• 제목/요약/키워드: Non-antibiotic

검색결과 260건 처리시간 0.029초

폴리프로필렌 부직포 섬유의 열, 항균 및 원적외선 방사 특성에 미치는 불소화 일라이트 첨가의 영향 (Influence of Fluorinated Illite on Thermal, Antibiotic and Far-infrared Emission Properties of Polypropylene Non-woven Fibers)

  • 김진훈;임지선;서경원;이영석
    • 폴리머
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    • 제37권1호
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    • pp.86-93
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    • 2013
  • 본 연구는 폴리프로필렌 수지에 불소화된 일라이트를 함량별로 첨가하여 제조한 일라이트/폴리프로필렌(PP) 부직포의 열적 특성, 항균성, 원적외선 방사율을 고찰하고자 하였다. 불소화 일라이트 첨가 폴리프로필렌 섬유의 열적 특성은 열중량 분석을 사용하여 조사하였다. 그 항균 특성은 황색포도상구균과 폐렴간균의 균주 실험으로, 원적외선 방사율은 퓨리에 변환 적외분광법을 사용하여 알아보았다. 그 실험결과, 일라이트/PP 부직포 섬유의 열적 특성 및 항균성, 원적외선 방사율은 불소화 일라이트의 함량이 증가할수록 증가하였고, 특히 불소화 일라이트 5 wt% 함유 PP 부직포 섬유의 경우가 일라이트를 함유하지 않은 PP 부직포에 비해 각각 10.3, 41.2 및 9.8%로 크게 증가하였다. 이는 일라이트의 불소화로 인하여 고분자 사슬 분자 사이의 계면결합력의 향상 때문이라 판단된다.

Multiple Antibiotic Resistance Analysis를 이용한 안산천 분변성 미생물 오염원 추적 (Source Tracking of Fecal Contamination at Ansan Stream Using Multiple Antibiotic Resistance Analysis)

  • 이상민;이진;김문일;윤현식
    • 대한환경공학회지
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    • 제33권11호
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    • pp.827-833
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    • 2011
  • 본 연구에서는 안산천을 대상으로 하천의 비점오염원 추적조사를 하였다. 사용된 Multiple Antibiotic Resistance Analysis (MARA) 기법은 사람과 각각의 동물의 장을 통해 배출되는 분변성 미생물들이 항생제에 대한 저항 정도가 다름을 이용하여 기지의 미생물에 대해 데이터베이스를 구축하고 미지 시료에 대해 통계적 분석을 통해 오염원을 찾아내는 방법이다. 안산천 유역을 크게 상류(축산농가지역), 중류(구시가지), 그리고 하류(신시가지) 지역으로 나누어 하천 유역의 환경적인 영향을 알아보고자 하였다. 통계 분석 결과, 가축, 애완 동물, 사람으로 구분한 3-Way 방법의 경우 45.8%가 가축으로 분류되어 상류 지역은 축산 농가 지역의 특성상 동물에 의한 영향이 큰 것으로 판단할 수 있었다. 중류는 구시가지 지역으로써 인간의 영향이 60% 이상으로 나타났으며, 하류 지역 역시 신시가지 지역으로 인간의 영향이 80% 이상으로 나타났다. 실제 현장 조사를 근거로 예상할 수 있었던 비점오염원과 MARA를 통한 분석 결과가 매우 일치하는 모습을 통해 비점오염원 추적을 위한 MARA기법의 유용성을 판단할 수 있었으며, 각 지역의 특성에 맞는 데이터 베이스 구축을 통해 효과적인 비점오염원의 추적이 가능할 것으로 기대된다.

Are postoperative prophylactic antibiotics in closed reduction of nasal bone fracture valuable?: prospective study of 30 cases

  • Jang, Nam;Shin, Hyun Woo
    • 대한두개안면성형외과학회지
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    • 제20권2호
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    • pp.89-93
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    • 2019
  • Background: Prophylactic antibiotic administration after surgery for a nasal bone fracture is performed due to concerns about infection-related complications, such as, toxic shock syndrome. To evaluate the validity and efficacy of antibiotic use, we compared the results obtained and the bacterial profiles of nasal packing materials in patients that underwent closed reduction for a nasal bone fracture with or without prophylactic antibiotic administration. Methods: Thirty consecutive patients with a nasal bone fracture, but without an open wound, that underwent closed reduction during March to August 2017 were included in the present study. Fifteen of these 30 patients were randomly assigned to a control group, members of were administered postoperative intravenous antibiotics once at the day of surgery and then oral antibiotics for 4 days. The other 15 patients were assigned to an experimental group and not administered any antibiotic postoperatively. Antibiotic ointment was not applied to nasal packing in either group. Nasal packing was removed on postoperative day 4 in all cases. Removed nasal gauze packings were culture tested and strains identified in the two groups were compared. Results: Bacterial strain types cultured from packings were similar in the experimental and control groups and no patient showed signs of clinically significant infection. Conclusion: The findings of this study suggest postoperative prophylactic antibiotic use is not clinically required after closed reduction of a nasal bone fracture. Furthermore, the non-use of postoperative antibiotics is biologically beneficial, as it reduces the occurrence of resistant strains and medical costs, and is more convenient for patients.

