• 제목/요약/키워드: Multi-resistant bacteria

검색결과 72건 처리시간 0.028초

소아 화상의 화상부위 세균 집락화와 항균제 감수성 변화(1999년 1월~2002년 12월) (The Bacterial Colonization of Burn Wound and the Changes of Antibiotic Susceptibility in Childhood Burn (January, 1999~December, 2002))

  • 김진만;이소연;김영호;신언우;오필수;김광남;이규만;오석준
    • Pediatric Infection and Vaccine
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    • 제12권2호
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    • pp.157-165
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    • 2005
  • 목 적 : 화상의 병태 생리에 대한 지식 증가와 효과적인 항균제의 이용 및 상처의 괴사조직을 조기에 제거하는 수술 방법의 도입으로 최근 사망률이 감소하고 있으나, 아직도 세균 감염으로 인한 패혈증과 폐렴 등의 합병증이 사망의 가장 큰 원인이 되고 있다. 최근 내성균주의 증가로 적절하고도 제한적인 항균제 선택의 중요성이 증대되고 있다. 특히 Acinetobacter의 multi-drug resistant 균주는 최근 들어 관심의 대상이다. 중환자실의 MRSA, VRE 등의 균주가 증가되고 있는 우리나라의 실정에서 소아 연령의 화상부위 세균 감염 양상을 파악하고 각 균주에 따른 항균제 내성의 추이를 파악하여 적절한 항균제 선택으로 소아 화상 부위의 치료에 도움이 되고자 한다. 방 법 : 1999년 1월부터 2002년 12월까지 4년간 한림대학교 의료원 한강성심병원 화상 센터에 입원한 만 15세 이하 환아 중, 화상 부위 세균 배양 검사 양성으로 나타난 213명, 406검체를 대상으로, 의무기록의 후향적 고찰을 통하여 감염세균 및 항균제 감수성 양상을 조사, 분석하였다. 결 과 : 1) 총 213명의 환아 중 남아 127명(59.6%), 여아 86명(40.4%)이었다. 나이별로는 1~5세까지의 학령 전기에서 132명(62.0%)으로 가장 많았고, 1개월~1세의 영아기 45명(21.1%), 6~10세의 학령기 24명(11.3%) 순이었다. 2) 화상의 종류로는 열탕 화상이 167명(78.4%)으로 가장 많았고, 다음으로 화염 화상이 35명(16.4%), 접촉 열화상 6명(2.8%) 순이었다. 3) 총 213명 406검체 중 64검체(15.8%)에서 두 종류 이상의 균주가 분리되었다. P. aeruginosa가 236검체(58.1%)에서 분리되어 가장 흔한 원인균이었다. Enterococcus species가 73검체(18.0%), S. aureus가 51검체(12.6%), S. epidermidis가 48검체(11.8%)에서 분리되었다. 그 다음으로 Streptococcus species, Acinetobacter species, E. coli 순이었다. 4) P. aeruginosa의 경우 항균제에 대한 내성률은 trimethoprim-sulfamethoxazole 100%, cephalothin 98.1%, ampicillin-sulbactam 96.2%, ampicillin 95.3%, ceftriaxone 95.2%, tobramycin 93.7%, cefoperazone 68.9%, ceftazidime 67.7%이었다. 5) Enterococcus species는 tetracycline 63.9%, streptomycin 45.5%, gentamicin 36.1%, penicillin G 13.7%의 내성을 보였다. 6) S. aureus는 gentamicin 89.7%, tetracycline 86.2%, ciprofloxacin 86.2%, penicillin G 84.3%, oxacillin 78.4%, erythromycin 76.5%의 내성을 보였다. 7) S. epidermidis는 oxacillin 81.2%, erythromycin 79.2%, gentamicin 76.2%, penicillin G 70.8%, fusidic acid 70.3%, tetracycline 61.9%의 내성을 보였다. 8) Acinetobacter species는 ampicillin-sulbactam 100%, gentamicin 85.7%, ampicillin 83.3%, piperacillin 61.5%, aztreonam 53.3%의 내성을 보였다. 결 론 : P. aeruginosa의 선택적 항생제 중 cefoperazone 68.9%, ceftazidime 67.7% 등 높은 내성을 보였고, imipenem 역시 25.9%의 내성을 나타냈다. 현재 P. aeruginosa에 대한 백신이 개발 중이나 효과에 대해선 더 많은 연구가 필요할 것이다. S. aureus는 penicillin G 84.3%, oxacillin 78.4% 등의 높은 내성을 보였으나, vancomycin 0%, teicoplanin 2.2%로 아직 낮은 내성률을 보였다. Acinetobacter species는 최근 계속 증가하는 multi-resistant drug 양상을 보이고 있어 향후 항균제 선택에 있어 신중한 주의가 필요하다.

