• 생명과학회지
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• 제19권12호
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• pp.1718-1723
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• 2009

Chromosomal 인 SHV-11 $\beta$-lactamase가 plasmid를 매개로 다른 균주로 전달 되는 현상은 흔하지 않다. 본 연구에서는 플라스미드성 SHV-11 $\beta$-lactamase를 동시에 가지고 있는 ESBL생성 두 균주를 검출하였다. 따라서 이들 균주에 대한 유전적 특성과 임상적 의의에 대해 알아보고자 하였다. Vitek system과 이중디스크확산법을 이용하여 ESBL생성균주를 검출하였고, PCR과 DNA 염기서열분석을 이용하여 SHV-11 $\beta$-lactamase를 가지고 있는 ESBL생성균주를 확인 하였다. 이들 균주를 교차접합실험과 형질전환실험을 이용하여 유전자전이를 확인하고 액체배지 희석법으로 3세대 cephalosphorin 항생제에 대한 최소억제농도를 측정하였다. 이들 균주의 유전형 분석결과는 SHV-11 $\beta$-lactamase 유전자와 CTX-M-15 ESBL 유전자를 동시에 가지고 있었다. 3세대 cephalosphorin 항생제에 대한 최소억제농도는 SHV-11 $\beta$-lactamase와 CTX-M-15 ESBL 유전자를 동시에 가지고 있는 균주에서 $64{\mu}g/ml$ 이상이었고, SHV-11 $\beta$-lactamase 만을 가지고 재조합 한 균주에서 $0.5{\mu}g/ml$ 이하로 나타났다.

• Neonatal Medicine
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• 제18권2호
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• pp.265-271
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• 2011

목적: ESBL 생성 균주는 1990년대 접어들어 신생아 중환자실에서 중요한 감염증 원인균 중하나로 대두되었다. 본 연구에서는 ESBL 생성하는 E. coli 및 K. pneumoniae에 감염된 신생아들과 ESBL 음성인 E. coli 및 K. pneumoniae에 감염된 신생아들에 있어서 임상적인 특징 및 혈액학적 검사 소견 등의 차이점을 알아보고자 본 연구를 시행하였다. 방법: 2005년 1월부터 2010년 9월까지 인제대학교 상계백병원 신생아 중환자실에 입원 한 환아 중 배양 검사에서 E. coli 또는 K. pneumoniae가 분리된 48명, 55균주를 대상으로 ESBL 생성 여부에 따라서 두 군으로 구분하여 임상적 특징 및 혈액학적 검사 소견을 의무기록을 토대로 조사하여 두 군간 비교를 시행하였다. 결과: 배양 검사에서 ESBL 양성은 총 18명 20균주였고, ESBL 음성은 총 30명 35균주 였다. ESBL 생성 20균주 중 E. coli 가 13균주, K. pneumoniae가 7균주 였다. ESBL 양성 균주와 ESBL 음성 균주 소변배양 검사에서 각각 10균주 및 23균주로 가장 많이 검출되었다. 1분 및 5분 Apgar 점수는 ESBL 양성 환아군에서 통계학적으로 유의하게 더 낮았고(P=0.002, P=0.001). 산소 공급 필요성은 ESBL 양성 환아군에서 더 많았고(56% vs. 27%;P=0.005), 산소 공급 일수도 ESBL 양성 환아군에서 더 길었다(15.8${\pm}$38.43일 vs. 4.3${\pm}$12.5일; P=0.008). 배양 검사 양성 시점의 발열, 무호흡, 산모력, 성별, 재태 연령, 출생 체중에서는 두 군간 유의한 차이는 없었다. 혈액학적 검사에서 배양 검사 양성 시점 빈혈은 ESBL 양성 환아군에서 더 많았으나(33% vs. 7%;P=0.040) 혈색소, 백혈구수, 혈소판수 및CRP는 유의한 차이를 보이지 않았다. 결론: ESBL 양성 환아군이 음성인 환아군에 비해 Apgar 점수가 낮았고 상대적으로 빈혈이 더 빈번하였다. 출생 시에 낮은 Apgar 점수를 보이는 환아들 중에서 기존 항생제를 사용 중인 환아에서 감염증의 새로운 증상이 보이거나 환아의 상태가 악화되는 경우에는 조기에 carbapenem 항생제를 사용하는 것을 고려할 수 있을 것으로 생각된다.

