• Journal of Applied Biological Chemistry
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• 제55권4호
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• pp.241-246
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• 2012

본 연구에서는 토양에 대한 동물용 의약품의 흡 탈착 특성과 토주 실험을 이용한 동물용 의약품의 이동 특성을 조사하였다. 토양 중에서 동물용 의약품 흡 탈착은 Freundlich 흡 탈착등온식에 부합하였다. 흡착상수($K_F$) 값은 oxytetracycline > amoxicillin > sulfathiazole 순으로 나타났다. 100일 동안의 토주실험을 진행한 결과, tetracycline 계열의 oxytetracycline은 토양 내 흡착력이 강해 지하로의 이동이 거의 이루어지지 않는 반면, sulfonamide 계열의 sulfamethoxazole은 토양 흡착은 거의 이루어지지 않고 대부분 중력수를 통한 지하로의 이동량이 매우 높게 나타났다. 이는 oxytetracycline은 토양 중 존재하는 2가 양이온 $Ca^{2+}$ 등과 강하게 흡착되어 토양내 잔류량이 높게 나타날 것이며, amoxicillin과 sulfathiazole은 환경중 유거수나 지하수로 용탈가능성이 높음을 보여주는 지표이다.

• 대한환경공학회지
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• 제31권10호
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• pp.845-854
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• 2009

최근 전 세계적으로 환경 중에 잔류하는 항생물질로 인한 항생물질 내성박테리아의 발현에 대한 우려가 커지고 있다. 그러나 국내의 경우 이에 대한 기초자료 확립을 위한 액상(수질)과 고상(토양, 저질토)에 잔류하는 항생물질의 동태와 이동에 대한 연구는 극히 드문 실정이다. 이에 본 연구에서는 국내 우분 퇴비화 시설에 인접한 농경지 토양과 지표수 및 저질토에 대한 항생물질 모니터링을 실시하여 tetracycline 계열의 항생물질 3종(tetracycline, chlortetracycline, oxytetracycline)과 sulfonamide 계열의 항생물질 3종(sulfamethazine, sulfamethoxazole, sulfathiazole)에 대한 분포특성을 살펴보았다. 항생물질은 고형상추출(SPE, solid phase extraction)을 실시한 후 고성능액체크로마토그래피 질량분석기(HPLC/MS)로 분석하였다. 이를 통해 검출된 환경 중 항생물질의 농도는 지표수에서 BDL ~0.71 ${\mu}g$/L, 저질토에서 BDL ~27.61 ${\mu}g$/L, 농경지 토양에서 0.12~157.33 ${\mu}g$/L 수준으로 나타났으며 퇴비화 시설과 인접한 지점의 시료에서 상대적으로 높은 수준의 항생물질이 검출되었다. 이를 통해 퇴비화 시설이 환경 중에 존재하는 항생물질에 영향을 주고 있음을 알 수 있었다. 한편 수질시료에 비해 저질토와 토양에서 항생물질이 높은 농도로 검출되었으며 이는 항생물질의 물리화학적 특성에 기인하는 것으로 판단되었다. 장기적으로는 저질토와 토양에서 항생물질 내성박테리아 발현이 우려되므로 향후 항생물질의 환경 중 이동 및 잔류특성 평가를 위한 장기 모니터링 연구가 필요할 것으로 판단된다.

• 한국환경농학회지
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• 제29권3호
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• pp.273-281
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• 2010

