• 대한임상검사과학회지
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• 제36권2호
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• pp.76-88
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• 2004

본 연구에서는 임상검체에서의 Enterococcus sp.의 균종별 분리현황을 조사하고, 분리균의 항생제 감수성 양상을 알아보는 한편, aminoglycoside계 항생제에 내성을 나타내는 균주를 대상으로 Rep-PCR을 실시하여 유전적인 다양성을 알아보고자 하였다. 각종 임상검체로부터 E. faecalis 49주, E. faecium 34주, E. avium 9주, E. gallinarum 4주, E. casseliflavus 3주, E. hirae 1주 등 총 100주를 분리하였다. 대부분 외래를 통하기보다는 입원환자의 검체로부터 분리됨을 관찰하면서 원내감염의 원인균 중의 하나임을 알 수 있었다. Urine과 pus, sputum에서 대부분의 균들이 분리되었고 E. faecalis와 E. faecium이 주 종을 이루었다. 항생제 감수성양상으로는 disk법과 ViteK GPS-430의 MIC결과와 유사하게 관찰 되었으며, 대부분의 Enterococcus sp.가 cephalosporin계 항생제에는 80% 정도의 내성을 보였다. E. faecalis의 경우 항생물질에 대해 고른 감수성양상을 볼 수 있었고, E. faecium의 경우 다른 Enterococcus sp.와는 차별적으로 항생물질에 대해 높은 내성 양상을 볼 수 있었다. 또한 vancomycin에 대한 내성을 보이는 Enterococcus sp.는 전체 10%정도를 차지하였고 aminoglycoside계 항생제인 amikacin과 gentamicin에 대해서 높은 고도내성을 나타냈었고, streptomycin의 경우에는 50% 정도의 내성률을 나타내었다. Aminoglycoside계 항생제에 내성을 보이는 Enterococcus sp.를 대상으로 Rep-PCR을 실시하여 유전자 분획유형을 분석하였으나 유전적 다양성에 있어 크게 차이를 보이지 않아 DNA양상의 기원이 크게 다르지 않다는 것으로 생각되었다.

• 대한미생물학회지
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• 제11권1호
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• pp.49-55
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• 1976

Two hundred and fourty eight strains of Pseudomonas aeruginosa isolated from clinical materials at Department of Bacteriology in National Medical Center and Han-il Hospital during January to November in 1973, were typed serologically by Hommo's agglutination method utlizing a routine set of 13 standard sera. In addition, their susceptibitily to several kinds of antibiotics were determind. The following results were obtained; One hundred seventy eight strains(71.77%) were typable with an occurence of type $T_8$ in 41 strains(16.53%), type $T_5$ in 36(14.52%), type $T_3$ in 24 strains(9.68%) and small numbers of strains were distributed in lither types. Seventy strains(28.23%) were nontypable. The rate of isolation of Pseudomonas by clinical meterials was shown as 49.19% in ous, 16.53% in sputum and 8.87% in urine; the isolation rate of 1.21-3.15% was shown in other clinical meterals and the definite distribution rate could not be observed in the serotype by different materials. Majorities of strains used in this experiment of isolates were resistant to common antibiotics but Gentamycin and Carbenicillin, known relatively as sensitive antibiotics to Pseudomonas aeruginosa, were observed resistance of 2.44-10.5% and 16.69-57.8%. Moreover any particular relationship between serotype and the sensitivity of antibiotics was not identified.

• 생명과학회지
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• 제11권1호
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• pp.24-34
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• 2001

