• Title/Summary/Keyword: 교차감염

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Association between Serum HBeAg Status and Tuberculosis Infection (혈청 HBeAg 유무와 결핵 감염의 관련성)

  • Kim, Jang-Rak;Park, Jung-Han
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.1 s.25
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    • pp.65-70
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    • 1989
  • To examine the association between serum HBeAg status and tuberculosis infection, we reviewed medical records of 579 inpatients who had serum HBeAg test with RIA method at the Department of Nuclear Medicine of Kyungpook University Hospital from January 1, 1985 to December 31, 1987. HBeAg positive patients had lower tuberculosis infection rate(5.0%) than that of HBeAg negative patients(9.8%) and the odds ratio of HBeAg associated with tuberculosis was 0.48(95% C.I.:0.22-1.08). Similar relationship was found in the patients of hepatobiliary diseases; tuberculosis infection rate was 4.4% in HBeAg positive patients, 8.1% in HBeAg negative patients, and the odds ratio was 0.52(95% C.I.:0.17-1.35). Although the association did not reach the statistical significance level of 0.05, the negative association was consistent with other study done on Southeast Asian population of Philadelphia. A cohort study in general population is warranted to confirm above findings because of the limitations on hopital-based data.

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A study on the state of infection control in dental clinic (치과진료실에서의 감염관리 실태 조사)

  • Kim, Kyung-Mi;Jung, Jae-Yeon;Hwang, Yoon-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.3
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    • pp.213-230
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    • 2007
  • The purpose of this study was to examine the state of infection control provided to members of Korean Dental Hygienists Association. The subjects in this study were dental hygienists who attended a symposium on July 1. 2006. after a survey was conducted, the answer sheets from 489 participants were analyzed, and the findings of the study were as follows: 1. Possession of disinfection room was being(72.7%), and person of infection control was zero(52.9%). Number of sterilizer was one(62.2%). 2. As a repetition choice, type of sterilizer was autoclave(97.9%), UV sterilizer(67.4%) and EO gas sterilizer(21.4%). As a repetition choice, infection materials was ethanol(84.1%). 3. Water tube of unit and chair was using of sterilized water(42.9%). Sterilizing of compressed air was no(69.0%). 4. Re-using of disposal was not using(62.5%), re-using disposal was suction tip(28.2%)(repetition choice) 5. In sterilization of instruments, hand-piece was every using time(28.4%), and reamer-file, bur, mirror, pincette, explorer, hand scaler and ultrasonic scaler were high in every using time. 6. Individual protection was high of using, cleaning of hands before treatment was every treatment(87.0%). Type of soap was liquid type in dental clinic(48.2%), infection soap in dental hospital(41.2%) and solid soap in public health center(50.6%). Answered that they need regular oral health education, and 82.9% respondents answered that they need oral health technicians in school. And 87.8% respondents needed individual oral health education for the benefit of better oral health.

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Serodiagnosis of human paragonimiasis by ELISA-inhibition test using monoclonal antibodies (단클론항체를 이용한 폐흡충증의 면역진단)

  • Yong, Tae-Sun;Seo, Jang-Hun;Yeo, In-Seok
    • Parasites, Hosts and Diseases
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    • v.31 no.2
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    • pp.141-148
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    • 1993
  • ELISA-inhibition test using Paragonimus westermani specific monoclonal antibody (Mab) was investigated to improve the diagnostic specificity of paragonimiasis. By cell fusion, one hybridoma clone secreting un-n westemanl specific Mab was selected (Pwa-14), which reacted on bands of 28 kDa, 42.5 kDa, 89 kDa and 120.5 kDa. IFA showed Pwa-14 was located at the vitelline follicles. By micro-ELISA, 100% of 22 paragonimiasis cases were found positive, but 5 of 40 clonorchlasls cases (12.5%),3 of 26 cystlcercosis cases (7.7%) showed false positive. None of 10 sparganosis patients or 28 normal controls reacted positively. On the other hand, by ELISA-Inhibition test using a R westermcni specific Mab, 100% of patagonimlasls cases were found positive, and there were no positive in cysticercosis, sparganosis cases or normal controls, except 2 (5.0%) false-positive sera of 40 clonorchiasis cases. The ELISA-Inhlbltlon test using a Mab showed higher specificity in comparison with macro-ELISA for serodlgnosis of human paragonimlasis.

