• Title/Summary/Keyword: Enterobacteriaceae

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Risk factors for the colonization of carbapenem-resistant Enterobacteriaceae in patients transferred to a small/medium-size hospital in Korea: a retrospective study (중소병원으로 전원 온 환자의 카바페넴내성장내세균속균종 보균 위험요인)

  • Misun Lee;Hyunjung Kim
    • Journal of Korean Biological Nursing Science
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    • v.25 no.4
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    • pp.285-294
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    • 2023
  • Purpose: This study aimed to identify the colonization rate of carbapenem-resistant Enterobacteriaceae (CRE), the characteristics of CRE isolates, and risk factors for CRE colonization in patients transferred to the general wards of a small/medium-sized hospital. Methods: This retrospective study was conducted on patients who underwent CRE culture tests within 24 hours of admission among patients transferred to a small/medium-sized hospital. Forty-seven patients confirmed as positive for CRE were classified as belonging to the patient group. For the control group, 235 patients (five times the number of the patient group) were matched by sex, age, and diagnosis, and then selected at random. Data were analyzed using descriptive analysis and multiple logistic regression analysis. Results: The CRE colonization rate was 5% (47 out of 933 patients), and Klebsiella pneumoniae (68.0%) was the most common isolate of CRE. The positivity rate of carbapenemase-producing Enterobacteriaceae was 61.7%. The risk factors for CRE colonization included renal disease (odds ratio [OR]=4.93; 95% confidence interval [CI], 1.49-16.31), heart disease (OR=3.86; 95% CI, 1.35-11.01), indwelling urinary catheters (OR=4.43; 95% CI, 1.59-12.36), and cephalosporin antibiotic use (OR=8.57; 95% CI, 1.23-59.60). Conclusion: Having a comorbid renal or cardiac disease, an indwelling urinary catheter, or a history of exposure to cephalosporin antibiotics could be classified as risk factors for CRE colonization in patients transferred to small and medium-size hospitals. It is necessary to perform active infection control through proactive CRE culture testing of patients with risk factors.

Bacterial Contamination and Antimicrobial Resistance of the Surrounding Environment Influencing Health (건강에 영향을 주는 주변환경의 미생물 오염 실태 및 항생제 내성)

  • Lee, Do Kyung;Park, Jae Eun;Kim, Kyung Tae;Jang, Dai Ho;Song, Young Cheon;Ha, Nam Joo
    • Korean Journal of Microbiology
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    • v.50 no.2
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    • pp.101-107
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    • 2014
  • Community-acquired antimicrobial resistant bacteria are an emerging problem world-wide. In Korea, resistant bacteria are more prevalent than in other industrialized countries. The aim of this study was to investigate the isolation frequency of methicillin-resistant staphylococci (MRS), Pseudomonas, and Enterobacteriaceae from surrounding environment (home, colleges, public transportation system and possessions) in Seoul, and to examine the level of drug resistance to 13 antimicrobial agents, which are in wide spread clinical use in Korea, as well as new agent, tigecycline in Enterobacteriaceae isolates. Of total 239 samples, 18 (7.5%) MRS, 10 (4.2%) Pseudomonas, and 30 (12.6%) Entarobacteriaceae were isolated. A total of 5 (2.1%) methicillin-resistant S. aureus (MRSA) were detected in home (2 samples), colleges (1 sample), and et cetera (2 sample). A total of 5 (2.1%) Escherichia coli were detected in in home (1 samples), public transportations (3 sample), and et cetera (1 sample). Resistance to cephalosporins, fluoroquinolones, carbapenems, ${\beta}$-lactams, tetracyclines, and aminoglycosides was found in 71.9%, 71.9%, 68.8%, 68.8%, 50.0%, and 25.0% of 32 Enterobacteriaceae isolates, respectively. Also, resistance rate to trimethoprim/sulfamethoxazole of the isolates was a 43.8%. Moreover, 59.4% of the isolates were resistant to new agent, tigecycline and resistance to all agents tested was observed in 3 isolates. Five E. coli isolates were resistant to most of the agents tested, but some of them were susceptible to ciprofloxacin and gentamicin. This study can serve as a data point for future comparisons of possible changes in antibiotic resistance levels in surrounding environment. And multilateral strategies for preventing the incidence and spread of antibiotic resistance are needed.