Methicillin Resistant Staphylococcus aureus (MRSA) was obtained from the clinical specimens at Pusan national university Hospital, Pusan, Korea. The sensitivities against various antibiotics were examined by using disc diffusion test and associated genes such as mecA, mecR1, mecI and femA were detected by polymerase chain reaction. Among Seventy-nine strains of MRSA, 38 strains(48.1%)were sensitive to streptomycin and 32 strains(40.5%) to cefoperazone, while one strain(1.3%) were resistant to vancomycin. In considering the result of this study, 7 strains showed resistance to 9 kinds of different antibiotics, 12 strains were to 8 kinds, 24 strains were to 7,25 strains were to 6, 9 strains were to 5, and 2 strains were to 4 antibiotics. Among 79 strains of MRSA, 67 strains were coagulase positive and 12 were coagulase negative. In the detection of MRSA associated genes by PCR method, mecA, mecR1, mecI, and femA genes were detected in 30 strains(44.8%), 28 strains(41.8%), 23 strains(34.3%) and 15 strains(22.4%), respectively. MecA type that is without femA were found in 21 strains(31.3%), femA type that is without regulator genes were shown in 4 strains(6.0%), while mecA-mecR1-mecI type with regulator genes were shown more to be 17 strains(25.4%). There was little statistical significance between multidrug resistance and MRSA associated genes. Considering these result, it is necessary to include moecular biological studies of related genes to the study drug resistance.

• 약학회지
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• 제30권2호
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• pp.55-61
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• 1986

A total of 130 of Staphylococcus strains isolated from various clinical specimens of admitted patients of a university hospital with systemic or severe cases of infection. All of these were tested for the antimicrobial susceptibility to 11 drugs of common use. The hospital strains isolated showed higher frequency of resistance against four drugs including gentamicin, penicillin, erythromycin, kanamycin but amikacin, cephalothin, streptomycin were effective. And also 47.7% of methicillin-resistant Staphylococcus were isolated from the clinical patients. However, isolated Escherichia coli strains showed higher frequency of resistance, but two drugs, tobramycin and gentamicin were effective to them.

• 대한의생명과학회지
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• 제10권4호
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• pp.501-506
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• 2004

Extended spectrum β-lactamase (ESBL) generated Enterobacteriaceae including Escherichia coli is responsible for resisting antibiotics, which is clinical problem. This study was performed to investigate the isolation rates of 111 strains having positive of VITEK ESBL test 111 ESBL-strains in each month and season and statistically to determine their patterns of antibiotic test. One hundred eleven ESBL-strains were collected among 1,688 strains of E. coli isolated from various clinical specimen of one general hospital in Busan during 2002 to 2003. Month rates of ESBL-strains were 0％ to 13.3％, while the seasonal rates were highest at autumns during two years. The resistance to ampicillin, cefazolin, azteronam, ceftriaxone, and cefepime were 100％ in 2002. In ampicillin and cefazolin the resistances were 100％ during the two years. There were significant differences of cefoxitin and piperacillin/tazobactam between the two years but not significant between specimens. Four groups were divided according to the pattern of resistance and then the highest group had 93∼100％ of the resistance to 8 drugs but not resistant to imipenem.

• Journal of Microbiology and Biotechnology
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• 제9권1호
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• pp.78-83
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• 1999

Thirty-six environmental isolates of Vibrio vulnificus obtained from seawater, sediments, and raw seafoods, and 18 clinical isolates from Vibrio septicemia patients were typed by restriction endonuclease digestion profiles (REDP) of genomic DNA with SfiI. The results revealed a high-level of variation in REDPs, indicating a vast genomic diversity among V. vulnificus strains. Genetic relatedness of the strains showed similarities ranging from 10％ to 100％. Different REDPs for isolates from various raw seafoods were obtained, and clustering of strains according to type of seafoods was not observed. In contrast, clinical isolates of V. vulnificus showed higher similarity to one another, and could be subdivided into one separate group. The difference in REDPs of the V. vulnificus isolates from clinical origin and from raw seafoods substantiates the previous observation that only a single type of pathogenic strain was involved in each human infection, despite the numerous genetically polymorphic strains found from implicated oysters.

• 대한임상검사과학회지
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• 제43권2호
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• pp.68-74
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• 2011

