• 제목/요약/키워드: multiple infections

검색결과 246건 처리시간 0.024초

다양한 스트레스에 유도되는 들잔디 ZjWRKY3, ZjWRKY7의 분석 (Analysis of ZjWRKY3, ZjWRKY7 induced by multiple stress in Zoysia japonica)

  • 김우남;송인자;강홍규;선현진;양대화;이용억;권용익;이효연
    • Journal of Plant Biotechnology
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    • 제44권3호
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    • pp.220-228
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    • 2017
  • 식용작물, 사료, 잔디를 포함하는 모든 작물은 건조, 염, 저온, 고온 등의 여러 가지 환경스트레스의 영향을 빈번히 받기 때문에 작물의 생산성이 떨어지게 된다. 식물은 환경스트레스 상황에서 스스로 벗어날 수 없다. 따라서 식물은 환경 스트레스를 극복하는 방향으로 진화하였다. ARF, ABI3, NAC, HSF, WRKY 같은 환경 스트레스에 반응하는 유전자들이 식물에서 보고되었다. 이 유전자들은 환경스트레스에 반응하는 전사인자로, 식물의 스트레스반응 경로에 연관되어 있다. OsWRKY76의 경우에는 저온 및 병원균에 대한 내성을 증가시켰고, AtWRKY28 의 경우 여러 가지 환경스트레스에 관련이 있는 것으로 보고되었다. 들잔디는 정원이나 골프코스에서 가장 흔하게 사용되는 잔디이다. 하지만 들잔디에서는 아직 WRKY 유전자가 알려지지 않았다. 본 연구에서는 들잔디로부터 1개의 WRKY domain을 포함하는 ZjWRKY3, ZjWRKY7 를 분리하였다. ZjWRKY3과 ZjWRKY7은 저온, 건조, 염 스트레스에 발현이 증가하였다. 들잔디의 갈색퍼짐병을 일으키는 R. solani의 감염이 ZjWRKY3과 ZjWRKY7의 발현을 증가시켰다. 또한 ZjWRKY3, ZjWRKY7이 Zjchi 유전자 promoter의 W-box에 결합하여 전사를 조절한다는 사실을 확인 하였다. 따라서 ZjWRKY3, ZjWRKY7 유전자는 전사인자로서 환경스트레스 및 병원균 관련 하위 유전자들을 조절할 것으로 예상된다.

Early and Long-term Outcomes of Pneumonectomy for Treating Sequelae of Pulmonary Tuberculosis

  • Byun, Chun-Sung;Chung, Kyung-Young;Narm, Kyoung-Sik;Lee, Jin-Gu;Hong, Dae-Jin;Lee, Chang-Young
    • Journal of Chest Surgery
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    • 제45권2호
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    • pp.110-115
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    • 2012
  • Background: Pneumonectomy remains the ultimate curative treatment modality for destroyed lung caused by tuberculosis despite multiple risks involved in the procedure. We retrospectively evaluated patients who underwent pneumonectomy for treatment of sequelae of pulmonary tuberculosis to determine the risk factors of early and long-term outcomes. Materials and Methods: Between January 1980 and December 2008, pneumonectomy or pleuropneumonectomy was performed in 73 consecutive patients with destroyed lung caused by tuberculosis. There were 48 patients with empyema (12 with bronchopleural fistula [BPF]), 11 with aspergilloma and 7 with multidrug resistant tuberculosis. Results: There were 5 operative mortalities (6.8%). One patient had intraoperative uncontrolled arrhythmia, one had a postoperative cardiac arrest, and three had postoperative respiratory failure. A total of 29 patients (39.7%) suffered from postoperative complications. Twelve patients (16.7%) were found to have postpneumonectomy empyema (PPE), 4 patients had wound infections (5.6%), and 7 patients required re-exploration due to postoperative bleeding (9.7%). The prevalence of PPE increased in patients with preoperative empyema (p=0.019). There were five patients with postoperative BPF, four of which occurred in right-side operation. The only risk factor for BPF was the right-side operation (p=0.023). The 5- and 10-year survival rates were 88.9% and 76.2%, respectively. The risk factors for late deaths were old age (${\geq}50$ years, p=0.02) and low predicted postoperative forced expiratory volume in one second (FEV1) (< 1.2 L, p=0.02). Conclusion: Although PPE increases in patients with preoperative empyema and postoperative BPF increases in right-side operation, the mortality rates and long-term survival rates were found to be satisfactory. However, the follow-up care for patients with low predicted postoperative FEV1 should continue for prevention and early detection of pulmonary complication related to impaired pulmonary function.