Effect of Fresh Garlic on Lipid Oxidation and Microbiological Changes of Pork Patties during Refrigerated Storage

  • Park, Sung Yong;Chin, Koo Bok
    • Food Science of Animal Resources
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    • v.34 no.5
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    • pp.638-646
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    • 2014
  • The effects of two levels (1.4 vs 2.8%) of fresh garlic on lipid oxidation and microbial growth in pork patties were evaluated. Hunter color (L, a, b), pH, thiobarbituric acid reactive substances (TBARS), oxidative volatile compounds, total bacteria and Enterobacteriaceae in the pork patties with or without fresh garlic were measured during storage at $4^{\circ}C$. Addition of fresh garlic decreased redness (a), while increased pH and yellowness (b) values of the fresh pork patties were observed, regardless of the levels added. The TBARS values of the pork patties were increased with the addition of fresh garlic (p<0.05). Similar results were observed in oxidative volatile compounds. A total of 13 volatile compounds were detected in the patties (5 sulfur-containing compounds, including allyl mercaptan, allyl methyl sulfide, diallyl sulfide, methyl-(E)-propenyl-disulfide, and diallyl disulfide, and the 8 other oxidative compounds, including 1-pentanol, hexanal, 1-hexanol, heptanal, (E)-2-heptenal, 1-octen-3-ol, (E)-2-octenal and nonanal). Fresh garlic accelerated development of oxidative products in the pork patties, especially hexanal and the total oxidative volatile compounds. However, the addition of 1.4 and 2.8% of fresh garlic inhibited the growth of total bacteria and Enterobacteriaceae, indicating low total bacterial counts and Enterobacteriaceae than the controls.

Isolation of Enterobacteriaceae from bile, urine and intestine in slaughtered pigs and its susceptibility to antibiotics (도축돈의 담즙, 뇨 및 장관에서 장내세균의 분리 및 항생물질 감수성)

  • 허부홍;서석열;엄성심;김진환;윤창용;조정곤;송희종
    • Korean Journal of Veterinary Service
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    • v.19 no.3
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    • pp.213-219
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    • 1996
  • Seventy-nine strains of Enterobacteriaceae isolated from 117 slaughtered pigs (bile, urine, small intestine, cecum and rectum) in 1995 were examined for biotypes and susceptibility to 19 antibiotics with MicroScan WalkAway 40/96. The obtained results were as follows : 1. Among the twenty-two species isolated from the samples, Proteus mirabilis, E. coli and Enterobacter cloacae were commonly encountered. 2. The distribution frequency of isolates from cecum, small intestine, rectum, bile, and urine was 31(38.8%), 25(31.3%), 18(22.8%), 3(3.7% ), and 2(2.5% ), respectively. 3. A majority of isolates were sensitive to 16 antibiotics, singly or in combination. And these isolates were commonly susceptible to various antibiotics such as Cp, Ts, Azt, Caz, To, Gm, Cfz, Crm, Am and Cfx, in order. Whereas the Salmonella spp was susceptible to Cf, Ti and Pi, and Proteus mirabilis to Imp, Tim, Cft and Cz. Meanwhile, no effect was found to Cf, Ak and Cax. 4. Among the antibiotic resistant strains, a total of 17 reistant patterns was noted End of these Ak Tim 45(57.0%), Ak Am Cf Cfx Cfz Tim 8(10.1%) and Ak Ti Tim 6(7.6% ) were frequently encountered.

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A Case Report on the Risk of Enterobacteriaceae Infection in the Oral and Maxillofacial Region

  • Lim, Lee-Rang;Lee, Young-Cheol;Lee, Hye-Jung;Jung, Gyeo-Woon;Yun, Na-Ra;Seo, Yo-Seob;Oh, Ji-Su;You, Jae-Seek
    • Journal of Oral Medicine and Pain
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    • v.44 no.3
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    • pp.133-139
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    • 2019
  • Osteomyelitis is an inflammatory condition of the bone caused by pathogenic bacteria. The causative pathogen is usually oral residing bacteria, but this is a report of patients with osteomyelitis infected with Enterobacteriaceae, which is not common. Enterobacteriaceae has been known to cause in-hospital infections for over last 30 years and is known to have multiple antibiotic resistances. Both cases in this study developed osteomyelitis after removal of the dentigerous cyst. Enterobacter aerogenes was cultured in one patient and Serratia marcescens in the other. After changing antibiotics through antibiotic susceptibility testing, clinical symptoms subsided and radiographic images confirmed that the callus formed and recovered at the same time.

Factors Affecting Performance of the Infection Control of Carbapenem Resistant Enterobacteriaceae of Nursing Staffs in Long-term Care Hospitals (요양병원 간호인력의 카바페넴 내성 장내세균속균종 감염관리 수행 정도에 미치는 요인)

  • Kim, Gyuri;Lee, Jong-Eun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.29 no.2
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    • pp.204-215
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    • 2022
  • Purpose: This study aimed to identify factors affecting the carbapenem-resistant enterobacteriaceae (CRE) infection control performance of nursing staff, who closely contact patients with CRE in long-term care hospitals. Methods: A cross-sectional study design was used. A total of 135 nursing staffs working in seven long-term care hospitals in the southern and northern areas of the K province in Korea were included. We measured the CRE infection control general characteristics, knowledge, perception, and performance. Results: The main factors affecting the CRE infection control performance were education, knowledge, and perception. The model explained the 60.8% total variance in CRE infection control. Conclusion: Appropriate infection control strategies should be prepared to provide high quality nursing care and prevent the spread of CRE infection in long-term care hospitals. Establishing an efficient infection control system in long-term care hospitals is necessary.

