• 제목/요약/키워드: Gram positive infections

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화상감염 소아환자에서 분리된 주요 균종에 대한 항생제의 내성률 (Antimicrobial Resistance of Clinically Important Bacteria Isolated from Burn Wound Infections in Children)

  • 강주연;신혜순
    • 한국임상약학회지
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    • 제23권1호
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    • pp.20-25
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    • 2013
  • Background & Objectives: Burn injury mortality and septic complication are frequent and well-known in burned pediatric patients. The overuse of antibiotics is the base for development of wound infection by resistant microorganisms as well as opportunist agents. Methods: We have carried out a study of the bacterial profile and antimicrobial resistance clinically important bacteria isolated from burn wound infections in children patients. The most common isolate from burn wound cultures was Pseudomonas aeruginosa (26.8%), followed by Staphylococcus aureus (25.4%), Acinetobacter baumannii (12.7%), coagulase negative staphylococcus (12.0%), Enterococcus faecium (7.7%), Escherichia coli (4.9%), Enterococcus faecalis (3.7%), Burkholderia cepacia (3.0%), Enterobacter cloacae (2.3%) and Klebsiella pneumonia (2.3%). Colistin was very significantly effective drug in gram negative organism, such as Pseudomonas aeruginosa and Acinetobacter baumannii. Results & Conclusion: The resistance rates were 65% and 98% to piperacillin, 63% and 97% to ceftazidime, 28% and 50% to levofloxacin. The most effective antibiotic in gram positive organism, such as Staphylococcus aureus, coagulase negative staphylococcus were moxifloxacin. The resistance rates were 83% and 64% to ciprofloxacin, 80% and 17% to clindamycin.

Multi-host Pathogenesis by Pseudomonas aeruginosa and Use of Drosophila melanogaster as a New Model Host

  • Cho You-Hee;Lau Gee;Rahme Laurence
    • 한국미생물학회:학술대회논문집
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    • 한국미생물학회 2002년도 추계학술대회
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    • pp.40-50
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    • 2002
  • Fruit fly, Drosophila melanogaster has developed efficient immune mechanisms to prevent microbial infection, which are consisted of cellular and humoral responses. During the systemic or local infection, two distinct pathways (Toll and Imd) play major roles in antimicrobial peptide synthesis. The Toll pathway is required to defend Gram-positive bacterial and fungal infections, whereas the Imd pathway is important in Gram-negative bacterial infection. We have shown that the infection of the opportunistic Gram-negative bacterium, Pseudomonas aeruginosa strain PA14 (PA14) into fly dorsal thorax can kill the flies within 48 h ($100\%$ mortality) in our optimized infection condition, suggesting that the PA14 strain can cause disease progress in fly model system. We found that flies carrying a constitutively activated mutant form of the Toll receptor $(Tl^{10b})$ showed increased resistance to P. aeruginosa infection and that flies carrying mutations in the Toll signaling pathway as well as in the Imd signaling pathway was more susceptible to PA14 infection. All these results imply that the Toll pathway might be important in the resistance to this pathogenic Gram-negative bacterial infection.

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Sphingolipids and Antimicrobial Peptides: Function and Roles in Atopic Dermatitis

  • Park, Kyungho;Lee, Sinhee;Lee, Yong-Moon
    • Biomolecules & Therapeutics
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    • 제21권4호
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    • pp.251-257
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    • 2013
  • Inflammatory skin diseases such as atopic dermatitis (AD) and rosacea were complicated by barrier abrogation and deficiency in innate immunity. The first defender of epidermal innate immune response is the antimicrobial peptides (AMPs) that exhibit a broad-spectrum antimicrobial activity against multiple pathogens, including Gram-positive and Gram-negative bacteria, viruses, and fungi. The deficiency of these AMPs in the skin of AD fails to protect our body against virulent pathogen infections. In contrast to AD where there is a suppression of AMPs, rosacea is characterized by overexpression of cathelicidin antimicrobial peptide (CAMP), the products of which result in chronic epidermal inflammation. In this regard, AMP generation that is controlled by a key ceramide metabolite S1P-dependent mechanism could be considered as alternate therapeutic approaches to treat these skin disorders, i.e., Increased S1P levels strongly stimulated the CAMP expression which elevated the antimicrobial activity against multiple pathogens resulting the improved AD patient skin.

