• 대한임상검사과학회지
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• 제49권4호
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• pp.420-426
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• 2017

메치실린 내성 포도알균(methicillin resistant Staphylococci, MRS)는 인체 여러 부위에서 집락화 될 수 있으며 의료기관과 연관된 사람에서 흔히 분리된다. 이 연구는 밀접한 단체생활을 하는 일개 고등학교 한 개 반의 학생들 손과 그들이 사용하는 책상에서 MRS 균의 오염 정도를 평가하고자 하였다. Staphylococcus aureus가 28명의 학생의 손 중에서 2 균주가 분리되었으며 모두 메치실린에 감수성이었다. 응고인자 음성 포도알균(coagulase negative Staphylococci, CoNS)는 26 균주가(26/28, 92.9%) 분리되었으며 이들 균주 중 14 균주는 메치실린 내성균(MRCoNS)이었다. 14 MRCoNS 중 S. warneri가 가장 흔하였으며(8/14, 57%), 이들은 대부분의 $non-{\beta}-lactam$ 항생제에 감수성 이었다. 31개의 책상에서는 S. aureus는 분리되지 않았으나 26 CoNS (26/31, 83.9%)가 분리되었다. 손과 책상에서 분리된 포도알균 이외의 균은 Micrococcus와 Bacillus spp.이었다. 결론적으로 MRSA는 이번 연구에서 분리되지 않았으나 mecA 유전자를 갖고 있는 MRCoNS는 학생들의 손에서 높은 비율로 분리되었다. 손씻기와 같은 예방 교육을 강화할 뿐만 아니라 이들 균의 오염 및 보균율 등의 조사와 같은 능동적 감시 등이 이들 균의 감염예방과 전파 차단을 위해 필요할 것으로 사료된다.

• 한국식품위생안전성학회지
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• 제23권1호
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• pp.40-50
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• 2008

시민 건강을 위협하는 질병 및 식중독 오염의 감염 매개체가 되는 손에 대한 위생실태를 점검하고자 유아원, 초등, 중등, 고등학생 및 일반인 등을 대상으로 오염의 지표인 일반세균 및 대장균군과 식중독 원인균인 세균성이질, 살모넬라, 황색포도상구균, 장병원성대장균, V. parahemolyticus, Y. enterocolitica, B. cereus, C. perfringens, L. monocytogenes, C. jejuni에 대해 조사하여 다음과 같은 결과를 얻었다. 1. 일반세균과 대장균군 등의 위생세균에서 대장균군은 유치원생 2명, 초등학생 6명, 성인에서 2명이 검출되었으며, 일반세균은 유치원생의 경우 평균 3.3 log CFU/hand, 초등학생은 3.4 log CFU/hand, 중학생은 3.2 log CFU/hand, 고등학생은 3.4 log CFU/hand, 성인은 3.3 log CFU/hand로 나타났다. 2. 식중독 원인균으로 총 62주(12.4%)가 분리되었는데 그 중에서 황색포도상구균 47주(75.8%), B. cereus 8주(12.9%), C. perfringens 7주(11.3%)로 나타났다. 3. 독소 발현 확인시험은 황색포도상구균의 경우 47주 중 25주(53.2%)에서 독소를 확인하였는데 A형이 22주(88.0%), A와 B형 복합주가 2주(8.0%), A와 C형 복합주가 1주(4.0%)로 나타났으며, B. cereus는 8주 중 7주(87.5%)에서 독소 생산주를 확인하였으나, C. perfringens는 7주 모두 독소를 생산하지 않은 것으로 나타났다. 4. 항생제감수성 시험에서 분리된 황색포도상구균 47주는 ciprofloxacin, clindamycin, imipenem, rimethoprim/sulfamethoxazole, rifampin, vancomycin에 대해서는 100% 감수성을 나타냈으며, cefepime, chloramphenicol, cefotetan, gentamycin은 각각 91.5% 및 oxacillin(89.4%), tetracycline(87.2%)에 대해서도 높은 감수성을 관찰할 수 있었다. 항생제 내성은 ampicillin(91.5%), erythromycin(42.6%) 및 penicillin(95.7%)에서 매우 높게 나타났다. 2개 이상의 항생제 다제내성을 보인 균주는 총 44주였는데, 2제 다제내성 18주(40.9%), 3제 다제내성 15주(34.1%), 4제 다제내성 7주(15.9%), 5제와 6제 다제내성 각각 1주(4.5%)로 나타났다.