• 대한임상검사과학회지
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• 제39권3호
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• pp.178-182
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• 2007

During 2006, the antibiotic resistance rate were investigated in gram negative bacteria. Resistance to piperacillin were detected at 60% in Escherichia coli, and 37% in Klebsiella pneumoniae. Ceftriaxone were detected 58% in Enterobacter cloacae, 52% in Acinetobacter baumannii, 43% in Enterobacter aerogenes and 76% were detected in Serratia marcescens. Between 1998 and 2007 antibiotic resistance rate were decreased in seven types antibiotic drugs. but, ceftazidime were increased from 12 to 20% during this times. In addition, E. coli, E. cloacae, A. baumannii and E. aerogenes were more isolated from May to June and K. pneumoniae and S. marcescens were more isolated from July to September. We should monitor and control antibiotic use and regularly survey antibiotic resistance patterns among pathogens in the hospital.

• International Journal of Human Ecology
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• 제7권1호
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• pp.145-153
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• 2006

Hwangryeon (Coptidis rhizoma) was extracted by methanol and its antimicrobial activities against food spoilage and foodborne disease microorganisms were investigated by the paper-disc method. The microorganisms used in this experiment included 5 species of bacteria (Escherichia coli, Pseudomonas aeruginosa, Salmonella typhimurium, Klebsiella pneumoniae, and Staphylococcus aureus) and 3 species of fungi (Fusarium solani, Aspergillus flavus, and Penicillium citreonigrum). The Hwangryeon extract showed antimicrobial effect against P. aeruginosa, S. aureus, S. typhimurium, and K. pneumonia. The minimum inhibitory concentration on S. aureus, S. typhimurium, and K. pneumoniae was 300 mg/mL, but on P. aeruginosa it was 200 mg/mL. In the methanol extracts from Hwangryeon, 190 compounds were separated by GC/MS. The extraction yields of phenols, furans, alcohols, acids and esters, ketones, and miscellaneous compounds were 28.10%, 2.67%, 1.79%, 12.89%, and 2.35%, respectively. The phenolic compounds, generally understood to be an antimicrobial active substance, was measured at 28.10%, a relatively remarkable amount.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제45권6호
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• pp.324-331
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• 2019

Objectives: This study investigated the types and antibiotic sensitivity of bacteria in odontogenic abscesses. Materials and Methods: Pus specimens from 1,772 patients were collected from affected areas during incision and drainage, and bacterial cultures and antibiotic sensitivity tests were performed. The number of antibiotic-resistant bacteria was analyzed relative to the total number of bacteria that were tested for antibiotic susceptibility. Results: Bacterial cultures from 1,772 patients showed a total of 2,489 bacterial species, 2,101 gram-positive and 388 gram-negative. For penicillin G susceptibility tests, 2 out of 31 Staphylococcus aureus strains tested showed sensitivity and 29 showed resistance. For ampicillin susceptibility tests, all 11 S. aureus strains tested showed resistance. In ampicillin susceptibility tests, 46 out of 50 Klebsiella pneumoniae subsp. pneumoniae strains tested showed resistance. Conclusion: When treating odontogenic maxillofacial abscesses, it is appropriate to use antibiotics other than penicillin G and ampicillin as the first-line treatment.

• 대한임상검사과학회지
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• 제41권2호
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• pp.52-56
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• 2009

Arcanobacterium haemolyticum was usually isolated from respiratory infection. Occasionally, the cases were reported to cause pharyngotonsillitis, cellutitis, and abscess. A. haemolyticum is V form gram-positive bacilli (coryneform bacilli), which isoften considered to be non-pathogenic normal flora or contaminants in respiratory, skin and wound infection. In order to discriminate from normal flora, incubation for at least 48 hours is recommended. We describe a case that A. haemolyticum was isolated from cellulitis with group G ${\beta}$-hemolytic Streptococcus, Klebsiella pneumoniae ssp. pneumoniae, and Prevotella disiens.

• 대한의생명과학회지
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• 제19권3호
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• pp.245-253
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• 2013

To provide reference data or guideline for empirical treatment of bloodstream infection, we studied a change pattern in causative microorganisms and antimicrobial susceptibility in a general hospital at Gyeonggi province during five years. We retrospectively reviewed the frequency of causative microorganisms and antimicrobial susceptibility results of 5,782 microorganisms isolated from blood culture in a general hospital during the period from January 2008 to December 2012. The most common pathogens were Escherichia coli (14.7%), Staphylococcus aureus (7.5%), Streptococcus viridans group (4.9%), and Klebsiella pneumoniae (4.1%). The multiple microorganisms were isolated in 4.3% of bloodstream infection patients. The average contamination rate of blood culture during five years was 3.0%. Methicillin-resistant S. aureus (MRSA), vancomycin-resistant Enterococcus faecium (VRE), and penicillin-resistant Streptococcus pneumoniae were isolated at 62%, 27% and 11%, respectively. Cefotaxime-resistant E. coli and K. pneumoniae was 20% and 18%, respectively. Imipenem-resistant Pseudomonas aeruginosa (IRPA) and Acinetobacter baumannii (IRAB) was 25% and 66%, respectively. E. coli and S. aureus were most common pathogens isolated from blood culture for five years. The increase of multidrug-resistant microorganisms, such as MRSA, VRE, ESBL, IRPA and IRAB, requires more strict control of antibiotics and causes the need of the more updated guideline for the treatment of blood stream infection.

