• 제목/요약/키워드: Infection specimen

검색결과 136건 처리시간 0.028초

유치도뇨관 삽입으로 인한 요감염에 관한 연구 (A Study on Foley Catheter Associated Bacteriuria)

  • 소희영
    • 대한간호학회지
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    • 제8권2호
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    • pp.79-88
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    • 1978
  • Utilizing Foley catheter in therapy of inpatient cause bacteriuria and urinary tract infection that leads to first ranked factor's in hospital infection (nosocomial infection). To protect the patient from such infections, emphasis should be placed on catheterization technique and management of the closed drainage system, this reducing the chances of introducing organisms. This study has been done at Intensive Care Unit of A and B hospitals from May-Oct. 1978 on 20 male and 18 female adult patients. Each patient was screened and found to have nonbacteriuria in clean catch specimen before catheterization. Clean catch specimen via foley catheter were obtained after 48 hours and 96 hours from catheterization. The findings are as follows: A. The occurrence of bacteriuria in patients according to duration of indwelling catheter. 1 213.9% of the patient showed evidence of bacteriuria 48h post catheterization specimen, while 57.9% of the patient showed evidence of bacteriuria 96h post catheterization specimen. 2 25% of male patients had infection 48h post catheterization and 45% displayed bacteriuria post catheterization. 33% of female patients displayed infection 48h post catheterization and 72.2% having infection 96h post catheterization. Statistically there were significant differences between female patients and the duration of insertion. (P < 0.025) B. The occurrence of bacteriuria with the administration of bacteriuria with the ad-ministration of antibiotic in 24 patients was in 41,7%. The occurrence of bacteriuria without the administration of antibiotic in 14 patients was in 92.3%. Statistically there were very significant difference between the administration of the antibiotis and bacteriuria. (P < 0.005) C. Studies were done according to the consciousness level of the patients, 71.4% of those patient who displayed mental disorder developed bacteriuria, while 30.0% of those patient who displayed non mental disorder developed bacteriuria.

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Spraguea sp. (Microsporidia: Spraguidae) infection in yellow goosefish (Lophius litulon) in Korea

  • Han-Seul Cho;Jae-Young Lee;Jeong-Ho Kim
    • 한국어병학회지
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    • 제36권2호
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    • pp.303-310
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    • 2023
  • Yellow goosefish (Lophius litulon) is one of the important commercial fisheries target species in Korea, and commonly consumed as braised or stew. The microsporidian Spraguea is known to infect the nervous system of lophiid fish, forming numerous visible whitish xenomas. This parasite is commonly found in lophiid fish worldwide, but there is no information on the infection status of this parasite in Korea. We obtained commercially available chopped packs of lophiid fish from several fish markets and investigated their prevalence of infection. The isolated xenomas were crushed and purified as mature spore suspension. Microscopic observation and PCR were conducted to visualize and identify them. The host fish was also identified by DNA bar cording analysis. All the specimens were heavily infected and microscopic observation with Giemsa or Chromotrope 2R stain revealed tiny oval shapes of typical microsporidian spores. PCR analysis targeting the partial SSU rDNA showed that our specimen belongs to the genus Spraguea clade. But clear identification at the species level was not possible, due to the insufficient information of gene sequences available in GenBank. In addition, all of our host fish specimen was identified as yellow goosefish. This is the first report of a microsporidian parasite Spraguea infection in yellow goosefish from Korea.

위절제술을 받은 위암 환자의 Helicobacter pylori 감염률 측정에 관한 연구 (Detection of Helicobacter pylori Infection Rate in Resected Gastric Cancer Patients)

  • 김성;노재형;김성;김용일;김진복
    • Journal of Gastric Cancer
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    • 제3권2호
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    • pp.97-103
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    • 2003
  • Purpose: This study aims to determine the infection rate of Helicobacter pylori (H. pylori) in gastric cancer patients who received gastrectomies, and to compare the rates of H.pylori infection detected by serological test and that of histopathological test, and to evaluate its clinical meaning. Materials and Methods: Fifty two patients were selected from those who underwent gastrectomies at the Department of Surgery, Samsung Medical Center, from March 1997 to May 1997. The control group consisted of healthy 103 persons visited the center for health promotion in Samsung Medical Center. In both groups, we quantitatively checked serum level of IgG anti H. pylori antibody titer by ELISA using GAP IgG test kit (BioRad, USA) for the serological test, and we microscopically examined the surgical specimen stained by Warthin-Starry silver staining method for the histopathological test. Results: The seropositive rate of H. pylori in the patients' group was $71.2\%$ (37/52), and the control group was $65.0\%$ (67/103). The difference between two groups was statistically significant. However the histopathological study showed that the overall detection rate of H. pylori was $61.5\%$ (32/52) in the patients' group and $61.2\%$ (63/103) in the control group; nd this difference was not statistically significant Conclusion: We could confirm that H.pylori infection rate in the gastric cancer resected patients was statistically higher than in the normal healthy persons even in small population. And the detection method for the H. pylori infection by serological test was presumed to be better than that of histopathological test using surgical specimen. Further study for the larger population by well-organized multicenters will be needed.