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The Study on Organization, Infection Controller, Patient Infection Control of Dental Clinic in Certain Areas (일부지역 치과의 기관, 감염관리자, 환자의 감염관리에 관한 연구)

  • Choi, Du-Ri;Kim, Seol-Hee
    • Journal of dental hygiene science
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    • v.15 no.4
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    • pp.399-406
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    • 2015
  • The purpose of this study was to investigate the performance of dental infection control. This survey was performed on 158 of the dental hygienist in certain areas. The research was performed using a self-reported questionnaire and interview method from June to July, 2014. The collected data was analyzed by PASW Statistics ver. 18.0. Guideline of infection management, infection controller, regular infection control training, Sterilization of the handpiece/per head resulted 57~74% for dental hospital. It was higher than 13~20% for dental clinics (p<0.05). Infection control guidelines and vaccination recognition of dental were more performed in dental hospital. Patient's hand hygiene performed, tooth brushing before treatment, cross infection educational experience was less than 20%, research cooperation of medical history was over 90% (p<0.05). Performing rate of the dental hospital workers were investigated higher in protective personal devices, infection control of treatment room. A correlation analysis about institutional support, infection control of dental hygienists, patients with infection control cooperation showed a positive correlation statistically significant. Infection control can be enhanced when the medical staff, the patient, the organization combined cognitive and practice. Dental hygienist is required to recognize and practice the infection control guidelines through continuing education.

Study on the Production and Management of Aquatic Animal : Rapid and Optimized Diagnosis of Edwardsiellosis by Coagglutination Test with Antibody Sensitized Staphylococcus aureus (수산 생물의 생산과 관리에 관한 기초연구 : 항체 감작 Staphylococcus aureus에 의한 Coagglutination Test기법을 이용한 Edwardsiellosis의 신속 진단)

  • HA Jae Yi;SOHN Sang Gyu;HUH Min-Do;JEONG Hyun Do
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.29 no.5
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    • pp.620-628
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    • 1996
  • To avoid the self-agglutination of Staphylococcus aureus sensitized with rabbit antibody in the absence of antigen, we determined the optimum concentration of rabbit antibody for sensitization. It was analyzed by using three different kinds of S. aureus strains at various concentraions of antibody. The optimized coagglutination test using the S. aureus sensitized with rabbit antibody was applied to the diagnosis of edwardsiellosis in field and in laboratory. The presence of E. tarda as low as $10\;{\mu}g/ml$ was detected by this method. Moreover, it showed good coagglutination results against several different forms of antigens such as FKC, EDTA or heat extracted antigen of E. tarda. E. tarda strains, isolated from the flounders suffering from edwardsiellosis in fields, showed some cross-reactions to the E. tarda 219 analyzed by both agglutination and coagglutination test with rabbit anti-E, tarda 219 antibody. The degree of cross-reactions analyzed was enough to apply the coagglutination test for the diagnosis of edwardsiellosis in field. Thus, even 1,000 fold diluted tissue homogenate of infected flounder naturally contained enough E. tarda as an antigen to show good coagglutination with S. aueus sensitized with rabbit anti-E, tarda 219 antibody. The successful application of this method to the homogenate and heat extract of tissues from naturally or artificially infected flounder or tilapia preyed that coagglutination test was a simple and rapid reliable dignostic technique suitable for using in laboratory and field without any special equipments.

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Serodiagnosis of cysticercosis by ELISA-inhibition test using monoclonal antibodies (단세포군항체를 이용한 효소면역억제측정 법에 의한 유구낭미충증의 혈청학적 진단)

  • 용태순;여인석
    • Parasites, Hosts and Diseases
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    • v.31 no.2
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    • pp.149-156
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    • 1993
  • Monoclonal antibodies (Mabs) were produced against crude scolex extract of T solium metacestodes, and applied to ELISA-inhibition test for improving the specificity of serodiagnosis of human cysticercosis. Four hybridomas secreting species-specific anti- cysticercal Mabs (Cya-1, Cya-7, Cya-28 and Cya-31) were selected. Each Mab reacted on antigenic components of 25.5 kDa (Cya-1), 28 kDa (rcya-7), 87.5 kDa (Cya-281), and 12.5 kDa (Cya-31). IFA showed that Cya-1 was located at the calcium corpuscles, and Cya-7 at the loose connective tissue of T soLium metacestode scolex. Cya-28 and Cya-31 reacted on the tegument of the scolex. By conventional ELISA, 23 out of 28 (82.1%) cysticercosis patients were found serologically positive, but 1 out of 9 (11.1%) sparganosls cases and 6 out of 31 (19.4%) paragonlmiasis cases showed false positives. By ELISA-Inhibition test using species-specific anti-cysticercal Mab Cya-7, 19 out of 28 (67.9%) cystlcercosis cases were found serologically positive, but there were no false positives In other parasitic infections.