Study on the Activation of Microbial Products by Using the Leachate (침출수를 이용한 미생물 제제의 활성에 관한 연구)

  • 이장훈;정준오;남명흔
    • Journal of Environmental Health Sciences
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    • v.24 no.3
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    • pp.70-76
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    • 1998
  • Activation bacteria, identified from commercial microbial products, were applied to leachate treatment. Total seven strains of bacteria Enterobacteriaceae spp. (5), Bacillus sp. (1), Aeromonas sp. (1) were seeded in the leachate and cultured in the shaking incubator at 25$^{\circ}$C and 250 rpm. While cultured, they were sampled in given time intervals and the removal rates of SS, COD, BOD, T-N.and T-P were measured an indicators of leachate treatment. Through the screening test, four of 7 strains of bacteria were considered to be effective and they were named as "effective group". The capability of leachate treatment was observed on three different groups of bacteria single, effctive, and total mixed. The result showed that the removal rates of COD and SS for the total mixed group were 64 and 71% respectively. BOD removal rate was reached nearly 99% by seeding of effective griup and removal rates of T-P and T-N were 83 and 82% respectively. However seeding of single strain was less effective than that of any mixed group in leachate treatment.

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The distribution and annual variation of detergent-degrading bacteria in the Han river downstream (서울시역 한강수계의 합성세제 분해세균의 분포)

  • 배경숙;이혜주;하영칠;홍순우
    • Korean Journal of Microbiology
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    • v.20 no.3
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    • pp.113-118
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    • 1982
  • The distribution and annual variation of detergent-degrading bacteria which were isolated from the Han River downstream running through the center of Seoul area were studied. The concentration of dissolved detergent was the lowest, 2.16 ppm at site 1 and it was gradually increased to downstream, the highest, 2.67 ppm at site 4. Population density of detergent degrading bacteria was about $10^2{\sim}10^3 cells/ml$. The density of LAS degrading bacteria was 1.1 - 1.8 times larger than that of SDBS-degrading bacteria. In annual variation the lowest density was appeared on January and the highest on July. In seasonal distribution of LAS-degrading bacteria, annual dominant group was genus Pseudomonas. There were few except genus Pseudomonas in winter and the subdomiannt group in spring and summer was genus Aeromonas and Enterobacteriaceae respectively. In autumn genus Pseudomonas, Aeromonas and Enterobacteriaceae were equally distributed. In SDBS-degrading bacteria, the annual dominant group was also genus Pseudomonas.

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Gene Cloning, Expression, and Functional Characterization of an Ornithine Decarboxylase Protein from Serratia liquefaciens IFI65

  • De Las Rivas Blanca;Carrascosa Alfonso V.;Munoz Rosario
    • Journal of Microbiology and Biotechnology
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    • v.17 no.3
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    • pp.408-413
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    • 2007
  • Putrescine has a negative effect on health and is also used as an indicator of quality on meat products. We investigated the genes involved in putrescine production by Serratia liquefaciens IFI65 isolated from a spoiled Spanish dry-cured ham. We report here the genetic organization of its ornithine decarboxylase encoding region. The 5,506-bp DNA region showed the presence of three complete and two partial open reading frames. Putative functions have been assigned to several gene products by sequence comparison with proteins included in the databases. The second gene putatively coded for an ornithine decarboxylase. The functionality of this decarboxylase has been experimentally demonstrated by complementation to an E. coli defective mutant. Based on sequence comparisons of some enterobacterial ornithine decarboxylase regions, we have elaborated a hypothetical pathway for the acquisition of putrescine biosynthetic genes in some Enterobacteriaceae strains.

Citrobacter amalonatics와 Citrobacter farmari에 의한 perchlorate 환원

  • Nirmala Bardiya
    • Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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    • 2003.09a
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    • pp.438-441
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    • 2003
  • The present study reports the novel physiological function of dissimilatory perchlorate reduction by two strains JB101 and JB109 isolated from a sewage treatment facility in Incheon, South Korea. The physiological data of the isolates showed good correspondence with the members of the family Enterobacteriaceae. The partial 16S rRNA and 16S rDNA sequence of strains JB101 and JB109 showed similarity of 99.8% to Citrobacter amalonaticus and 98% to Citrobacter farmari, respectively. The study infers toward possibility of Citrobacter spp. to form an important group of dissimilatory perchlorate reducers within the (equation omitted) subclass of Proteobacteria because the majority of the known. members belong to two monophyletic groups namely Dechloromonas and Dechlorosoma in $\beta$ subclass of Proteobacteria.

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