• Clinical and Experimental Pediatrics
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• v.46 no.7
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• pp.710-713
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• 2003

Purpose : Although chloramphenicol and doxycycline have been used for the treatment of tsutsugamuchi disease, a difficulty exists in determining which drugs to use in treating children because of potential complications such as aplastic anemia or teeth discoloration. We evaluated the effect of roxithromycin, a macrolide antibiotic, on tsutsugamushi disease in children. Methods : A retrospective analysis was conducted on 39 children with tsutsugamuchi disease(scrub typhus) who were treated with doxycycline(DC), chloramphenicol(CM), or roxythromycin(RM) between 1991 and 2000. We divided the patients into a DC-treated group(DC group; 16 children), a CM-treated group(CM group; 14 children), and RM-treated group(RM group; 9 children) and compared these groups. Results : Most cases(97%) developed in October and November. Fever and rash were observed in all 39 cases and an eschar was noted in 36 cases(92%). No statistical differences could be found between the three groups in mean age, duration of fever before admission, white blood cell(WBC) count, and complications including abnormal liver enzymes. In most cases defervescence after treatment was within 24 hours(34 cases, 87%), and during 24-48 hours in two cases in the DC group, one in the CM group, and two in the RM group(no statistical difference). Conclusion : Roxythromycin was as effective as conventional doxycycline or chloramphenicol, in children with scrub typhus and may be safer to use.

• The Journal of the Korean Society for Microbiology
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• v.12 no.1
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• pp.1-10
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• 1977

40 strains of E. coli isolated from residents of a doctorless area in Korea in 1976 and 40 strains of E. coli isolated from patients of Seoul National University Hospital from 1975 to 1976 were examined for susceptibilities to 14 antimicrobial agents by the agar dilution method. The susceptibilities of the two groups to each antimicrobial agent were compared and correlations in the antimicrobial susceptibility of the 80 strains of E. coli among the 14 antimicrobial agents were also analyzed. The results were obtained as follow: 1. With Tetracycline, Oxytetracycline, Doxycycline and Ampicillin, the mean MIC's of E. coli isolated from patients of Seoul National University Hospital were 8.6 to 14 times higher than. those of E. coli isolated from residents of a doctorless area. 2. With Streptomycin, Minocycline and Carbenicillin, the mean MIC's o{ E. coli isolated from patients of Seoul National University Hospital were 4.1 to 5.6 times higher than those of E. coil isolated from residents of a doctorless area. 3. With Kanamycin, Penicillin and Cotrimoxazole, the mean MIC's of E. coli isolated from patients of Seoul National University Hospital were 2.6 to 3.7 times higher than those of E. coli isolated from residents of a doctorless area. 4. There were no significant differences in susceptibility to Erythromycin respectively between E. coli isolated from patients of Seoul National University coli isolated from residents of a doctorless area. 5. E. coli isolated from patients of Seoul National University Hospital were resistant to Erythromycin(100%), Streptomycin(75%), Tetracycline(72.5%), Oxytetracycline(72.5%), Doxycycline(72.5%), Minocycline(67.5%), Penicillin(82.5%), Ampicillin(60%) and Carbenicillin(65%) respectively and were sensitive to Gentamicin(97.5%), Cephalexin(92.5%) and Kanamycin(72.5%) respectively. 6. E. coli isolated from residents of a doctorless, area were resistant to Erythromycin(100%), Streptomycin(40%) and Penicillin(50%) respectively and were sensitive to Gentamicin(100%), Kanamycin(92.5%), Tetracycline(87.5%), Oxytetracycline(87.5%), Doxycycline(87.5%), Minocycline(87.5%), Ampicillin(95%), Carbenicillin(92.5%) and Cephalexin(97.5%) respectively. 7. There were high correlations among the suscebtibilities of the 80 strains of E. coli to Tetracycline analogues(Tetracycline, Oxytetracycline, Doxycycline and Minocycline) and among susceptibilities of the 80 strains of E. coli to Penicillin analogues(Penicillin, Ampicillin and Carbenicillin). 8. There were relatively high correlations between the susceptibilities of the 80 strains of E. coli to Penicillin analogues and those to Tetracycline analogues, between the susceptibilities to Penicillin analogues and those to Streptomycin and between the susceptibilities to Tetracycline analogues and those to Streptomycin.

