• 제목/요약/키워드: Penicillin

검색결과 695건 처리시간 0.032초

개 정액의 냉동보존 시 κ-Carrageenan이 정자 성상에 미치는 영향 (Effect of κ-Carrageenan on Sperm Quality in Cryopreservation of Canine Semen)

  • 김은지;;전유별;유일정
    • 한국동물생명공학회지
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    • 제34권1호
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    • pp.57-63
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    • 2019
  • This study was conducted to find out the effect that ${\kappa}-Carrageenan$ has on the properties of dog sperm when it was added to the cryoprotectant. Extender basically was contained 1.21 g Trizma base, 0.67 g citric acid, 0.4 g glucose, 0.03 g penicillin G, 0.05 g streptomycin sulfate. Extender1 was added with 0.1%, 0.2%, 0.3%, and 0.5% carrageenan, while extender2 was supplemented with glycerol. After freezing-thawing, the motility, viability, acrosome integrity, apoptosis, and ROS (reactive oxygen specifications) of sperm were measured to analyze the effects of the supplementation of carrageenan. Total Motile (TM), Rapid Progressive Motile (RPM), Medium Progressive Motile (MPM), and Immotile were measured through the CASA system after thawing in 37 degree water. Extender with 0.2% ${\kappa}-carrageenan$ ($64.26{\pm}0.49$) was significantly higher than control ($40.24{\pm}8.27$) (p < 0.05). RPMs of extender with 0.1%, 0.2% ${\kappa}-carrageenan$ ($57.64{\pm}6.34$, $56.47{\pm}1.35$) were significantly higher than the other groups (p < 0.05). Acrosome integrity was measured by dyeing to PSA-FITC with an epifluorescence microscope. Normal acrosome ratio of extender with 0.5% ${\kappa}-carrageenan$ ($61{\pm}8.03$) was higher than the other groups (p < 0.05). Apoptosis was measured with a FACSCalibur flow cytometer using FITC (FITC Annexin V Apoptosis Detection Kit). Treated groups of ${\kappa}-carrageenan$ of 0.1% ($0.81{\pm}0.05$), 0.2% ($0.85{\pm}0.05$) were significantly higer (p < 0.05) than control. Modified SYBR/PI staining was used for determination of viability and DCF staining was used for evaluation of ROS. Viability and ROS were not significantly different from other groups. In conclusion, adding a certain concentration of carrageenan to the extender of cryopreservation, carrageenan contributes to the improvement of the sperm motility, acrosome integrity and prevention of apoptosis.

Dynamics of fungal community during silage fermentation of elephant grass (Pennisetum purpureum) produced in northern Vietnam

  • Vu, Viet Ha;Li, Xiyang;Wang, Mengyuan;Liu, Rongmei;Zhang, Guojian;Liu, Wei;Xia, Baixue;Sun, Qun
    • Asian-Australasian Journal of Animal Sciences
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    • 제32권7호
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    • pp.996-1006
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    • 2019
  • Objective: This study aimed to gain deeper insights into the dynamic changes in spoilage fungi populations during fermentation and the influence of traditional additives on silage quality. Methods: Elephant grass (Pennisetum purpureum) was prepared without any additive (control), and with the addition of 0.5% salt, and 0.5% salt-0.2% sugar mixture. The fungal community was then determined using a classic culturing method and high-throughput sequencing at 0, 5, 15, and 60 days after ensiling. Results: The results showed that the fungal community of elephant grass silage varied significantly between the natural fermentation without any additive and the two additive groups. The diversity and relative abundance of spoilage molds in the control group were much higher than those in the two treatment groups (p<0.05). Three species of yeasts (Candida sp., Pichia sp., Trichosporon sp.) and four spoilage molds (Fusarium sp., Aspergillus sp., Muco sp. and Penicillin sp.) were the predominant fungi in elephant grass during natural fermentation from 0 to 60 days, which were found to be significantly decreased in salt and sugar additive groups (p<0.05). Meanwhile, the diversity and relative abundance of undesirable molds in the 0.5%-salt additive group were the lowest among all groups. Conclusion: Adding salt and sugar, particularly 0.5% salt, is a promising effective approach to reduce the amount of undesirable fungi thus, improving the silage quality of elephant grass in northern Vietnam.

