• 한국임상수의학회지
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• 제25권2호
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• pp.115-118
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• 2008

22 dogs (31 eyes) that had treated with trimethoprim-sulfamethoxazole for tear staining syndrome at Snoopy Pet Clinic from October 2000 to September 2002 were reviewed. Of the 22 dogs, 12 were female and 10 male. Their mean (${\pm}$ SD) age was 3.5 (${\pm}\;1.3$) years. The breeds of the dogs consisted of Maltese (8 dogs), Shih tzu (6 dogs), Poodle (5 dogs), Yorkshire terrier (2 dogs), and Mixed (1 dog). The dogs received 30 mg/kg trimethoprim-sulfamethoxazole perorally twice daily for two to six weeks. 26 (19 dogs) of the 31 eyes (22 dogs) recovered completely and did not show relapse at $26{\sim}30$ weeks after treatment. Any complications did not observed. Five eyes of three dogs were not cured. Two eyes (one dogs) of them had not response to medicament and three eyes (two dogs) recurrence but the clinical signs decreased. It was considered that the trimethoprim-sulfamethoxazole was effective for the treatment in dogs with tear staining syndrome.

• Asian-Australasian Journal of Animal Sciences
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• 제4권3호
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• pp.281-284
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• 1991

Combination effects of sulfamethoxazole (SMX) and trimethoprim (TMP) against nine gram positive bacterial strains and 43 gram negative bacterial strains which included 40 strains of animal intestinal bacteria were studied in vitro. Minimum inhibitory concentrations (MICs) of SMX and TMP alone and 20:1 (SMX : TMP) mixture (ST) were investigated by the method recommended by Ad Hoc Committee of the Japan Society of Chemotherapy for the Evaluation of Sensitivity Testing Methods for Sulfamethoxazole and Trimethoprim. MICs of ST were more potentiated than those of SMX alone in 8 of 9 gram positive strains and 40 of 43 gram negative strains. Especially, 38 strains of 40 intestinal bacteria showed significant susceptibility to ST as compared to SMX. These results suggest a strong synergistic activity of ST mixture against animal intestinal bacteria, The activity was considered to be comparable to those of other current antibiotics.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제16권4호
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• pp.273-278
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• 2013

We present a case of a 7-year-old boy who had cholestasis after trimethoprim-sulfamethoxazole combination therapy. Liver biopsy was performed 36 days after the onset of jaundice because of no evidence of improving cholestasis. Liver histology revealed portal inflammation, bile plug, and biliary stasis around the central vein with the loss of the interlobular bile ducts. Immunohistochemical stains for cytokeratin 7 and 19 were negative. These findings were consistent with those of vanishing bile duct syndrome (VBDS). Chlestasis was progressively improved with dose increment of urosodeoxycholic acid from conventional to high dose. This is the first case report of trimethoprime-sulfamethoxazole associated VBDS in Korean children. The case suggests that differential diagnosis of VBDS should be considered in case of progressive cholestatic hepatitis with elevation of alkaline phosphatase and gamma-glutamyl transpeptidase after or during taking medicine to treat nonhepatobiliary diseases illness.

• 현장농수산연구지
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• 제22권2호
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• pp.51-58
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• 2020

2019년 11월, 국내의 뱀장어 양식장에서 양식 중이던 뱀장어가 피부궤양 및 피부의 점상출혈 소견을 보이며 지속적으로 폐사하였다. 일련의 폐사는 2019년 11월부터 12월까지 지속되었다. Vibrio 속 균주 1E1-2는 첫 번째 폐사 사례에서 폐사한 뱀장어의 출혈성 복수에서 분리되었고 균주 2A3-1는 두 번째 폐사 사례에서 폐사한 뱀장어의 복수에서 분리되었으며 균주 3K1-2는 세 번째 폐사 사례에서 폐사한 뱀장어의 신장에서 분리되었다. 16S rRNA gene 시퀀스 분석으로, 분리균주 1E1-2와 3K1-2가 V. fluvialis NBRC 103150T와 가장 높은 유사도를 나타내며 V. fluvialis로 동정되었으며, 균주 2A3-1는 V. plantisponsor NBRC103148T와 가장 높은 유사도를 나타내며 V. plantisponsor로 확인되었다. 항생제 감수성 실험 결과로, V. fluvialis 1E1-2는 tetracycline과 chloramphenicol에 대하여 중등도의 감수성을 보였고 trimethoprim-sulfamethoxazole에 대하여 내성을 나타내었다. V. plantisponsor 2A3-1는 ciprofloxacin과 levofloxacin에 대하여 중등도의 감수성을 나타내었고 trimethoprim-sulfamethoxazole에 대하여 내성을 나타내었다. V. fluvialis 3K1-2는 tetracycline에 대하여 중등도의 감수성을 나타내었고 ampicillin과 trimethoprim-sulfamethoxazole에 대하여 내성을 나타내었다. 이는 국내 양식 뱀장어에서의 항생제 내성 비브리오 감염증 사례로, 의미 깊은 보고라고 할 수 있다.