한국에서 분리된 장내세균(Salmonella, Shigella, E. coli 균속)의 병원적 역할에 관한 연구 (The Pathogenic Role of Enterobacteria(Salmonella, Shigella and E. coli spp) Isolated in Korea)

  • 정태화;이연태;이명원;이복권;김기상
    • 대한미생물학회지
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    • 제21권1호
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    • pp.73-95
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    • 1986
  • A total of 5,462 isolates suspicious of Salmonella, Shigella and E. coli which were isolated during 1983 to 1985 by 12 City Hygine Laboratories and General Hospital Laboratories were received and identified at the National Salmonella Center, Seoul, Korea. The result of identification of these strains were summarized as follows: 1. It was confirmed that the total organisms broke down into 2,014 strains of Salmonella 1,294 of which were S. typhi, 887 strains of Shigella and 2,561 strains of E. coli. 2. For seasonal distribution of enteric pathogens, July was the month with the highest out breaks of salmonellosis, May was the month of Shigellosis, and April was of the highest month it in the case of E. coli. 3. Salmonella typhi with the highest incidence of isolation was shown to belong to various phage types, especially with the strains detected in Seoul. M1 type was widely distributed all over the country, but the majority was E1 type in 1983. 4. For age distribution of patients, the 20-29 age group had the highest incidence of salmonellosis whileas the 1 to 9 age group had the highest incidence of Shigellosis. 5. For sexuly distribution of Salmonella and Shigella infections seemed to be relatively higher in the female than in the male. However, E. coli. had no relationship to both sex. 6. The antibiotic sensitivity patterns of S. typhi cultures showed a tendancy to be resistant to colistin, gentamycin, neomycin, tetracycline and streptomycin. 7. The isolates of S. paratyphi-A, S. typhimurium and S. enteritidis seemed to have a tendency of multiple drug resistance. 8. 93.9 percent of 1,568 E. coli strains showed negative reactions to the antisera of enteropathogenic E. coli and 15.6 percent of them produced a heat-labile enterotoxin, but positive reaction to the antisera was 6.1 percent and 11.6 percent of them producled the enterotoxin.

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우리나라 고추 바이러스 종류, 병징 및 발생 형태 (Viruses and Symptoms on Peppers, and Their Infection Types in Korea)

  • 조점덕;김정수;이신호;최국선;정봉남
    • 식물병연구
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    • 제13권2호
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    • pp.75-81
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    • 2007
  • 전국 52개 지역에서 2002년, 2004년에서 2006년, 4년 간 고추 바이러스 이병물을 채집하여 바이러스 감염양상을 조사하였다. 감염된 바이러스 종류는 Cucumber mosaic virus(CMV), Pepper mottle virus(PepMoV), Pepper mild mottle virus(PMMoV), Broad bean wilt virus 2(BBWV2), Tobacco mild green mosaic virus(TMGMV), Tomato spotted wilt virus(TSWV) 6종이었다. CMV, PepMoV PMMoV와 BBWV2의 발생률은 각각 29.4%, 13.6%, 14.3%, 25.6%이었다. TMGMV와 TSWV의 발생률은 1.0%로 매우 낮았다. 2002년과 2004년의 CMV 발생률은 53.3%와 34.2%로 가장 높았으나 2005년과 2006년에는 18.2%와 11.9%로 감소하였다. BBWV2의 발생률은 2002년에 1.3%, 2004년에 1.8%로 낮았으나, 2005년에 41.3%, 2006년에 58.2%로 크게 증가하였다. CMV+BBWV2의 발생률은 2002년에 0.0%, 2004년에 2.1%이었으나 2005년과 2006년에 각각 33.3%와 83.2% 증가하여 BBWV2의 단독감염과 함께 복합감염에서도 급격히 증가하였고 CMV+BBWV2+PepMoV의 삼중 복합감염률은 평균 6.4%이었다. CMV는 고추 잎에 심한 모자이크병징, BBWV2는 원형반점 병징을 일으키며, CMV와 BBWV2의 복합감염 경우에는 퇴록병징을 일으켰다. TSWV는 고추 잎과 과일에 전형적인 다중 원형반점을 일으켰다.

