• 제목/요약/키워드: Cross Infections

검색결과 145건 처리시간 0.024초

폐구균 다당질 백신 내 혈청형 6B에 의해 유도되는 교차 반응 혈청형 6A에 대한 기능적 면역 (Functional Immunity to Cross-Reactive Serotype 6A Induced by Serotype 6B in Pneumococcal Polysaccharide Vaccine)

  • 김경효
    • Clinical and Experimental Pediatrics
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    • 제48권5호
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    • pp.506-511
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    • 2005
  • 목 적 : 폐구균 혈청형 6B와 6A는 폐구균 감염의 중요한 원인균이다. 6B 백신은 다당질 구조의 유사성으로 6A와 교차 면역반응을 일으키며 6B에 의해 생성된 6A에 대한 항체는 감염에서 방어 작용을 할 수 있다고 생각되고 있다. 이를 규명하기 위해 성인에게 폐구균 백신 접종 후 형성된 6B와 6A에 대한 항체의 옵소닌 작용 능력을 측정하여 교차 면역반응을 연구하였다. 방 법 : 건강한 성인 24명에게 혈청형 6B만 포함된 폐구균 다당질 백신을 접종하고 접종 전과 접종 한달 후 혈청에서 혈청형 6B와 6A에 대한 특이 항체의 옵소닌 작용 역가를 OPKA로 측정하였다. 결 과 : 6B에 대한 옵소닌 작용 역가는 백신 접종 전과 접종 후 모두 6A에 대한 역가보다 의미있게 높았다. 백신 혈청형인 6B에 대해서 뿐 아니라 교차 반응하는 혈청형인 6A에 대해 다당질 백신 접종 후 성인에서 옵소닌 작용 역가가 의미 있게 증가하였으므로 백신에 포함된 6B 다당질은 6A에 대해서 교차 방어 항체를 유도하였으나 모든 경우에 해당되지는 않았다. 1명의 성인에서 접종 후에도 계속적으로 6A에 대한 옵소닌 작용 역가가 측정되지 않았다. 결 론 : 백신에 포함된 폐구균 혈청형 6B에 대한 다당질은 혈청형 6A에 대해 대부분 교차 면역 반응을 일으켜 기능적 항체 형성을 유발하지만 드문 경우 이런 교차 면역 반응이 형성되지 않는 경우도 있다. 앞으로 이에 대한 연구가 소아와 노인 등의 다른 연령 군에서도 시행되어야 할 것이다. 또한 교차 방어 형성의 유무는 폐구균 백신의 임상 연구와 백신 사용 후 분리되는 폐구균의 혈청형 검사를 통한 임상 연구에서 직접적으로 연구되어야 할 것이다.

2018-2021년 제주도 내 카바페넴내성장내세균속 균종 감염증의 역학 (Epidemiology of carbapenem-resistant Enterobacteriaceae in Jeju Province, Korea, using national surveillance data, 2018-2021)

  • 박주영;조은숙;배종면
    • Journal of Medicine and Life Science
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    • 제20권2호
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    • pp.67-72
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    • 2023
  • Carbapenem-resistant Enterobacteriaceae (CRE) infections have increased rapidly over the past decade and are recognized as a severe health threat in Korea and worldwide. This study aimed to identify the status and characteristics of CRE infection in Jeju province and provide important basic data for the prevention and management of CRE infection. A descriptive epidemiological analysis was performed on reported cases of CRE infection in Jeju Province between 2018 and 2021 using the integrated management system for disease, an infectious disease reporting system from the Korea Disease Control and Prevention Agency. The annual difference and distribution trends of CRE infection were analyzed using CRE isolates, carbapenemase-producing CREs (CP-CRE) and their genotypes, and the type of medical institution in Jeju Province. CRE infections steadily increased in Jeju from 2018 to 2021, and the proportion of CP-CRE among the CREs also showed a statistically significant increase each year. Among the CRE isolates, Klebsiella pneumoniae (KPC, 62.13%) was the most common, and among the CP-CRE genotypes, KPC (81.62%) showed the highest distribution and increased each year. As the distribution of CP-CRE in have increased over the past 4 years, measures to prevent the spread and outbreak of CRE infections are warranted. The results of this study are expected to be used as basic data for prevention and management of CRE infections in the province.