• Parasites, Hosts and Diseases
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• 제41권1호
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• pp.57-61
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• 2003

Total of 7,495 children including 3,908 boys and 3,587 girls from a kindergarten and 15 primary schools were examined for head lice infestation (HLI). The overall prevalence of HLI in this study was found to be 5.8%. Head lice were much more commonly detected in girls than in boys with prevalence of 11.2% and 0.9%, respectively. Sixty-nine children with HLI were treated with 1% lindane shampoo alone (group 1), and 45 children with HLI were treated with 1% lindane shampoo and oral trimethoprim/sulfamethoxazole (group 2), and follow-up visits were conducted 2 and 4 weeks later, The children who still had HLI 2 weeks after the primary treatment were treated again. At the 2-week follow-up visit, the treatment success rates of groups I and 2 were 76.8% and 80.7%, respectively, and at the 4-week follow-up visit, the rates were 91.3% and 97.8%, respectively. No statistically significant synergistic effect was observed for the combination of a 1% lindane shampoo and oral trimethoprim/sulfamethoxazole.

• Parasites, Hosts and Diseases
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• 제31권4호
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• pp.363-370
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• 1993

Toxoprqsmagonnii의 강독주(RH주) 혹은 약독주(Beverley주)를 마우스에 감염시킴과 동시에 trimethoprim-sulfamethoxazole(TMP-SMZ)을 투여하여 Toxoplasma 감염 마우스에 있어 서 TMP-SMZ의 감염 예방효과를 마우스의 생존기간과 생존율. 면역혈청학적 반응 및 뇌조직내 씨스트의 수로 평가한 후 감염대조군 및 spiramycin 투여군과 비교하였다. T. gondii의 RH주를 감염시킨 마우스(마우스당 $1{\;}{\times}{\;}10^5$개의 tachyzoite를 감염)에 TMP-SMZ을 투여시 마우스의 생존기간은 감염대조군이나 spiramycin 투여군보다 유의하게 증가하였으며(p < 0.01), TMP-SMZ의 투여량을 증가시킴에 따라 생존기간 및 생존율이 증가하였고 마우스당 24 mg/day 이상 15일간 투여시 100% 생존하였다. T. gondii의 Beverley주를 감염시킨 마우스(마우스당 10개의 씨스트를 감염)의 혈청내 IgG 및 IgM 항체가는 TMP-SMZ 투여시 유의하게 감소하였으며(p < 0.05) TMP-SMZ을 마우스당 24 mg/day 이상 투여시 뇌조직내에서 씨스트를 발견할 수 없었다. 그러나 spiramycin 투여군은 감염대조군과 유사한 항체가를 보였으며 감염 후 20일부터 씨스트가 발견되었다 이상의 성적으로 보아 TMP-SMZ은 T. gondii의 강독주나 약독주 감염 마우스에 투여시 감염 예방효과가 있었다.

• Journal of Veterinary Science
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• 제24권6호
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• pp.77.1-77.7
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• 2023

Antibiotics are known to be able to cause hypersensitivity reactions through various mechanisms. We present a case of drug-induced immune thrombocytopenia (DITP) and anaphylactic shock occurring simultaneously in a dog after the administration of two classes of antibiotics, namely trimethoprim-sulfamethoxazole (TMP-SMX) and amoxicillin-clavulanate (AMC). The patient recovered completely from DITP on discontinuation of TMP-SMX and the anaphylactic shock caused by AMC was treated with intensive care. DITP is a rare adverse drug reaction (ADR), and anaphylactic shock is a life-threatening ADR. This is the first case report of a dog manifesting two types of hypersensitivity reactions caused by two antibiotics.

• Journal of Microbiology and Biotechnology
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• 제25권1호
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• pp.137-142
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• 2015