• The Journal of the Korean Society for Microbiology
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• v.13 no.1
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• pp.63-73
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• 1978

28 strains of Enterococci isolated at doctorless areas in Korea from Oct. 1976 through Mar. 1977 and 30 strains of Enterococci isolated at Seoul National University Hospital from Sep. 1976 through Dec. 1976 were examined for susceptibilities to 14 antimicrobial agents by agar dilution method. The susceptibilities of two groups to each antimicrobial agent were compared and incidence of resistant strains in each antimicrobial agent, incidence of multiply resistant strains and correlations in the antimicrobial susceptibility of 58 strains of Enterococci among 14 antimicrobial agents were analyzed. 1. With Tetracycline, Oxytetracline, Doxycycline, Minocycline and Erythromycin, the mean MIC's of Enterococci isolated at Seoul National University Hospital were 1.9-2.5 times higher than those of Enterococci isolated at doctorless areas, though there were no statistical significance. 2. Frequency of resistant strains in Enterococci isolated at Seoul National University Hospital was the highest with Cephalexin(100%), Gentamicin(100%), and Streptomycin(100%), followed by Kanamycin(93.3%), Carbenicillin(90%), Tetracycline(26.7%), Oxytetracycline(26.7%), Doxycycline(26.7%), Minocycline(20%), Erythromycin(10%), Troleandomycin(10%), Penicillin(6.7%), Cotrimoxazole(6.7%) and Ampicillin(0%). 3. Frequency of resistant strains in Enterococci isolated at doctorless areas was the highest with Kanamycin(100%) and Streptomycin(100%), followed by Cephalexin(96.4%), Gentamicin(96.4%), Carbenicillin(92.9%), Tetracycline(10.7%), Oxytetracycline(10.7%), Doxycycline(10.7%), Minocycline(10.7%), Cotrimoxazole(10.7%), Penicillin(3.6%), Ampicillin(0%), Erythromycin(0%), and Troeandomycin(0%). 4. In study with Penicillin, Ampicillin, Tetracycline, Cotrimoxazole, Erythromycin and Troleandomycin, there were no multiply resistant strains in Enterococci isolated at doctorless areas, while 4 strains of Enterococci isolated at Seoul National University Hospital showed multiple resistance. 5. There were high correlation in susceptibility of 58 strains of Enterococci among Tetracycline, Oxytetracycline, Doxycycline and Minocycline(correlation coefficients 0.86-0.97). Correlation coefficients of susceptibility among penicillin analogues(Penicillin, Ampicillin, Carbenicillin and Cephalexin) ranged between 0.75-0.89. Correlation coefficients of susceptibility among aminoglycosides(Kanamycin, Gentamicin and Streptomycin) ranged between 0.09-0.51.

• The Korean journal of helicobacter and upper gastrointestinal research
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• v.18 no.4
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• pp.277-279
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• 2018

