• 대한임상검사과학회지
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• 제40권2호
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• pp.75-79
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• 2008

86 clinical isolates of Acinetobacter baumannii and 116 clinical isolates of Pseudomonas aeruginosa strains isolated from clinical specimens were collected from a hospital in Daegu city area. We investigated the Antimicrobial susceptibility patterns of A. baumannii and P. aeruginosa isolated from sputum, urine, wound, blood, nasal swab, body fluid. The antimicrobial resistance of A. baumannii were shown 96% for piperacillin, carbenicillin 82%. cefotaxime 78%, ciprofloxacin 77%, sulfamethoxazole/trimethoprime 76%, ceftazidime 75%, tobramycin 72%. For P. aeruginosa, the resistance of cefotaxime and sulfamethoxazole/trimethoprime were 100%, carbenicillin 49%, piperacillin 47%, ticarcillin 45%, ticarcillin/ clavulanic acid 40%.

• 한국임상수의학회지
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• 제38권5호
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• pp.225-230
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• 2021

A 4-year-old gelding Thoroughbred racehorse, which had been undergoing antibiotic therapy at a local veterinary clinic, was referred to the KRA veterinary center with a 20-day history of continuous right nasal discharge. Patient's history, endoscopic examination, and radiographic examination revealed primary maxillary sinusitis. Under sedation, surgical intervention was performed to collect samples and remove the accumulated mucopurulent exudate in the sinus. Swab samples were collected from the sinus during surgery for cytology and antimicrobial susceptibility testing. Only one type of bacteria was cultured, and molecular analyses of 16S ribosomal RNA gene sequences identified it as Staphylococcus aureus (S. aureus). The isolate was resistant to multiple antibiotics, which are frequently used in equine practice. Trimethoprim-sulfamethoxazole was chosen based on antibiotic susceptibility test, trephination, and sinus lavage using saline were applied to treat bacterial sinusitis. The clinical signs improved after 1 month and the patient resumed training. This report describes S. aureus isolated from bacterial maxillary sinusitis in a horse and its antibiotic susceptibility.

• Clinical and Experimental Pediatrics
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• 제46권1호
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• pp.24-32
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• 2003

목 적 : 황색포도구균(S. aureus)은 건강인의 비강이나 피부에 정상 세균총으로 존재하지만, 병원 내 감염과 항생제 내성이 문제가 되고 있다. 본 연구는 신생아의 비강에서 S. aureus을 분리하여 항생제 감수성의 양상과 내성 관련 유전자를 검출하여 내성의 정도와 내성 관련 유전자의 상관관계를 규명해 보고자 하였으며, 병원성 인자의 검출을 실시하고, arbitrarily-primed polymerase chain reaction(AP-PCR)법에 의한 유전자형별을 통하여 역학적 해석을 시도하였다. 방 법 : 2001년 2월에서 5월 사이에 부산대학교병원 신생아 중환자실 및 신생아실에 입원한 28명을 대상으로 이들의 비강에서 총 120회의 nasal swab을 실시하여 51주의 S. aureus를 분리하였다. 분리균에 대한 항생제 감수성 검사, coagulase 검사과형별, plasmid DNA의 양상, mec 관련 유전자의 분포, 장독소의 유전자 및 TSST-1 독소의 유전자 보유 상태, AP-PCR법으로 유전자 형별을 조사하였다. 결 과 : 1) Methicillin 내성이 23주, vancomycin 내성이 6주였고, 3가지 이상의 약제에 대한 내성이 절반 이상을 차지하였다. 2) 42주가 coagulase 양성이었고, 이중 mecA 및 femA 유전 자를 보유한 12주를 대상으로 한 형별 검사에서 8종(coagulase I-VIII형)으로 분류되었다. 3) mecA 유전자가 22주에서, mecR1 유전자가 18주, mecI 유전자가 1주, femA 유전자가 17주에서 발견되었으며, 이들을 4가지의 유전자형으로 분류하였을 때 mecA형이 14주, mecR1형 10주, mecA-mecR1형 7주, mecA-mecR1-mecI형이 1주였다. mecA 및 mecA 관련 유전자와 항생제 다제내성과는 상관관계가 없었다. 4) 16주가 mecA와 femA를 모두 보유하였으며, 이들의 plasmid 양상은 I형이 7주, II형이 6주 그리고 III형이 2주였다. Oxacillin 및 vancomycin에 내성을 보이는 II형과 III형에서는 35.5kb의 plasmid DNA를 보유하였다. 5) 장독소 A, B, D, 및 E의 유전자는 51주 전부에서 검출되지 않았으나 장독소 C의 유전자는 64.7%, TSST-1 유전자는 80.4%가 양성이었다. 6) Coagulase 양성이며 mecA 및 femA 유전자를 보유한 MRSA 12균주에 대한 유전자 형별 검사에서 I형에서 X형으로 분류할 수 있었으며, II형 2주, X형 2주가 동일 유전자형이었고, 나머지는 다른 유전자형이었다. 결 론 : 입원 중인 신생아의 비강 내 S. aureus의 상재률이 아주 높았으며, 이들의 항생제 내성률, 특히 vancomycin의 내성률이 높아 이들에 의한 원내 감염에 대한 특별한 관리가 필요하며, 이들의 병원성 인자 및 관련 유전자에 대한 분석은 원내 감염에 대한 적절한 대책과 효과적인 치료에 많은 도움을 줄 수 있으리라 사료된다.

