• 제목/요약/키워드: Gram negative bacilli

검색결과 80건 처리시간 0.039초

병실 낙하균 및 산모감염에 관한 연구 (A Study on the Air Counts and the Infection of Maternity in n General Hospital)

  • 이남희
    • 대한간호학회지
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    • 제9권2호
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    • pp.17-26
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    • 1979
  • This research is to prevent the infection of maternity in the hospital by examining the microbes contaminations in maternity through airbone microbes and those who are engaged in the ward of O.B. & G.Y. and to furnish the basic data available to hospital management. The bacterial growth of airbone microbes contaminations in nosocomial air and who thor the nasal cavity of passers by (doctors, nurses, parturient women) who went to the ward of O.B. & G.Y. contaminated or not were examined in“E”Univ. Hospital from July to August, 1979 by using thioglycollate broths and agar plates. The following results were obtained: 1. The average colony number of airborne microbes revealed as follows the pediatric ward (36 colonies), the internal ward (33 colonies), the ward of O.B. & G.Y. (30 colonies), the ward of surgery (24 colonies), delivery-waiting room (11 colonies), and the delivery room (3 colonies). 2. The bacterial growth beforenoon differed from that of afternoon. Namely, the latter (24 colonies) was higher than the former (21 colonies). 3. The type of strains isolated from the air of the ward revealed staphylococci (82%), Gram negative bacilli (18%), fungi (17%), Gram positive diplococci (13%), and Bacillus subtilis (2.8%). 4. The strains isolated in the delivery-waiting room revealed staphylococci (66.7%), Gram negative bacilli (33.6%), and revealed staphylococci (75%), Gram positive diplococci (8.3%), and fungi (8.3%), in delivery room. 5. Most of strains isolated in the ward of O.B. & G.Y. revealed staphylococci (100.0%), Gram positive diplococci (8.3%), and Gram negative bacilli (6.7%). 6. The strain isolated in the surgical ward revealed staphylococci (91.7%), fungi (33.3%), Gram positive diplococci (25%), Gram negative bacilli (25%) and Bacillus subtilis (8.3%). 7. The strain isolated in the pediatric ward revealed staphylococci (75%), fungi (25%), Gram positive diplococci (8.3%), Bacillus subtilis (8.3%), and Gram negative bacilli (8.3%). 8. The strain isolated in the internal ward revealed staphylococci (91.7%), fungi (33.3%), Gram positive diplococci (25%), and negative bacilli (16.7%). The strains isolated from the nasal cavity of those doctors and nurses who and enaged in the ward of O.B. & G.Y. revealed staphylococci (80%), Bacillus subtilis (10%), and Gram negative bacilli (10%), from doctors and Gram positive diplococci (10%), instead of Gram negative bacilli (10%), from nurses. 10. The strain isolated from nasal cavity of parturient women on admission revealed staphylococci (90%), and Gram negative bacilli (10%), but after admission revealed staphylococci (70%), Gram positive diplococci (10%), and Gram negative bacilli (10%). 11. Of the total 91 staphylococci isolated from the air of the ward, the Coagulase pastive was 36 (39.6%), and the negative 55 (60.4%), As a result of the coagulase experiment of the staphylococci isolated from the nasal cavity of those who are engaged in the ward of O.B. & G.Y. all were revealed as negative that belonged to non-pathogenic. 12. Consequence of the biochemic examination of the gram negative bacilli isolated from the air of the ward the aerobacter aerogens revealed was (16.7%) E-coli 5% in the nasal cavity of those came and went to the of O.B. & G.Y. and Aerobacter aerogens 7.5%.

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기본 항생제에 내성을 보인 그람 음성 간균에 대한 2차적 항생제 감수성 검사 결과 (Results of Secondary Antibiotics Susceptibility Test for Gram Negative Bacilli Resistant to Primary Susceptibility Test in Yeungnam University Hospital)

  • 김정숙;김경동;이채훈
    • Journal of Yeungnam Medical Science
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    • 제10권1호
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    • pp.28-36
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    • 1993
  • 1992년 12월부터 1993년 4월까지 영남대학교 의과대학 부속병원 임상병리과 세균검사실에 의뢰된 입원환자전체를 대상으로 1차 항생제 감수성 검사에서 모든 항생제에 내성을 보인 그람음성간균에 대해 2차 항생제 감수성 검사를 실시하여 그 결과를 분석하였다. 1차 항생제 감수성 검사에서 모든 항생제에 내성을 보인 균주의 빈도는 A. baumanni, E. cloacae, E. coli, P. aeruginosa, Serratia species순이었다. 소변에서는 기본 항생제에 내성을 보인 균종은 E. coli가, 호흡기와 창상감염에서는 A. baumanni가 가장 많았으며, P. aeruginosa는 모든 검체에서 높은 빈도로 분리되었다. 2차 항생제 감수성 검사에서 전 검체의 53%가 모든 2차 항생제에 대해 내성을 보였다. ceftazidime, aztreonam, ciprofloxacine 등은 상대적으로 항균효과가 높았으나 cefamandole은 모든 균종에서 효과가 없는 것으로 나타났다.