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분말 형태의 황산바륨을 현탁액으로 조제하는 과정에서 발생하는 미생물의 오염도 측정 (Measurement of Microbic Contamination Rate in the Dispensing Process Making Suspension of Barium Sulfate Powder)

  • 김영근;이양섭;조정찬;류명선;이경섭
    • 대한방사선기술학회지:방사선기술과학
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    • 제24권2호
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    • pp.53-57
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    • 2001
  • The purpose of this study is to investigate the contamination rate of barium sulfate suspension made in the exposed state in usual circumstances. This study was performed in four university hospital using the contrast media by barium sulfate powder. The specimen were detected at dispensing water, agitator and mixing tank. We also classified the suspension into general bacteria, mycete, and Bacillus coli infection. The tap water were used to dispense water in the all hospitals. Bacillus colt were not detected in the all. General bacteria and mycete were not detected in the one specimen, but detected in two specimen over defined value. In the contamination rate of agitator, mixing tank, and the manufactured, Bacillus coli were not detected in all. However, general bacteria and mycete were detected too numberous to count. In conclusion, the refined water must be used in dispensing water in manufacturing suspension. The disinfectant is also used in washing the agitator and mixing tank for sterilization. Hand washing is indispensible to manufacturing suspension for preventing from infection.

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An incidental case of human Heterophyes nocens infection diagnosed by sectional morphology in a biopsy specimen of the small intestine

  • Ryang, Yong-Suk;Lee, Chi-Young;Lee, Kyu-Jae;Lee, Soon-Hyung;Chai, Jong-Yil
    • Parasites, Hosts and Diseases
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    • 제37권3호
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    • pp.189-194
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    • 1999
  • A case of human infection with Heterophyes nocens (Heterophyidae) was incidentally found in a biopsy specimen of the Meckel's diverticulum at the upper part of the small intestine. The patient was a 58-year-old man living in a rural area of Talsong-gun, Kyongsangbuk-do.He had gastrointestinal symptoms such as epigastric pain, indigestion, and abdominal discomfort for 3 months, and severe diarrhea, abdominal pain, and vomiting for about 1 month before hospitalization. Endoscopy of the upper part of the small intestine revealed a Meckel's diverticulum, and it was excised and histo-pathologically examined. Three adult flukes were incidentally found sectioned in the mucosa, and they were identified as H.nocens. The patient had a history of eating raw mullets at a fish market in Pusan 6 months ago, and the mullets were presumed to be the source of infection. This case brings a considerable interest in that specific diagnosis of heterophyid infections could be done by sectional morphology of the worms.

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소변검사의 검체 채취 방법에 관한 임상실험연구 (A Clinical Trial on the Method of Urine Sampling for Urinalysis)

  • 안혜성;이성은;박현옥
    • 기본간호학회지
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    • 제2권2호
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    • pp.131-137
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    • 1995
  • Improving validity and reliability is the important components of clinical laboratory tests. And the quality control of the test should be started with the accurate collection of specimen. Urinalysis is one of the useful and common tests in diseases diagnosis and determining the process of medical treatment. Since urinalysis is requested routinely in hospital setting, the importance of the quality control for urine specimen is often ignored. To improve the validity of urinalysis, a clinical trial was done on the method of collecting urine specimen. The result was as follows : 1. The rate of presumtive UTI(urinary tract infection) was decreased in 21.6% with experiment method for collecting urine specimen. 2. The rate of presumtive UTI in female patients was decreased in 43.2% with the experiment method. 3. The rate of negative urine culture was decreased in 6.6% with the experiment method.

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송아지 Rotavirus감염증 조사 (Studies on the Prevalence of Bovine Rotavirus Infection)

  • 안재문;박재명;곽학구;김홍기
    • 한국동물위생학회지
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    • 제16권1호
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    • pp.70-75
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    • 1993
  • To determine the prevalence of bovine rotavirus Infection in Chungbuk area, fecal specimen were collected from calves nth diarrhea and tested using ELISA. The positive rates were 53.8%(1 to 30days old), 19.0%(31 to 60days old), and 3.2%(over 60days old). Electrophoretic migration patterns of genomic RNA from field isolates were similar to that of NCDV strain, prototype of bovine rotavirus. Bovine rotavirus field isolate showed characteristic morphology of rotavirus particle with 80nm in diameter, using EM.

