• Journal of Korean Biological Nursing Science
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• 제25권4호
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• pp.285-294
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• 2023

Purpose: This study aimed to identify the colonization rate of carbapenem-resistant Enterobacteriaceae (CRE), the characteristics of CRE isolates, and risk factors for CRE colonization in patients transferred to the general wards of a small/medium-sized hospital. Methods: This retrospective study was conducted on patients who underwent CRE culture tests within 24 hours of admission among patients transferred to a small/medium-sized hospital. Forty-seven patients confirmed as positive for CRE were classified as belonging to the patient group. For the control group, 235 patients (five times the number of the patient group) were matched by sex, age, and diagnosis, and then selected at random. Data were analyzed using descriptive analysis and multiple logistic regression analysis. Results: The CRE colonization rate was 5% (47 out of 933 patients), and Klebsiella pneumoniae (68.0%) was the most common isolate of CRE. The positivity rate of carbapenemase-producing Enterobacteriaceae was 61.7%. The risk factors for CRE colonization included renal disease (odds ratio [OR]=4.93; 95% confidence interval [CI], 1.49-16.31), heart disease (OR=3.86; 95% CI, 1.35-11.01), indwelling urinary catheters (OR=4.43; 95% CI, 1.59-12.36), and cephalosporin antibiotic use (OR=8.57; 95% CI, 1.23-59.60). Conclusion: Having a comorbid renal or cardiac disease, an indwelling urinary catheter, or a history of exposure to cephalosporin antibiotics could be classified as risk factors for CRE colonization in patients transferred to small and medium-size hospitals. It is necessary to perform active infection control through proactive CRE culture testing of patients with risk factors.

• 미생물학회지
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• 제50권2호
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• pp.101-107
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• 2014

지역사회 획득 항생제 내성 세균은 전 세계에서 새로운 문제로 대두되고 있다. 특히 한국에서 항생제 내성 세균의 발생빈도는 다른 선진국들보다 높다. 본 연구에서는 서울지역의 다양한 주변 환경(가정집, 대학교, 대중교통, 소지품 등)으로부터 methicillin-resistant staphylococci (MRS), Pseudomonas, 그리고 대장균군(Enterobacteriaceae)의 분리율을 조사하였으며, 검출된 대장균군(Enterobacteriaceae)을 대상으로 신 항생제를 포함한 한국의 임상에서 널리 쓰이는 13종의 항생제에 대한 내성정도를 파악하였다. 총 239건의 시료에서 18건(7.5%)의 MRS, 10건(4.2%)의 Pseudomonas, 그리고 30건(12.6%)의 대장균군(Enterobacteriaceae)이 분리되었다. 또한 가정집에서 2건, 대학교에서 1건, 그리고 기타(공원 의자와 빌딩 문손잡이)에서 2건, 총 5건(2.1%)의 시료에서 메티실린 내성 황색포도상구균(methicillin-resistant Staphylococcus aureus, MRSA)이 검출되었으며, 대장균(Escherichia coli)은 가정에서 1건, 대중교통에서 3건, 그리고 기타(음식점 정수기 본체 상단)에서 1건, 총 5건(2.1%)의 시료에서 검출되었다. 분리된 대장균군(Enterobacteriaceae) 32균주에 대한 항생제 내성률은, cephalosporin 계열과 fluoroquinolone 계열에서 각각 71.9%, carbapenem 계열과 ${\beta}$-lactam 계열에서 각각 68.8%까지 나타났으며, tetracycline 계열과 aminoglycoside 계열에서는 각각 50.0%와 25.0%까지 내성을 나타냈다. 또한 trimethoprim/ sulfamethoxazole에 대한 내성률은 43.8%로 나타났다. 심지어 신 항생제인 tigecycline에 대한 내성률도 59.4%로 나타났으며, 시험한 모든 항생제에 내성을 나타내는 균주도 3건이나 검출되었다. 그리고 분리된 총 5균주의 대장균(E. coli)은 대부분의 시험 항생제에 내성을 나타냈으나, 일부는 ciprofloxacin과 gentamicin에 감수성을 보였다. 본 연구는 향후 주변환경의 항생제 내성 수준의 변화를 비교하기 위한 기초 자료를 제공하며, 이들 내성균의 발생과 확산 방지에 대한 다각적인 노력과 대책 마련이 필요함을 보여준다.