• 한국임상수의학회지
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• 제34권3호
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• pp.165-171
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• 2017

A cross-sectional study was conducted to investigate the prevalence of canine influenza (CI) infection in pet dogs and canine parvovirus (CPV) infection in street dogs of different age and sex by collecting rectal and nasal swab samples from three districts, Dhaka, Mymensingh and Sirajgonj, in Bangladesh using a RapiGEN$^{(R)}$ Canine Influenza Virus Ag Test kit and RapiGEN$^{(R)}$ Canine Parvovirus Ag Test Kit. Out of 114 rectal swabs and 115 nasal swab samples, the overall prevalence of CI and CPV was found to be 11.30% and 32.45%, respectively. The prevalence of parvovirus infection was found to be significantly higher in puppies and dogs 6 months of age (50.0%) than those > 24 months of age (p = 0.005). The prevalence was also higher in males (34.42%) than females (30.18%). The prevalence of CI was higher (30.43%) in dogs up to 6 months of age (p = 0.011) than 6-12 month (7.93%) and 12-18 month (6.66%) old dogs. Moreover, the prevalence of CI was found to be higher in males (16.10%) than females (5.66%). The prevalence of CPV infection also varied significantly in different study areas (p = 0.0029), with 12.72%, 12.5% and 7.14% of dogs found to be CI positive in Dhaka, Mymensingh and Sirajgonj, respectively. Overall, the highest prevalence of CI was found in local breeds (6.08%) followed by German shepherds and Keeshonds (1.73%), and Bloodhounds and Terriers (0.86%). Additionally, there were more positive CI found in unvaccinated dogs (14.81%) than vaccinated (2.94%) dogs. Dogs with flu-like symptoms were more positive (19.23%) for CI relative to those without flu-like symptoms (4.76%) samples. Overall, the results of this study indicate that canine vaccination should be initiated to prevent the occurrence of diseases and that regular monitoring should be continued in Bangladesh.