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숫자표기에 의한 포도당 비발효균의 동정시안(MCRCODE-N) (A Numerical Coding System (MCRCODE-N) for Identification of Glucose Nonfermenting Gram-Negative Bacilli)

  • 홍석일;김정숙
    • Journal of Yeungnam Medical Science
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    • 제2권1호
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    • pp.183-190
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    • 1985
  • 본 시안(MCRCODE-N)은 말 그대로 시안인 바 많은 수정과 첨가가 필요할 것이라고 생각되나 국내 실정에 맞는 검사법이라고 생각된다. 본 시안을 이용하여 결정을 보완하는 일이 시급한 바 동학 선후배의 지도 편달을 바라는 바 이다.

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산업체 작업환경의 실내 공기에서 미생물 오염도 (Microbiologic Pollution of Indoor Air in Industrial Work-Places)

  • 강경희;장명웅
    • 생명과학회지
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    • 제9권3호
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    • pp.314-327
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    • 1999
  • This study was investigated to isolate identify the total bacteria and fungi from the indoor air of work-place of the shoes, paint, stainless steel, and plastic industries. The number of bacterial colonies on the nutrient agar plates were calculated by the open petridish method for 30 minutes in indoor air of work-places at the autumn and winter. The isolated bacteria were identified by Gram stain and biochemical test using API Staph and API 20E kits. The isolated fungal colonies were identified by gross appearance of the giant colonies and microscopic examination of their spore and hyphal characteristics on the slide culture method. The minimum inhibitory concentration (MIC) of several antibiotics against isolated bacteria was determined by the microdilution method with Mueller-Hinton broth. The 70-400 colonies in autumn and 54-236 colonies in winter were isolated from the indoor air of work-places of several industry. The isolation rates of Gram positive cocci, Gram positive bacilli, Gram negative bacilli, and Gram negative cocci were 46.3%, 19.8%, 17.3%, and 16.1%, respectively. In Gram positive cocci, the most strains were identified as Aerococcus spp, Micrococcus spp, and Staphylococcus spp. In Gram positive and negative bacilli, and Gram negative cocci were identified as Bacillus spp, Pseudomonas spp, and Neisseria spp, respectively. The frequently isolated fungi were Aspergillus spp, Penicillium spp and Rhizopus spp, respectively. The frequently isolated Aerococcus spp, Micrococcus spp, and Staphylococus spp were highly resistance against ampicillin, erythromycin, methicillin, and tetracycline. These results arouse our attention to microbiologic pollution in the indoor air of work-places of industries.

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젖소 유방염유래(乳房炎由來) Gram 음성간균의(陰性桿菌) 약제감수성(藥劑感受性) (Antimicrobial Susceptibility of Gram-Negative Bacilli Isolated from Bovine Udder Infections)

  • 박청규
    • 대한수의학회지
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    • 제20권1호
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    • pp.53-58
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    • 1980
  • Antimicrobial susceptibility of 157 Gram-negative bacilli (90 Escherichia coli. 30 Enterobacter aerogenes, 18 Klebsiella pneumoniae, 12 Proteus spp., 3 Pseudomonas aeruginosa and 4 Alcaligenes faecalis) isolated from infected bovine udders was determined by the plate dilution method. Gentamicin and oxolinic acid at a concentration of $12.5{\mu}g/ml$ were very active to all of 157 Gram-negative bacilli tested, and 98% of these strains were susceptible to nalidixic acid at a concentration of $25{\mu}g/ml$. Most of the 90 Escherichia coli strains were inhibited by chloramphenicol, ampicillin and carbenicillin and carbenicillin at a concentration of $12.5{\mu}g/ml$. None of the Klebsiella pneumoniae strains were inhibited at a concentration of $50{\mu}g/ml$ of ampicillin and carbenillin, whereas all the species of Proteus resisted a concentration of $50{\mu}g/ml$ or higher tetracycline. All the 3 strains of Pseudomonas aeruginosa were highly resistant to streptomycin, kanamycin, Ampicillin, chloramphenicol, tetracycline and nalidixic acid.