• 한국축산식품학회지
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• 제34권5호
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• pp.638-646
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• 2014

The effects of two levels (1.4 vs 2.8%) of fresh garlic on lipid oxidation and microbial growth in pork patties were evaluated. Hunter color (L, a, b), pH, thiobarbituric acid reactive substances (TBARS), oxidative volatile compounds, total bacteria and Enterobacteriaceae in the pork patties with or without fresh garlic were measured during storage at $4^{\circ}C$. Addition of fresh garlic decreased redness (a), while increased pH and yellowness (b) values of the fresh pork patties were observed, regardless of the levels added. The TBARS values of the pork patties were increased with the addition of fresh garlic (p<0.05). Similar results were observed in oxidative volatile compounds. A total of 13 volatile compounds were detected in the patties (5 sulfur-containing compounds, including allyl mercaptan, allyl methyl sulfide, diallyl sulfide, methyl-(E)-propenyl-disulfide, and diallyl disulfide, and the 8 other oxidative compounds, including 1-pentanol, hexanal, 1-hexanol, heptanal, (E)-2-heptenal, 1-octen-3-ol, (E)-2-octenal and nonanal). Fresh garlic accelerated development of oxidative products in the pork patties, especially hexanal and the total oxidative volatile compounds. However, the addition of 1.4 and 2.8% of fresh garlic inhibited the growth of total bacteria and Enterobacteriaceae, indicating low total bacterial counts and Enterobacteriaceae than the controls.

• 한국동물위생학회지
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• 제19권3호
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• pp.213-219
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• 1996

Seventy-nine strains of Enterobacteriaceae isolated from 117 slaughtered pigs (bile, urine, small intestine, cecum and rectum) in 1995 were examined for biotypes and susceptibility to 19 antibiotics with MicroScan WalkAway 40/96. The obtained results were as follows : 1. Among the twenty-two species isolated from the samples, Proteus mirabilis, E. coli and Enterobacter cloacae were commonly encountered. 2. The distribution frequency of isolates from cecum, small intestine, rectum, bile, and urine was 31(38.8%), 25(31.3%), 18(22.8%), 3(3.7% ), and 2(2.5% ), respectively. 3. A majority of isolates were sensitive to 16 antibiotics, singly or in combination. And these isolates were commonly susceptible to various antibiotics such as Cp, Ts, Azt, Caz, To, Gm, Cfz, Crm, Am and Cfx, in order. Whereas the Salmonella spp was susceptible to Cf, Ti and Pi, and Proteus mirabilis to Imp, Tim, Cft and Cz. Meanwhile, no effect was found to Cf, Ak and Cax. 4. Among the antibiotic resistant strains, a total of 17 reistant patterns was noted End of these Ak Tim 45(57.0%), Ak Am Cf Cfx Cfz Tim 8(10.1%) and Ak Ti Tim 6(7.6% ) were frequently encountered.

• Journal of Oral Medicine and Pain
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• 제44권3호
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• pp.133-139
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• 2019

Osteomyelitis is an inflammatory condition of the bone caused by pathogenic bacteria. The causative pathogen is usually oral residing bacteria, but this is a report of patients with osteomyelitis infected with Enterobacteriaceae, which is not common. Enterobacteriaceae has been known to cause in-hospital infections for over last 30 years and is known to have multiple antibiotic resistances. Both cases in this study developed osteomyelitis after removal of the dentigerous cyst. Enterobacter aerogenes was cultured in one patient and Serratia marcescens in the other. After changing antibiotics through antibiotic susceptibility testing, clinical symptoms subsided and radiographic images confirmed that the callus formed and recovered at the same time.

• 가정∙방문간호학회지
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• 제29권2호
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• pp.204-215
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• 2022

Purpose: This study aimed to identify factors affecting the carbapenem-resistant enterobacteriaceae (CRE) infection control performance of nursing staff, who closely contact patients with CRE in long-term care hospitals. Methods: A cross-sectional study design was used. A total of 135 nursing staffs working in seven long-term care hospitals in the southern and northern areas of the K province in Korea were included. We measured the CRE infection control general characteristics, knowledge, perception, and performance. Results: The main factors affecting the CRE infection control performance were education, knowledge, and perception. The model explained the 60.8% total variance in CRE infection control. Conclusion: Appropriate infection control strategies should be prepared to provide high quality nursing care and prevent the spread of CRE infection in long-term care hospitals. Establishing an efficient infection control system in long-term care hospitals is necessary.