Studies on the Antibacterial Constituents of Baenongtang

  • Hwang, Jae-Ock;Ahn, Duk-Kyun;Woo, Eun-Rhan;Kim, Hyoung-Ja;Seo, Seon-Hee;Park, Ho-Koon
    • Natural Product Sciences
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    • 제4권3호
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    • pp.130-135
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    • 1998
  • The water extracts of 83 oriental herbal medicines (Hanbang) which have been clinically used to treat bacterial infections in Korea were screened for in vitro antibacterial activity by the paper disc assay method. Two Gram positive bacteria, Staphylococcus aureus SG 511, Bacillus subtilis ATCC 6633, and two Gram negative bacteria, Escherichia coli 055, Pseudomonas aeruginosa 9027 were used as test organisms. Among the extracts tested, MeOH extract of Baenongtang showed remarkably potent antibacterial activity. Activity-guided chromatographic fractionations of the $CH_2Cl_2$ extract of Baenongtang afforded seven antibacterial compounds.

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최근 5년(2006-2010)간 소아 혈액 종양 환자에서 발생한 균혈증의 원인균 및 임상 양상: 단일기관 연구 (Etiological Agents in Bacteremia of Children with Hemato-oncologic Diseases (2006-2010): A Single Center Study)

  • 강지은;석준영;윤기욱;강형진;최은화;박경덕;신희영;이환종;안효섭
    • Pediatric Infection and Vaccine
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    • 제19권3호
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    • pp.131-140
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    • 2012
  • 목 적 : 소아 종양 환자의 균혈증의 원인균과 위험 인자에 대한 지속적인 감시 및 조사를 통해 적절한 치료와 생존율 향상에 기여하고자, 2006년부터 2010년의 최근 5년간 서울대학교 어린이 병원 소아 종양 환자에게 발생했던 균혈증의 원인균 분포와 이들의 항생제 감수성을 분석하여 항생제 선택에 실제적인 도움을 얻고자 하였다. 방 법 : 2006년 1월부터 2010년 12월까지 5년간 서울대학교 어린이병원에서 입원 치료를 받은 소아 종양환자들에게 발생한 균혈증에 대하여, 의무기록을 후향적으로 분석하였다. 의무기록 분석 시, 선행 질환 및 호중구 수치, 치료 경과 등을 조사하였고, 호중구 감소증, 중심 정맥관 등 균혈증의 예후 인자에 대한 분석을 함께 시행하였다. 결 과 : 총 176명의 소아 종양 환자에게 226례의 균혈증이 발생하였고, 246균주가 분리되었다. 이 중 그람 음성균, 그람 양성균, 진균이 각각 63.4%, 34.6%, 2.0%이었다. 그람 음성균 중에는 Klebsiella species, E. coli, 그람 양성균 중에는 coagulase-negative staphylococci, S. aureus 등이 높은 비율로 분리되었다. 그람 양성균의 penicillin, oxacillin, vanconycmin 내성률은 각각 85.7%, 65.9%, 9.5%이었으며, 그람 음성균의 cefotaxime, piperacillin/tazobactam, imipenem, gentamicin, amikacin 내성률은 각각 37.2%, 17.1%, 6.2%, 32.2%, 13.7%이었다. 전체 환자에서 치사율은 12.7%였다. 그람 음성균 균혈증의 쇼크 발생률이 그람 양성균 균혈증보다 유의하게 높았고(48.4% vs. 11.9%, P<0.01), 치사율 역시 그람 음성균이 더 높았다(12.1% vs. 3.0%, P=0.03). 쇼크 발생률은 호중구 감소증을 동반한 환자군에서 호중구 감소증을 동반하지 않은 환자군에서보다 유의하게 높았다(39.6% vs. 22.0%, P=0.04). 결 론 : 그람 음성균이 소아 종양 환자의 균혈증의 흔한 원인균이며, 불량한 예후와도 관련성이 높은 점들은 기존 연구결과들과 일치하였다. 향후 원인 균주의 분포와 항생제 내성률의 변화에 대한 지속적인 모니터링이 필요할 것으로 생각된다.

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Anti-Salmonella activity of a flavonone from Butea frondosa bark in mice