오이덩굴쪼김병의 교차보호에 관한 연구 III. 비병원성균의 선발 및 온실에서의 교차보호 효과 (Studies on Cross Protection of Fusarium wilt of Cucumber III> Selection of Nonpathogenic Isolates and Their Protective Effects in the Greenhouse)

  • 양성석;김충회
    • 한국식물병리학회지
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    • 제10권1호
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    • pp.25-28
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    • 1994
  • One hundred fifty four our of 262 isolates of Fusarium oxysporum obtained from healthy plant tissues of various crops and their rhizosphere soil were found to be nonpathogenic to cucumber plants. The nonpathogenic isolates were frequently found from sesame plant tissues and rhizosphere soil, but less from healthy plant tissues of cucumber and water melon. When the 154 nonpathogenic isolates were preinoculated into cucumber seedlings, and then challenge-inoculated with Fusarium wilt pathogen, 21 isolates protected effectively cucumber plants from Fusarium wilt infections. A year later, 9 out of 21 isolates fully sustained their protective effect. Among 9 isolates showing good protective effects, 7 were isolates from cucumber plants. These 9 isolates except 1 isolate, were not pathogenic to water melon, chines melon, tomato and sesame.

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오이덩굴쪼김병의 교차보호에 관한 연구 III. 비병원성균의 선발 및 온실에서의 교차보호 효과 (Studies on Cross Protection of Fusarium wilt of Cucumber III. Selection of Nonpathogenic Isolates and Their Protective Effects in the Greenhouse)

  • 양성석;김충회
    • 한국식물병리학회지
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    • 제10권1호
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    • pp.29-33
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    • 1994
  • One hundred fifty four out of 262 isolates of Fusarium oxysporum obtained from healthy plant tissues of various crops and their rhizosphere soil were found to be nonpathogenic to cucumber plants. The nonpathogenic isolates were frequently found from sesame plant tissues and rhizosphere soil, but less from healthy plant tissues of cucumber and water melon. When the 154 nonpathogenic isolates were preinoculated into cucumber seedlings, and then challenge-inoculated with Fusarium wilt pathogen, 21 isolates protected effectively cucumber plants from Fusarium wilt infections. A year later, 9 out of 21 isolates fully sustained their protective effect. Among 9 isolates showing good protective effects, 7 were isolates from cucumber plants. These 9 isolates, except 1 isolate, were not pathogenic to water melon, chinese melon, tomato and sesame.

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Prevalence and molecular characterization of novel recombinant enterovirus G isolates in Jeju Province of South Korea

  • Jeon, Ji Hyun;Lee, Changhee
    • 대한수의학회지
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    • 제59권2호
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    • pp.89-96
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    • 2019
  • Enterovirus species G (EV-G) is highly diverse, and is ubiquitous in pig populations, usually without diarrhea. The present study aimed to investigate the presence of novel EV-G recombinants with the torovirus papain-like cysteine protease (PLCP) in Jeju pig herds. EV-G1-PLCP mono-infections were most prevalent in diarrheic weaned piglets. The PLCP genes of the Jeju isolates varied in size and junction sequences, and were greatly heterogeneous, with 77.0-90.7% homology amongst all recombinants. Our results suggest that the exogenous PLCP gene has undergone continuous rapid mutation in the individual EV-G genomes following cross-order recombination, thereby causing clinical disease in swine.