• 한국동물위생학회지
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• 제43권2호
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• pp.67-77
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• 2020

Canine infectious respiratory disease (CIRD), also known as infectious tracheobronchitis or kennel cough occurs in a multiple-dog environment such as a shelter. In this study, we were collected 300 of nasal swab samples from dogs and 145 of environmental samples from a shelter to investigate respiratory pathogens of dogs in the Gwangju metropolitan city animal shelter from February to October, 2019. Bacteria cultures for isolation of Bordetella (B.) bronchiseptica and polymerase chain reaction (PCR) tests were performed for detection of eleven canine respiratory pathogens, namely Mycoplasma (M.) cynos, canine distemper virus (CDV), canine influenza virus (CIV), canine parainfluenza virus (CPIV), canine respiratory coronavirus (CRCoV), alpha-coronavirus (CCoV), canine pneumovirus (CnPnV), canine hepacivirus (CHeV), canine adenovirus type 2 (CAdV-2), canine herpesvirus-1 (CHV-1) and canine bocavirus (CBoV). Among 300 nasal swab samples, 148 samples (49.3%) were positive for at least one pathogens. CHV-1 was the most common pathogen, found in 95/300 (31.7%) samples. Subsequently, M. cynos (22.0%), B. bronchiseptica (2.3%), CPIV (2.0%), CBoV (1.7%), CCoV (0.7%) were detected. The detection rates of M. cynos and CHV-1 according to the duration of stay in the shelter were statistically significant. Among environmental samples, M. cynos, CCoV, CBoV and CHV-1 were detected in 45/145 (31.0%). These results indicated the need for disease control and prevention systems in the shelter.

• 대한임상검사과학회지
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• 제52권2호
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• pp.128-135
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• 2020

본 연구에서는 환자의 비강으로부터 분리 배양된 총 39건의 MRSA 분리 배양 균주를 이용해 mecA 유전자 검출, SCCmec typing과 mec complex typing을 분석해 보고자 하였다. 임상 환자의 비강으로부터 분리 배양된 MRSA 총 39주 중 SCCmec type-II가 24건, type-II/IVa가 2건, type-II/V가 1건, type-IVa가 1건, not-typeable이 11건으로 분석되었으며, mec complex type A가 29건, not-typeable이 10건이었으며, type B는 없는 것으로 분석 되었다. 결론적으로, 환자의 비강으로부터 분리된 MRSA 분리 배양 균주 중 SCCmec type-II와 mec complex type A 아형이 가장 많이 분포하고 있었으며, 이 결과는 의료기관 획득 MRSA에 관한 다른 연구결과와 유사한 결과를 나타냈다. 이후 환자의 비강으로부터 분리 배양된 not-typeable 아형의 MRSA 균주를 대상으로 국내에서 발견되는 새로운 MRSA 아형 규명에 관한 추가 연구가 필요할 뿐만 아니라, MRSA 분리 배양 균주의 아형을 분석함으로써 그 분자적 특성을 분석한 결과를 바탕으로 병원 감염관리를 위한 기초자료를 제공할 수 것으로 사료된다.

• 성인간호학회지
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• 제14권1호
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• pp.26-33
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• 2002

Purpose: This is a clinical experimental study aimed to provide basic data to ensure quality care. The purpose of this study is to increase nurses hand washing behavior and decrease respiratory isolation rate of MRSA. Method: This study was conducted in Kangnam St. Marys hospital. The subjects included 5 nurses working at the NS ICU and 165 specimen for nasal swabs and 46 specimen for sputum cultures from 106 patients admitted to the NS ICU. The data were collected from June to September 2000. Results: 1.The percentage of the nurses hand washing was 15.6percent but was improved to 46.5 percent after the educational intervention. In particular, hand washing behavior was increased in situations such as after suctioning, before parenteral nutrition, and after providing hygiene care. 2. Results of nasal swab showed that MRSA isolation rate was reduced from 42.8 percent before the education to 18.6percent after the education. The sputum culture results also showed that the MRSA rate was reduced from 40.7percent before the education to 34.6percent after the education. Conclusion: The findings showed the nurses' strict hand washing behavior and use of disposable gloves and paper towers as well as use of hand sterilization spray by visitors or families can decrease the MRSA isolation rate in the NS ICU patients. Since the NS ICU patients may have respiratory complications due to long-term hospitalization, the nurses regular hand washing is important enough to be emphasized. Future research should be focused on the impact of nurses' hand washing behavior on the incidence of pneumonia, an iatrogenic infection.

