• 제목/요약/키워드: Infection Rate

검색결과 2,586건 처리시간 0.033초

Comparison of Surgical Infection and Readmission Rates after Laparoscopy in Pediatric Complicated Appendicitis

  • Jo, Hey Sung;Boo, Yoon Jung;Lee, Eun Hee;Lee, Ji Sung
    • Advances in pediatric surgery
    • /
    • 제20권2호
    • /
    • pp.28-32
    • /
    • 2014
  • Purpose: Laparoscopic appendectomy (LA) has become a gold standard for children even in complicated appendicitis. The purpose of this study was to compare the postoperative surgical site infection rates between laparoscopic and open appendectomy (OA) group in pediatric complicated appendicitis. Methods: A total of 1,158 pediatric patients (age ${\leq}$ 15 years) underwent operation for appendicitis over a period of 8 years. Among these patients, 274 patients (23.7%) were diagnosed with complicated appendicitis by radiologic, operative and pathologic findings, and their clinical outcomes were retrospectively analyzed. Results: Of the 274 patients with complicated appendicitis, 108 patients underwent LA and 166 patients underwent OA. Patients in the LA group returned to oral intake earlier (1.9 days vs. 2.7 days; p<0.01) and had a shorter hospital stay (5.0 days vs. 6.3 days; p<0.01). However, rate of postoperative intra-abdominal infection (organ/space surgical site infection) was higher in the LA group (LA 15/108 [13.9%] vs. OA 12/166 [7.2%]; p<0.01). Readmission rate was also higher in the LA group (LA 9/108 [8.3%] vs. OA 3/166 [1.8%]; p<0.01). Conclusion: The minimally invasive laparoscopic technique has more advantages compared to the open procedure in terms of hospital stay and early recovery. However, intra-abdominal infection and readmission rates were higher in the laparoscopy group. Further studies should be performed to evaluate high rate of organ/space surgical infection rate of laparoscopic procedure in pediatric complicated appendicitis.

한국산 담수어에 기생하는 섬모충 Tripartiella sp에 관한 연구 -잉어, 금붕어 및 메기를 중심으로- (Studies on the Tripartiella sp from three species of freshwater freshwater fish, Cyprinus carpio, Crassius auratus and Parasilurus asotus in Korea)

  • 서형석;김영진;한규삼;김영길;이근광;김종태;도홍기
    • 한국동물위생학회지
    • /
    • 제20권3호
    • /
    • pp.307-312
    • /
    • 1997
  • To investigate the species and infection rate of Tripartiella sp in three species of freshwater fish, carp(Cyprinus carpio), goldfish(Crassius auratus) and Korean catfish(Parasilurus asotus), fish cultured in the fish farms next to Yosu and in the western area of Chunbuk province in Korea was examined from April to June, 1996. The infection rate was evaluated after observing the gill and mucous from 130 fish under the microscope. The species of Tripartiella was identified on the basis of the shape and number of denticle according to methods of Bychowsky(1985) after staining the parasites with 2% methyene blue solution. All the detected-parasite was classified as Tripartiella differed from Trichodina reported previously in our country. T carassii, T californica, T rhombi from Goldfish, T rhombi from common carp, T californica from Israeli carp and T bychowsky from Korean catfish were observed. In the fish from the fish farms in the western area of Chunbuk province, the infection rate of Tripartiella sp was ranged from 6.7% to 100%, but in neither carp nor goldfish from the farms next to Yosu the parasite detected.

  • PDF

간질감염우에 대한 구충적기 검토( II ) (Studies on the Optimal Time for Therapy of Fasciola spp. Infected Cattle in Central Area of Korea)

  • 손봉환;강구식;한태호
    • 한국동물위생학회지
    • /
    • 제15권1호
    • /
    • pp.1-6
    • /
    • 1992
  • A survey on the dosage optimal time for the bovine fascioliasis was carried out from Jan. 1987 to Dec. 1990. The results were summarized as follows ; 1. The mean infection rate was 27.7% (1,662 heads were infected out of 3,247 heads In 205 herds). A seasonal infection rate was winter (34.6%) >spring(32.5%) >summer(24.7%) > autumn(22.8%) 2. In the density of the fasciola spp. egg of infected bovine feces remarks 79.6% on the range below 10. 3. The density of fasciola spp. egg is not directly proportinal to the infection rate, and remarks on the range from 5 to 20. 4. In the herds dosed vermifuge the appearance of the fasciola spp. egg is as follows ; 1∼3 months show 3.8% and 4∼6 months 8.5% 5. The dosage optimal time for the bovine fasciliasis is as follows ; 1) According to the monthly infection rate the first dosage optimal time is Dec and Feb and the second-Jun and Aug. 2) In the herd dosed vermifuge the dosage optimal time is to dose twice by 60 days interval after 3∼4 months from previous dosage.