Pseudomonas aeruginosa is an aerobic, Gram-negative, glucose-nonfermenting bacterium, which has emerged as a serious opportunistic pathogen. Recently, outbreaks of carbapenem resistant P. aeruginosa give rise to significant therapeutic challenges for treating nosocomial infections. The genes of metallo-${\beta}$-lactamase (MBL), a powerful carbapenemase, are carried as a part of the mobile gene cassettes inserted into integrons playing an important role in rapid dissemination of antibiotic resistance genes among bacterial isolates. In this study, we investigated the prevalence of integron in imipenem resistant P. aeruginosa isolates. A total of 61 consecutive, non-duplicate, and imipenem resistant P. aeruginosa strains were isolated from a university hospital in the Chungcheong province of Korea. We employed repetitive extragenic palindromic sequence-based PCR (rep-PCR) method for the selection of clonally different P. aerusinosa strains. PCR and DNA sequencing were conducted for the detection of integrons. Twenty-one clonally different P. aeruginosa strains were isolated. Only one (P28) of the strains harbored $bla_{VIM-2}$ that was found as gene cassettes in class 1 integrons. Four of 21 carbapenem resistant P. aeruginosa strains harbored class 1 integron containing aminoglycoside resistance determinant. All of the integrons detected in the study contained more than one resistance gene cassette, which can mediate resistance to multiple antibiotics. To prevent further spreading of the multi-drug resistant P. aeruginosa, conseguent monitoring and clinical polices are required.

• Tuberculosis and Respiratory Diseases
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• 제64권6호
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• pp.422-426
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• 2008

연구배경: Mycobacterium abscessus는 빠른 성장성을 지닌 비결핵균중에서 높은 병원성과 약제 내성을 나타내는 종이며, clarithromycin과 azithromycin 항결핵제가 M. abscessus에 효과가 있는 유일한 경구용 항결핵제이다. 본 연구에서는 역교잡반응법과 약제감수성검사법을 이용하여 clarithromycin 약제에 대한 M. abscessus 임상 내성균주 검출을 시도하였다. 방 법: 역교잡반응법과 약제감수성검사법을 이용하여 220개의 M. abscessus 임상 균주를 대상으로 내성 균주를 분리하였다. 결 과: 약제감수성검사법으로 7개의 임상 내성 균주들을 검출하였고, 이들 중 3개의 내성 균주는 점 돌연변이 균주로서 역교잡반응법으로도 확인하였다. 결 론: M. abscess 균주에서는 점 돌연변이 및 다른 종류의 내성 특성을 나타내고 있음을 확인할 수 있었다.

• Journal of Microbiology
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• 제40권2호
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• pp.166-169
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• 2002

Twenty strains of Cryptococcus neoformams isolated from environmental and clinical sources in Korea were examined for their serotypes. Two environmental isolates from pigeon excreta belonged to C. neoformans var. neoformans serotypes A. Of the 18 isolates from clinical specimens, 17 belonged to C. neoformans vats, neoiomans (serotype A : 16, serotype D : 1) and one belonged to C. neoformans vats, gattii serotype B, which was culturally unusual, producing mucous colonies. This is the first report of the identification of C. neoformans roar, gattii serotype B from a patient in Korea.

• 대한의생명과학회지
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• 제10권2호
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• pp.163-169
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• 2004

Worldwide, tuberculosis remains one of the leading infectious diseases, accounting for nearly 3 million deaths and more than 8 million new cases annually. DNA typing of Mycobacterium tuberculosis is important for the control of tuberculosis, since it can be used to track transmission route of tuberculosis, source of internal laboratory contaminations, and to answer questions on the nature of tuberculosis infections such as reactivation or exogenous reinfection of disease. At present, IS6110-based RFLP is the choice of method for typing large numbers of clinical isolates of M. tuberculosis, since it has the highest resolution power. However, RFLP requires long time, high cost and qualified experts, so only reference level laboratories can use the RFLP technique. In order to have an optional molecular typing method suitable for the clinical settings, this study evaluated the use of one of PCR-based typing methods, IS6110-based outward PCR for typing clinical isolates of M. tuberculosis. In brief, the results from this study showed that IS6110-based RFLP is useful to discriminate diverse clinical isolates of M. tuberculosis as well as to identify clinical isolates that belong to the same family or cluster groups that have been previously classified by RFLP analysis. In addition, the banding profiles resulted from IS6110-based outward PCR seemed to represent genomic characteristics of M. tuberculosis, since strains belong to the K-family generated unique band that is not present in any other strains but present only in the genome of K-family strains. The IS6110-based outward PCR was also shown to be useful with DNAs isolated directly from liquid cultures indicating this method can be suitable for typing M. tuberculosis in clinical settings.