• 한국수산과학회지
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• 제49권6호
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• pp.800-806
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• 2016

In total, 151 Escherichia coli isolates from Ruditapes philippinarum in Gomso Bay were analyzed for their susceptibility to 18 different antimicrobial agents and for genes associated with virulence. For virulence genes, each strain of the isolates was positive for the enterotoxigenic E. coli (ETEC)-specific heat-stable toxin (estA), enteroinvasive E. coli (EIEC)-specific invasion-associated locus (iaa) gene and enteropathogenic E. coli (EPEC)-specific attaching and effacing (eae) gene. According to a disk diffusion susceptibility test, resistance to ampicillin was most prevalent (23.2%), followed by resistance to amoxicillin (22.5%), ticarcillin (20.5%), tetracycline (18.5%), nalidixic acid (12.6%), ciprofloxacin (10.6%), streptomycin (9.9%), and chloramphenicol (6.6%). More than 35.8% of the isolates were resistant to at least one antimicrobial agent, and 19.9% were resistant to four or more classes of antimicrobials; these were consequently defined as multidrug resistant. Minimum inhibitory concentration (MIC) ranges for the antimicrobial resistance of the 15 different antimicrobial agents of 54 E. coli strains were confirmed by varying the concentrations from $32-2,048{\mu}g/mL$. Overall, these results not only provide novel insights into the necessity for seawater and R. philippinarum sanitation in Gomso Bay but they also help to reduce the risk of contamination by antimicrobial-resistant bacteria.

• 한국수산과학회지
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• 제46권5호
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• pp.528-533
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• 2013

This study evaluated the impact of antimicrobial resistant bacteria produced by inland pollution sources on coastal areas, and investigates antimicrobial resistance profiles of bacteria isolated from marine filter feeders. A total of 107 shellfish (short-necked clams Ruditapes philippinarum, ark shells Scapharca broughtonii, and oysters Crassostrea gigas) were collected from the southern coast of Korea, from which 204 Escherichia coli strains were isolated. The antimicrobial susceptibility patterns of isolated strains were analyzed for 15 antimicrobial agents used in Korea for clinical or veterinary therapy. Antimicrobial resistance was present in 44.6% of E. coli isolates against at least one antimicrobial agent. The rate of antimicrobial resistance in the Narodo area was higher than isolates from the Gangjinman area and Kamak Bay. E. coli isolates had a higher rate of resistance against: tetracycline (29.9%), streptomycin (25.5%), and trimethoprim (14.2%). Of 204 isolates, 29 (14.2%) were resistant to multiple antimicrobial agents.

• 대한환경공학회지
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• 제31권10호
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• pp.845-854
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• 2009

최근 전 세계적으로 환경 중에 잔류하는 항생물질로 인한 항생물질 내성박테리아의 발현에 대한 우려가 커지고 있다. 그러나 국내의 경우 이에 대한 기초자료 확립을 위한 액상(수질)과 고상(토양, 저질토)에 잔류하는 항생물질의 동태와 이동에 대한 연구는 극히 드문 실정이다. 이에 본 연구에서는 국내 우분 퇴비화 시설에 인접한 농경지 토양과 지표수 및 저질토에 대한 항생물질 모니터링을 실시하여 tetracycline 계열의 항생물질 3종(tetracycline, chlortetracycline, oxytetracycline)과 sulfonamide 계열의 항생물질 3종(sulfamethazine, sulfamethoxazole, sulfathiazole)에 대한 분포특성을 살펴보았다. 항생물질은 고형상추출(SPE, solid phase extraction)을 실시한 후 고성능액체크로마토그래피 질량분석기(HPLC/MS)로 분석하였다. 이를 통해 검출된 환경 중 항생물질의 농도는 지표수에서 BDL ~0.71 ${\mu}g$/L, 저질토에서 BDL ~27.61 ${\mu}g$/L, 농경지 토양에서 0.12~157.33 ${\mu}g$/L 수준으로 나타났으며 퇴비화 시설과 인접한 지점의 시료에서 상대적으로 높은 수준의 항생물질이 검출되었다. 이를 통해 퇴비화 시설이 환경 중에 존재하는 항생물질에 영향을 주고 있음을 알 수 있었다. 한편 수질시료에 비해 저질토와 토양에서 항생물질이 높은 농도로 검출되었으며 이는 항생물질의 물리화학적 특성에 기인하는 것으로 판단되었다. 장기적으로는 저질토와 토양에서 항생물질 내성박테리아 발현이 우려되므로 향후 항생물질의 환경 중 이동 및 잔류특성 평가를 위한 장기 모니터링 연구가 필요할 것으로 판단된다.