Hydrogel Ocular Inserts for the Treatment of Infectious Bovine Keratoconjunctivitis

  • Ryoo, Je-Phil;Greer, R.T.;Rosenbusch, R.F.
    • Journal of Pharmaceutical Investigation
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    • 제22권3호spc1호
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    • pp.35-47
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    • 1992
  • Hydrogel coated ring shaped ocular inserts (containing the antibiotic, tylosin tartrate) were used in an evaluation of the effectiveness of polymeric ocular drug release devices for treating infectious bovine keratoconjunctivitis. The in vivo experiments represent the first experiments using hydrogel ocular inserts containing an antibiotic for treating infectious bovine keratoconjunctivitis. In the infection tests, ten calves. were challenged with $2.4{\times}10^8{\sim}1.6{\times}10^9$ Moraxella bovis (a bacterium) colonies per eye following two ten minute ultraviolet radiation eye preconditioning exposures. Ninety five percent of the eyes (19 of 20 eyes) were successfully infected by this method. All infected eyes were monitored for the presence of the bacteria quantitiatively, and clinical observations were made for 14 days. The test was performed by three consecutive steps: 1) inoculation with 2 ultraviolet (UV) radiations, 2) growth of bacterial colonies and 3) treatment with medicated ring-shaped devices. The first. bacteriological measurements after 2 UV exposures were performed at day 3 of the tests. At day 7 after inoculation of both eyes of a calf with M. bovis, a medicated or a non-medicated ring-shaped device was inserted into each eye of a calf. The eye receiving the non-medicated ring was taken as a control for comparison with the eye that received a medicated ring. During the next 7 day period following a medicated ring insertion, the number of bacteria in the treated eyes dropped dramatically to negligible levels (0 to 30 colony forming units/swab), while the control eyes which received a non-medicated ring still exhibited a relatively high number of bacteria ($10^3\;to\;10^6$ colony forming units/swab). The number of bacteria was significantly reduced by the antibiotic released from the medicated ocular insert.

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감염근관에서 분리한 세균의 동정 및 항생제 감수성 검사 (INDENTIFICATION AND ANTIBIOTIC SUSCEPTIBILITY TEST OF MICROORGANISMS ISOLATED FROM INFECTED ROOT CANALS)

  • 지정호;임미경
    • Restorative Dentistry and Endodontics
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    • 제19권2호
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    • pp.568-584
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    • 1994
  • Bacteria have been regarded as major etiolgic factors in root canal infections. Infected root canal flora from thirteen patients who had visited to conservative department of Wonkwang dental hospital were cultured on blood agar plates. Cultued microorganisms were isolated and identified with Gram stain and biochemical tests using Vitek Systems(BioMeriux, MO, USA); Antibiotic susceptibillity was performed with disk diffusion and broth microdilution using Vitek Systems. Gram positive cocci(65 %) were predominant, which were composed of 6 Streptococcus viridans group, 5 Staph. spp., and 4 Enterococcus faecium, in the isolatd 23 strains. Gram negative rods (26 %) were the next common bacteria, which were composed of 5 non - fermentative Gram negative rods, and 1 Enterobacter cloacae. Most strains of S. viridans group and E. faecium were susceptible to antibiotics including penicillin. But strains of Staphylococcus spp. and non - fermentative Gram negative rods showed marked resistance to antibiotics except tetrancyclin and cefotaxime. Most results between disk diffusion and microdilution were all agreed, but the results of non - fermentative Gram negative rods were susceptible to cefotaxime in disk diffusion method but resistant in microdilution.

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영아 발열성 요로감염 환자의 항생제 연관 설사 (Antibiotic-Associated Diarrhea in 3 to 6 Month Old Infants with Febrile Urinary Tract Infections)