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중환자실에서 적용한 반코마이신(Vancomycin) 내성 장구균의 감염관리 전략 효과 (Effects of Infection Control Strategies for Vancomycin Resistant Enterococci in Intensive Care Units)

  • 최경옥;김남초
    • 성인간호학회지
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    • 제21권4호
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    • pp.435-445
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    • 2009
  • Purpose: This study was to examine whether VRE infection control strategies have an effect on the decrease in incidence rates for VRE acquisition and VRE nosocomial infection in ICU. Methods: All the patients were examined for VRE carriers on ICU admission. Among them, patients hospitalized for over 48 hours were investigated for VRE acquisition rates and VRE nosocomial infection rate using VRE infection control strategies in ICU for the experimental group from September 2007 to April 2008. Before that, incidence of VRE acquisition and VRE nosocomial infection for the control group without Intervention were investigated from May to August 2007 retrospectively. Results: VRE acquisition rate in clinical specimens was 0.6% in the experimental group, that was significantly lower when compared to the control group. VRE carrier rate at admission to ICU was 15.4%. Out of 182 VRE carriers, 180 patients were identified by the active surveillance culture. Conclusion: These results suggested that active surveillance culture at admission was considered to be an essential measure for detection of VRE carrier. But without strict isolation and adherence rating after each intervention, hand washing and contact isolation alone did not significantly decrease VRE nosocomial infection, although it did significantly decrease incidence of VRE acquired from clinical specimen.

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Urease를 이용한 위점막 시료에서 Helicobacter pylori의 신속한 진단법

  • 이학성;노임환;최태부;이종화
    • 한국생물공학회:학술대회논문집
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    • 한국생물공학회 2000년도 추계학술발표대회 및 bio-venture fair
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    • pp.264-265
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    • 2000
  • Helicobacter pylori(H. pylori) is the causative agent of chronic gastritis and the single most important factor in peptic ulcer disease, however, the pathogenetic mechanisms underlying H, pylori infection are not well understood. Futhermore, there is a strong association between H. pylori infection and gastric cancer. Various diagnostic methods for detecting H. pylori infection are available. These can be divided into invasive methods, requiring endoscopy, and non-invasive tests, mainly 13C-urea breath tests and serologic detection of antibodies. Rapid urease test is the most recommendable endoscopic test for the diagnosis of H. pylori infection, presently. CLO test kit is the represent of rapid urease test kits. The principles of CLO test kit is that hydrolysis of urea by urease Is detected by a dye indicators showing a color change. Our device is used same principle but we improved the reaction time is more faster and positive color change is more distinctive from the color of the negative specimen. So, this kit is more reliable because it response faster and accuracy.

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건강한 소아의 턱에 발생한 Mycobacterium abscessus에 의한 연부조직 감염: 증례 보고 (Soft Tissue Infection with Mycobacterium abscessus on the Chin of a Healthy Child: A Case Report)

  • 김홍렬;김덕우
    • Archives of Plastic Surgery
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    • 제37권3호
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    • pp.289-292
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    • 2010
  • Purpose: Mycobacterium abscessus belongs to the group of rapid-growing atypical mycobacterium. The organism is ubiquitous and is found in soil, dust, and water. Although it rarely causes disease in humans, Mycobacterium abscessus has been associated with soft tissue infection. To the best of our knowledge, this is the first case report of facial soft tissue Mycobacterium abscessus infection in a healthy child in Korea. Methods: A 12-year-old girl presented with an erythematous skin lesion with serous discharge on her chin, which had been present for 3 weeks. On her history, she had a laceration wound on her chin at public bath and the lesion was repaired at emergency department immediately. Although conventional soft tissue infecton treatment, her lesion remains unhealed state and had serous discharge for 2 months. Moreover, we found a 1 cm sized nodular mass on her chin. Therefore we performed excision operation and referred the specimen to the laboratory for microbial and histopathologic study. Results: Pathology report confirmed the mass was enlarged lymph node with chronic necrotizing granulomatous inflammation with central microabscess. Non-Tuberculous mycobacterium identification test through tissue specimen resulted Mycobacterium abscessus. We prescribed clarithromycin for three weeks by oral administration as well as performed wound debridement and mass excision via previous wound. This way, her lesion appeared to be complete healing with minimal scarring. There were no evidence of inflammation sign or palpable mass. Conclusion: Although the prevalence is rare, Mycobacterium abscessus infections of soft tissue should be considered even in a healthy child with a lesion caused by trauma or which fails to respond to conventional treatment.