본 연구는 강원도 원주 지역의 계분 퇴비화 시설 인근의 농경지 토양, 지표수 및 저질토에 대한 TCs계열 3종(TC, CTC 및 OTC), SAs 계열 3종(SMX, STZ 및 SMT), IPs 계열 3종(LSL, MNS 및 SLM) 및 MLs 계열 1종(TYL) 등 총 4개 계열 10종의 항생물질을 선정하여 영농시기 별 잔류특성을 조사하였다. 토양 시료의 경우 TCs가 다른 계열 항생물질과 비교하여 가장 높은 농도로 검출되었으며 이는 TCs 내 케톤기와 토양 내 2가 양이온이 복합체를 형성, 표토에 강하게 흡착되어 심토까지 이동하지 않고 축적된 것으로 추측된다. 반면 TCs와 비교해 토양 내 SAs 잔류량이 낮은 이유는 적은 사용량과 낮은 흡착계수에서 기인된 것으로 판단되었다. 수질시료의 TCs는 집중강우로 인한 토양유실 및 이후 유량 감소로 인해 6월보다 9월에 높은 농도를 보였다. 저질토 내 TCs 농도 증가 이유가 양이온간의 복합체 형성, 이온교환 및 부식산의 수소결합으로 인해 지표수로 유입된 TCs가 저질토로 흡착, 축적되었기 때문으로 판단된다. 본 연구를 통해 계분퇴비 시용시 주변환경으로 높은 농도의 항생물질이 유입될 가능성이 있으며, 이로 인해 토양 내 내성 박테리아 생성 및 생태계 교란뿐만 아니라 직 간접적으로 인간에게 피해가 우려되는 바 지속적인 모니터링을 통한 관리방안 마련이 필요할 것으로 판단된다.

• 한국임상약학회지
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• 제20권2호
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• pp.145-150
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• 2010

In order to investigate the antibiotic prescription pattern for upper respiratory infections (URI), the prescription sheets for outpatients from July 2008 to June 2009 were collected from 7 community pharmacies in Ulsan City, and the prescription pattern of Pediatric and ENT physicians was analyzed. The antibiotic prescription rates of Pediatric and ENT physicians were 63.8% and 61.7%, respectively. It was also observed that the oral antibiotic prescription was 95.6% in Pediatrics and 97.6% in ENT. The most favorable antibiotics by Pediatric physicians were penicillins (21.5%) penicillin-clavulanate (36.4%) and cephalosporins (16.5%), macrolides (11.6%), quinolones (3.5%), and nifuroxazide (3.5%). In case of ENT, the commonly prescribed antibiotics were also penicillin-clavulanate (47.6%), cephalosporins (31.6%), macrolides (11.9%) and sulfonamide (1.3%). The antibiotic combination rate was 7.6% in Peditrics and 1.9% in ENT, among antibiotic prescriptions. The combination of more than two oral antibiotics was examined as 66.8% in Pediatrics and 44.2% in ENT. The common oral antibiotic combination in Pediatrics was prescriptions of two ${\beta}$-lactam antibiotics (54.3%). Among them 83% was the combination of amoxicillin-clavulanate (7:1) and amoxicillin, which could be judged as antibiotic overuse. The next highly prescribed oral antibiotic combination was ${\beta}$-lactam/macrolide antibiotic combination probably for URI (11.3%) and ${\beta}$-lactam/nifuroxazide combination (10.0%) presumably for acute diarrhea. Comparatively the oral antibiotic combination prescribed by ENT physicians was negligible except one physician. In conclusion, the antibiotic over-prescription rate by antibiotic combination was much higher in Pediatrics than ENT, even though both clinical departments showed nealy the similar antibiotic prescription rates.

• 한국동물위생학회지
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• 제29권3호
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• pp.331-338
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• 2006

This survey was carried out to detect the residual antibiotics in beef (n = 1,071), pork (n=7,837) and chicken (n=1,536) from slaughter houses in Gyeongbuk province by EEC-4 plate method, Charm II and HPLC during 2005. Residues of antibiotic were detected from 9 beef (0.8%) and 119pork (1.52%) by EEC-4 plate method, and total positive rates were 1.23% (128). 126 samples of the 128 positive samples by the EEC-4 plate method were detected by charm II test. 128 samples were classified as tetracyclines 110 (95.5%), ${\beta}$-lactam 2 (1.6%), sulfonamide 22 (17.2%), quinolone 1 (0.8%). The highest residual concentration of oxytetracycline, tetracycline, chlor-tetracycline, penicillin, sulfamethazine, sulfadimethoxine, sulfaquinoxaline, sulfamerazine, sulfamonomethoxine and enrofloxacin were 7.57, 0.27, 0.40, 0.24, 14.24, 4.33, 8.59, 0.12, 0.09 and 1.98 ppm, respectively and 49 samples were exceeded legal admitted levels.