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Antimicrobial efficacy and safety analysis of zinc oxide nanoparticles against water borne pathogens

  • Supraja, Nookala;Avinash, B.;Prasad, T.N.V.K.V.
    • Advances in nano research
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    • 제5권2호
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    • pp.127-140
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    • 2017
  • Metal nanoparticles have been intensively studied within the past decade. Nano-sized materials have been an important subject in basic and applied sciences. Zinc oxide nanoparticles have received considerable attention due to their unique antibacterial, antifungal, and UV filtering properties, high catalytic and photochemical activity. In this study, microbiological aspects of scale formation in PVC pipelines bacteria and fungi were isolated. In the emerging issue of increased multi-resistant properties in water borne pathogens, zinc oxide (ZnO) nanoparticle are being used increasingly as antimicrobial agents. Thus, the minimum bactericidal concentration (MBC) and minimum fungal concentration of ZnO nanoparticles towards pathogens microbe were examined in this study. The results obtained suggested that ZnO nanoparticles exhibit a good anti fungal activity than bactericidal effect towards all pathogens tested in in-vitro disc diffusion method (170 ppm, 100 ppm and 30 ppm). ZnO nanoparticles can be a potential antimicrobial agent due to its low cost of production and high effectiveness in antimicrobial properties, which may find wide applications in various industries to address safety issues. Stable ZnO nanoparticles were prepared and their shape and size distribution characterized by Dynamic light scattering (35.7 nm) and transmission electron microscopic TEM study for morphology identification (20 nm), UV-visible spectroscopy (230 nm), X-ray diffraction (FWHM of more intense peak corresponding to 101 planes located at $36.33^{\circ}$ using Scherrer's formula), FT-IR (Amines, Alcohols, Carbonyl and Nitrate ions), Zeta potential (-28.8). The antimicrobial activity of ZnO nanoparticles was investigated against Bacteria and Fungi present in drinking water PVC pipelines biofilm. In these tests, Muller Hinton agar plates were used and ZnO nanoparticles of various concentrations were supplemented in solid medium.

양식 넙치, Paralichthys olivaceus에서 분리된 Edwardsiella tarda, Vibrio spp., Streptococcus spp.의 항균제 내성 경향 (Antimicrobial resistance of Edwardsiella tarda, Vibrio spp., and Streptococcus spp. isolated from olive flounder Paralichthys olivaceus)

  • 김명석;서정수;박명애;조지영;황지연;권문경;정승희
    • 한국어병학회지
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    • 제23권1호
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    • pp.37-45
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    • 2010
  • 넙치 병원성 세균에 대한 항균제 내성율과 다제내성을 조사하고자 연구를 수행하였다. 우리나라의 양식 넙치 (Paralichthys olivaceus)에서 161균주가 분리되었고 분리균주에는 Edwardsiella tarda (n=32), Vibrio ichthyoenteri (n=37), Vibrio spp. (n=54), Streptococcus parauberis (n=28) 그리고 Streptococcus spp. (n=10)가 포함되었다. E. tarda 분리균주는 tetracycline (84.4%)과 oxolinic acid (71.9%)에 높은 내성율을 나타내었고 V. ichthyoenteri와 Vibrio spp.는 ampicillin (94.6%, 81.5%)과 tetracycline (56.8%, 42.6%) 순서로 높은 내성율을 나타내었다. S. parauberis 분리균주는 ampicillin (57.1%), tetracycline (57.1%), erythromycin (35.7%) 순서로 높은 내성율을 보였다. E. tarda의 84.4%, V. ichthyoenteri의 73.0%, Vibrio spp.의 57.4%, S. parauberis의 42.8% 그리고 Streptococcus spp.의 70.0%가 2종류 이상의 항균제에 다제내성을 나타내었다.