Trimethoprim-sulfamethoxazole (TMP-SMX) has been used for the treatment of urinary tract infections, but increasing resistance to TMP-SMX has been reported. In this study, we analyzed TMP-SMX resistance genes and their relatedness with integrons and insertion sequence common regions (ISCRs) in uropathogenic gram-negative bacilli. Consecutive nonduplicate TMP-SMX nonsusceptible clinical isolates of E. coli, K. pneumoniae, Acinetobacter spp., and P. aeruginosa were collected from urine. The minimal inhibitory concentration was determined by Etest. TMP-SMX resistance genes (sul and dfr), integrons, and ISCRs were analyzed by PCR and sequencing. A total of 45 E. coli (37.8%), 15 K. pneumoniae (18.5%), 12 Acinetobacter spp. (70.6%), and 9 Pseudomonas aeruginosa (30.0%) isolates were found to be resistant to TMP-SMX. Their MICs were all over 640. In E. coli and K. pneumoniae, sul1 and dfr genes were highly prevalent in relation with integron1. The sul3 gene was detected in E. coli. However, in P. aeruginosa and Acinetobacter spp., only sul1 was prevalent in relation with class 1 integron; however, dfr was not detected and sul2 was less prevalent than in Enterobacteriaceae. ISCR1 and/or ISCR2 were detected in E. coli, K. pneumoniae, and Acinetobacter spp. but the relatedness with TMP-SMX resistance genes was not prominent. ISCR14 was detected in six isolates of E. coli. In conclusion, resistance mechanisms for TMP-SMX were different between Enterobacteriaceae and glucose non-fermenting gram-negative bacilli. Class 1 integron was widely disseminated in uropathogenic gram-negative baciili, so the adoption of prudent use of antimicrobial agents and the establishment of a surveillance system are needed.

• 대한임상검사과학회지
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• 제48권4호
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• pp.335-342
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• 2016

일반적으로 지역사회 관련 경로로 감염되기 쉬운 S. aureus는 대부분이 MSSA로 알려져 있었으나 최근 CA-MRSA가 증가하고 있다. 항생제와 glycopeptides의 지속적인 남용은 VISA, VRSA가 더욱 증가할 가능성이 있다. 본 연구는 최근 10년간 일개 대학병원의 상처에서 분리한 황색 포도상 구균의 항생제 감수성 패턴과 항생제 내성의 유병률의 변화를 조사하기 위하여 실시 하였다. 본 연구에서는 남성이 여성보다 항생제 내성이 높게 나타났다. 그리고 연령에 따라 항생제 내성률이 증가하였다. 2006년 항생제 내성률은 penicillin, oxacillin, erythromycin, gentamicin, clindamycin, tetracycline, ciprofloxacin, fusidic acid, trimethoprim/sulfamethoxazole, clindamycin, rifampicin에서 각각 97.7%, 60.5%, 57.4%, 48.8%, 41.1%, 44.2%, 44.2%, 14.7%, 13.2%, 3.9% 나타났으며, 2016년 항생제 내성률은 penicillin, oxacillin, erythromycin, gentamicin, clindamycin, tetracycline, ciprofloxacin, fusidic acid, trimethoprim/sulfamethoxazole, clindamycin, rifampicin에서 각각 95.9%, 62.6%, 55.7%, 28.6%, 50.3%, 34.7%, 38.8%, 34.0%, 2.7%, 8.2%로 나타났다. Vancomycin, linezolid, quinupristin/dalfopristin, teicoplanin 는 항생제 감수성에서 100%를 나타내었다. 특히, fusidic acid는 2006년에 비하여 2016년에 내성이 19.3% 증가하였고, 감수성이 12.4% 감소하였으며, 통계적으로 유의하였다. 따라서, 미생물 및 항생제 변화의 주기적인 검토와 이해를 통해 적절한 항생제 감수성을 지속적으로 연구해야 할 것으로 사료된다.

• 대한환경공학회지
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• 제39권7호
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• pp.403-411
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• 2017

본 연구는 낙동강 본류와 연계한 지천중심을 대상으로 항생제(clarithromycin, sulfathiazole, sulfamethazine, sulfamethoxazole, trimethoprim), 항정간제(carbamazepine), 진통제(acetylsalicylic acid, naproxe)를 포함한 8종의 의약물질의 현황 및 시기별 변화에 대해 조사를 실시하였다. 조사 대상물질의 검출 수준은 $1.076{\mu}g/L$까지 나타났으며, 조사 대상물질에서 clarithromycin($0.0316{\mu}g/L$)이 가장 높은 평균 농도로 검출되었고, 다음으로 sulfamethazine ($0.0170{\mu}g/L$), sulfamethoxazole ($0.0161{\mu}g/L$), naproxen ($0.0129{\mu}g/L$), carbamazepine ($0.0093{\mu}g/L$), acetylsalicylic acid ($0.0047{\mu}g/L$), sulfathiazole ($0.0024{\mu}g/L$), trimethoprim ($0.0022{\mu}g/L$) 순으로 나타났다. 낙동강 수계의 지점별 검출 수준은 하류의 농도수준이 상류의 검출 농도보다 상대적으로 높게 나타났다. 2월 조사시기에서 높은 검출 수준을 보였으나, 시기별 차이는 뚜렷하게 나타나지 않았다. 대상 의약물질 8종의 유해지수를 산정한 결과 모두 1보다 낮은 값을 나타내어 낙동강 수계에 미치는 생태위해성은 낮은 것으로 평가되었으나 추후 본 연구대상 물질 외 사용되고 있는 다른 의약물질로 확장 한 연구가 더 수행될 필요가 있는 것으로 판단된다.