Triclosan Resistant Bacteria from Sewage Water: Culture Based Diversity Assessments and Co-Resistance Profiling to Other Antibiotics

  • Salman, Muhmmad;Ul Bashar, Noor;Kiran, Uzma;Shafiq, Zuhra;Khan, Fareesa;Khan, Raees;Hussain, Farrukh;Bangash, Sudhair Abbas;Ahmad, Yasin;Ahmad, Shabir
    • 한국미생물·생명공학회지
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    • 제50권1호
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    • pp.89-94
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    • 2022
  • Triclosan (TCS) is an antimicrobial agent used in various human personal care products against both gram-positive and gram-negative bacteria. The purpose of this study was to evaluate the presence of TCS-resistant bacteria in sewage water in Peshawar, Khyber Pakhtunkhwa (KPK), Pakistan, for the first time. TCS-supplemented Luria Bertani (LB) agar was used to isolate TCS-tolerant bacteria. A total of 17 TCS-resistant isolates were randomly selected from a large pool of bacteria that showed growth on TCS-supplemented LB agar. Based on gram staining and physiochemical characteristics, the isolated strains were identified as Salmonella typhi (n = 6), Escherichia coli (n = 4), Citrobacter freundii (n = 4), Proteus mirabilis (n = 1), Enterobacter cloacae (n = 1), and Pseudomonas aeruginosa (n = 1). The Triclosan mean minimum inhibitory concentrations (MICs) for the isolates of Salmonella typhi, Escherichia coli, Citrobacter freundii, Proteus mirabilis, Enterobacter cloacae, and Pseudomonas aeruginosa were 23.66 ㎍ ml-1, 18.75 ㎍ ml-1, 42 ㎍ ml-1, 32 ㎍ ml-1, 64 ㎍ ml-1, and 128 ㎍ ml-1, respectively. The antibiogram revealed that all isolates were resistant to penicillin G (100%) and linezolid (100%), followed by ampicillin (94%), tetracycline (76%), tazobactam (76%), sulbactam/cefoperazone (64%), polymyxin PB (58%), amikacin (29.41%), aztreonam (29.41%), imipenem (5%), and gentamicin (5%). This is the first known study regarding the isolation of TCS-tolerant bacteria from sewage water in Peshawar, KPK, Pakistan. It was concluded that all the TCS-resistant isolates were multidrug resistant (MDR) gram-negative rod-shaped bacteria, mostly belonging to the Enterobacteriaceae family.

참깨 품질 연구의 현황과 문제점 및 전망 (Current Status and Perspectives of Quality Improvement in Sesame)

  • 이봉호;이정일;박래경
    • 한국작물학회지
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    • 제33권s01호
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    • pp.86-97
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    • 1988
  • Sesame(Sesamum indicum L.) is probably the most ancient oilseed crop known in the world. The seed of sesame is used in a variety of ways as food. The whole seed may be eaten raw, either roasted or parched, or fed to birds and stock. Sesame oil is used as a salad or cooking oil, in shortening, margarine and in the manufacture of soap. Minor uses are as a fixative in the perfume industry and formerly as a carrier for fatsoluble substances in pharmaceuticals such as penicillin. One of the minor constituents of sesame oil, sesamin, is used for its synergistic effect in pyrethrin insecticides, in addition of a small quantity of this substance markedly increases the effectiveness of fly sprays. The meal remaining after oil extraction can be used as and animal feed-stuff or as manure. In general sesame meal is considered to be equal to cottonseed or soybean meal as a protein supplement for livestock and poultry. It is especially high in certain amino-acids such as methionine, which is low in soybean meal, and thus can be combined with it or similar meal to form a more balanced ration. An attempt to summarize the literature review on quality improvement of sesame was made to discuss the accomplishments of the past and perspectives in the future. The reviews on quality improvement of sesame were mainly discussed in connection with the cultural practices and genetic informations in current status. The emphasis focussed on environmental variation of quality in cultural practices, such as harvest time, variety by location, climatic condition, fertilizer application, and growth regulator treatment. On the genetic variation of quality, it was discussed on variety background, mutation breeding, correlations, and inheritance of quality related characteristics. It also was discussed on relationship between quality and plant traits, storage condition or period, and seed coat color. Moreover, current research status were reviewed on some minor elements such as sesamin, oxalic acid, and trypsin inhibitor. As a results of the review, the lack of an effort to quality improvement in each utilization area was indicated as a problem area. More active efforts for the improvement of quality were also insufficient to incorporate the available genes for quality in breeding method or collection and analysis of breeding materials. Therefore, researches in the future would be recommended to emphasize on these problem areas.