• Pediatric Infection and Vaccine
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• 제23권1호
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• pp.62-66
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• 2016

최근 전세계적으로 지역사회 기원 메티실린내성 황색포도알균(CA-MRSA)에 의한 피부연부조직 감염증이 증가하고 있다. 16개월의 한국 여아가 생후 6개월부터 시작된 반복되는 피부연부조직 감염증을 주소로 내원하였다. 환아의 가족들도 환아와 비슷한 시기에 피부연부조직 감염증의 병력이 있었다. 환아의 혈중 면역글로불린 및 NBT 검사는 정상이었고, 피부 병변 외에는 가족 모두 건강하였다. 환아의 감염증 부위의 고름 배양 및 비강 내 보균 검사시 모두 PVL genes을 생성하는 CA-MRSA ST714 SCCmec type IV가 확인되었고, 이는 ST30의 single locus variant로서 국내에서는 보고된 적이 없는 MRSA의 유전형이다. 환아와 함께, 환아의 균주와 동일 항생제 감수성 양상을 보이는 MRSA 보균자인 환아부에게 재발 방지를 위해서 비강내 mupirocin 5일 요법을 시행하였고 이후 10개월간 추가적인 재발은 없었다.

• Archives of Plastic Surgery
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• 제32권1호
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• pp.124-130
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• 2005

In the microsurgical era, replantation with microvascular anastomosis is considered as the most superior method in aspects of texture, color, shape in case of nose amputation. There are some reported cases of replantation in nose amputation historically, but most of them are composite graft cases rather than microvascular anastomosis. Only a few cases of successful nasal replantation with microvascular anastomosis have been reported due to the reason that the size of vessels is usually very small and identifying suitable vessels for anastomosis is difficult. Microanastomosis of artery and microanastomosis of vein are ideal in replantation, but identifying suitable veins is often difficult. Without venous anastomosis, resolving the venous congestion remains to be a problem. We can carry out arteriovenous shunt if we can find two arteries in amputee. However, the smaller the size of amputee is, the more difficult it is to find two arteries. Instead of arteriovenous shunt, we can try external venous drainage(frequently swab, pin-prick, stab incision, IV or local heparin injection, dropping, apply of heparin-soaked gauze, use of medical leech). Here, we present three cases of replantation with microscopical arterial anastomosis (one angular artery, two dorsal nasal arteries) and external venous drainage (stab incision, application of medical leech and heparin-soaked gauze) even though the size of amputee may be as small as $1.5{\times}1.0cm$. In all cases, surgical outcomes were excellent in cosmetic and functional aspects. This report describes successful replantation by microvasular anastomosis in case that suitable veins are not found.

• 한국임상수의학회지
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• 제34권3호
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• pp.161-164
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• 2017

Bovine respiratory disease (BRD) is one of the most important diseases in calves. It causes a huge economic loss in farms. BRD in calves is concentrated during winter because of the cold weather and lack of ventilation. However, BRD during summer in calves has continuously been a problem in farms. But there is no study about pathogens of summer pneumonia in calves and antimicrobial susceptibility in Korea. Therefore, aims of this study were to identify the pathogens and their antimicrobial susceptibility in calves with summer pneumonia. One hundred and one calves (2 weeks to 5 months after birth) with clinical sign of BRD from 5 farms were selected. After sampling by deep nasal swab, bacterial isolation and identification was conducted. Also, antimicrobial susceptibility test was performed. Pasteurella spp (49.4%), Staphylococcus spp (21.5%), Actinomyces spp (12.9%), E coli (10.7%), and Mannheimia haemolytica (5.3%) were isolated. The patterns of isolated pathogens from each farm were various. Also, the susceptibility of bacteria to antibiotics was showed a variety of patterns in each farm.