• 기본간호학회지
• /
• 제15권4호
• /
• pp.531-538
• /
• 2008

Purpose: The purpose of this study was to identify factors influencing Vancomycin-resistant enterococcus infection control among nurses in intensive care units. Method: Data were collected from August 15 to October 14, 2007 from 188 nurses working in intensive care units. The nurses answered a 26 item-questionnaire, which included management of the cohort (14 items), hand washing (6 items) and management of the environment (6 items). Descriptive statistics, t or F test, ANOVA, and multiple regression analysis were used with SPSS PC+ 14.0 to analyze the data. Results: The participant's level of awareness of Vancomycin-resistant enterococcus infection control was 3.87; that of compliance was 3.74. Significant factors influencing the level of compliance with Vancomycin-resistant enterococcus infection control were'the level of the awareness' and 'the type of intensive care unit'. These two variables accounted for 21.0% of variance for compliance with the Vancomycin-resistant enterococcus infection control among the participants. Conclusion: In order to develop a strategy to increase the compliance with Vancomycin-resistant enterococcus infection control, it is necessary to be concerned about 'the level of the awareness', 'the type of intensive care unit;', and 'experiences of caring for patients with Vancomycin-resistant enterococcus'.

• 한국축산식품학회지
• /
• 제33권1호
• /
• pp.133-138
• /
• 2013

본 연구에서는 서울시내 256곳의 판매점에서 구입한 축산물 및 수산물에서 Enterococcus faecalis 와 Enterococcus facium을 분리하였으며 분리된 균주의 항생제 내성양상과 vancomycin 내성 유전자 보유여부를 검증하였다. 총 256개 시료 중 117개에서 E. faecalis(40.6%)와 E. faecium(5.1%)가 검출되어 45.7%의 분리율을 나타내었다. 축산물은 192개 중 105개 균주가 분리되어 54.7%의 분리율을 나타내었는데 닭고기에서 가장 높은 68.8%의 분리율을, 돼지고기에서 50.0%의 분리율을, 쇠고기에서 45.3%의 분리율을 나타내었다. 횟감어류에서는 18.8%의 분리율을 나타내었다. 분리된 균주에 대한 항생제 내성 양상은 10종의 항생제 디스크를 이용하여 검증하였다. Tetracycline의 내성률이 52.1%로 가장 높았으며, erythromycin의 내성률이 27.4%로 두 번째로 높게 나타났다. Ampicillin과 penicillin는 1개의 균주를 제외하고는 모두 감수성을 보였으며, amoxicillin & clavulanic acid에는 모든 균주가 감수성을 보였다. Vancomycin에는 모든 균주가 감수성을 보여 VRE는 검출되지 않았다. 분리된 균주의 vancomycin 내성유전자의 검출은 multiplex PCR을 이용하여 vanA gene과 vanB gene 보유여부를 확인하였다. vanA gene이 검출된 균주는 없었으나, vancomycin에 감수성을 나타내던 9개의 균주에서 vanB gene이 검출되어 VRE균 출현의 잠재적인 가능성을 보여주었다.

• Food Science and Biotechnology
• /
• 제16권3호
• /
• pp.470-476
• /
• 2007

To evaluate the vancomycin resistance of Enterococcus spp. (VRE) from Saengsik and Sunsik, Enterococcus were isolated and identified from 25 Saengsik and 35 Sunsik samples, and resistance of Enterococcus to other antibiotics was also assessed. Thirty nine Enterococcus, 16 strains from Saengsik, and 23 strains from Sunsik, were ultimately isolated. The most frequently collected Enterococcus isolates in Saengsik were E. casseliflavus and E. hirae, and were E. casseliflavus and E. faecium in Sunsik. However, E. faecalis was not detected in those foods. Minimum inhibitory concentrations of vancomycin against the isolates were below $4\;{\mu}g/mL$ and no strains evidenced profound levels of resistance. The isolates were found to be susceptible to vancomycin with the exception of eight E. casseliflavus and three E. gallinarum. All Enterococcus isolates proved resistant to streptomycin and chloramphenicol. 23% of the isolates were resistant to penicillin; however, all of the isolates were sensitive to tetracycline. Six and 48%, respectively, of the strains from the Saengsik and Sunsik proved resistant to erythromycin. All of E. mundtii and E. hirae isolates from Saengsik, and 20% of E. gallinarum and E. casseliflavus isolates from Sunsik were found to be ampicillin-resistant. All of E. gallinarum, E. casseliflavus, and E. faecium were rifampin-resistant. The antibiotic resistances of Enterococcus were relatively low, and this low vancomycin resistance was similar to that evidenced by Enterococcus isolates obtained from the other foods. However, there may be a need for some review of the accepted antibiotics criteria for Enterococcus and VRE in ready-to-eat foods.