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Parthenogenetic Activation of Pig Oocytes Matured in-Vitro with Ethanol and Electrical Stimulus

  • Y. J. Chang;Y. J. Yi;Kim, M. Y.;Park, C. S.
    • 한국동물번식학회:학술대회논문집
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    • 한국동물번식학회 2003년도 학술발표대회 발표논문초록집
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    • pp.62-62
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    • 2003
  • This study was carried out to investigate the effects of activation agents on parthenogenetic activation of pig oocytes matured in vitro. The medium used for oocyte maturation was tissue culture medium (TCM) 199 supplemented with 26.19 mM sodium bicarbonate, 0.9 mM sodium pyruvate, 10 $\mu\textrm{g}$/ml insulin, 2 $\mu\textrm{g}$/ml vitamin $B_{l2}$, 25 mM Hepes, 10 $\mu\textrm{g}$/ml bovine apotransferrin, 150 $\mu$M cysteamine, 10 IU/ml PMSG, 10 IU/ml hCG, 10 ng/ml EGF, 0.4% BSA, 75 $\mu\textrm{g}$/ml sodium penicillin G, 50 $\mu\textrm{g}$/ml streptomycin sulfate and 10% pFF. After about 22 h of culture, oocytes were cultured without cysteamine and hormones for 22 h at 38.5$^{\circ}C$, 5% $CO_2$ in air. Cumulus-free oocytes involving first polar body were activated by exposure to various concentrations of ethanol and exposure time of ethanol in Hepes-buffered NCSU23 medium. Also, oocytes were activated by electric pulse alone or combination with ethanol. For electrical activation, oocytes were rinsed twice in 0.3 M mannitol solution supplemented with 0.1 mM CaC1$_2$, 0.2 mM MgC1$_2$, 0.5 mM Hopes and 0.01% BSA, and transferred to a chamber consisting of two electrodes 1 mm apart which was overlaid with the same activation solution. Oocytes were activated with a single DC pulse of 1.3 ㎸/cm for 30 $\mu$sec. After activation treatments, oocytes were washed three times with Hepes-buffered NCSU23 medium and were washed twice with NCSU23 culture medium containing 0.4% BSA, and then cultured in 500 ${mu}ell$ of the same medium for 20 h at 38.5$^{\circ}C$, 5% $CO_2$ in air. The activation rates of oocytes were higher in 6, 7 and 8% ethanol concentrations compared with 0, 5, 9 and 10% ethanol concentrations. Significantly more oocytes (29.3~33.7%) were activated in the exposure for 8, 10, 12 and 15 min than those in the exposure for 0 and 5 min, but there was no difference due to exposure to 8% ethanol for 8 to 15 min. Electric pulse treatment followed by exposure to ethanol significantly improved the rate of oocyte activation (61.9%) compared with that of other 3 treatments. In conclusion, the optimal activation treatment of ethanol exposure alone for the in-vitro matured pig oocytes was 8% ethanol for 8 to 15 min. Electric pulse treatment followed by ethanol exposure significantly improved the rate of activation.n.

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주변 수계에서 미생물유래 extended-spectrum beta-lactamase 유전자의 분포 (Distribution of the extended-spectrum beta-lactamase genes derived from microorganisms in the waterfront environments)