• Clinical and Experimental Pediatrics
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• 제57권3호
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• pp.153-156
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• 2014

Toxic epidermal necrolysis is an unpredictable and severe adverse drug reaction. In toxic epidermal necrolysis, epidermal damage appears to result from keratinocyte apoptosis. This condition is triggered by many factors, principally drugs such as antiepileptic medications, antibiotics (particularly sulfonamide), nonsteroidal anti-inflammatory drugs, allopurinol, and nevirapine. Lamotrigine has been reported potentially cause serious cutaneous reactions, and concomitant use of valproic acid with lamotrigine significantly increases this risk. We describe a case of an 11-year-old girl with tic and major depressive disorders who developed toxic epidermal necrolysis after treatment with lamotrigine, and who was diagnosed both clinically and pathologically. Children are more susceptible to lamotrigine-induced rash than adults, and risk of serious rash can be lessened by strict adherence to dosing guidelines. Unfortunately, in our case, the patient was administered a higher dose than the required regimen. Therefore, clinicians should strictly adhere to the dose regimen when using lamotrigine, especially in children.

• Journal of Applied Biological Chemistry
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• 제57권3호
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• pp.189-196
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• 2014

2010년 발생한 가축전염병인 구제역(FMD)으로 인해 전국에 약 4,700여개소에 가축 매몰지가 조성되었다. 매몰된 가축의 부패 과정에서 발생하는 침출수는 항생제와 같은 다양한 오염물질들을 함유하고 있어 주변 토양 및 수계로 유입되는 경우 환경에 악영향을 초래할 수 있다. 이와 같이 환경에 잔류하는 항생제는 내성박테리아 생성 등을 통해 인간건강 및 생태계 건전성을 위협할 수 있다. 이에 본 연구에서는 가축 매몰에 의한 항생제 오염수준을 평가하기 위해 가축 매몰지 및 인근 농경지 토양에서 항생제 모니터링을 실시하였다. 모니터링 대상 항생제로는 축산용 항생제로 사용량이 가장 많은 tetracycline 계열의 tetracycline (TC), chlortetracycline (CTC), oxytetracycline (OTC)와 sulfonamide 계열의 sulfamethazine (SMZ), sulfamethoxazole (SMX)을 선정하였다. 항생제의 잔류농도는 매몰지 (TC: $144.26-350.73{\mu}g/kg$, SMZ: $17.72-44.94{\mu}g/kg$)가 인근 농경지 (TC: $134.16-320.73{\mu}g/kg$, SMZ: $6.48-8.85{\mu}g/kg$)에 비해 높은 것으로 나타났으며 CTC, OTC, SMX는 검출되지 않았다. 연구결과를 통해 단정할 수는 없으나 매몰된 가축사체에 함유된 항생제가 매몰지 및 인근 토양에 축적될 수 있는 개연성이 있는 것으로 판단되었다. 특히, 농경지에 잔류하는 항생제는 농작물에 의해 흡수되어 인간 건강에 악영향을 미치므로 이에 대한 지속적인 모니터링이 요구된다.

• 대한임상검사과학회지
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• 제38권3호
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• pp.166-172
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• 2006

Metallo-${\beta}$-lactamase (MBL) can hydrolyze all ${\beta}$-lactams except monobactams and frequently coexists with various antibiotic resistance genes such as aminoglycoside resistance, sulfonamide resistance gene, etc. Therefore, the effective antibiotics against infections by these bacteria are markedly limited or can't even be found. We tried to search in-vitro antimicrobial combinations with synergistic effects for a VIM-2 type MBL producing Pseudomonas aeruginosa, isolated from clinical specimen. On the selection of antibiotic combinations with synergistic effects, we performed a one disk synergy test, modified Pestel's method, in agar without aztreonam (AZT). The bacteriostatic synergistic effects of this tests were scored as $S_1$ (by susceptibility pattern in agar without antibiotics), $S_2$ (by the change of susceptibility in agar with or without antibiotics) and $S_3$ ($S_1$ + $S_2$) and was classified into weak (1 point), moderate (2 points) and strong (3 points) by $S_3$ score. Subsequently, we carried out the time-killing curve for the antibiotic combinations with the strong synergistic bacteriostatic effect. One VIM-2 type MBL producing P. aeruginosa confirmed by the PCR showed all resistance against all ${\beta}$-lactams except AZT, aminoglycoside and ciprofloxacin. In the one disk synergy test, this isolate showed a strong bacteriostatic synergistic effect for the antibiotic combination of AZT and piperacillin-tazobactam (PIP-TZP) or AZT and amikacin (AN). On the time-killing curve after six hours of incubation, the colony forming units (CFUs/mL) of this bacteria in the medium broth with both combination antibiotics were decreased to 1/18.7, 1/17.1 of the least CFUs of each single antibiotics. The triple antibiotic combination therapy including AZT, PIP-TZP and AN was shown to be significantly synergistic after 8 hrs of exposure. In a VIM-2 MBL producing P. aeruginosa with susceptibility for AZT, the triple antibiotic combination therapy including AZT, PIP-TZP and AN may be considered as an alternative antibiotics modality against the infection by some MBL type. But the antimicrobial combination therapy for many more MBL producing isolates is essential to know as soon as possible for the selection of effective treatment against the infection by this bacteria.