• 한국식품영양과학회지
• /
• 제41권5호
• /
• pp.714-720
• /
• 2012

콩 발효식품인 청국장과 된장에서 분리한 $Enterococcus$의 항생제 내성을 평가하고자 31개의 청국장과 17개의 된장으로부터 $Enterococcus$를 분리, 동정한 후 항생제 내성특성을 분석하였다. 모든 청국장 시료에서 119균주, 된장시료에서 4균주, 총 123개의 $Enterococcus$를 분리하였고 가장 많이 분리된 종은 청국장에서는 $E.$ $faecium$ 69균주, $E.$ $faecalis$ 20균주 등이며 된장시료에서 분리한 4균주는 모두 $E.$ $faecium$으로 동정되었다. 총 123개의 $Enterococcus$는 ampicillin, chloramphenicol, penicillin, tetracycline에 내성이 낮게 나타났다. 그리고 erythromycin, ripampin, streptomycin 등에게는 내성이 높은 것으로부터 민감성이 있는 것까지 다양하게 분포하였다. 청국장에서 분리된 $Enterococcus$의 vancomycin MiC 범위는 0.25~8 ${\mu}g/mL$로 나타났으며, MiC 8 ${\mu}g/mL$ 정도의 낮은 내성균 17균주가 $E.$ $faecalis$, $E.$ $faecium$, $E.$ $gallinarum$, $E.$ $casselifalvus$ 등에 고르게 분포되어 있음을 알 수가 있었다. 모든 분리균주에서 고농도 vancomycin 내성유전자인 $van$A, $van$B는 검출되지 않았다. 본 연구의 결과 $Enterococcus$는 자연환경에 널리 분포하고 있는 만큼 가공식품에는 항생제 내성균주와 vancomycin-resistant $Enterococcus$가 존재할 수 있으나 이들 청국장, 된장 등의 콩 발효식품 $Enterococcus$에는 주요 항생제에 내성정도가 높지 않아 항생제 안전성이 있는 것으로 보인다.

• 한국미생물·생명공학회지
• /
• 제36권2호
• /
• pp.142-148
• /
• 2008

샐러드와 새싹채소에서 분리한 Enterococcus의 항생제 내성을 알아보기 위해서 샐러드 47개와 새싹채소 37개에서 Enterococcus를 분리하여 항생제 내성을 분석하였다. 총 95균주, 샐러드에서 41균주 새싹채소에서 54균주의 Enterococcus를 분리하였으며 대부분이 E. gallinarium, E. faecalis, E. faecium, E. hirae, E. casselifla편, E. avium으로 동정되었다. Vancomycin의 최소 생육 저해 농도는 $4{\mu}g/mL$ 이하로 샐러드와 새싹채소에서 분리된 Enterococcus에서는 vancomycin내성이 높지 않은 것으로 나타났다. 그리고 모든 Enterococcus에서 streptomycin과 chloramphenicol에 내성을 보였으며, 22% Enterococcus는 penicillin에서 저농도 내성을 보였다. 그러나 거의 모든 Enterococcus에서 tetracycline에 민감성을 나타내었다. 검출된 모든 E. faecium과 E. faecalis에서도 ampicillin 저농고 내성을 보였으며, 7균주의 E. faecium과 5균주의 E. faecalis에서 rifampin 저농도 내성을 보였다. 전반적으로 분리된 Enterococcus는 vancomvcin과 다른 항생제에 대해 감수성과 낮은 내성을 각각 보였으며 다른 식품 분리균주에서도 유사한 결과를 보이고 있다. 그러므로 샐러드와 새싹채소에서의 분리된 Enteroccocus는 vancomycin과 다른 항생제에도 내성이 낮아 특별히 항생제 위해정도는 크지 않은 것으로 보인다.