  • 배영민
    • 한국응용과학기술학회지
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    • 제39권6호
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    • pp.916-923
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    • 2022
  • 창원시의 3개 지점(남천, 창원천, 청운지)에서 물 시료를 채취하고, 채취한 시료로부터 genomic DNA를 분리하였다. 분리된 DNA와 class A extended-spectrum beta-lactamase(ESBL) 유전자 5가지(blaOXA-1, blaSHV, blaTEM, blaCTX-M-1, blaCTX-M-9)를 target으로 하는 primers를 사용하여 quantitative PCR을 수행하였다. 시료를 채취한 지점별로 ESBL 유전자들의 수와 비율에서 확연한 차이가 있음을 알 수 있었다. 남천의 경우 DNA 30ng당 ESBL 유전자가 1.93×106 copy나 존재하는 데에 반해 창원천의 경우에는 1.47×105 copy 그리고 청운지에는 9.5×103 copy 밖에 존재하지 않았다. 흐르는 하천인 남천과 창원천에서는 각 ESBL 유전자들의 비율에서 큰 차이가 없었다. 즉, 남천에서는 blaOXA-1 유전자가 65.3%, blaCTX-M-1 유전자가 33.6%를 차지하여서 이 두 유전자가 전체 ESBL 유전자의 99% 가까이를 차지하고 있었다. 창원천에서도 blaOXA-1 유전자가 64.1%, blaCTX-M-1 유전자가 19.1%를 차지하므로 이 두 유전자가 전체의 83% 이상을 차지하고 있었다. 하천과 다르게 폐쇄된 환경인 청운지 연못에서는 내성세균들의 총량 자체가 다른 두 하천에 비해서 월등하게 적었다. 또한 내성 세균의 비율도 달라서 blaCTX-M-1 유전자가 전체의 87.5%, 그리고 blaCTX-M-9 유전자가 9.8%를 차지하고 있었다.

농업용수 관개방법에 따른 축산용 항생제의 토양중 잔류와 적상추와 열무 작물로의 흡수·이행 (Soil Residues and Absorption-translocation into Red Lettuce and Young Radish Crops of Veterinary Antibiotics According to Agricultural Water Irrigation Method)

  • 박영재;전희수;조재영
    • 한국유기농업학회지
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    • 제32권1호
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    • pp.107-125
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    • 2024
  • Tetracycline 계열 옥시테트라사이클린(OTC)과 클로르테트라사이클린(CTC) 그리고 penicillin 계열 아목시실린(AMX) 등 3종의 축산용 항생제를 관개수에 인위적으로 주입한 후 농업용수의 관개방법(지표점적관개, 지중점적관개, 스프링클러관개)에 따른 항생제의 토양중 잔류, 식물체로의 흡수이행량 그리고 작물생장지표 등을 조사하였다. 적상추와 열무 재배지역 토양중 축산용 항생제의 잔류농도는 큰 차이가 나타나지 않았으며, 축산용 항생제의 처리농도가 증가함에 따라 토양중 잔류농도도 유의성있게 증가하는 경향이었다(P < 0.05). 관개방법에 따라서는 토양중 축산용 항생제의 잔류량이 유의성 있는 차이를 나타내지 않았다(P > 0.05). 적상추와 열무의 가식부위(잎) 중 처리대상 3종의 축산용 항생제 모두 검출한계미만으로 나타나 작물의 안전성은 확보된 것으로 나타났다. 적상추와 열무 작물체로 훕수이행된 항생제를 대상으로 전이계수(translocation factor)를 조사한 결과, 토양으로부터 적상추 뿌리까지의 전이계수는 0.3 미만으로 나타났고, 토양으로부터 열무뿌리까지의 전이계수는 0.2이하로 나타났다. 관개방법별 그리고 축산용 항생제의 종류에 따라 전이계수가 유의성 있는 차이를 나타내지 않았다(P>0.05). 마지막으로, 적상추와 열무의 수확량도 관개방법별 그리고 항생제의 종류별로 유의성 있는 차이가 나타나지 않았다(P>0.05). 우리나라 하천에서 검출되는 축산용 항생제의 최대 50배 수준까지 유입될 경우 토양 내 잔류량은 지속적으로 증가할 것으로 평가되지만, 축산용 항생제의 작물체로 전이는 크게 나타나지 않을 것으로 나타났다. 하지만, 축산용 항생제의 농경지 토양내 지속적인 유입은 토양미생물상의 활성도, 종 다양성, 개체군에 영향을 끼쳐 장기적으로 바람직하지 못한 영향을 끼칠 수 있을 것이기에 지속적인 관리가 필요할 것이다.