선식에서 분리한 Enterobacter sakazakii의 복합동정 및 RAPD를 이용한 genotyping (Multiple Confirmation and RAPD-genotyping of Enterobacter sakazakii Isolated from Sunsik)

  • 최재원;김윤지;이종경;김영호;권기성;황인균;오세욱
    • 한국식품과학회지
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    • 제40권1호
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    • pp.101-105
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    • 2008
  • 시판되고 있는 선식 원료를 수거하여 최근 새로운 식중독균으로 보고되고 있는 Enterobacter sakazakii 분리 실험을 실시하였다. 그 결과 총 23종의 선식 원료 중 8개의 선식 원료에서 E.sakazakii로 추정되는 콜로니를 분리할 수 있었으며 API 20E kit를 이용하여 1차적으로 동정한 결과, 다시마 분말, 멸치 분말, 현미 분말, 청국장 분말 및 멥쌀 분말에서 E. sakazakii를 분리할 수 있었다. 이후 3 종의 primer를 이용한 PCR을 실시하여 2차적으로 동정하였다. 또한, 분리된 균주에 대한 RAPD-PCR을 실시하여 최종적으로 8종의 분리균으로 molecular typing을 할 수 있었다.

원발성 Bronchiolitis Obliterans Organizing Pneumonia 1예 (A Case of Idiopathic Bronchiolitis Obliterans Organizing Pneumonia)

  • 이철환;고윤석;김우성;공경엽;송군식;김원동
    • Tuberculosis and Respiratory Diseases
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    • 제39권6호
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    • pp.536-541
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    • 1992
  • 본 증례에서와 같이 BOOP는 임상상 및 조직소견에서의 특징과 좋은 예후를 갖는 미만성 침윤성 폐질환의 한 아형이며 원발성 폐섬유화증과는 달리 부신피질스테로이드에 의해 완치될 수 있다는 점에서 이 질환에 대한 인식은 매우 중요하다. 저자들은 부신피질스테로이드를 사용한후 1개월후부터 임상적으로 뚜렷한 호전을 보였으며, 2개월후부터는 흉부 X선 및 폐기능검사상 현저한 호전을 보였으며, 치료 3개월 후 부터는 prednisolne 요량 감소를 시작하였다. 경과도중 증상의 재발없이 일시적으로 흉부 X선상 새로운 병소가 나타났으나 용량을 증가시켜 곧 소실되었다. 치료 1년뒤 Prednisolone 중단 후에도 재발없이 안정상태를 유지하고 있다.

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국내의약품의 약물상호작용 정보 분석 (Analysis of Drug Interaction Information)