시판 냉동식품에서 분리한 장구균의 항생제 내성 양상 (Antibiotic Resistance Patterns of Enterococcus spp. Isolated From Commercial Frozen Foods)

  • 박선희;김경식;유영아;이재규;정성국;한기영;김무상
    • 한국식품위생안전성학회지
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    • 제25권2호
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    • pp.122-128
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    • 2010
  • 2009년 4월부터 12월까지 서울시 보건환경연구원 미생물 관리팀에 의뢰된 냉동식품 100건을 대상으로 일반세균수, 대장균군수, 대장균과 장구균의 오염도를 조사였으며, 분리된 장구균을 대상으로 하여 항생제 감수성 검사를 실시하였다. 일반세균수는 평균 검출량이 $4.3{\times}10^4CFU/g$ 이고 대장균군수는 평균 검출량이 $4.3{\times}10^3CFU/g$ 이고 대장균은 100건 모두에서 불검출되어 0.0%의 검출률을 보였다. 100건의 검체 중 총 22건에서 장구균이 분리되었으며 이 가운데 12주는 E. faecium, 7주는 E. faecalis, 2주는 E. gallinarum, 1주는 E. hirae이었다. 분리균주의 항생제 내성률을 검사 한 결과, 내성을 나타내는 항생제들은 erythroycin, rifampin, teracycline ciprofloxacin, chlorampenicol, penicillin이며, vancomycin, ampicillin, gentamicin, strepomycin, linezolid에 대해서는 모두 감수성이었다. 또 22건의 분리 균주 중에서 2종 이상의 항생제에 다제 내성을 나타낸 균주가 15주나 되며 가장 많은 형태로는 6균주의 장구균에서 나타난 E-RA에 대한 것이었다.

염소 또는 오존을 이용한 항생제 내성 유전오염물질 제어 (The Antibiotic Resistant Gene Pollutant Controls using Chlorine or Ozone disinfection)

  • 김성표;유대환;오준식;조윤철
    • 한국습지학회지
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    • 제13권3호
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    • pp.697-705
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    • 2011
  • 본 연구의 목적은 다제 항생제 내성특성을 가진 pB10을 함유한 Escherichia coli DH 5 alpha,(E.coli $DH5{\alpha}$)를 대상 미생물로 하여 염소와 오존의 살균효율을 비교하는 것이다. 또한 다제 내성플라스미드 pB10에 대한 염소와 오존에 의한 제거율을 조사하였다. 주입농도 대비 오존살균이 염소살균에 비해 약 1.2~1.4 배 정도 효율이 높게 나타났다. 또한 다제 내성플라스미드 pB10에 대한 제거 실험에서 오존에 의한 제거율이 염소보다 약 2~4배 높게 나타났다. 오존살균에 의한 높은 pB10 제거효율은 오존 살균시 발생하는 OH 라디칼에 의한 것으로 사료된다. 이러한 연구결과로부터 내성균 및 유전물질을 효과적으로 제어하기 위하여 기존 염소살균법에 오존 또는 광촉매산화와 같은 고급산화법을 연계처리에 대한 필요가 있을 것으로 판단된다.

Species Transferability of Klebsiella pneumoniae Carbapenemase-2 Isolated from a High-Risk Clone of Escherichia coli ST410

  • Lee, Miyoung;Choi, Tae-Jin
    • Journal of Microbiology and Biotechnology
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    • 제30권7호
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    • pp.974-981
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    • 2020
  • Sequence type 410 (ST410) of Escherichia coli is an extraintestinal pathogen associated with multi drug resistance. In this study, we aimed to investigate the horizontal propagation pathway of a high-risk clone of E. coli ST410 that produces Klebsiella pneumoniae carbapenemase (KPC). blaKPC-encoding E. coli and K. pneumoniae isolates were evaluated, and complete sequencing and comparative analysis of blaKPC-encoding plasmids from E. coli and K. pneumoniae, antimicrobial susceptibility tests, polymerase chain reaction, multilocus sequence typing, and conjugal transfer of plasmids were performed. Whole-genome sequencing was performed for plasmids mediating KPC-2 production in E. coli and K. pneumoniae clinical isolates. Strains E. coli CPEc171209 and K. pneumoniae CPKp171210 were identified as ST410 and ST307, respectively. CPEc171209 harbored five plasmids belonging to serotype O8:H21, which is in the antimicrobial-resistant clade C4/H24. The CPKp171210 isolate harbored three plasmids. Both strains harbored various additional antimicrobial resistance genes. The IncX3 plasmid pECBHS_9_5 harbored blaKPC-2 within a truncated Tn4401a transposon, which also contains blaSHV-182 with duplicated conjugative elements. This plasmid displayed 100% identity with the IncX3 plasmid pKPBHS_10_3 from the K. pneumoniae CPKp171210 ST307 strain. The genes responsible for the conjugal transfer of the IncX3 plasmid included tra/trb clusters and pil genes coding the type IV pilus. ST410 can be transmitted between patients, posing an elevated risk in clinical settings. The emergence of a KPC-producing E. coli strain (ST410) is concerning because the blaKPC-2-bearing plasmids may carry treatment resistance across species barriers. Transgenic translocation occurs among carbapenem-resistant bacteria, which may spread rapidly via horizontal migration.

