• Title/Summary/Keyword: Transmission of infection

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Hepatitis A (A형 간염)

  • Moon, Kyung Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.11 no.sup2
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    • pp.44-49
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    • 2008
  • The prevalence of symptomatic Hepatitis A has inclined significantly during the last several years in Korea. The average age at infection has increased, resulting in more clinically severe infections. Efforts to promote good personal hygiene have not been successful in interrupting outbreaks of hepatitis A. Vaccination is the most effective means of preventing HAV transmission among persons at risk for infection. Hepatitis A vaccination is recommended for all children at age 1 year, for persons who are at increased risk for infection, for persons who are at increased risk for complications from hepatitis A, and for any person wishing to obtain immunity.

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Breast Milk-Transmitted Cytomegalovirus Infection in Preterm Infants

  • Gang, Mi Hyeon;Chang, Mea-young
    • Neonatal Medicine
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    • v.25 no.2
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    • pp.58-65
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    • 2018
  • Purpose: The purpose of this study is to describe the rate of cytomegalovirus (CMV) virolactia, and the prevalence of breast milk (BM)-transmitted postnatal CMV infection among premature infants after freeze-thawing (FT) and Holder pasteurization (HP) of breast milk. Methods: This is a single-center, retrospective study of 312 infants born at less than 32 weeks of gestation, or with a birth weight less than 1,500 g from January 2013 to June 2017. All infants were screened for CMV-specific immunoglobulin (Ig) G and IgM at birth. Initial CMV specific polymerase chain reaction (PCR) and CMV culture were performed on mothers' BM and babies' urine within the first 21 days of life. FT and HP of BM was used to prevent the transmission of CMV. For the surveillance of postnatal CMV infection, CMV culture and CMV specific PCR of urine from babies were repeated one to two months after the initial screening. Screening for viremia and viruria was performed if postnatal CMV infection was suspected. Results: Among 178 BM samples obtained from mothers of CMV-IgG-seropositive infants, 80 (44.9%) were CMV PCR positive. CMV deoxyribonucleic acid (DNA) was detected in five of the 22 BM samples (22.7%) obtained from the mothers of CMV-IgG seronegative infants. When CMV DNA load in BM was measured before and after HP, various results were shown. Sixty-three infants out of 232 (27.2%) were evaluated for postnatal CMV infection and four infants out of 63 (6.3%) were infected. Conclusion: Interventions to prevent BM-transmitted CMV infection can reduce the chance of postnatal CMV infection, but not completely eliminate it.

AIDS Related Knowledge and Attitude of Adult in Chonbuk Province (일부 성인의 AIDS에 관한 지식과 태도)

  • Suh In Sun;Lee Ok Sook
    • Journal of Korean Public Health Nursing
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    • v.11 no.1
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    • pp.128-137
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    • 1997
  • This study was designed to get basic data about AIDS educational program development of Adults. The objective of this study was to identify the level of AIDS relatied Knowledge and Attitude of Adults. The subject for this study consisted of 327 men and women who were living in chonbuk province. Data was colledted by self-reporting questionaire consist of 61 items during the period from 1st. December to 20th, December, 1996. The results were us follow ; 1. AIDS related knowledge ranged from 6 to 32(M;23.13, SD:5.86). Percentage of correctly answered respondents to each catagories ; Risk factors : $\cdot$ Infection through needle : $93.9\%$ $\cdot$ Infection through blood transfusion : $92.4\%$ $\cdot$ Infection of multi-sexuals : $90.5\%$ $\cdot$ Infection of hemophillias patients : $39.4\%$ $\cdot$ Infection of hemosexuals : $23.2\%$ Mode of transmission : $\cdot$ Infection through pubic rest room : $56.3\%$ $\cdot$ Infection through personal materials: $65.1\%$ $\cdot$ Infection through food: $67.6\%$ 2. The relationship between AIDS related knowledge and each of those general characteristics, AIDS related knowledge showed significant difference with age(p=0.0293), marital status(p=0.003). sexual experience(p=0.020) and used contraceptive(p=0.0l5). 3. Among the items regarding attitudes, what has highed level was preventional education of National policy about AIDS$(94.5\%)$. What has lowest level of Attitides was that AIDS carrier could go to school with noncarrier children$(39.1\%)$. 4. The relationship between attitude of AIDS and each of these general characteristics over 30 age group, married women, sexual experience and used contraceptive were higher than others.