• 대한한방내과학회지
• /
• 제41권3호
• /
• pp.502-507
• /
• 2020

This study aimed to investigate the effect of Hwanglyeonhaedok-tang on the clearance of vancomycin-resistant Enterococcus (VRE) colonization in a patient with traumatic subarachnoid hemorrhage and subdural hematoma. A 73-year-old man who was diagnosed with traumatic subarachnoid hemorrhage and subdural hematoma with isolation of VRE colonization was administered Hwanglyeonhaedok-tang and followed up with a rectal swab VRE culture every week. After treatment with Hwanglyeonhaedok-tang, VRE colonization was no longer detected. This case report proved that Hwanglyeonhaedok-tang could be an effective treatment for clearance of VRE colonization in a patient with traumatic subarachnoid hemorrhage and subdural hematoma.

• 대한임상검사과학회지
• /
• 제43권3호
• /
• pp.124-132
• /
• 2011

The aim of this study was to evaluate the effects of the photosensitizer photogem with light-emitting diode (LED) on vancomycin-resistant enterococci (VRE). Two VRE strains isolated from the feces of patients. that was identificated Enterococcus faecium (vanA) and Enterococcus gallinarum (vanC1) using traditional biochemical tests and confirmed VRE genotyping from using polymerase chain reaction. In addition, three strains were used Enterococcus. faecalis CDC-286 (vanA), E. faecalis CDC-583 (vanB) and E. gallinarum CDC-42 (vanC1). To examine the antimicrobial effect of photogem mediated photodynamic therapy (PDT) against, CFU quantification and Disk diffusion antimicrobial susceptibility test were evaluated. The effects of Photodynamic therapy was not associated with genotype. Photogem mediated PDT perfectly inhibited the colony formation of E. faecalis CDC-286. The number of viable bacteria decreased greatly after PDT application with photogem $50{\mu}g/mL$ and energy density of $15J/cm^2$. The diameter of inhibition zone was increased to after PDT more than before PDT. The case of vancomycin disc on E. faecalis CDC-583 and E. galinanum-Patient were changed from resistant to intermediate resistant, from intermediate resistant to susceptable. These results demonstrate that lethal photosensitization of VRE can be achieved using photogem plus 630 nm LED irradiation.

• Pediatric Infection and Vaccine
• /
• 제29권2호
• /
• pp.105-109
• /
• 2022

다제내성 반코마이신 저항성 장내구균(multidrug-resistant vancomycin-resistant enterococci, VRE)에 의한 침습감염의 치료는 특히 기저질환을 가진 소아 환자들에게 어려운 점이 있다. 소아환자들에게서 VRE 감염을 치료하기 위한 새로운 항생제에 대한 연구가 충분히 이루어지지 않았다. 본 증례는 심폐이식을 받은 생후 6개월 된 영아에서 linezolid 중단 이후 재발된 VRE 균혈증에 대해 daptomycin과 tigecycline 조합으로 성공적으로 치료하여 이를 보고하는 바이다.

• Archives of Pharmacal Research
• /
• 제26권8호
• /
• pp.638-643
• /
• 2003

Raw milk samples, and cow and chicken intestines were tested to isolate vancomycin-resistant, gram-positive bacteria. From these samples, we isolated seven vancomycin-resistant Streptococcus equinus, two vancomycin-resistant viridans Streptococcus and two vancomycin-resistant Enterococcus faecium. The MICs of several antibiotics, including vancomycin, against these strains were tested. Seven isolates of S. equinus showed high level resistance to vancomycin and teicoplanin (＞100 $\mu$ g/mL). The cell wall thickness of these strains was compared with that of the sensitive strain by TEM and no differences were obserbed between these strains. We compared the strains of vancomycin-resistant Streptococcus equinus using PCR with Microbial Uniprimer Kit. We concluded that it is necessary to combine other methods in order to cluster and identify all isolates of S. equinus.

• Intestinal research
• /
• 제13권1호
• /
• pp.80-84
• /
• 2015

The rates and severity of Clostridium difficile infections, including pseudomembranous colitis, have increased markedly. However, there are few effective treatments for refractory or recurrent C. difficile infections and the outcomes are poor. Fecal microbiota transplantation is becoming increasingly accepted as an effective and safe intervention in patients with recurrent disease, likely due to the restoration of a disrupted microbiome. Cure rates of >90% are being consistently reported from multiple centers. We cured a case of severe refractory C. difficile infection with fecal microbiota transplantation in a patient colonized by vancomycin-resistant enterococcus.