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젖소 유방감염증(乳房感染症)으로부터 분리(分離)한 Gram 음성간균(陰性桿菌) (Gram-Negative Bacilli Isolated from Bovine Udder Infections)

  • 박청규
    • 대한수의학회지
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    • 제19권2호
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    • pp.131-134
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    • 1979
  • In order to know the main causative agent and distribution of the agents in Gram-negative bacillus infections of bovine udders, one hundred and forty-eight cultures of Gram-negative bacilli isolated from clinical cases of mastitis during lactation over a period of 2 years in 6 herds of 180 Holstein cows were studied. Escherichia coli occupied 54.7% of the isolates was the most frequently isolated Gram-negative bacillus. 30 of the isolates (20.3%) were Enterobacter aerogenes, but Enterobacter cloacae was not isolated. Remaining isolates were Klebsiella pneumoniae, Proteus spp., Preudomonas aeruginosa and Alcaligenes faecalis. Most of the isolates (75.0%) were isolated from rear quarters.

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Molecular Characterization and Prevalence of 16S Ribosomal RNA Methylase Producing Bacteria in Amikacin Resistant Gram-negative Bacilli Isolated from Clinical Specimens

  • Shin, Kyung-A;Hwang, Seock-Yeon;Hong, Seung-Bok
    • 대한의생명과학회지
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    • 제18권3호
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    • pp.299-306
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    • 2012
  • Recently, the prevalence of 16S rRNA methylase conferring high-level resistance to aminoglycosides has been increasing in Gram-negative bacilli globally. We determined the prevalence and genotype of these methylase-producing bacteria, and characterized the co-resistance to ${\beta}$-lactam antibiotics and quinolone in Gram-negative clinical isolates collected in 2010 at a hospital in Korea. Among 65 amikacin-resistant isolates screened from 864 Gram-negative bacilli (GNB), 16S rRNA methylase genes were detected from 49 isolates, including Acinetobacter baumannii (43), Klebsiella pneumoniae (2), Proteus mirabilis (2) and Serratia marcescens (1), Empedobacter brevis (1). All of the 16S rRNA methylase genotype was armA and no variant sequences of amplified PCR products for armA were noted. The 16S rRNA methylase producing bacteria showed much higher resistance to aminoglycoside for Enterobacteriaceae and glucose non-fermenting (NF)-GNB and to imipenem for glucose NF-GNB, than the non-producing isolates. All of the 16S rRNA methylase producing Enterobacteriaceae had the extended-spectrum-${\beta}$-lactamase. In addition, two K. pneumoniae concurrently produced both plasmid-mediated AmpC ${\beta}$-lactamase and qnrB gene. All of the amikacin-resistant A. baumannii (43) co-harbored armA 16S rRNA methylase and $bla_{OXA-23}$ carbapenemase. In conclusion, 16S rRNA methylase producing bacteria were very prevalent among GNB in South Korea, and were commonly associated with co-resistance, including carbapenem and quinolone.

Characterization of Trimethoprim-Sulfamethoxazole Resistance Genes and Their Relatedness to Class 1 Integron and Insertion Sequence Common Region in Gram-Negative Bacilli

  • Shin, Hae Won;Lim, Jinsook;Kim, Semi;Kim, Jimyung;Kwon, Gye Cheol;Koo, Sun Hoe
    • Journal of Microbiology and Biotechnology
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    • 제25권1호
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    • pp.137-142
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    • 2015
  • Trimethoprim-sulfamethoxazole (TMP-SMX) has been used for the treatment of urinary tract infections, but increasing resistance to TMP-SMX has been reported. In this study, we analyzed TMP-SMX resistance genes and their relatedness with integrons and insertion sequence common regions (ISCRs) in uropathogenic gram-negative bacilli. Consecutive nonduplicate TMP-SMX nonsusceptible clinical isolates of E. coli, K. pneumoniae, Acinetobacter spp., and P. aeruginosa were collected from urine. The minimal inhibitory concentration was determined by Etest. TMP-SMX resistance genes (sul and dfr), integrons, and ISCRs were analyzed by PCR and sequencing. A total of 45 E. coli (37.8%), 15 K. pneumoniae (18.5%), 12 Acinetobacter spp. (70.6%), and 9 Pseudomonas aeruginosa (30.0%) isolates were found to be resistant to TMP-SMX. Their MICs were all over 640. In E. coli and K. pneumoniae, sul1 and dfr genes were highly prevalent in relation with integron1. The sul3 gene was detected in E. coli. However, in P. aeruginosa and Acinetobacter spp., only sul1 was prevalent in relation with class 1 integron; however, dfr was not detected and sul2 was less prevalent than in Enterobacteriaceae. ISCR1 and/or ISCR2 were detected in E. coli, K. pneumoniae, and Acinetobacter spp. but the relatedness with TMP-SMX resistance genes was not prominent. ISCR14 was detected in six isolates of E. coli. In conclusion, resistance mechanisms for TMP-SMX were different between Enterobacteriaceae and glucose non-fermenting gram-negative bacilli. Class 1 integron was widely disseminated in uropathogenic gram-negative baciili, so the adoption of prudent use of antimicrobial agents and the establishment of a surveillance system are needed.