Genetic improvement of potato plants

  • Suharsono, Sony
    • 한국작물학회:학술대회논문집
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    • 한국작물학회 2017년도 9th Asian Crop Science Association conference
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    • pp.12-12
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    • 2017
  • Genetic improvement in potato can be carried out through several approaches, as sexual crosses, somatic hybridization, mutation and genetic engineering. Although the approach is different, but the goal is the same, to get a superior cultivar. Mutation and genetic engineering are very interesting methods for genetic improvement of potato plants. Mutation by gamma-ray irradiation have been performed to get some new potato cultivars which are more resistant to disease and have higher productivity. We have carried out a mutation of some potato cultivars and obtained some excellent clones to be potentially released as new superior cultivars. By the mutation method, we have released one potato cultivar for the French fries industry, and we registered one cultivar of potato for chips, and two cultivar for vegetable potatoes. Actually we are doing multi-location trial for three clones to be released as new cultivars. Through genetic engineering, several genes have been introduced into the potato plant, and we obtained several clones of transgenic potato plants. Transgenic potato plants containing FBPase gene encoding for fructose bisphosphatase, have a higher rate of photosynthesis and higher tuber productivity than non-transgenic plants. This result suggests that FBPase plays an important role in increasing the rate of photosynthesis and potato tuber productivity. Some transgenic potatoes containing the Hd3a gene are currently being evaluated for their productivity. Over expression of the Hd3a gene is expected to increase tuber productivity and induce flowering in potatoes. Transgenic potato plants containing MmPMA gene encoding for plasma membrane ATPse are more tolerant to low pH than non-transgenic plants, indicating that plasma membrane ATPase plays an important role in the potato plant tolerance to low pH stress. Transgenic potato plants containing c-lysozyme genes, are highly tolerant of bacterial wilt diseases caused by Ralstonia solanacearum and bacterial soft rot disease caused by Pectobacterium carotovorum. Expression of c-lyzozyme gene plays an important role in increasing the resistance of potato plants to bacterial diseases.

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2007년 서울 지역에서 판매되고 있는 반찬류의 세균 오염과 항생제 내성실태 (Assessment of Bacterial Contamination and Antibiotic Resistance Patterns in Ready-To-Eat Side Dishes in Seoul Area, 2007)

  • 김미진;이도경;장석;양환진;안향미;백은혜;하남주
    • 약학회지
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    • 제52권6호
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    • pp.434-440
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    • 2008
  • The purpose of this research was to investigate the microbiological quality and antimicrobial susceptibilities of the ready-to-eat side dishes, which are were collected from the grocery stores, big markets, and department stores in Seoul throughout November, 2007. Of total 124 samples, presence of staphylococci and enteric bacilli was observed in 38 samples (31%) and 53 samples (43%), respectively. And 30 samples (24%) were shown to be of unsatisfactory quality for total bacterial count (>$10^5$). Antimicrobial susceptibilities of the staphylococci isolated from the side dishes were tested for six different antimicrobial agents, which are in widespread clinical use in Korea, as well as four new antimicrobials, daptomycin, linezolid, quinupristin/dalfopristin and tigecycline. As a result, the staphylococcal isolates were found to be resistant to oxacillin (${MIC}_{90}$, >128 ${\mu}g$/ml), teicoplanin (${MIC}_{90}$, >128 ${\mu}g$/ml), mupirocin (${MIC}_{90}$, >128 ${\mu}g$/ml), linezolid (${MIC}_{90}$, 128 ${\mu}g$/ ml) and quinupristin/dalfopristin (${MIC}_{90}$, 32 ${\mu}g$/ml). Especially, some of the staphylococcal isolates exhibited high level and multi-drug resistance. Moreover, these bacteria were also resistant to new antimicrobials, except tigecycline.