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Infection Characteristics of Clonorchis sinensis Metacercariae in Fish from Republic of Korea

  • Sohn, Woon-Mok
    • Parasites, Hosts and Diseases
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    • v.60 no.2
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    • pp.79-96
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    • 2022
  • The infection nature of Clonorchis sinensis metacercariae (CsMc) in freshwater fish hosts is closely related to the transmission of human clonorchiasis. This article reviewed the infection characteristics of CsMc in freshwater fish in the Republic of Korea (Korea). The status of CsMc infection was examined in a total of 17,792 cyprinid fish of 49 species in 9 water systems, which included Hantan-/Imjin-gang, Han-gang, Geum-gang, Mangyeong-gang, Yeongsan-gang, Tamjin-gang, Seomjin-gang, Nakdong-gang, and streams in the east coastal areas from 2010 to 2020. The infection status of CsMc was examined according to cyprinid fish species and water systems, after which analyzed by endemicity and susceptibility index. The high endemicity was shown in the cyprinid fish from 3 regions (6.1%) in the upper reaches of Nakdong-gang, such as Banbyeon-cheon (stream), Yongjeon-cheon, and Wi-cheon. The moderate levels were observed in fishes from 8 regions (16.3%), and low endemicity was shown in fishes from 20 regions (40.8%). No CsMc were detected in fish from 18 regions (36.7%). The susceptibility of CsMc in index fish, Puntungia herzi, was found to be a reliable index without examination of other fish species. CsMc infection rates were closely related to subfamily groups in the cyprinid fish hosts in a highly endemic area. In Korea, a total of 58 fish species in 10 families has been listed as the second intermediate hosts for C. sinensis. This review provides several novel features of CsMc infection and clarifies the species of second intermediate freshwater fish host in Korea.

Neonatal influenza virus infection affects myelination in influenza-recovered mouse brain

  • Kim, Jin Hee;Yu, Ji Eun;Chang, Byung-Joon;Nahm, Sang-Soep
    • Journal of Veterinary Science
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    • v.19 no.6
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    • pp.750-758
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    • 2018
  • Influenza virus infection is a zoonosis that has great socioeconomic effects worldwide. Influenza infection induces respiratory symptoms, while the influenza virus can infect brain and leave central nervous system sequelae. As children are more vulnerable to infection, they are at risk of long-term neurological effects once their brains are infected. We previously demonstrated that functional changes in hippocampal neurons were observed in mice recovered from neonatal influenza infection. In this study, we investigated changes in myelination properties that could affect neural dysfunction. Mice were infected with the influenza virus on postnatal day 5. Tissues were harvested from recovered mice 21-days post-infection. The expression levels for myelin basic protein (MBP) were determined, and immunohistochemical staining and transmission electron microscopy were performed. Real-time polymerase chain reaction and Western blot analyses showed that mRNA and protein expressions increased in the hippocampus and cerebellum of recovered mice. Increased MBP-staining signal was observed in the recovered mouse brain. By calculating the relative thickness of myelin sheath in relation to nerve fiber diameter (G-ratio) from electron photomicrographs, an increased G-ratio was observed in both the hippocampus and cerebellum of recovered mice. Influenza infection in oligodendrocyte-enriched primary brain cell cultures showed that proinflammatory cytokines may induce MBP upregulation. These results suggested that increased MBP expression could be a compensatory change related to hypomyelination, which may underlie neural dysfunction in recovered mice. In summary, the present results demonstrate that influenza infection during the neonatal period affects myelination and further induces functional changes in influenza-recovered mouse brain.

Dispensable role of wild rodents in avian influenza A virus transmission in Gyeonggi province, Korea

  • Chung-Young Lee;Ilhwan Kim;Hyuk-Joon Kwon
    • Korean Journal of Veterinary Research
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    • v.64 no.2
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    • pp.13.1-13.6
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    • 2024
  • Avian influenza A viruses (IAVs) present significant threats to both animal and human health through their potential for cross-species transmission and global spread. Clade 2.3.4.4 H5Nx highly pathogenic avian IAVs initially emerged in East Asia between 2013 and 2014. Since then, they have spread to Europe, Africa, and America via migratory bird flyways. However, beyond viral transmission primarily facilitated by migratory birds, the potential involvement of other intermediate factors for virus transmission remains poorly investigated. This study aimed to investigate the role of wild rodents as intermediary hosts in the ecology of avian IAVs in Gyeonggi province, South Korea. By capturing and analyzing 189 wild rodents near poultry farms and migratory bird habitats in 2013 and 2014 and employing serological assays and virus isolation techniques, we found no evidence of IAV infection among these populations. Our results suggest that wild rodents may not significantly contribute to the transmission dynamics of IAVs within these regions.