• 대한간호학회지
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• 제19권3호
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• pp.249-258
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• 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.

• 대한수의학회지
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• 제51권1호
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• pp.29-35
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• 2011

Lack of hygiene and puerperal mastitis are common causes of bacterial diseases in nursing neonates. The aim of this study was to isolate microorganisms from milk samples of healthy female Jindo dogs with suckling puppies and to investigate antimicrobial susceptibility against the isolated bacteria. Milk samples were collected from 120 udders of 12 lactating Jindo dogs that were 2~4 years old without any clinical diseases including mastitis. Bacteria were isolated from 64 milk samples (53.3%), either singly (76.6%) or in combination (23.4%). Staphylococcus (S.) spp. was the most common microorganisms (74.7%) isolated from canine milk, followed by Haemophillus spp. (10.9%), Streptococcus spp. (9.6%), Gardnerella spp. (2.4%) and Moraxella spp. (2.4%). The most frequently isolated organism was S. warneri (31.3%). Antimicrobial susceptibility of these bacteria was tested with 17 antimicrobial agents by Kirbyand Bauer standardized disc diffusion method. Results indicated that bacteria isolated from healthy canine milk were mostly susceptible to amoxicillin-clavulanic acid, cephalothin and ceftiofur, but were resistant to erythromycin, neomycin and tetracycline.

• 대한수의학회지
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• 제29권3호
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• pp.393-405
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• 1989

This study was carried out to treatment test for bovine mastitis by the determination of adenosine triphosphate (ATP) based on firefly bioluminescence. The results obtained are followed; 1. In the susceptibility test, cephalothin which looks the most effective were sensitive to Staphylococcus sp. (72.3%), Micrococcus sp. (84.2%), Streptococcus sp. (72.7%) and Gram positive bacilli (72.7%), Gram negative bacilli were sensitive to gentamicin (92.3%) and Yeast-like-fungi was the most sensitive to clotrimazole, and nystatin in order. 2. When the number of bacteria, such as Staphylococcus aureus, Candida tropicalis isolated from the mastitis milk were counted by conventional agar plating technique, and compared with the concentration of bacterial ATP, it gave a good linear relationship. The content of ATP per Staphylococcus aureus, cell was 3.1fM and Candida tropicalis showed the high level of A TP (90fM). 3. The ATP assay was applied to the determination of minimal inhibitory concentration (MIC) of various antibiotics. When Staphylococcus aureus was incubated in the presence of different concentration of tetracycline, erythromycin, kanamycin and streptomycin sulfate and the growth was monitored by the conventional agar plating technique and ATP assay, both methods shown the same results that they were 1mcg/ml, 2mcg/ml, 6.25mcg/ml and 8mcg/ml, respectively. 4. For the determination of susceptibility of sensitive and resistant Staphylococcus au reus isolated for the milk with mastitis to tetracycline, erythromycin kanamycin and streptomycin sulfate, the minimum time required for the test was determined by the assay of ATP every 30 minutes during incubation of 3 hours at $37^{\circ}C$. ATP concentration time curve calculated on both resistant and sensitive strains incubated 3 hours as the optimum time for the determination of susceptibilities of various antibiotics exemed. The ATP concentration of each test broth (antibiotic containing), expressed as a percentage of its own control brith (antibioticfree) indicated values of 30% to be indicative of each antibiotic sensitivity. Single time point ATP assay carried out on the various sensitive and resistant of Staphylococcus aureus to antibiotics examined after 3 hours at $37^{\circ}C$ correlated exactly with disc diffusion and MIC. 5. In the cure of intramammary treatment of bovine mastitis in lactating quarters, the cure rate of Staphylococcal mastitis showed to cephalexin (80%), cloxacillin and gentamicin (70%), ampicillin and oxytetracycline (60%), and Streptococcal mastitis showed to cephalexin (85%), penicillin (80%), cloxacillin and oxytetracycline (75%), and ampicillin (70%), but intramammary antimycotic drug (clotrimazol) were only a little effect about fungal mastitis.