광주지역 공공수역의 미생물 군집 다양성 및 항생제 내성에 관한 연구 (A Study on Microbial Community Diversity and Antibiotic Resistance in Public Waters in Gwangju)

  • 김선정;박지영;김승호;임민화;유지용;한규성;박세일;서광엽;조광운
    • 한국환경보건학회지
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    • 제50권2호
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    • pp.93-101
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    • 2024
  • Background: As pollutants caused by non-point sources flow into rivers, river water quality monitoring for fecal pollution is becoming increasingly important. Objectives: This study was conducted to investigate the distribution of microbial communities in the Yeongsangang River water system and sewage treatment plants in Gwangju and to evaluate their antibiotic resistance. Methods: In the experiment, samples were distributed to five selective media at each point and then cultured for 18 to 24 hours. When bacteria were observed, they were sub-cultured by size and shape and identified using MALDI-TOF MS equipment. When identification was completed, 17 types of antibiotic susceptibility tests were performed using VITEK II equipment, focusing on gram-negative dominant species among the identified strains. Results: During the study period, a total of 266 strains were isolated from 39 samples. Gram-positive bacteria were 37 strains in four genera, or 13.9% of the total, and Gram-negative bacteria were 229 strains in 23 genera, or 86.1% of the total. Antibiotic susceptibility testing of 23 strains, the major dominant species, showed that one strain (4.3%) was resistant to only one antibiotic, and two strains (8.7%) were 100% susceptible to the 17 antibiotics tested. The other 20 strains (87.0%) were multidrug resistant bacteria resistant to two or more antibiotics. There were various types of multidrug resistance. Among them, penicillin and cephalosporin series showed the highest resistance. Conclusions: Based on the results of this study, it was found that the bacterial community structure changed according to regional and environmental factors, and it was judged that continuous research such as genetic analysis of antibiotic-resistant bacteria present in natural rivers is necessary.

Etiology of Bacteremia in Children With Hemato-Oncologic Diseases From 2013 to 2023: A Single Center Study

  • Sun Woo Park;Ji Young Park;Hyoung Soo Choi;Hyunju Lee
    • Pediatric Infection and Vaccine
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    • 제31권1호
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    • pp.46-54
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    • 2024
  • 목적: 본 연구는 2013년부터 2023년까지 최근 10년간 분당서울대학교병원 소아 혈액종양 환자들에게 발생한 균혈증 발생 숫자를 확인하고, 원인균 발생 빈도 및 분포와 이들의 항생제 감수성을 분석하면서 경험적 항생제를 선택하는 데에 필요한 치료 지침의 기초 자료로 활용하고자 수행되었다. 방법: 2013년 1월부터 2023년 7월까지 분당서울대학교병원에 입원한 환자 중 기저혈액종양질환이 있으면서 혈류감염이 발생한 환자들을 대상으로 후향적 의무기록 분석을 하였다. 결과: 10년의 연구 기간동안 총 74명의 환자에게서 98례의 혈류감염이 확인되었고, 이 중 그람 양성균, 그람 음성균, 진균이 각각 57.1% (n=56), 38.8% (n=38), 4.1% (n=4)이었다. 가장 흔한 그람 양성균은 coagulase-negative staphylococci (n=21, 21.4%) 와 Staphylococcus aureus (n=14, 14.3%) 였고, 가장 흔한 그람 음성균은 Klebsiella species (n=16, 16.3%) 와 Escherichia coli (n=10, 10.2%) 였다. 전체 사망한 환자들 중 균혈증 발생으로부터 30일 이내로 사망한 사례는 총 6건 (6.1%) 이었다. 결론: 본 연구는 혈액종양질환을 진단받은 소아 환아들에게서 발생한 균혈증의 원인균 분포 및 각 원인균의 항생제 분포를 분석하였다. 연구결과를 토대로, 연구자들은 현재 사용하는 경험적 항생제 가이드라인을 유지할 수 있다는 점을 알 수 있었다. 소아 혈액종양질환 환아들에게서 발생한 균혈증에서 사용해야 할 적절한 경험적 항생제는 각 기관별로 조사한 항생제 감수성 양상에 기초하여 결정되어야 하며, 지속적인 모니터링은 반드시 이루어져야 한다.

