미생물학회지 (Korean Journal of Microbiology)

  • 제49권2호
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  • Pages.118-125
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  • 2013
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  • 0440-2413(pISSN)
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  • 2383-9902(eISSN)
한국미생물학회 (The Microbiological Society of Korea)
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2000년-2009년 광주 광역시 지역의 급성설사환자의 분변에서 분리한 살모넬라 균주에서의 항생제 내성률 조사

Antibiotic Resistance Among Salmonella spp. Isolated from Feces of Patients with Acute Diarrhea in Gwangju Area, Korea, during 2000-2009

  • 김태순 (광주광역시 보건환경연구원) ;
  • 김민지 (광주광역시 보건환경연구원) ;
  • 김선희 (광주광역시 보건환경연구원) ;
  • 서진종 (광주광역시 보건환경연구원) ;
  • 기혜영 (광주광역시 보건환경연구원) ;
  • 정재근 (광주광역시 보건환경연구원) ;
  • 김은선 (광주광역시 보건환경연구원) ;
  • 문용운 (광주광역시 보건환경연구원) ;
  • 하동룡 (광주광역시 보건환경연구원) ;
  • 김민경 (남서울대학교) ;
  • 임숙경 (농림축산검역본부) ;
  • 남향미 (농림축산검역본부)
  • 투고 : 2013.05.09
  • 심사 : 2013.05.30
  • 발행 : 2013.06.30
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초록

지난 2000년부터 2009년까지 10년간 광주광역시 지역의 급성설사환자로부터 분리한 총 596개의 살모넬라균주에 대하여 총 16종의 항생제에 대한 감수성 검사를 실시한 결과, 내성빈도가 가장 높았던 약제는 ampicillin (43%), tetracycline (35.9%), nalidixic acid (31.5%), 그리고 chloramphenicol (26.2%) 순으로 나타났다. 혈청형 간에 항생제 내성률에 차이가 있었는데 S. Enteritidis와 S. Typhimurium이 각각 가장 높은 내성률을 보인 약제는 ampicillin (51.1%)과 tetracycline (77.9%)이었다. 총 89가지 내성패턴이 관찰되었으며, 26% (155/596)의 살모넬라 분리주는 검사한 16가지 약제에 모두 감수성을 보였다. 약 21% (127/596) 및 15% (87/596)의 분리주는 각각 한 개 및 두 개의 약제에 내성을 나타냈다. 그 외의 살모넬라 분리주(227/596, 38%)는 세가지 이상의 약제에 내성을 나타냈다(다제내성균). 다제내성균이 가장 높은 비율로 나타난 혈청형은 S. Paratyphi B (76.5%), S. Typhimurium (58.2%), 그리고 S. Enteritidis (40.2%)의 순이었다. 가장 흔한 다제내성패턴은 ampicillin-chloramphenicol-nalidixic acid-ticarcillin (36/227, 15.8%)이었으며 이러한 패턴을 보였던 다제내성균의 대부분(35/36, 97.2%)이 S. Enteritidis이었다.

Antibiotic susceptibility was examined for 596 Salmonella isolates from patients with acute gastroenteritis during 2000-2009 in Gwangju area in South Korea. Of 16 antibiotics tested, ampicillin resistance (43%) was the most commonly observed resistance among the 596 Salmonella sp. isolates, followed by tetracycline (35.9%), nalidixic acid (31.5%), and chloramphenicol (26.2%). Antibiotic resistance varied among serotypes: The highest resistance of S. Enteritidis and S. Typhimurium was to ampicillin (51.1%) and tetracycline (77.9%), respectively. A total of 89 resistance patterns were observed, and 26% (155/596) of Salmonella isolates were susceptible to all antibiotics tested in this study. About 21% (127/596) and 15% (87/596) of the isolates were resistant to one and two antibiotics, respectively. The rest of Salmonella isolates (227/596, 38%) were resistant to three or more antibiotic agents. The highest multi-drug resistance (MDR) was observed in serotype S. Paratyphi B (76.5%), followed by S. Typhimurium (58.2%), and S. Enteritidis (40.2%). The most common resistance pattern of MDR isolates was ampicillin-chloramphenicol-nalidixic acid-ticarcillin (36/227, 15.8%), most of which (35/36, 97.2%) were S. Enteritidis.

키워드

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