in dogs from public animal shelters and breeding kennels in Incheon. A total of 402 dogs selected randomly were tested serologically by using immunochromatographic antibody test kit. None of 289 dogs in public animal shelters were sero-positive and 10 (8.9%) of 113 dogs in breeding kennels were sero-positive. 5 (4.4%) strains of Brucella canis were isolated from 10 sero-positive dogs' blood. Antimicrobial susceptibility test was carried out by Disk diffusion method. They were susceptible to tetracyclines, quinolones, aminoglycosides and combination amoxicillin with clavulanic acid.

• 대한약학회:학술대회논문집
• /
• 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2-1
• /
• pp.85-87
• /
• 2003

$\beta$-Lactams are historically and clinically representative antibiotics used for therapeutic purposes. In early days, penicillin (penam antibiotic) and cephalosporin (cephem antibiotic) were found in culture broth of two different filamentous fungi, Penicillium chrysogenum and Acremonium chrysogenum. Since 1970, a variety of $\beta$-lactam structures have been discovered from bacterial cultures including Streptomyces species, which are known as cephamycin, cephabacin (cephem antibiotics), clavulanic acid (oxopenam antibiotic), thienamycin (carbapenem antibiotic), and sulfazecin (monobactam antibiotic). (omitted)

• 대한의생명과학회지
• /
• 제23권2호
• /
• pp.96-103
• /
• 2017

Nocardia species (spp.) are opportunistic pathogen in immunocompromised hosts. The genus Nocardia contains more than 70 species. Nocardia takedensis has been recently reported as a new species of the genus Nocardia. In this study, we describes the first clinical isolate of N. takedensis from the skin lesion in Busan, Korea. For the identification of clinical isolate to the species level as N. takedensis, classical methods (colony morphology, biochemical characteristics, and antimicrobial susceptibility), molecular method (16S rRNA gene sequencing), and MS (mass spectrometry) analysis were conducted. Clinical isolates grew slowly on the culture media (5% sheep blood agar and chocolate agar) under 5% $CO_2$ condition. Especially, carotene pigmentation was detected well on the media. Using mass spectrometry, Nocardia isolate was not identified to the species level. However, molecular method based on 16S rRNA sequencing confirmed the isolate as N. takedensis correctly. N. takedensis isolate was partial positive for acid-fast bacilli on the Ziehl-Neelsen method. And it was observed to be resistance to amoxicillin/clavulanic acid and ciprofloxacin. Our results provide useful information to develop optimal identification protocol of N. takedensis in clinical diagnostic laboratories.

• 환경생물
• /
• 제29권4호
• /
• pp.286-295
• /
• 2011

Bacteria resistant to various antibiotics have recently become an issue of the utmost importance. Resistant strains are not uncommon, even in municipal drinking water sources. The health threat posed by resistant, pathogenic bacteria has serious ramifications for both public health and agriculture. In this study, we isolated antibiotic resistant bacteria from water samples from the Han River, Korea, which is contaminated by the wastewater from many industrial complexes, hospitals, agricultural and animal husbandry estates, and from wastewater treatment facilities. We determined the degrees of resistance to various antibiotics exhibited by the isolated strains. The similarities between the isolated $E.$ $coli$ strains were examined, using the pulsed field gel electrophoresis and multilocus sequence typing, in order to trace their origins and to explore the syntechnic adaptations and pathogenicity of the various strains and relate these to their genetic sequence. A total of 25 $E.$ $coli$ strains were isolated from six stations along the Han River. All the 25 strains exhibited resistance to ampicillin. We also investigated resistance to amoxicillin, clavulanic acid, cefazolin, cofoxitin, cefotaxime, cefpodoxime, ceftriaxone, cefepime, nalidixic acid, aztreonam, ciprofloxacin, streptomycin, gentamicin, chloramphenicol and imipenem. Based on the ESBL detection, 14 strains belonged to the ESBL producing strains. The number of the clonal complex producing strains was 5 among the 14 isolated strains. The 5 strains were included in the 168, 23, 38, 469, 156 clonal complex, respectively. The rest 9 strains were not included in the clonal complex, but showed independent STs.