  • 이영숙;이지선;이숙향
    • 한국임상약학회지
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    • 제19권1호
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    • pp.1-17
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    • 2009
  • Adverse drug reactions (ADR) caused by inappropriate prescription are responsible for major socioeconomic loss. Drug-drug interactions (DDI) has been recognized as a major part of ADRs and, therefore, healthcare professionals should prevent possible DDIs to minimize preventable ADRs. This study aimed to examine DDI information in drug information references and Korea Food & Drug Administration (KFDA) drug labeling information. Drug ingredients from the formulary of Health Insurance Review and Assessment Service in Korea (HIRA) were included for the study. DDI information source used for the study were Micromedex Drugdex and Drug Information Facts (DIF) with the DDI severity level of "moderate" or more. The DDI information in KFDA drug labeling were collected and compared. Drug ingredients were classified with KFDA Drug Classification and ATC Classification of WHO for the analysis. Among the total 1,355 drug ingredients satisfying inclusion criteria, 738 ingredients involved at least one DDI, which was described in Micromedex and/or DIF. Drug Ingredients of 176 involved DDI only described in KFDA drug labeling, but not Micromedex nor DIF. Drug ingredients of 35 which DDIs were described in Micromedex or DIF did not have DDI based on KFDA drug labeling. Micromedex and DIF retrieved 7,582 and 3,071 DDIs, respectively 57.6% and 58.5% of DDIs were also described in KFDA drug labeling. Central nervous system (CNS) drugs, cardiovascular system (CVS) drugs and the antiinfectives appeared to have higher frequency of DDIs among all drug classes. The highest number of DDIs with high severity level ("contraindicated" or "major") were the DDIs of CNS drugs. The antiinfectives are the second drug group having serious DDIs. The DDI pairs of the CNS drug and the antiinfective had the highest contraindication risk (13.6%). DDI information from Micromedex and DIF were not consistent with the result that only 465 ingredients' DDIs are common in both literature (total DDI numbers were 715 vs 488, respectively). And 1,652 DDI information are common in both references among 7,582 vs 3,071 DDIs, respectively. Only 55.2% of DDI information in the database contained in the KFDA drug labeling. Prescribers and pharmacists should pay attention to the drugs for CV system, CNS and infections because of higher risk of possible DDIs compared to other drug classes. KFDA drug labeling is not likely to be recommended as a good information source for DDI due to significant inconsistency of information. Drug information providers should be aware that DDI information from different sources are not consistent and therefore multiple references should be used.

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Does oral doxycycline treatment affect eradication of urine vancomycin-resistant Enterococcus? A tertiary hospital study

  • Kim, Yoonjung;Bae, Sohyun;Hwang, Soyoon;Kwon, Ki Tae;Chang, Hyun-Ha;Kim, Su-Jeong;Park, Han-Ki;Lee, Jong-Myung;Kim, Shin-Woo
    • Journal of Yeungnam Medical Science
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    • 제37권2호
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    • pp.112-121
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    • 2020
  • Background: Vancomycin-resistant Enterococcus (VRE) has become more common in nosocomial infections, especially in urine samples. However, until now, no treatment regimen has been proven to effectively eradicate urine VRE colonization. Therefore, to evaluate the efficacy of doxycycline in eradicating urine VRE and shortening VRE isolation period, we compared VRE colony detection period between doxycycline-treated and untreated patients. Methods: A retrospective cohort study of 83 patients with VRE colonization in urine cultures was conducted at a tertiary academic hospital from January 2011 to February 2018. Kaplan-Meier survival analysis was used to evaluate eradication rates in the treatment and non-treatment groups. Factors affecting urine VRE colonization persistence were analyzed by multiple logistic regression analysis. Results: The overall rate of VRE eradication during the entire hospital stay was higher in the doxycycline treatment group (90.5%) than in the non-treatment group (58.1%, p=0.014). Survival analysis showed that the 5-, 10-, and 20-day cumulative eradication rates were 78.3%, 100%, and 100% in the doxycycline treatment group, and 18.5%, 45.7%, and 67.8% in the non-treatment group, respectively, thereby indicating that eradication rates were higher in the doxycycline treatment group than in the non-treatment group (p<0.001). Only doxycycline treatment was shown to affect urine VRE colonization persistence in multivariate logistic regression analysis. Conclusion: Doxycycline treatment enhanced the eradication rate of urine VRE colonization and appeared to be useful in shortening VRE isolation period.