  • Mishra, Uma Shankar;Dutta, Noton Kumar;Mazumdar, Kaushiki;Mahapatra, Santosh Kumar;Chakraborty, Pronobesh;Dastidar, Sujata G
    • Advances in Traditional Medicine
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    • 제8권4호
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    • pp.339-348
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    • 2008
  • Butea frondosa has been used traditionally as a topical formulation in the treatment of many diseases and disorders. Two compounds [BF-1 (crystalline flavonol quercetin) and BF-2 (tannin) from ethyl acetate fraction of ethanolic extract] were isolated from the bark of Butea frondosa. The stereostructures of the compounds were determined on the basis of chemical and physicochemical evidence. BF-1 and BF-2 were screened in vitro for possible antibacterial property against 112 bacteria comprising 3 genera of Gram-positive and 12 genera of Gram-negative types. It was found that both BF-1 and BF-2 exhibited inhibitory activity against several bacteria. Most of these strains were inhibited by BF-1 at $50-200\;{\mu}g/ml$, while BF-2 ($MIC_{50}$ $400\;{\mu}g/ml$) was much less active. The bacteria could be arranged in the decreasing order of sensitivity towards BF-1 in the following manner: S. aureus, Bacillus spp., Salmonella spp., Vibrio spp., Shigella spp., E. coli and Pseudomonas spp. The $MIC_{50}$ of the compound was $50\;{\mu}g/ml$ while the $MIC_{90}$ was $100\;{\mu}g/ml$. The decreasing order of sensitivity towards BF-2 was V. cholerae, Bacillus spp., S. aureus, V. parahaemolyticus, Salmonella spp. and Proteus spp. BF-1 was bactericidal in action. In vivo studies with this extract showed that it could offer statistically significant protection (p < 0.01) to mice challenged with a virulent bacterium. The inhibitory activity of Butea frondosa against Gram-positive and Gram-negative bacteria indicates its usefulness in the treatment of common bacterial infections. The potentiality of BF-1 as an antibacterial agent may be confirmed further by pharmacological studies.

체외순환법에 대한 미생물학적 고찰 (Microbiological Study of the Extracorporeal Circulation)

  • 조대윤
    • Journal of Chest Surgery
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    • 제13권1호
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    • pp.48-51
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    • 1980
  • Open heart surgery patients have additional risks arising from the special nature of the operative procedure. And postoperative infections in patients with extracorporeal circulation are associated with high incidence of serious sequelae. To investigate the incidence and organisms of contamination, and the relation between the duration of extracorporeal circulation and contamination, following study was done. Eighty-four of the open heart surgery patients were examined with cultures from the blood and priming solution before and after bypass. 1. Cultures before bypass were sterile, but 2 cases of cultures from the blood and priming solution after bypass were positive, and culture positive group was 5% of all patients. 2. The organisms were Gram-negative, aerobic coliform bacilli; 3. The culture positive group had significantly longer bypass time.

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Complete Genome Sequence of an optrA-positive Linezolid-resistant Staphylococcus rostri Strain PJFA-333 Isolated from a Pig in Korea

  • Gi Yong Lee;Soo-Jin Yang
    • 한국미생물·생명공학회지
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    • 제51권3호
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    • pp.293-295
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    • 2023
  • Linezolid, the first oxazolidinone introduced into human clinical use, has become a last resort antibiotic in treatment of serious infections caused by Gram-positive pathogens, including methicillin-resistant staphylococci and vancomycin-resistant enterococci. Although oxazolidinones are strictly prohibited for use in food-producing animals, occurrence of linezolid-resistant staphylococci has recently been reported in livestock farms in Korea. Here, we report the complete genome sequence of an optrA-positive linezolid-resistant Staphylococcus rostri strain PJFA-333 isolated from a pig farm in Korea.

Acyl Homoserine Lactone in Interspecies Bacterial Signaling

  • Kanojiya, Poonam;Banerji, Rajashri;Saroj, Sunil D.
    • 한국미생물·생명공학회지
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    • 제50권1호
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    • pp.1-14
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    • 2022
  • Bacteria communicate with each other through an intricate communication mechanism known as quorum sensing (QS). QS regulates different behavioral aspects in bacteria, such as biofilm formation, sporulation, virulence gene expression, antibiotic production, and bioluminescence. Several different chemical signals and signal detection systems play vital roles in promoting highly efficient intra- and interspecies communication. Gram-negative bacteria coordinate gene regulation through the production of acyl homoserine lactones (AHLs). Gram-positive bacteria do not code for AHL production, while some gram-negative bacteria have an incomplete AHL-QS system. Despite this fact, these microbes can detect AHLs owing to the presence of LuxR solo receptors. Various studies have reported the role of AHLs in interspecies signaling. Moreover, as bacteria live in a polymicrobial community, the production of extracellular compounds to compete for resources is imperative. Thus, AHL-mediated signaling and inhibition are considered to affect virulence in bacteria. In the current review, we focus on the synthesis and regulation mechanisms of AHLs and highlight their role in interspecies bacterial signaling. Exploring interspecies bacterial signaling will further help us understand host-pathogen interactions, thereby contributing to the development of therapeutic strategies intended to target chronic polymicrobial infections.