Antibacterial Mode of Action of Cinnamomum verum Bark Essential Oil, Alone and in Combination with Piperacillin, Against a Multi-Drug-Resistant Escherichia coli Strain

  • Yap, Polly Soo Xi;Krishnan, Thiba;Chan, Kok-Gan;Lim, Swee Hua Erin
    • Journal of Microbiology and Biotechnology
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    • 제25권8호
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    • pp.1299-1306
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    • 2015
  • This study aims to investigate the mechanism of action of the cinnamon bark essential oil (CB), when used singly and also in combination with piperacillin, for its antimicrobial and synergistic activity against beta-lactamase TEM-1 plasmid-conferred Escherichia coli J53 R1. Viable count of bacteria for this combination of essential oil and antibiotic showed a complete killing profile at 20 h and further confirmed its synergistic effect by reducing the bacteria cell numbers. Analysis on the stability of treated cultures for cell membrane permeability by CB when tested against sodium dodecyl sulfate revealed that the bacterial cell membrane was disrupted by the essential oil. Scanning electron microscopy observation and bacterial surface charge measurement also revealed that CB causes irreversible membrane damage and reduces the bacterial surface charge. In addition, bioluminescence expression of Escherichia coli [pSB1075] and E. coli [pSB401] by CB showed reduction, indicating the possibility of the presence of quorum sensing (QS) inhibitors. Gas-chromatography and mass spectrometry of the essential oil of Cinnamomum verum showed that trans-cinnamaldehyde (72.81%), benzyl alcohol (12.5%), and eugenol (6.57%) were the major components in the essential oil. From this study, CB has the potential to reverse E. coli J53 R1 resistance to piperacillin through two pathways; modification in the permeability of the outer membrane or bacterial QS inhibition.

Meat ducks as carriers of antimicrobial-resistant Escherichia coli harboring transferable R plasmids

  • Zulqarnain Baqar;Nuananong Sinwat;Rangsiya Prathan;Rungtip Chuanchuen
    • Journal of Veterinary Science
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    • 제25권5호
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    • pp.62.1-62.13
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    • 2024
  • Importance: Antimicrobial resistance (AMR) is a serious public health threat. AMR bacteria and their resistance determinants in food can be transmitted to humans through the food chain and by direct contact and disseminate directly to the environment. Objective: This study examined the AMR characteristics and transferable R plasmids in Escherichia coli isolated from meat ducks raised in an open-house system. Methods: One hundred seventy-seven (n = 177) commensal E. coli were examined for their antimicrobial susceptibilities and horizontal resistance transfer. The plasmids were examined by PCR-based plasmid replicon typing (PBRT) and plasmid multi-locus sequence typing (pMLST). Results: The highest resistance rate was found against ampicillin (AMP, 83.0%) and tetracycline (TET, 81.9%), and most isolates exhibited multidrug resistance (MDR) (86.4%). The R plasmids were conjugally transferred when TET (n = 4), AMP (n = 3), and chloramphenicol (n = 3) were used as a selective pressure. The three isolates transferred resistance genes either in AMP or TET. The blaCTX-M1 gene resided on conjugative plasmids. Five replicon types were identified, of which Inc FrepB was most common in the donors (n = 13, 38.4%) and transconjugants (n = 16, 31.2%). Subtyping F plasmids revealed five distinct replicons combinations, including F47:A-:B- (n = 2), F29:A-:B23 (n = 1), F29:A-:B- (n = 1), F18:A-B:- (n = 1), and F4:A-:B- (n = 1). The chloramphenicol resistance was significantly correlated with the other AMR phenotypes (p < 0.05). Conclusions and Relevance: The meat ducks harbored MDR E. coli and played an important role in the environmental dissemination of AMR bacteria and its determinants. This confirms AMR as a health issue, highlighting the need for routine AMR monitoring and surveillance of meat ducks.