• Journal of Microbiology
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• 제45권1호
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• pp.11-14
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• 2007

Over the last few years, the endophytic bacterial community associated with citrus has been studied as an important component interacting with Xylella fastidiosa, the causal agent of citrus variegated chlorosis(CVC). This bacterium may also colonize some model plants, such as Catharanthus roseus and Nicotiana clevelandii. In the present study, we compared the endophytic colonization of Citrus sinensis and Catharanthus rose us using the endophytic bacteria Klebsiella pneumoniae. We chose an appropriate strain, K. pneumoniae 342 (Kp342), labeled with the GFP gene. This strain was inoculated onto seedlings of C. sinensis and C. roseus. The isolation frequency was determined one week after the inoculation and the endophytic colonization of K. pneumoniae was observed using fluorescence microscopy. Although the endophytic bacterium was more frequently isolated from C. roseus than from C. sinensis, the colonization profiles for both host plants were similar, suggesting that C. roseus could be used as a model plant to study the interaction between endophytic bacteria and X. fastidiosa.

• 미생물학회지
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• 제24권3호
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• pp.211-220
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• 1986

Nitrogen fixation (nif) genes of Rhizobium leguminosarum were transferred to nif Klebsiella pneumoniae and E. coli by conjugation after partial heat induction of $RP_4$ :: Mu cts in Rhizobium $R^+$ transconjugant, and the hybrid plasmids in the transconjugant strains were isolated and characterized. In order to transfer the nif genes from Rhizobium, the hybrid plasmid $RP_4$ :: Mu cts was transferred by conjugation from E. coil to the symbiotic nitrogen fixer, R. leguminosarum. After stabillity test, the $RP_4$ :: Mu cts in Rhixobium $R^+$ transconjugant was subjected to partial heat induction by culturing it statically at $38^{\circ}C$ for 16 hours, and then conjugated with the nif defective mutant strains of K. pneumoniae or nif mutant strains of E. coli having whole nif gene plasmid. Recombinant strains of K. pneumoniae, which could grow in a N-free medium and exhibit the nitrogenase activity were selected. However, in the case of E. coli, they could grow well in a NA medium containing antibiotices, but hardly frow in a N-free medium. The hybrid plasmids in these transconjugal strains were isolated by gel electrophoresis and compared their molecular sizes.

• 한국식품조리과학회지
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• 제17권6호
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• pp.565-570
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• 2001

본 연구에서는 쇠비름을 메탄올로 추출하여 식품의 부패나 식중독성을 유발하는 세균과 곰팡이에 대한 추출물의 항균활성을 검토하고 그들의 최소생육저해농도를 결정하였으며 쇠비름 추출물의 구성성분과 함량을 분석하였다. 쇠비름은 특히 P. citreonigrum 균주에 대해 매우 높은 항균효과를 보였고 S aureus, K. pneumoniae에 대해서는 benzoic acid에 상응할 만한 항균효과를 나타내었다. 쇠비름 메탄올 추출물은 200mg/$m\ell$ 농도에서 S. aureus와 P. citreonigrum의 생육을 억제하였고, 250 mg/$m\ell$ 농도에서 K. pneumoniae의 생육을 억제하였으며, 300 mg/$m\ell$ 농도에서 P. aeruginosa와 E. coli의 생육을 억제하였다. 따라서 이들 균주에 의한 식품의 부패 및 식중독이 우려되는 식품의 항균제로서 쇠비름의 사용 가능성을 볼 수 있었다. 쇠비름 메탄올 추출물의 분석결과 전체 147가지 성분이 분석되었으며 acid 및 ester류가 41.06%로 추출물의 가장 많은 부분을 차지하고 있었다. 또한 세균, 곰팡이, 효모와 같은 미생물에 항균활성을 나타내는 것으로 보고되어 있는 2,3-dihydro-benzofuran, 4-hydroxy-3-methoxy- benzoic acid와 4-hydroxy benzeneethanol 등의 성분들이 검출되었다.