한국인에서 만성기관지염의 급성악화를 치료하기 위한 LB20304(Gemifloxacin) 160mg 또는 320mg 1일 1회 7일간 투여의 유효성과 안전성에 대한 연구 (A Randomized, Double-Blind Study to Assess the Efficacy and Safety of Oral LB20304 (Gemifloxacin) at Doses of 160mg or 320mg (Equivalent to 200mg or 400mg of the Mesylate Salt) Once Daily for 7 Days for the Treatment of Acute Exacerbations of Chronic Bronchitis (AECB) in Korean Adult Population)

  • 김영환;심영수;김원동;심태선;강홍모;최병휘;김재열;권오정;김호중;김주옥;정기석;현인규;모은경;이승준;남귀현;이계영;박재석
    • Tuberculosis and Respiratory Diseases
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    • 제55권1호
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    • pp.69-87
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    • 2003
  • 배 경 : Gemifloxacin은 그람음성 및 그람양성 균주에 대해서 모두 좋은 활성을 가지고 있는 fluoroquinolone 항균제로서, 임상균주를 이용한 in vitro 시험에서 다른 대조 quinolone에 비하여 S. pneumnoniae의 penicillin 내성 균주에 대해서 활성이 높을 뿐만 아니라, 다른 quinolone 항균제에 내성을 나타내는 S. pneumoniae 임상 균주에 대해서도 좋은 활성을 유지하는 것으로 밝혀져 만성기관지염의 급성악화(AECB)시 사용하기 적절한 치료제로 여겨진다. 목 적 : 한국인에서 AECB를 치료하기 위한 LB20304(gemifloxacin) 160mg 또는 320rng 1일 1회 7일간 투여의 유효성과 안전성을 평가하고자 하였다. 방 법 : Gemifloxacin 100mg과 위약을 1일 1회 7일간 경구 투여한 환자 67명, gemifloxacin 320mg을 1일 1회 7일간 경구 투여한 환자 70명의 환자를 대상으로 무작위 배정, 이중맹검, 병행 치료군, 다기관, 2상 임상시험으로 실시하였다. 결 과 : 두 치료군의 인구통계학적 특징과 임상적 및 흡연 기왕력 등 기저 상태는 대등하였다. Per-protocol(PP) 환자군에서, 추적관찰 시점(days 14-21) 및 치료종료 시점(days 7-10)에서의 임상적 반응은 gemifloxacin 100mg군이 각각 84.2%, 96.5%, 320mg군이 각각88.7%, 96.4%로 두 군간에 유의한 사이가 없었고(각각 p=0.49, p=0.99), 추적관찰 시점 및 치료종료 시점의 미생물학적 반응도 gemifloxacin 160mg군이 각각 78.9%, 81.8%, 320mg군이 각각 84.2%, 86.4%로 두 군간에 유의한 차이가 없었다(각각 p=0.68, p=0.68) 본 임상시험에서 치료 전에 많이 배양된 병원균으로는 S. pneumoniae(12/52), H. influenzae(10/52), K. pneumoniae(6/52), M. catarrhalis(3/52) 로 K. pneumoniae가 비교적 많이 배양된 점을 제외하고는 기존에 알려진 AECB 시 배양되는 병원균의 분포와 큰 차이가 없었다. S. pneumoniae, H. influenzae, K. pneumoniae, M. catarrhalis 등 주요 병원 균에 대한 MIC는 전반적으로 다른 quinolone 항균제보다 gemifloxacin이 더 낮았고, 특히 S. pneumoniae(3 PRSP, 7 ERSP 포함)에 대한 gemifloxacin의 MIC(${\leq}0.03ug/ml$)는 다른 quinolone, beta-lactam, macrolide 항균제보다 월등히 낮아 gemifloxacin 이 AECB의 치료에 매우 유용한 항균제임을 보여주었다. 안전성 결과에서는 gemifloxacin 160mg 및 320mg 투여군 모두 시험약과의 관련성을 배제할 수 없거나 관련이 의심되는 중대한 이상반용은 관찰되지 않았고, 치료 중 및 치료 후 30일 기간동안, 이상반응을 최소한 하나 이상 보고한 환자가 gemifloxacin 160mg군은 26.9%, 320mg군은 31.4%이었다. 가장 흔히 보고된 이상반응은 간효소 수치의 증가로서, 발생 빈도는 160mg군에서 1/67명(1.5%), 320mg군에서 5/70명(7.1%) 이었다. 간효소 수치의 증가로 인해 탈락한 환자는 없었고, 중증도(severity)는 모두 경도(mild)였으며, 별다른 처치 없이 정상으로 회복되었다. 전반적인 이상반응의 profile에서 치료군간 주요한 차이는 없었다. 결 론 : 본 임상시험의 결과, 한국인에서 AECB를 치료하기 위한 gemifloxacin 160mg 또는 320mg 1일 1회 7일간의 투여는 임상적 및 미생물학적으로 매우 유효하고 안전하였다.