• Title/Summary/Keyword: primary infection

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Study on the Standardization of a Surveillance Culture Laboratory in Infection Control Fields (감염관리 분야에서 감시배양검사의 표준화 연구)

  • Park, Chang-Eun;Jeong, Na-Yeon;Yang, Min-Ji;Kim, Han-Wool;Joo, Sei-Ick;Kim, Keon-Han;Seong, Hee-Kyung;Hwang, Yu-Yean;Lim, Hyun-Mi;Son, Jae-Cheol;Yoon, Sun-Han;Yoon, Nam-Seob;Jang, In-Ho
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.3
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    • pp.359-369
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    • 2018
  • An essential measure to prevent healthcare-associated infections (HAI) is to develop a consistent system of surveillance, thereby promoting a reliable situation diagnosis to perform efficient control for the problem. Patient-to-patient transmission of pathogens within the hospital plays a substantial role in the epidemiology of HAIs. Contamination of healthcare environments commonly occurs, including facilities surfaces (e.g., bed rails, bedside tables), drinking water, cooling tower water, endoscopic instruments, food, airborne, endotoxin test, sterile test and medical equipment, with pathogenic organisms. In addition, epidemiological analysis is performed by multi locus sequence tying, pulsed-field gel electrophoresis for active surveillance. Therefore, an environmental surveillance culture test for prevention improves patient safety and blocks infection agents. Effective infection control and increased safety are possible by controlling the national infection control system. In conclusion, this study contributes to an effective infection control system through the standardization of active surveillance culture laboratory and secure expertise as infection control specialist. The primary objective of the standardization is to improve the safety of the nation's healthcare system by reducing the rates of HAIs.

Clinical Study of the Primary Mediastinal Tumor (원발성 종격동 종양에 관한 임상적고찰)

  • Choe, Pil-Jo;Lee, Jong-Su;Lee, Seong-Gwang
    • Journal of Chest Surgery
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    • v.23 no.1
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    • pp.141-145
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    • 1990
  • Author made a clinical study of 48 cases of primary mediastinal tumors experienced in the dept. of the thoracic and cardiovascular surgery of Pusan National University Hospital during the 12 years period from march 1978 to march 1989. There were 34 males and 14 females. Their age distribution was from 4 months to 70 years, with the mean age of 34.4 years. 8.3 % of the patients were younger than 15 years old. There were teratoma 14 cases[29%], thymoma 11 cases[23%], neurogenic tumor 10 cases[21 %], lymphoma 6 cases[13 %], benign cyst 6 cases[13 %], and one case of fibrous histiocytoma in the histological distribution. The malignant tumors were 12 cases[25 %]. The common symptoms were chest pain and discomfort[35.4], coughing[18.8], general weakness and dyspnea. 16.7% of the patients were asymptomatic at admission. The successful removal was done in all cases of benign mediastinal tumors. In malignant cases, the surgical removal could be done in 5 cases. There was not postop. mortality. The frequent complications were atelectasis, infection, bleeding.

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Enterobius vermicularis egg positive rate of primary school children in a part of Kyrgyzstan (키르키스탄 일부 초등학교 아동들의 요충 감염 양성율 보고)

  • Chu Jong-Phil;Cho Yoo-Joung;Kim Deog-Kon
    • The Journal of Pediatrics of Korean Medicine
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    • v.15 no.2
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    • pp.189-193
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    • 2001
  • School children were examined for the presence of Enterobius vermicularis egg by perianal swab method at 52nd and 41st primary school between September 30, 1998 and October 7, 1998 in Kyrgyzstan, 281 children examined, 80(28.5%) were found to be positive for E. vermicularis egg. The egg positive rate of boys and girls were 41(29%) and 39(28%), respectively. Through this survey, we found that E. vericularis infection is still prevalent among children in Kyrgyzstan.

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Complications of Anterior Cruciate Ligament Reconstruction (전방십자인대 재건술의 합병증)

  • Song Eun-Kyoo;Kim Jong-Seok
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.1
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    • pp.15-19
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    • 2003
  • Although the number of anterior cruciate ligament reconstruction is increasing, complications after primary ACL reconstruction are more difficult to determine. Intraoperative and postoperative complications can lead to ultimate failure of a primary reconstructive procedure. Therefore, surgical success in ACL reconstruction requires detailed knowledge and technical advancements about ACL reconstruction. Preoperatively surgeon must pay attention to selection of grafts and methods of fixation, and intraoperatively, attention to the harvest of graft, passage of graft, intraarticuar placement of the graft, notchplasty, proper tensioning of the graft, and others. Postoperative complications must be detected early, including infection, abnormal healing responses, arthrofibrosis, graft rejection, and reflex sympathetic dystrophy. Careful patient selection, appropriate surgical timing, careful surgical technique, and supervised preoperative and postoperative rehabilitation can minimize postoperative complications.

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A Case of Aspergillosis on Vocal Cord Mimicking Malignancy (성문암으로 오인되기 쉬운 원발성 후두 아스페르길루스증 1예)

  • Lee, Hyun Min;Jung, Kwang Tae;Kim, Jung Suk;Han, Ju Hee
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.24 no.2
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    • pp.125-127
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    • 2013
  • Infection by aspergillus, which is a kind of mold, or a filamentous fungus, occurs rarely in larynx. Furthermore, primary laryngeal aspergillosis without any other airway tract extension and without any generalized immune deficit is extremely rare. We present a case of primary aspergillosis on vocal cord in a 72-year-old male who had no history of immune deficiency, voice abuse or steroid use.