  • PDF

이식형 심장 모니터링 장치 관련 감염의 위험요인 (Risk Factors for Cardiac Implantable Electronic Device-Related Infections)

  • 박진영;최혜란
    • Journal of Korean Biological Nursing Science
    • /
    • 제23권4호
    • /
    • pp.298-307
    • /
    • 2021
  • Purpose: This study aimed to investigate the risk factors for cardiac implantable electronic device (CIED)-related infections within the first post-procedural year after CIED insertion. Methods: This study included 509 adult patients undergoing CIED implantation procedures between January 1, 2011 and December 31, 2015. The data were analyzed by t-test, chi-square test, Fisher's exact test, and logistic regression analysis using SPSS/WIN 23.0. Results: Fifteen infections and 494 non-infections were examined. The CIED-related infection rate was 2.9%; patients with 14 pocket infections and one bacteremia were included in the CIED-related infection. The risk factors of CIED-related infections were the estimated glomerular filtration rate (eGFR) of ≤ 45 mL/min/1.73 m2 (Odds ratio [OR]= 4.03, 95% confidence interval [CI],1.15-14.10) and taking a new oral anticoagulant (NOAC) (OR = 4.50, 95% CI 1.09-18.55). Conclusion: These results identified the CIED infection rate and risk factors of CIED-related infection. It is necessary to consider these risk factors before the CIED implantation procedure and to establish the relevant nursing interventions.

Detection of Alternaria spp. in Carrot Seeds and Effect of the Fungi on Seed Germination and Seedling Growth of Carrot

  • Kim, Wan-Gyu;MatHur, Suaresh-Behari
    • The Plant Pathology Journal
    • /
    • 제22권1호
    • /
    • pp.11-15
    • /
    • 2006
  • Five seed samples of carrot were tested to detect Alternaria spp. by blotter method. A. alternata and A. radicina were detected from all the seed samples as high as $25.8-70.5\%$ and $37.5-63.5\%$, respectively. A. dauci was detected from four seed samples as low as $0.5-7.5\%$. The three Alternaria spp. were detected from the pericarp and the seed coat and endosperm of the carrot seeds but not from the embryo by component plating test. A. alternata and A. radicina were much more detected from the pericarp than the seed coat and endosperm. A. dauci was detected from the pericarp and the seed coat and endosperm at similar rate. The seed sample which was most severely infected with A. radicina showed the lowest rate of germination in the test on top of paper (TP). In the TP test, differences in total infection rate of A. radicina and A. dauci of the seed samples were very closely correlated with those in incidence of seedling rot on the seed samples. However, there was no correlation between infection rate of A. alternata and rate of germination or seedling rot of the seed samples. Soil test for seedling growth revealed that there was no correlation between differences in total infection rate of A. radicina and A. dauci and those in rate of normal seedlings of the seed samples.

비뇨기계 병원감염 통제를 위한 실험연구 -유치도뇨관을 삽입한 환자에게 외요도구간호를 실시한 실험군과 그 대조군의 요로감염율 비교- (The Control of Catheter -associated Urinary Tract Infection : An Experimental Nursing Study -This study examined the effect of daily meatal care on the urinary tract infection rate of an experimental group.-)

  • 백영주;양숙자;모경빈;최영희
    • 대한간호학회지
    • /
    • 제19권3호
    • /
    • pp.249-258
    • /
    • 1989
  • The purpose of study was to confirm theory about the effectiveness of routine mental care on the reduction of catheter-associated urinary tract infection. The study was carried out at a university hospital from September 1,1987 to April 17, 1989 : 32 Patients with a foley -catheter were studied. The study compared the urinary tract infection rate of an experimental group with that of a control group and tested the antibiotic susceptibility of the isolated bacteria. The experimental group(16 patients) was given daily meatal care with 10% Betadine for periods ranging from 4 to 21 days. The control group(16 patients) was not given that care. The results obtained were as follows : 1. The urinary tract infection rate of the experimental group was 50.0 %, and that of the control group 43.8%. There was no significant difference between the groups. 2. Organisms isolated in the control group were bacteria 100%, and in the experimental group bacteria 50% and fungus 50%. The most common organisms of the 15 strains isolated in the total group were Staphylococcus coagulase negative (3 patients), and E-coli (3 patients). 3. Most of bacteria isolated in this study were sensitive to Norfloxacillin, but resistant to Ampicillin, Chloramphenicol, Kanamycin, Tetracycline, and Erythromycin. Hence the importance of controling catheter-associated urinary tract infections. Findings suggest the need to search for other sources of infection, further experimentation controling various sources of urinary tract infection and larger group of subjects.