  • 원종복;김민채;은병욱;선용한;조강호;차한;전인상
    • Pediatric Infection and Vaccine
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    • 제19권1호
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    • pp.12-18
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    • 2012
  • 목 적 : 본 연구는 발열성 요로감염으로 입원한 영아에서 항생제 연관 설사(Antibiotic-associated Diarrhea, 이하 AAD)의 양상 및 연관인자를 조사하였다. 이 연구는 영아 AAD의 예방과 치료에 사용되는 생균제에 대한 기초 연구이다. 방 법 : 가천의대길병원에서 2008년 1월부터 2010년 9월 사이에 급성 발열성 요로감염으로 입원한 생후 3-6개월의 영아들의 의무기록을 후향적으로 조사하여 AAD를 보인 환자(AAD군)와 보이지 않은 환자(non-AAD군)를 비교하였다. AAD군 내에서 사용한 항생제 요법과 용량, 설사의 양상을 비교하였다. 결 과 : 총 147명 중 AAD군은 54명(36.7%)이었고, 이 중 3세대 세팔로스포린($3^{rd}$ CS) 단일요법군, $3^{rd}$ CS과 비세팔로스포린 혼합요법군, 비세팔로스포린 혼합요법군 간의 설사의 발현 시점, 지속기간 및 횟수의 유의한 차이가 없었다(P>0.05). AAD군과 non-AAD군과의 cefotaxime 사용량의 유의한 차이는 없었다. 결 론 : 생후 3-6개월 영아의 발열성 요로감염 환자에서 AAD는 항생제의 요법과 평상적 투여량 범위내에서 용량에 관계없이 흔하게 발생하였다. 영아 AAD의 예방과 치료에 사용되는 생균제의 효과에 대한 추가적인 연구가 필요하다.

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육계의 사육 일령별 Clostridium perfringens 발생 분석 (Occurrence of Clostridium perfringens according to Raising Periods in Broilers)

  • 최창용;박인재;강민;장형관;허태영;정영훈;조용일;도윤정;류재규;나재천;황보종
    • 한국가금학회지
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    • 제40권4호
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    • pp.305-313
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    • 2013
  • 본 연구는 육계(broiler)의 사육 일령에 따른 C. perfringens의 발생 양상을 확인하기 위해 실시하였는데, 사육일령별 소장 점막의 육안적(gross lesion) 변화, 현미경 검사를 통한 조직학적(histological) 소견을 분석하고, 배양한 분변의 C. perfringens CFU를 확인하며, PCR 검사를 통하여 C. perfringens type을 검색하였다. 소장 점막(mucose of small intestine)의 육안적 검사 결과, 10일령에서는 항생제를 첨가하지 않은 그룹에서 육안적 소견 0.6으로서 항생제 첨가군의 0.0에 비해 높은 수치를 나타내었으며, 20일령에서는 항생제 첨가군이 1.0으로서 항생제를 첨가하지 않았을 경우의 1.3보다 약간 낮은 경향을 나타내었다. 소장 융모(villi)의 조직학적 검사결과, 1일령에서 두 처리구에서 모두 소장 융모에 어떠한 손상도 나타내지 않다가 10일령에서는 항생제를 무첨가구에서 0.4를 나타낸 반면 항생제 첨가구에서는 0.0을 나타내어 항생제 첨가구의 소장이 손상을 받지 않은 것으로 나타났다. 소장 분변에서 C. perfringens의 CFU는 항생제를 사료에 첨가하지 않고 사육하였을 경우 10일령부터 증가하다가, 20일령 및 30일령에서는 그 수가 급격히 증가하는 것으로 나타났다. C. perfringens의 PCR 검사 결과, 1일령에는 두 처리구에서 모두 C. perfringens의 그 어떤 type도 검색되지 않았으나, 10일령, 20일령, 30일령에서 모두 type A의 ${\alpha}$-toxin이 검색되었다. 본 연구 결과, 육계의 사육 시 항생제 급여로 C. perfringens를 제어할 수 있지만, 배합사료 내 항생제 첨가가 금지된 만큼 수의사의 정확한 처방에 의한 선택적으로 항생제를 사용하면서 사양관리에 만전을 기해야 할 것으로 사료된다.

최근 분리된 장내 병원성 대장균의 항균제 감수성 (In Vitro Susceptibility of Diarrhea-Causing Escherichia coli to 9 Antibacterial Agents in Clinical Use)