Prevalence and risk factors of helminth infections in cattle of Bangladesh

  • Rahman, A.K.M.A.;Begum, N.;Nooruddin, M.;Rahman, Md. Siddiqur;Hossain, M.A.;Song, Hee-Jong
    • 한국동물위생학회지
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    • 제32권3호
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    • pp.265-273
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    • 2009
  • A cross-sectional survey was undertaken to identify risk factors and clinical signs associated with parasitic helminth infections of cattle in Mymensignh district of Bangladesh. A nonrandom convenience sampling method was used to select 138 animals from 40 farmers/herds. The eggs per gram of faeces (epg) for nematodes and trematodes were determined by McMaster and Stoll's methods respectively. Animal-level and herd-level data were recorded by means of a questionnaire. Multi-collinearity amongst explanatory variables were assessed using $2{\times}2{\times}\;X^2$ test and one variable in a pair was dropped if $P{\leq}0.05$ formultiple logistic regression models. Association study between outcome and explanatory variables was conducted using classification tree, random forests and multiple logistic regression. A positive epg was considered as infected. Analyses were performed using $STATA^{(R)}$, version 8.0/Intercooled and $R^{(R)}$, Version 2.3.0. Seventy eight percent of the cattle were found to be infected with at least one type of helminth. Twenty four pairs of combinations of explanatory variables showed significant associations. Male animals (OR=3.3, P=.006, 95% CI=1.4, 7.7) were associated with significantly increased prevalence of nematode infection. Female cattle of the study area are mostly cross-breed, kept indoor, fed relatively good diet and not used for draught purpose. Males are used for draught purpose thereby more exposed to nematode infective stage and provided with relatively poor diet. So stressed male cattle may become more susceptible to nematode infection. All of the three statistical techniques selected gender and lumen motility as most important variables in association with nematode infection in cattle. The result of this survey can only be extrapolated to the periurban cattle population of traditional management system.

Current Status of Infection Prevention and Control Programs for Emergency Medical Personnel in the Republic of Korea

  • Oh, Hyang Soon;Uhm, Dong Choon
    • Journal of Preventive Medicine and Public Health
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    • 제48권6호
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    • pp.330-341
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    • 2015
  • Objectives: Emergency medical personnel (EMPs) are pre-hospital emergency responders who are at risk of exposure to infections and may also serve as a source for the transmission of infections. However, few studies of infection control have specifically addressed EMPs in the Republic of Korea (hereafter Korea). The goal of this study was to assess the current status of infection prevention and control programs (IPCPs) for EMPs in Korea. Methods: A cross-sectional survey was conducted to quantitatively assess the resources and activities of IPCPs. A total of 907 EMPs in five metropolitan cities completed a structured questionnaire from September 2014 to January 2015. The data were analyzed using descriptive statistics, multi-response analysis, and the chi-square test. Results: The mean age of the participants was $34.8{\pm}15.1years$. IPCPs were found to have weaknesses with regard to the following resources: the assignment of infection control personnel (ICP) (79.5%), hand hygiene resources such as waterless antiseptics (79.3%), the use of paper towels (38.9%), personal protective equipment such as face shields (46.9%), and safety containers for sharps and a separated space for the disposal of infectious waste (10.1%). Likewise, the following activities were found to be inadequately incorporated into the workflow of EMPs: education about infection control (77.5%), post-exposure management (35.9%), and the decontamination of items and spaces after use (88.4%). ICP were found to have a significant effect on the resources and activities of IPCPs (p<0.001). The resources and activities of IPCPs were found to be significantly different among the five cities (p<0.001). Conclusions: IPCPs for EMPs showed some limitations in their resources and activities. IPCPs should be actively supported, and specific IPCP activities for EMPs should be developed.

Prevalence and Co-infection of Intestinal Parasites among Thai Rural Residents at High-risk of Developing Cholangiocarcinoma: A Cross-sectional Study in a Prospective Cohort Study