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Further Evidence that Ramularia-type Conidia in vivo Plays a Role as a Secondary Inoculum of Mycosphaerella nawae (감나무 둥근무늬낙엽병균 Mycosphaerella nawae 분생포지의 2창 전염원으로서 역할)

  • 권진혁;강수웅;박창석;김희규
    • Korean Journal Plant Pathology
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    • v.14 no.5
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    • pp.393-396
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    • 1998
  • The characteristic Ramularia type conidia of Mycosphaerella nawae were formed on naturally infected leaves. Artificial inoculation with the conidia induced typical symptom on leaves, which was not distinguishable from those of ascospore infection, which has been considered as a primary inoculum source in nature. Also the morphology of the conidia produced on PDA was not different from those formed on artificially inoculated leaves or on naturally infected leaves at later stage of symptom development. Accordingly, we report the role of the conidia as a secondary inoculum of the circular leaf spot pathogen of persimmon for the first time.

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Surgical Treatment of Boerhaave's Syndrome (Boerhaave증후군 환자의 외과적 치료)

  • Kim, Dong Won
    • Korean Journal of Bronchoesophagology
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    • v.18 no.1
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    • pp.9-12
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    • 2012
  • Boerhaave's syndrome is a very fatal condition occuring esophageal rupture during emesis and has the worst prognosis of the esophageal perforation. From May 2007 to March 2012 11 patients underwent surgical treatment for Boerhaave's syndrome at Inje University Sanggye Paik Hospital. There were 11 males whose mean age was 49.9 years ranging from 42 to 59. 2 cases of primary closure was performed and 9 cases of anastomosis using EEA (Esophago-Enteric Anastomisis) stapler. Mean operation time was 154.4 minutes and one patient who undergone primary repair died because of mediastinitis and sepsis on $35^{th}$ post-operative day. There was no leakage at other patients. Post-operative complication was one operative wound infection and one post-operative bleeding which was treated completely. Surgical treatment for Boerhaave's syndrome using EEA stapler is simple and effective technique but further studies with large number of cases should be carried out for better outcome.

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Acute pyomyositis of the adductor magnus muscle involving the posterior and lateral thigh compartments: a case report of diagnosis and management

  • Bawale, Rajesh;Watson, Jay;Yusuf, Karshe;Pillai, Dilip;Singh, Bijayendra
    • Journal of Trauma and Injury
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    • v.35 no.2
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    • pp.139-143
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    • 2022
  • Bacterial infection of skeletal muscle can lead to the formation of abscesses. Primary pyomyositis is typically seen in tropical countries, and Staphylococcus aureus is the commonest causative organism. We present a case of acute adductor magnus muscle abscess (pyomyositis) with spread to adjacent thigh compartments via the perforators without iliopsoas muscle involvement. Due to the involvement of the entire thigh compartment, systemic antibiotic treatment alone was insufficient, whereas surgical drainage improved the clinical picture. The aetiological organism was S. aureus. Herein, we report the case of a patient who had primary pyomyositis, rather than a secondary type, that spread to the posterior and lateral aspect of the thigh through the second and third perforators, which pierce the adductor magnus muscle belly before entering the femur.

Genetic diagnosis of systemic autoinflammatory diseases and underlying primary immunodeficiency

  • Seung Hwan Oh
    • Journal of Genetic Medicine
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    • v.19 no.2
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    • pp.57-62
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    • 2022
  • Systemic autoinflammatory diseases (SAIDs) are characterized by unprovoked inflammatory episodes such as recurrent/periodic fever, serositis, skin lesions, abdominal symptoms, arthritis/arthralgia, and central nervous system involvement. Genetic diagnosis of SAIDs has been challenging because disease manifestations overlap among themselves and with other immunological disease categories, such as infection and autoimmune diseases. However, the advent of next-generation sequencing (NGS) technologies and expanding knowledge about the innate immunity and inflammation have made the routine genetic diagnosis of SAIDs possible. Here, we review the recurrent/periodic fevers, other recently identified autoinflammatory diseases, and type I interferonopathies, and discuss the clinical usefulness of NGS targeted sequencing for SAIDs, and recent advance of understandings for this heterogeneous disease group as for underlying primary immunodeficiency.

A Case of Tuberculosis of the Pharynx and Larynx (인후두결핵 1례)

  • 진도순;양철민;채요한;이강온
    • Korean Journal of Bronchoesophagology
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    • v.2 no.1
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    • pp.140-144
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    • 1996
  • Despite the incidence of tuberculosis has been greatly reduced with chemotherpy, it is still a common disease in Korea. The pharyngeal and laryngeal tuberculosis usually result from direct contamination of the laryngeal or pharyngeal mucosa by sputum heavily laden with Mycobacterium tuberculosis, secondary infection from the lungs via lymphatic or hematogenous routes, or a primary affection from inhaled tubercle bacilli. Recently the authors experienced a pharyngolaryngeal tuberculosis and report this case with brief literatures review.

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