• 한국동물위생학회지
• /
• 제33권1호
• /
• pp.51-57
• /
• 2010

Salmonella Typhimurium is a virulent pathogen for human and animal. We studied serotypes, biochemical characteristics, and antimicrobial resistance of S. Typhimurium isolated from diseased pigs in Gyeongbuk province over 1998 to 2008. One hundred sixteen isolates were identified as S. Typhimurium by biochemical characteristics and serotypes from 90 farms. The biochemical characteristics of S. Typhimurium isolates was production of $H_2S$, indole-negative, fermentation of mannitol, dulcitol, sorbitol, inositol, rhamnose, and maltose, and ornithine decarboxylase. At antimicrobial susceptibility test, the majority of isolates were highly susceptible to amoxicillin/clavulanic acid, cefepime, ciprofloxacin, while were highly resistant streptomycin, cephalothin, enrofloxacin, nalidixic acid, apramycin, chloramphenicol, tetracycline. The isolates were divided into 65 resistant patterns and 47 of the isolates were shown as a DT104 ASSSuT resistant phenotype.

• Tuberculosis and Respiratory Diseases
• /
• 제44권5호
• /
• pp.1072-1082
• /
• 1997

연구배경 : 중증 지역사회획득 폐렴은 진단방법의 향상, 항생제의 개발, 조기진단 및 치료에도 불구하고 여전히 높은 사망률을 보이는 질환으로 알려져 있다. 중증 지역사회획득 폐렴의 임상적 특정을 분석하고 예후에 영향을 미치는 인자를 규명하여 치료 및 예후 판정에 도움을 주고자 한다. 방 법 : 1989년 1월부터 1996년 7월까지 한림대학교 의료원에 내원한 40명의 중증 지역사회획득 폐렴환자를 대상으로 후향적으로 분석하였다. 원인균 동정을 위해 객담배양, 혈액배양, 기관지폐포세척액배양 및 Mycoplasma pneumoniae에 대한 항체검사를 시행하였고, 초치료로 2세대 혹은 3세대 cephalosporin, amoxicillin/clavulanic acid 등이 사용되었으며 aminoglycoside와 macrolide가 상황에 따라 병용 투여되었다. 대상군을 생존군과 사망군으로 분류하여 연령, 흡연 및 알콜중독 유무, 기저질환 유무, 저산소 혈중, 기계적 환기의 필요, 흉부 방사선상 양측성 폐 침윤 소견, 분당 호흡수, 쇼크의 유무, 혈중요소질소 및 알부민 농도 등을 비교 분석하였다. 결 과 : 남자가 2.07 : 1의 비율로 많았고 평균 연령은 $63.1{\pm}17.5$세(범위 : 25~90세)였으며 60세 이상이 65%로 다수를 차지하였다. 흡연자가 62.5%, 알콜중독자가 30%였고, 60%에서 기저질환이 발견되었으며 종류별로는 과거의 폐결핵 병변(12.5%), 만성 폐쇄성 폐질환(7.5%), 기관지 천식(5%), 기관지 확장증(2.5%), 당뇨병(22.5%) 등이었다. 가장 흔한 원인균은 S. Pneumoniae로 17.5%였으며 S. aureus 15%, K. pneumoniae 13.5%, Mycobacterium tuberculosis 7.5%였고 그 외에 coagulase negative staphylococcus, H. influenzae, P. aeruginosa, E. cloaceae, E. coli가 각각 2.5%씩 동정되어 65%의 동정율을 나타내었다. 단독 및 병용요법에서 흔히 사용된 항생제는 aminoglycoside계(75% : 30/40), 2세대 및 3세대 cephalosporin계(40% : 16/40, 27.5% : 11/40), macrolide계(27.5% : 11/4), amoxicillin/clavulanic acid(22.5% : 9/40)의 순이었다. 사망률은 37.5%였으며 사망환자의 50%가 입원후 72시간 내에 사망하였다. 예후에 영향을 미치는 인자로는 기계적 환기의 필요, 흉부 방사선 소견상 양측성 폐침윤, 혈중 알부민 농도의 저하(3.0g/dl 이하) 등이 통계적으로 유의한 차이를 보였다. 결 론 : 본 연구에서 나타난 중중 지역사회획득 폐렴의 임상적 특징과 예후인자를 바탕으로 적절한 항생제의 선택과 초기에 적극적인 진료로 치료성적을 향상시킬 것으로 기대된다.