  • Songserm, Nopparat;Promthet, Supannee;Wiangnon, Surapon;Sithithaworn, Paiboon
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권12호
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    • pp.6175-6179
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    • 2012
  • Intestinal parasitic infections (IPIs) are still important to the health of Thai rural residents. IPIs are the cause of many chronic diseases with, for example, opisthorchiasis resulting in progression to cholangiocarcinoma (CCA). This cross-sectional study in a prospective cohort study aimed to examine the prevalence and co-infection of intestinal parasites among Northeastern Thai rural residents, recruited into the Khon Kaen Cohort Study (KKCS), and who were residing in areas of high-risk for developing CCA. On recruitment, subjects had completed questionnaires and provided fecal samples for IPI testing using the formalin ethyl acetate concentration technique. Data on selected general characteristics and the results of the fecal tests were analysed. IPI test results were available for 18,900 of cohort subjects, and 38.50% were found to be positive for one or more types of intestinal parasite. The prevalence of Opisthorchis viverrini (O. viverrini) infection was the highest (45.7%), followed by intestinal flukes (31.9%), intestinal nematodes (17.7%), intestinal protozoa (3.02%), and intestinal cestodes (1.69%). The pattern of different infections was similar in all age groups. According to a mapping analysis, a higher CCA burden was correlated with a higher prevalence of O. viverrini and intestinal flukes and a greater intensity of O. viverrini. Both prevention and control programs against liver fluke and other intestinal parasites are needed and should be delivered simultaneously. We can anticipate that the design of future control and prevention programmes will accommodate a more community-orientated and participatory approach.

Sterilization effect of atmospheric pressure non-thermal air plasma on dental instruments

  • Sung, Su-Jin;Huh, Jung-Bo;Yun, Mi-Jung;Chang, Brian Myung W.;Jeong, Chang-Mo;Jeon, Young-Chan
    • The Journal of Advanced Prosthodontics
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    • 제5권1호
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    • pp.2-8
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    • 2013
  • PURPOSE. Autoclaves and UV sterilizers have been commonly used to prevent cross-infections between dental patients and dental instruments or materials contaminated by saliva and blood. To develop a dental sterilizer which can sterilize most materials, such as metals, rubbers, and plastics, the sterilization effect of an atmospheric pressure non-thermal air plasma device was evaluated. MATERIALS AND METHODS. After inoculating E. coli and B. subtilis the diamond burs and polyvinyl siloxane materials were sterilized by exposing them to the plasma for different lengths of time (30, 60, 90, 120, 180 and, 240 seconds). The diamond burs and polyvinyl siloxane materials were immersed in PBS solutions, cultured on agar plates and quantified by counting the colony forming units. The data were analyzed using one-way ANOVA and significance was assessed by the LSD post hoc test (${\alpha}$=0.05). RESULTS. The device was effective in killing E. coli contained in the plasma device compared with the UV sterilizer. The atmospheric pressure non-thermal air plasma device contributed greatly to the sterilization of diamond burs and polyvinyl siloxane materials inoculated with E. coli and B. subtilis. Diamond burs and polyvinyl siloxane materials inoculated with E. coli was effective after 60 and 90 seconds. The diamond burs and polyvinyl siloxane materials inoculated with B. subtilis was effective after 120 and 180 seconds. CONCLUSION. The atmospheric pressure non-thermal air plasma device was effective in killing both E. coli and B. subtilis, and was more effective in killing E. coli than the UV sterilizer.

의료기관의 결핵감염관리 현황 (Status of Tuberculosis Infection Control in Hospitals)

  • 이나영;김경희;강희선
    • 기본간호학회지
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    • 제20권4호
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    • pp.359-371
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    • 2013
  • Purpose: The purpose of this study was to determine the status of tuberculosis (TB) infection control in hospitals. Method: This study was a cross-sectional descriptive study in which self-administered questionnaires were used to survey 77 hospitals. Data were collected from August 12 to September 15, 2012. Results: Only 27 institutions (35.1%) were monitoring patients infected with or suspected of having TB. Most hospitals were conducting TB prevention education for patients' family and employees, and TB screening for employees along with follow-up examinations. However, private negative pressure rooms were more often available in wards and intensive care units than in outpatient departments, and in institutions with over 700 beds located in Seoul or GyeongGi Province. Most hospitals ensured that masks were placed on infected patients while transporting them. In addition, efforts to control TB infection such as placing respiratory etiquette posters in outpatient departments and airborne infection signs on the doors in the wards were also well established in most institutions. Conclusion: More efforts are needed to improve the status of TB infection control to ensure quality care, especially in terms of monitoring patients with TB infections and making private negative pressure rooms available in outpatient departments.