  • 김재호;김경희;조양자;서인수
    • 대한미생물학회지
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    • 제22권2호
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    • pp.155-162
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    • 1987
  • To determine the prevalence of antibiotic resistance in fecal E. coli and to investigate possible associations between antibiotic resistance and other plasmid-mediated virulence properties, antibiotic disk susceptibility tests for nine antibiotics were done on 141 strains of E. coli isolated from diarrheal children and well controls. Eighty two percent of the test strains were resistant to one or more antibiotics. Antibiotics to which the test strains were most resistant in descending order were ampicillin (85%), trimethoprim/sulfamethoxazol (60%), and cephalothin (55%). Seventy nine percent of these resistant strains were resistant to two or more antibiotics. All 141 test strains were sorted into enterotoxigenic E. coli (ETEC), enteropathogenic E. coli (EPEC), enteroadherent E. coli (EAEC) and non-pathogenic E. coli and the percentages of strains resistant to multiple antibiotics were compared. Among ETEC regardless of its source, multiple drug resistance was more frequent in strains producing heatstable enterotoxin (ST) only than in strains producing only heat-labile enterotoxin (LT) or both. In EAEC, multiple resistance was more frequently associated with strains isolated from diarrheal patients than with those from well controls. The major antibiotic resistance patterns possessed by multiple resistant enteropathogenic strains were $SXT^R$ $AM^R$, $CR^R$, and $SXT^R$ $AM^R$ $CR^R$. Of 28 ST- producing $SXT^R$ ETEC, 26(96%) were also resistant to ampicillin and 17 (61%) were resistant to cephalothin. The similar pattern was observed in EAEC and EPEC as well. This study has important implications for the treatment of E. coli diarrhea with antibiotics because it is possible that dissemination of virulence could occur under the force of selective antibiotic pressure. In addition, this study suggests that the in vivo efficacy of SXT in treating diarrheal illness be reevaluated.

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Antibiotics in third molar surgery, justifiable or not?

  • Alrashdan, Mohammad S.;Park, Jong-Chul;Lee, Ju-Hwan;Yoo, Myung-Sook;Pang, Kang-Mi;Kim, Soung-Min;Lee, Jong-Ho
    • Journal of Korean Dental Science
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    • 제2권2호
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    • pp.46-52
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    • 2009
  • Objectives : The purpose of this study was to evaluate the significance of antibiotics in reducing postoperative infection rates and other complications following third molar surgery. Patients and methods : Two groups of patients underwent surgical extraction of third molars. The antibiotics group, n=21, received a third generation cephalosporin antibiotic for 5 days, starting from the day of surgery. The non-antibiotics group, n=26, didn't receive any antibiotics and only received analgesics to control postoperative pain. Body temperature and hematologic findings including WBC, neutrophils, lymphocytes and monocytes counts were compared between the two groups at three intervals, preoperatively, 24 hours and 7-10 days postoperatively. Pain and swelling during the follow up period were also recorded in both groups and compared in the second part of the study. Results : In the first part of the study, comparison of body temperature, CBC components (except WBCs) showed no significant difference between the two groups during the follow up period. All parameters were within the normal range at all intervals, which indicated absence of infection. In the second part, 38% of patients in the antibiotic group, compared to 54% of the non-antibiotics group, had one or more complications during the follow up period. However, three patients from the antibiotic group compared to one from the nonantibiotics group reported having a swelling of some degree. Conclusion : Based on our objective parameters (body temperature and CBC components), both groups showed no signs of infection during the follow up period. However, the results related to pain and swelling were less conclusive, probably due to small number of patients included in the study. Accordingly, we are unable to provide definite recommendations on antibiotics use in third molar surgery.

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지역기반 상급종합병원 내 카바페넴 내성 장내세균 획득에 관한 위험인자 (Risk Factors of Carbapenem-resistant Enterobacteriaceae Acquisition at a Community-based Hospital)

  • 이연주;강지은;함정연;이자균;이정연
    • 한국임상약학회지
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    • 제30권2호
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    • pp.120-126
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    • 2020
  • Objective: The rising number of carbapenemase-resistant Enterobacteriaceae (CRE) cases has become a concern worldwidely. This study investigated patient characteristics with CRE and analyzed the risk factors associated with its acquisition. Methods: A retrospective review of the electronic medical records of the Kangbuk Samsung Medical Center from May 2016 to April 2019 was performed. The inclusion criterion was hospitalized patients aged ≥18 years with confirmed CRE acquisition. Patients were divided by CRE acquired and non-required patients. CRE acquired patients were those with CRE confirmed by their active surveillance cultures, while non-acquired patients were those with carbapenemase-sensitive Enterobacteriaceae (CSE). If CRE was isolated more than once during hospitalization, only the first isolation was used for data analysis. Patient characteristics, antibiotic used, and the duration of use were compared between two groups using univariate analysis, and the risk factors associated with CRE were analyzed using multiple logistic regression analysis. Results: Among the 73 CRE acquired patients, 44 (60.3%) were positive for carbapenemase-producing Enterobacteriaceae (CPE). Infection from Klebsiella pneumonia (42 cases, 57.5%), Escherichia coli (17 cases, 23.3%), and Enterobacter cloacae (5 cases, 6.8%). The risk of CRE acquisition was significantly increased by 4.99 times [confidence interval (CI), 1.40-17.78; p=0.013] with mechanical ventilation, 3.86 times (CI, 1.59-9.36; p=0.003) with penicillin administration, and 21.19 times (CI, 6.53-68.70; p<0.001) with carbapenem administration. Conclusions: Proper antibiotic use including the selection, frequency, and duration, and patients on mechanical ventilators need close monitoring.