Status of Nosocomial Urinary Tract Infections in the ICU: Molecular Epidemiology of Imipenem Resistant P. aeruginosa (중환자실내 병원성 요로감염 실태와 전파경로: Imipenem Resistant P. aeruginosa[IRPA]의 분자역학적 특성을 중심으로)

  • Yu, Seong-Mi;Jeon, Seong-Sook;Kang, In-Soon;An, Hye-Gyung
    • Journal of Korean Academy of Nursing
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    • v.36 no.7
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    • pp.1204-1214
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    • 2006
  • Purpose: This retrospective study was done to evaluate the status of nosocomial urinary tract infections and to determine the risk factors and transmission route of causal IRPA through molecular epidemiology. Method: Two hundred ninety-nine of 423 patients admitted to the internal medicine and surgery ICU at a university hospital incity B had a positiveurine culture. Twelve of the 299 patients who had a urinary tract infection had IRPA strains. The data was collected from November 1, 2004 to January 31, 2005. The following results were obtained after the data was analyzed using percentile and UPGMA. Result: The rate of nosocomial urinary tract infections in the ICU was 10.8%. Therewere 16.8 cases of infection based on the period of hospitalization. There were 16.9 cases of infection based on the use of a foley catheter. The rate of nosocomial urinary tract infection in the ICU and urinary tract infections related to IRPA were higher in patients with the following characteristics: men, old age, admission through the emergency room, longer than seven days admission, severity of admitting causes, disturbance of consciousness, hydration less than 300cc in 24hours, a long course of antibiotics, a long period of foley catheterization and perineal care. Most of the microorganisms that caused the urinary tract infection were gram negative bacilli, among which P. aeruginosa was found in 70 patients (18.5%) and IRPA in 12 (4.0%). Among the 12 IRPA strains that were tested with PFGE, eight showed a dice coefficient higher than 80%, suggesting a genetic relationship. They were related with the period of hospitalization in the same ICU. These patients all received direct care for a urinary tract infection. Conclusion: Through these results, IRPA can be consideredas a contributing factors to urinary tract infections thus, active preventative measures are needed by the medical staff.

Current Status of Infection Prevention and Control Programs for Emergency Medical Personnel in the Republic of Korea

  • Oh, Hyang Soon;Uhm, Dong Choon
    • Journal of Preventive Medicine and Public Health
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    • v.48 no.6
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    • pp.330-341
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    • 2015
  • Objectives: Emergency medical personnel (EMPs) are pre-hospital emergency responders who are at risk of exposure to infections and may also serve as a source for the transmission of infections. However, few studies of infection control have specifically addressed EMPs in the Republic of Korea (hereafter Korea). The goal of this study was to assess the current status of infection prevention and control programs (IPCPs) for EMPs in Korea. Methods: A cross-sectional survey was conducted to quantitatively assess the resources and activities of IPCPs. A total of 907 EMPs in five metropolitan cities completed a structured questionnaire from September 2014 to January 2015. The data were analyzed using descriptive statistics, multi-response analysis, and the chi-square test. Results: The mean age of the participants was $34.8{\pm}15.1years$. IPCPs were found to have weaknesses with regard to the following resources: the assignment of infection control personnel (ICP) (79.5%), hand hygiene resources such as waterless antiseptics (79.3%), the use of paper towels (38.9%), personal protective equipment such as face shields (46.9%), and safety containers for sharps and a separated space for the disposal of infectious waste (10.1%). Likewise, the following activities were found to be inadequately incorporated into the workflow of EMPs: education about infection control (77.5%), post-exposure management (35.9%), and the decontamination of items and spaces after use (88.4%). ICP were found to have a significant effect on the resources and activities of IPCPs (p<0.001). The resources and activities of IPCPs were found to be significantly different among the five cities (p<0.001). Conclusions: IPCPs for EMPs showed some limitations in their resources and activities. IPCPs should be actively supported, and specific IPCP activities for EMPs should be developed.

Systemic and oral manifestations of Ebola virus disease (에볼라 바이러스 감염의 전신 및 구강내 소견)

  • Kim, Min Ji;Kim, Hui Young;Kim, Soung Min;Myoung, Hoon;Lee, Jong Ho
    • The Journal of the Korean dental association
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    • v.54 no.1
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    • pp.67-83
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    • 2016
  • Ebola virus disease is a lethal viral hemorrhagic fever that has been boiling in sub-Saharan Africa since 1970s. Last year, The Ebola virus epidemic that has spread not only mainly in West Africa, but also in locals such as USA, Europe and the Antipodes via infected travelers, was brought up. Human-to-human transmission of Ebola virus disease is known only through direct contact with the blood, secretions, tissues or other bodily fluids, including saliva. Although there has not been reported infection cases in the dental healthcare settings, the fact that the infection of the Ebola virus may be made from human secretions such as saliva suggests that there is a high risk of infection for the Ebola virus of dental healthcare workers. Therefore, it is important dental healthcare workers to identify infection-suspected patients through the oral findings for infection prevention. This article will review the oral signs and symptoms of Ebola virus disease and discuss the pathogenesis, treatment and prevention. Furthermore, Infection control guidelines for oral healthcare workers are also proposed.

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