  • PDF

Intestinal Parasite Infections in Pigs and Beef Cattle in Rural Areas of Chungcheongnam-do, Korea

  • Ismail, Hassan Ahmed Hassan Ahmed;Jeon, Hyung-Kyu;Yu, Yong-Man;Do, Chang-Hee;Lee, Young-Ha
    • Parasites, Hosts and Diseases
    • /
    • 제48권4호
    • /
    • pp.347-349
    • /
    • 2010
  • The present study was performed to investigate the infection status of intestinal parasites in pigs and beef cattle in rural areas of Chungcheongnam-do, Korea. From November 2009 to April 2010, a total of 241 fecal samples of pigs and beef cattle (136 and 105, respectively) were examined by direct smear and centrifugal sedimentation methods. The overall positive rates of intestinal parasites among pigs and beef cattle were 73.5% and 4.8%, respectively, and the double-infection rate was 10.3% in pigs. Of 136 specimens from pigs, Balantidium coli, Ascaris suum, and Entamoeba spp. infections were found in 88 (64.7%), 24 (17.6%), and 5 cases (3.7%), respectively. Of 105 beef cattle, Entamoeba spp. infections were detected in 5 cases (4.8%). From these results, it is shown that pigs raised on rural farms in Chungcheongnam-do had a high B. coli infection rate and a moderate A. suum infection rate. These results demonstrate that environmentally resistant cysts or eggs could be widespread on the farms examined, and thus an effective hygienic management system is needed to prevent them from serving as the source of infection for human beings.

Usefulness of CT-Guided Percutaneous Transthoracic Needle Lung Biopsies in Patients with Suspected Pulmonary Infection

  • Junghoon Kim;Kyung Hee Lee;Jun Yeun Cho;Jihang Kim;Yoon Joo Shin;Kyung Won Lee
    • Korean Journal of Radiology
    • /
    • 제21권5호
    • /
    • pp.526-536
    • /
    • 2020
  • Objective: This study aimed to evaluate the clinical benefits and risks of CT-guided percutaneous transthoracic needle lung biopsies (PTNBs) in patients with a suspected pulmonary infection. Materials and Methods: This study included 351 CT-guided PTNBs performed in 342 patients (mean age, 58.9 years [range, 17-91 years]) with suspected pulmonary infection from January 2010 to December 2016. The proportion of biopsies that revealed the causative organism for pulmonary infection and that influenced patient's treatment were measured. Multivariate analyses were performed to identify factors associated with PTNB that revealed the causative organism or affected the treatment. Finally, the complication rate was measured. Results: CT-guided PTNB revealed the causative organism in 32.5% of biopsies (114/351). The presence of necrotic components in the lesion (odds ratio [OR], 1.7; 95% confidence interval [CI], 1.1-2.7; p = 0.028), suspected pulmonary tuberculosis (OR, 2.0; 95% CI, 1.2-3.5; p = 0.010), and fine needle aspiration (OR, 2.5; 95% CI, 1.1-5.8; p = 0.037) were factors associated with biopsies that revealed the causative organism. PTNB influenced patient's treatment in 40.7% (143/351) of biopsies. The absence of leukocytosis (OR, 1.9; 95% CI, 1.0-3.7; p = 0.049), presence of a necrotic component in the lesion (OR, 2.4; 95% CI, 1.5-3.8; p < 0.001), and suspected tuberculosis (OR, 1.7; 95% CI, 1.0-2.8; p = 0.040) were factors associated with biopsies that influenced the treatment. The overall complication rate of PTNB was 19% (65/351). Conclusion: In patients with suspected pulmonary infection, approximately 30-40% of CT-guided PTNBs revealed the causative organism or affected the treatment. The complication rate of PTNB for suspected pulmonary infection was relatively low.