전 세계적으로 Helicobacter pylori의 항생제 내성률은 지속적으로 증가하고 있으며, 기존의 제균 치료에 실패한 H. pylori 감염 환자들에 대한 효과적인 구제요법(rescue therapy)의 필요성 역시 증가하고 있다. 이 연구는 두 개 기관, 공개, 평행 그룹, 무작위 배정 연구로서 불응성 H. pylori 감염 환자들의 구제요법으로 유전자형 내성을 기반한 치료(genotype resistance-guided therapy)와 경험적 치료(empirical therapy) 중 어느 것이 보다 효과적인지를 비교하고자 하였다. 2012년 10월부터 2017년 9월까지 20세 이상의 불응성 H. pylori 감염 환자들을 대상으로 하였으며, 불응성 H. pylori 감염은 과거 두 종류 이상의 H. pylori 제균 치료를 받았음에도 불구하고 H. pylori 제균에 실패한 환자들로 정의하였다. 이들에게서 한 군은 14일간의 유전자형 내성을 기반한 순차 치료(n=21 in trial 1, n=205 in trial 2)를, 다른 한 군은 환자들의 과거 제균 치료 종류를 감안한 14일간의 경험적 순차 치료(n=20 in trial 1, n=205 in trial 2)를 시행하였다. 순차 치료법은 첫 7일은 esomeprazole 40 mg과 amoxicillin 1 g을 하루 두 번 복용한 다음, 나머지 7일은 esomeprazole 40 mg과 metronidazole 500 mg, 그리고 1) levofloxacin 250 mg 또는 2) clarithromycin 500 mg 또는 3) tetracycline 500 mg을 하루 두 번 복용하는 것으로 구성하였다. 23S ribosomal RNA (rRNA)나 gyrase A에 대한 내성 관련 돌연변이 여부는 direct sequencing을 통한 중합효소연쇄반응(polymerase chain reaction, PCR) 검사를 이용하였고, 제균 성공 여부는 요소호기검사를 통해 확인하였다. 일차 결과 지표는 치료 방법에 따른 제균율로 정하였다. Trial 1에서는 tetracycline 대신 doxycycline 100 mg을 사용하였는데, 제균 성공률이 유전자형 내성을 기반한 치료군에서는 17명(81%), 경험적 치료군에서는 12명(60%)으로 나타났다(P=0.181). 하지만, 다른 순차 치료군들과 비교하였을 때, doxycycline을 포함한 순차 치료군의 제균율이 현저히 낮은 것으로 나타나서(15/26, 57.7%) doxycycline을 포함한 순차 치료법은 종결하기로 하고, trial 2부터는 doxycycline 대신 tetracycline으로 교체하여 연구를 지속하였다. Trial 2의 intention-to-treat (ITT) 분석 결과, 유전자형 내성을 기반한 치료군에서는 160/205명(78%), 경험적 치료군에서는 148/205명(72.2%)으로 두 그룹 간의 통계적인 제균율의 차이는 보여주지 못하였다(P=0.170). 부작용 및 환자 순응도에서도 양 군 간의 의미 있는 차이는 없었다. 따라서, 두 종류 이상 H. pylori 제균 치료에 실패한 환자들이라고 할지라도 기존의 제균 치료력을 바탕으로 적절한 경험적 치료를 시행하는 것은 유전자형 내성을 기반한 치료 정도의 효과는 있으며 접근성, 비용, 환자들의 선호도 등의 여러 가지 부가적인 사항들을 고려할 때, 제균 치료력을 고려한 경험적 치료는 간단한 수준의 유전자형 내성을 기반한 치료의 대안으로 받아들여질 수 있을 것으로 제안하였다.

• Korean Journal of Environmental Biology
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• v.40 no.4
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• pp.641-650
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• 2022

The purpose of this study was to compare the efficiency of air and oxygen injected into the underwater non-thermal dielectric barrier discharge plasma (DBD plasma) device used to remove five types of antibiotics (tetracycline, doxycycline, oxytetracycline, clindamycin, and erythromycin) artificially contained in the fish farm discharge water. The voltage given to generate DBD plasma was 27.8 kV, and the measurement intervals were 0, 0.5, 1, 2, 4, 8, 16 and 32 minutes. Tetracycline antibiotics significantly decreased in 4 minutes when air was injected and were reduced in 30 seconds when oxygen was injected. After the introduction of air and oxygen at 32 minutes, 78.1% and 95.8% of tetracycline were removed, 77.1% and 96.3% of doxycycline were removed, and 77.1% and 95.5% of oxytetracycline were removed, respectively. In air and oxygen, 59.6% and 83.0% of clindamycin and 53.3% and 74.3% of erythromycin were removed, respectively. The two antibiotics showed lower removal efficiency than tetracyclines. In conclusion, fish farm discharge water contains five different types of antibiotics that can be reduced using underwater DBD plasma, and oxygen gas injection outperformed air in terms of removal efficiency.

• Tuberculosis and Respiratory Diseases
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• v.49 no.6
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• pp.724-732
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• 2000

Background : In patients with severe chronic lung diseases even a small pneumothorax can result in life-threatening respiratory distress. It is important to treat the attack by chest tube drainage until the lung expands. Pneumothorax with a persistent air leak that does not resolve under prolonged tube thoracostomy suction is usually treated by open operation to excise or oversew a bulla or cluster of blebs to stop the air leak. Pleurodesis by the instillation of chemical agents is used for the patient who has persistent air leak and is not good candidate for surgical treatment. When the primary trial of pleurodesis with common agent fails, it is uncertain which agent should be used f or stopping the air leak by pleurodesis. It is well known that inappropriate drainage of hemothorax results in severe pleural adhesion and thickening. Based on this idea, some reports described a successful treatment with autologous blood instillation for pneumothorax patients with or without residual pleural space. We tried pleurodesis with autologous bood for pneumothorax with persistent air leak and then we evaluated the efficacy and safety. Methods : Fifteen patients who had persistent air leak in the pneumothorax complicated from the severe chronic lung disease were enrolled. They were not good candidates for surgical treatment and doxycycline pleurodesis failed to stop up their air leaks. We used a mixture of autologous blood and 50% dextrose for pleurodesis. Effect and complications were assessed by clinical out∞me, chest radiography and pulmonary function tests. Results : The mean duration of air leak was 18.4${\pm}$6.16 days before ABP (autologous blood and dextrose pleurodesis) and $5.2{\pm}1.68$ days after ABP. The mean severity of pain was $2.3{\pm}0.70$ for DP(doxycycline pleurodesis) and $1.7{\pm}0.59$ for ABDP (p<0.05). There was no other complication except mild fever. Pleural adhesion grade was a mean of $0.6{\pm}0.63$. The mean dyspnea scale was $1.7{\pm}0.46$ before pneumothrax and $2.0{\pm}0.59$ after ABDP (p>0.05). The mean $FEV_1$ was $1.47{\pm}1.01$ before pneumothorax and $1.44{\pm}1.00$ after ABDP (p>0.05). Except in 1 patient, 14 patients had no recurrent pneumothorax. Conclusion : Autologous blood pleurodesis (ABP) was successful for treatment of persistent air leak in the pneumothorax. It was easy and inexpensive and involved less pain than doxycycline pleurodesis. It did not cause complications and severe pleural adhesion. We report that ABP can be considered as a useful treatment for persistent air leak in the pneumothorax complicated from the severe chronic lung disease.