• 한국환경보건학회지
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• 제24권3호
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• pp.70-76
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• 1998

Activation bacteria, identified from commercial microbial products, were applied to leachate treatment. Total seven strains of bacteria Enterobacteriaceae spp. (5), Bacillus sp. (1), Aeromonas sp. (1) were seeded in the leachate and cultured in the shaking incubator at 25$^{\circ}$C and 250 rpm. While cultured, they were sampled in given time intervals and the removal rates of SS, COD, BOD, T-N.and T-P were measured an indicators of leachate treatment. Through the screening test, four of 7 strains of bacteria were considered to be effective and they were named as "effective group". The capability of leachate treatment was observed on three different groups of bacteria single, effctive, and total mixed. The result showed that the removal rates of COD and SS for the total mixed group were 64 and 71% respectively. BOD removal rate was reached nearly 99% by seeding of effective griup and removal rates of T-P and T-N were 83 and 82% respectively. However seeding of single strain was less effective than that of any mixed group in leachate treatment.

• 미생물학회지
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• 제20권3호
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• pp.113-118
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• 1982

The distribution and annual variation of detergent-degrading bacteria which were isolated from the Han River downstream running through the center of Seoul area were studied. The concentration of dissolved detergent was the lowest, 2.16 ppm at site 1 and it was gradually increased to downstream, the highest, 2.67 ppm at site 4. Population density of detergent degrading bacteria was about $10^2{\sim}10^3 cells/ml$. The density of LAS degrading bacteria was 1.1 - 1.8 times larger than that of SDBS-degrading bacteria. In annual variation the lowest density was appeared on January and the highest on July. In seasonal distribution of LAS-degrading bacteria, annual dominant group was genus Pseudomonas. There were few except genus Pseudomonas in winter and the subdomiannt group in spring and summer was genus Aeromonas and Enterobacteriaceae respectively. In autumn genus Pseudomonas, Aeromonas and Enterobacteriaceae were equally distributed. In SDBS-degrading bacteria, the annual dominant group was also genus Pseudomonas.

• Journal of Microbiology and Biotechnology
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• 제17권3호
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• pp.408-413
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• 2007

Putrescine has a negative effect on health and is also used as an indicator of quality on meat products. We investigated the genes involved in putrescine production by Serratia liquefaciens IFI65 isolated from a spoiled Spanish dry-cured ham. We report here the genetic organization of its ornithine decarboxylase encoding region. The 5,506-bp DNA region showed the presence of three complete and two partial open reading frames. Putative functions have been assigned to several gene products by sequence comparison with proteins included in the databases. The second gene putatively coded for an ornithine decarboxylase. The functionality of this decarboxylase has been experimentally demonstrated by complementation to an E. coli defective mutant. Based on sequence comparisons of some enterobacterial ornithine decarboxylase regions, we have elaborated a hypothetical pathway for the acquisition of putrescine biosynthetic genes in some Enterobacteriaceae strains.

• 한국지하수토양환경학회:학술대회논문집
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• 한국지하수토양환경학회 2003년도 추계학술발표회
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• pp.438-441
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• 2003

The present study reports the novel physiological function of dissimilatory perchlorate reduction by two strains JB101 and JB109 isolated from a sewage treatment facility in Incheon, South Korea. The physiological data of the isolates showed good correspondence with the members of the family Enterobacteriaceae. The partial 16S rRNA and 16S rDNA sequence of strains JB101 and JB109 showed similarity of 99.8% to Citrobacter amalonaticus and 98% to Citrobacter farmari, respectively. The study infers toward possibility of Citrobacter spp. to form an important group of dissimilatory perchlorate reducers within the (equation omitted) subclass of Proteobacteria because the majority of the known. members belong to two monophyletic groups namely Dechloromonas and Dechlorosoma in $\beta$ subclass of Proteobacteria.