병원내 공기중 미생물의 농도에 관한 조사연구 (An Investigation on Concentration of Airborne Microbes in a Hospital)

  • 최종태;김윤신
    • 한국환경보건학회지
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    • 제19권1호
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    • pp.30-36
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    • 1993
  • A survey was conducted to measure concentration of airborne microbe in a hospital using RSC air sampler during October~November 1991.The result was as follows: 1) In an agar strip GK-A media for total counts of microbial particles. The highest count were 1384 CFU/m$^3$ in the main lobby, followed by 912 CFU/m$^3$, in the obstetric room, 688 CFU/m$^3$ in 1CU. By gram staining, the distribution for organisms in the air were shown 74.1% in gram possitive cocci followed by 16.8%, in gram possitive bacilli 6.7% in gram negative bacilli and 4.7% in yeast, but low organism was detected in recovery room with 194 CFU/m$^3$. 2) In agar strip S media for Staphylococci the count at the main lobby was detected in the recovery room with 92 CFU/m$^3$, Tests of coagulase were negative Staphylococci with 78%, and positive Staphylococci with 22%. The Staphylococci were highly resistance to penicillin, ampicillin and sensitive to amikacin, cefazolin, gentamycin and chloramphenicol. 3) In agar strip C media for coliform bacteria the colony counts at the main lobby was 139 CFU/m$^3$ and treatment room was 190 CFU/m$^3$, most frequently isolated microorganisms were non fermentative bacilli. 4) In agar strip HS media for yeast and molds. Most frequently colony counts 17~76 CFU/m$^3$, 0.5% lactophenol cotton blue stains were shown unidentified 77.2%, 8.1%, in Penicillium 8.1% in Aspergillus, and 3.8% in mucor.

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일일 착용 콘택트렌즈의 연속 착용에 따른 세균 오염 (Microorganism Contamination from Wearing One-Day Disposable Contact Lenses According to Wearing Time)

  • 최강원;장우영;이종욱;김수정
    • 미생물학회지
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    • 제46권2호
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    • pp.152-156
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    • 2010
  • 연성 콘택트렌즈 종류의 하나인 일회용 렌즈는 사용상 편리함을 주는 반면 다양한 안과적 감염성 질환을 초래한다. 안 질환을 유발하는 미생물로는 Acanthamoeba, Bacteria, Fungi 등이 있다. 렌즈 착용시 손을 이용함으로 다양한 미생물 오염은 근절이 불가피한 실정이다. 다양한 미생물의 오염으로 인해 감염성 각막염을 유발하나 정확한 미생물 동정은 미비한 상태이다. 이런 이유로 렌즈를 세척하기 위해 흔히 사용하는 식염수와 ReNu Solution (Bausch and Lomb Company, USA)의 2그룹으로 나누고 식염수와 ReNu Solution을 사용하여 1, 3, 5 10 그리고 15일에 따라 미생물 오염의 정도를 살펴보고 분리되는 미생물을 동정하고자 하였다. 대구시 D대학 안경광학과 재학생들의 안과적 건강상태를 조사한 후 그룹별 10명씩 지정하였다. 일일 착용렌즈를 1일, 3일, 5일 10일, 그리고 15일에 따라 사용 후 배지에서 세균을 배양하였다. 배양된 집락을 선택하여 그람 염색한 결과, Gram-positive cocci 33%, Gram-negative cocci 2%, Gram-positive bacilli 34%, 그리고 Gram-negative bacilli 31%로 나타냈고 이러한 세균을 동정하기 위해 API kit와 VITEK system을 이용하였다. 그 결과 콘택트렌즈의 착용에 의해 유발되는 각막염의 원인세균으로 알려진 S. aureus, P. aeruginosa 등이 분리되었다. 본 연구에서는 연성렌즈의 하나인 일일 착용렌즈의 착용시 세척액에 따른 일반세균의 분포와 일회용 렌즈의 연속 착용에 따른 병원성 세균을 조사함으로 콘택트렌즈의 사용시 위생의 필요성을 시사한다.