• Journal of Periodontal and Implant Science
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• v.20 no.2
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• pp.156.2-156.2
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• 1990

• Reproductive and Developmental Biology
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• v.37 no.3
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• pp.109-115
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• 2013

Until recently the most popular tetracycline-inducible gene expression system has been the one developed by Gossen and Bujard. In this study, we tested the latest version of same system and the results are summarized as follows: Compared with previous one, the difference of new system are minor changes of nucleotide sequences in transactivator and tetracycline response element (TRE) regions. Sensitivity to the doxycycline (a tetracycline derivative) was improved. Leakiness of GFP marker gene expression in non-inducible condition was significantly decreased. Higher expression of the marker gene was observed when the cells were fed with doxycycline-containing medium. Optimal insertion site of woodchuck posttranscriptional regulatory element (WPRE) sequence which was known to increase gene expression was different depending on the origin of cells. In chicken embryonic fibroblast, location of WPRE sequence at 3' end of TRE resulted in the highest GFP expression. In bovine embryonic fibroblasts, 3' end of transactivator was the best site for the GFP expression.

• International Journal of Oral Biology
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• v.30 no.2
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• pp.59-63
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• 2005

Postantibiotic effects (PAE) refer to suppression of the bacterial growth following limited periods of exposure to an antibiotic and subsequent to the removal of the antibiotic agent. Fusobacterium nucleatum and Porphyromonas gingivalis are Gram-negative anaerobic bacteria associated with several periodontal diseases. In this study, postantibiotic effects (PAE), postantibiotic sub-MIC effect (PA SME) and sub-MIC effect (SME) of antibiotics on F. nucleatum ATCC 25586 and P. gingivalis W50 were investigated. The PAE was induced by 10X the MIC of antibiotic and antibiotic was eliminated by washing. The PA SMEs were studied by addition of 0.1, 0.2 and 0.3X MICs during the postantibiotic phase of the bacteria, and the SMEs were studied by exposition of the bacteria to antibiotic at the sub-MICs only. Amoxicillin, doxycycline and tetracycline induced PAE for F. nucleatum ATCC 25586 and P. gingivalis W50. But metronidazole and penicillin induced PAE for only F. nucleatum ATCC 25586. Metronidazole and doxycycline induced PA SME and SME for both species of anaerobic bacteria used in this study. The PA SME values for both strains were substantially longer than the SME values. The present study showed the existence of PAE, PA SME and SME for various antibiotics against F. nucleatum ATCC 25586 and P. gingivalis W50.

• Journal of fish pathology
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• v.12 no.2
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• pp.115-121
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• 1999

MIC test of 16 chemotherapeutic agents was performed on 24 isolates of Edwardsiella tarda collected from flounders. They revealed resistance against combinations of ampicillin, amoxicillin, erythromycin, flumequine, doxycycline(DOXY), nalidixic acid, novobiocin, oxolinic acid, oxytetracycline(OTC), thiamphenicol(TP) and sulfonamide. Two strains carried transferable R plasmid encoding Otc Kanamycin Tp and Otc chloramphenicol Doxy Tetracycline Tp, respectively. The R plasmids were not similar each other on the basis of their digestion pattern of restriction endonuclease, suggesting distribution of different transferable R plasmid among E. tarda from flounders.