강원도 홍천강 유역의 Metagonimus속 흡충 감염상 (Epidemiological studios on Metagonimus infection along the Hongcheon river, Kangwon Province)

  • 안영훈;양용석
    • Parasites, Hosts and Diseases
    • /
    • 제26권3호
    • /
    • pp.207-214
    • /
    • 1988
  • 강원도 홍천군내를 임류하여 경기도 청평댐으로 유입되는 홍천강 유역 주민의 Metagonimus속 흡충 감염실태와 홍천강에 서식하는 중간숙주의 감염상을 조사하였다. 홍천강 유역 주민의 Metngonimus속 흡충 감염률은 529명(남 314, 여 215)중 39명(남 33명, 10.5%; 여 6명, 2.8%)으로 평균 7.4%의 양성률을 보였다. 총 8개 지점에 대한 조사중 북방면 굴흑이가 주민감엽률 26.9% (남자는 38.2%)로 가장 높았고 제 1중간숙주인 다슬기의 서식밀도도 높았다(m2당10∼20개). 다슬기의 Metagonimus 유미유충 감염률은 10.7%(121개중 13개)였다. 주민들의 호생식성 어종이며 근단. 수가 많은 피라미 (Zncco platypus)의 metacercaria 감염은 68.2%(44마리중 30마리)이며 주 검출부위는 비늘(89.9%)이었다. 피라미에서 검출된 metacercaria를 흰쥐에 감염시킨 다음 15일후에 성충을 회수하고, 사람에서 검출한 충체와 비교하였던 바 동일종으로 관찰되었다. 검출된 충체는 Metagcnimus takahashis([고교]흡충)와 기타 Metagonimus속 흡충이 혼재해 있었다. 이상의 결과로 강원도 홍천강 유역에 Metagonimus 흡충 감염이 높은 지역이 있음을 알았고 주요 감염원이 되는 어종은 피라미임을 알 수 있었다.

  • PDF

시설재배지 무경운 토양에서 녹비작물별 Arbuscular Mycorrhizal Fungi(AMF) 감염양상과 포자밀도 특성 (Characteristics of Spore Density and Colonization Pattern of Arbuscular Mycorrhizal Fungi on the No-tillage Soil under Greenhouse Condition)

  • 양승구;서윤원;김병호;손보균;위치도;이정현;정우진;박노동
    • 한국유기농업학회지
    • /
    • 제19권3호
    • /
    • pp.343-355
    • /
    • 2011
  • 월동 녹비작물 재배가 시설 토양과 무경운 유기재배 고추의 균근균 포자밀도 및 감염에 미치는 영향을 구명하고자 시험을 수행한 결과 월동 녹비작물 재배 토양의 기주작물별 균근균 활성 포자수는 대조구 보다 높은 경향을 보였다. 그리고 기주 작물별 균근균 활성 포자의 밀도는 보리와 완두콩이 호밀, 헤어리베치, 쇠별꽃 보다 높은 경향이었다. 녹비작물 재배 토양에 고추를 무경운 정식하여 재배한 토양의 AMF 포자 밀도는 대조구와 녹비작물 종류 간에 유의적인 차이가 인정되지 않았다. 그리고 녹비작물 재배 토양의 AMF 밀도보다 후 작물로 고추를 재배한 토양의 AMF밀도는 감소되었으나, AMF 밀도의 균일도는 증가되었다. 한편 보리 녹비작물을 예취하여 제거한 토양의 AMF포자 밀도는 제거하지 않은 토양에 비하여 현저한 증가를 보였다. 녹비작물 재배 토양 균근균의 기주작물별 포자 형태와 크기는 유의적인 차이가 없었으며, 녹비작물 재배 후작물로 고추를 재배한 토양에서 분리된 AMF포자 형태와 크기도 동일하였다. 녹비 작물별로 뿌리의 내생 균근균 감염율이 쇠별꽃, 호밀과 헤어리베치는 낮은 경향이었으나, 보리 녹비의 감염율은 유의성 있게 높았다. 고추 뿌리 내의 AMF 감염율은 녹비작물의 종류에 크게 영향을 받지 않았으나, 보리 녹비를 예취하여 제거한 처리의 감염율은 보리 녹비작물을 전량 토양에 투입한 처리 보다 높았다. 녹비작물 뿌리와 고추 뿌리의 내생 균근균의 주요 감염구조는 뿌리의 내부균사(Internal hyphae)로 균사간의 Network가 매우 발달되었다. 그리고 녹비작물과 고추 뿌리에서 Arbuscule이 형성되었으며, 근권 토양의 AMF포자밀도와 고추 뿌리 감염율의 상관관계도 파악할 수 없었다.