• 한국산학기술학회논문지
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• 제16권5호
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• pp.3315-3322
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• 2015

황색포도상구균은 임상에서 중요한 병원체로 원내감염의 주 원인균이다. methicillin에 내성인 황색포도상구균(MRSA) 출현은 특히 전 세계적으로 임상과 역학의 주요 문제가 되고 있으며 다른 병원성 세균과 차별되는 특징으로 독성인자를 가지면서 항생제 내성을 빠르게 획득해 가고 있다. 본 연구는 한 종합병원 임상 검체로부터 얻어진 MRSA 101균주의 독소유전자(enterotoxin(se), toxic shock syndrome toxin-1(tst), exfoliative toxin(et), Panton Valentine leukocidin(pvl)) 보유 분포와 이들 독소 유전자 보유 균주들간의 항생제 내성과의 상관성을 비교 분석 하고자 하였다. 독소유전자중 가장 많이 분리된 seg 유전자가 59균주(58.4%)에서 검출되었으며 70균주(69.3%)에서 두개 이상의 독소 유전자가 검출되었다. 독소유전자 보유조합으로 seb, sec, seg, sei, tst가 19균주(18.8%)에서 발견되었으며 다음으로 빈번한 조합은 sec, seg, sei로 11균주(10.9%)로 나타났다. seb, sec, seg, sei, tst 동일한 독소유전자 조합을 갖고 있는 19균주(18.8%)들은 Ampicillin, Benzylpenicillin, Ciprofloxacin, Clindamycin, Gentamicin, Erythromycin, Telithromycin, Tetracycline 항생제 내성이 100% 였다. 독소유전자 보유수가 많은 균주들은 항생제 내성이 높은 상관성을 확인하였다. 향후 MRSA 균주의 내성이 확산되지 않도록 효과적인 치료와 철저한 감염관리가 선행되어야 할 것이다.

• 한국동물위생학회지
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• 제29권1호
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• pp.19-26
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• 2006

Bee venom is synthesized in the venom gland's of worker and queen bees and stored in their venom sacs. Bee venom is a rich source of enzymes, peptides and biogenic amines. there are at least 18 active components in the venom which have some pharmaceutical properties. This study was performed to evaluate minimum inhibitory concentration(MIC) of bee venom against bacteria isolated from pjgs and chickens with disease. In case of reference strains, the MIC $({\mu}g/m{\ell})$ of Staphylococcus aureus ATCC 6538, Streptococcus mutans ATCC 25175, and Salmonella typhimurium ATCC 6538 were 64, 64 and 32, respectively. In case of bacteria isolated from pig and chicken, the MIC of Staphylococcus aureus, Staphylococcus hyicus and Staphylococcus chromogenes were 8, 128 and 128, and that of 11 strains of Escherichia coli were 8 to >512 and that of 8 strains of Salmonella sup were >512. Antibacterial resistance test of 22 strains isolated from pig and chicken and 3 reference strains were performed by agar gel diffusion method, using 17 antibacterial drugs including penicillin, cefazolin, tetracycline and quinolone group. The multiple drug resistant patterns were found in most strains isolated from pig and chicken.