육류용 고기로부터 분자진단을 이용한 항생제내성 유전자 양상 (Molecular detection of blaVIM, blaBIC, blaKPC, and blaSIM genes from isolated bacteria in retail meats)

  • 황유진
    • 한국산학기술학회논문지
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    • 제22권6호
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    • pp.413-419
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    • 2021
  • 본 연구의 목적은 확장 스펙트럼 𝛽-락타마제(ESBL) 항생제가 그람 음성 세균에 의한 감염을 치료하고 예방하는데 사용하고 있으며 임상에서 심각한 감염을 치료하는데 선택하는 마지막 옵션 역할을 한다. 미생물의 확장 스펙트럼 𝛽-락타마제(ESBL) 및/또는 카르바페네마제(Carbapenemase) 내성에 대한 보고는 전 세계적으로 확산되는 것으로 보고되며 항생제 치료에 많은 제한을 주는 요인으로 다약재 내성과 관련이 있기 때문에 보건 서비스에 큰 관심을 가지고 있다. 본 연구는 국내 시장에서 구매하여 분리한 육류로부터 세균을 분리 동정하여 항생제 저항성 테스트인 디스크 확산법을 사용하여 내성균을 분리 실험하였고, PCR과 DNA 시퀜싱방법을 수행아였다. 결과는 PCR을 수행하여 항생제 내성유전자와 유전자를 생산하는 ESBL의 존재를 검출하고 결과를 얻었다. 총 36개의 샘플 육류로부터 181개의 각각 분리된 세균을 추출하여 실험결과을 얻었다. 결과는 PCR과 DNA 염기서열을 분석하여 항생제내성 유전자로 blaVIM, blaBIC, blaKPC, blaSIM으로 나타났다. 분리한 육류 속의 박테리아는 별도 유전자 서열분석으로 4개의 다른 박테리아가 확인되었다. 이러한 결과는 소매되는 육류에서 발견되는 박테리아에 ESBL 내성유전자인 blaVIM, blaBIC, blaKPC, blaSIM를 가진 박테리아 균주가 있을 수 있으며 이는 특수 확장 스펙트럼 𝛽-락타마제(ESBL) 및/또는 카르바페네마제(Carbapenemase) 내성유전자가 확산될 수 있다는 것을 시사한다.

전북지역 송아지 설사 유래 병원성 대장균의 병원성 인자 및 다제 내성 패턴 (Virulence factors and multi-drug resistant patterns of pathogenic Escherichia coli isolates from diarrheic calves in Jeonbuk)

  • 곽길한;김선민;유영주;유정희;임미나;장유정;허진
    • 한국동물위생학회지
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    • 제44권4호
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    • pp.271-281
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    • 2021
  • Pathogenic Escherichia coli (E. coli) is one among the most important agents of diarrhea in calves. From January to December 2021, 108 isolates from feces of calves with diarrhea were investigated for enterotoxigenic E. coli (ETEC), enteropathogenic E. coli (EPEC), shiga toxin-producing E. coli (STEC), enteroaggregative E. coli (EAEC), and enteroinvasive E. coli (EIEC) using real-time PCR. In addition, the genes for F5, F17 and F41 fimbriae were detected by PCR. The most frequently isolated pathotypes were EPEC/STEC (29 isolates), and ETEC/EPEC/STEC (29 isolates). ETEC/EPEC, and ETEC/STEC were also found in 10 isolates. EPEC, STEC, and ETEC were detected in 13, 11, and 6 respectively. EAEC, and EIEC was not detected. Antimicrobial resistance test was carried out by agar disc diffusion method with 14 antimicrobials. Among 108 pathogenic E. coli isolates, 107 isolates were resistant to at least one of 14 antibiotics used in this study, 99 (91.7%) were resistant to two or more antimicrobials, and a single remarkable isolate was resistant to 14 antimicrobials. The isolates were primarily resistant to penicillins, streptomycin, tetracycline, ceftiofur, Trimethoprim/sulfamethoxazole, Kanamycin, and Ciprofloxacin. The high rate of resistance in pathogenic E. coli, sometimes to multiple drugs, may complicate future options for treating human infections. These results may bu used for diagnosis and therpeitic purposes in calves with diarrhea.