• 한국환경농학회지
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• 제41권4호
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• pp.335-343
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• 2022

BACKGROUND: Antibiotics used in animal husbandry for disease prevention and treatment have resulted in the rapid progression of antibiotic resistant bacteria which can be introduced into the environment through livestock feces/manure, disseminating antibiotic resistant genes (ARGs). In this study, fecal samples were collected from the livestock farms located in Jeju Island to investigate the relationship between microbial communities and ARGs. METHODS AND RESULTS: Illumina MiSeq sequencing was applied to characterize microbial communities within each fecal sample. Using quantitative PCR (qPCR), ten ARGs encoding tetracycline resistance (tetB, tetM), sulfonamide resistance (sul1, sul2), fluoroquinolone resistance (qnrD, qnrS), fluoroquinolone and aminoglycoside resistance (aac(6')-Ib), beta-lactam resistance (bla_TEM, bla_CTX-M), macrolide resistance (ermC), a class 1 integronsintegrase gene (intI1), and a class 2 integrons-integrase gene (intI2) were quantified. The results showed that Firmicutes and Bacteroidetes were dominant in human, cow, horse, and pig groups, while Firmicutes and Actinobacteria were dominant in chicken group. Among ARGs, tetM was detected with the highest number of copies, followed by sul1 and sul2. Most of the genera belonging to Firmicutes showed positive correlations with ARGs and integron genes. There were 97, 34, 31, 25, and 22 genera in chicken, cow, pig, human, and horse respectively which showed positive correlations with ARGs and integron genes. In network analysis, we identified diversity of microbial communities which correlated with ARGs and integron genes. CONCLUSION(S): In this study, antibiotic resistance patterns in human and livestock fecal samples were identified. The abundance of ARGs and integron genes detected in the samples were associated with the amount of antibiotics commonly used for human and livestocks. We found diverse microbial communities associated with antibiotics resistance genes in different hosts, suggesting that antibiotics resistance can disseminate across environments through various routes. Identifying the routes of ARG dissemination in the environment would be the first step to overcome the challenge of antibiotic resistance in the future.

• 한국미생물·생명공학회지
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• 제46권3호
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• pp.201-209
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• 2018

Streptococcus thermophilus, Lactobacillus delbrueckii, Lactobacillus fermentum and Lactobacillus casei were successfully isolated from indigenous Indonesian fresh milk based on the general morphological and biochemical classification as described in Bergey's manual. Verification was conducted by sequencing of 16S rRNA after selection using the classification method mentioned in the manual. All isolates exhibited antimicrobial activity against Escherichia coli and Staphylococcus aureus in the well diffusion test. The susceptibilities of the isolated S. thermophilus 24/S1 and L. delbrueckii 94/L4 against 22 different antibiotics were determined by the disc diffusion method and variable susceptibility patterns were observed. Both isolates were susceptible to amoxicillin, the most commonly prescribed antibiotic, and resistant to sulfonamide. The presence of a plasmid was not detected after extraction. S. thermophilus 24/S1 and L. delbrueckii 94/L4 starter cultures were prepared for yogurt production after 9.5 h of incubation and the yogurt was evaluated for its flavor and quality by 30 volunteers. A score of $4.93{\pm}0.45$ out of 7 was obtained as compared to the yogurt prepared using commercial starter cultures which yielded a score of $4.76{\pm}0.30$ out of 7.