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A Study on the Distribution of Microorganisms in Department of Radiography (영상의학과 촬영실의 미생물 분포에 관한 연구)

  • Chang, Jeong-Hyun;Yang, Eun-Ju;Kim, Young-Jae
    • Journal of the Korean Society of Radiology
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    • v.15 no.2
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    • pp.165-171
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    • 2021
  • To prevent the secondary hospital-acquired infection (cross-infection) from occurring in the general radiographic room in the department of radiology, the microbial measurement was conducted at the points making direct close contact with radiologists and patients. For the case of radiologists, the microbial measurement and incubation were focused on the x-ray tube handle of the radiation generating device, and, for the case of patients, the microbial measurement and incubation were focused on the chin supporting device, chest-contact point, and handle. Once disinfected with Aniosurf, the sterilized media were gathered and identified, and the microorganisms were confirmed. Based on the identification results, it was confirmed that the points making direct close contact with radiologists showed a value of 103 CFU for Proteus mirabilis, Staphylococcus epidermidis, Bacillus spp. and Candida spp., and that the points making direct close contact with patients showed a value of 103~5 CFU for Proteus mirabilis, Enterococcu faecium, Pseudomonas aeruginosa, NTM(Non-Tuberculosis Mycobacteria) and Candida spp.. It was also confirmed that the types and number of microorganisms gathered from the points making direct close contact with patients were greater. Fortunately, most of the involved microorganisms were observed to be on the skin surface and are known to become extinct when disinfected in accordance with the hospital-acquired infection control rules. However, since even minor exposure to such microorganisms may be lethal for patients with reduced immunity, caution must be taken. In particular, since the points making contact with patients showed a high level of microbial measurement, it was thought that it would be necessary for radiologists and personnel having frequent access to strictly disinfect the parts, such as instruments and handles, making frequent contact with patients. The purpose of this study was to announce the importance of safe microbial control in the radiographic inspection room in hospital, and this study is expected to be used as the baseline data for preventing hospital-acquired secondary infection and Nth infectious diseases.

매우 치사율이 높은 H5Nl 독감바이러스에 대한 킬러 T임파구 반응에 대한 연구

  • 서상희
    • Proceedings of the Korea Society of Poultry Science Conference
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    • 2002.11a
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    • pp.59-63
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    • 2002
  • 1997년 홍콩 가금시장에서의 H5N1 조류독감바이러스의 발병은 18명의 감염된 사람 중에서 6명의 사람의 생명을 앗아갔다. 이 사건은 조류독감바이러스가 매개체를 통하지 않고 닭에서 바로 사람에게 감염한 처음 있는 사건이다. 홍콩가금시장에서의 역학조사는 H5Nl과 H9N2 조류독감바이러스가 함께 공존한다는 것을 밝혔다. 가금에서는 H5N1과 H9N2 조류독감바이러스가 검출되었다. 우리는 H5N1 조류독감바이러스로부터 자을 방어하는데 H9N2 조류독감바이러스의 역할에 대해 연구했다. H5N1과 H9N2 바이러스의 혼합바이러스를 동시에 자에 접종하면 자은 생존하지 못했다. 그러나, H5N1 조류 독감바이러스감염 이전에 H9N2 조류독감바이러스를 감염한 닭들은 생존할 수 있었다 H9N2 조류 독감바이러스로 감염된 닭으로부터 얻어진 혈청은 H5N1 조류독감바이러스와 교차반응을 일으키지 않는다. H9N2 조류독감바이러스로 감염시킨 닭으로부터 얻어진 T임파구 또는 CD8 T임파구를 감염하지 않은 닭에 주입할 때 닭은 H5N1 조류독감바이러스로부터 생존할 수 있었다. 실험실외 킬러임파구실험은 H9N2 조류독감바이러스로 감염된 닭으로부터 얻어진 T임파구는 H5N1과 H9N2 조류독감바이러스로 감염된 목표세포를 동시에 감지했다. 게다가, 생체내 T임파구의 제거실험은 교차보호면역은 a/b TCR를 가진 CD8 T임파구가 중요한 역할을 하며, a/b TCR (Vbl)형의 T임파구가 목표세포를 감지한다는 것을 증명했다. H9N2 조류독감바이러스에 의한 방어면역은 시간이 지남에 따라 감소를 했고, 감염 100일까지 방어력을 나타냈다. 1997년 조류독감바이러스인 H5N1의 홍콩에서의 발병에 대한 풀리지 않은 것 중의 하나는 약 20%의 조류들이 매우 치사율이 높은 H5N1 독감바이러스를 가지고 있음에도 홍콩가금시장에서의 대부분의 닭들은 건강했다. 얻을 수 있는 정보에 따르면 대부분의 자들은 H5N1조류독감바이러스를 변으로 방출했고, 단지 두 곳의 가금시장에 있는 자들이 질병증상을 보였다. 홍콩가금시장에서 분리된 모든 H5N1 조류독감바이러스를 닭에 감염하면 100%의 치사율을 나타낸다. 바이러스 측면에서의 연구에 따르면, H9N2 조류독감바이러스는 홍콩가금시장에서 두 번째로 많이 분리되었다. H9N2 조류독감바이러스에 대한 연구에 따르면 세 가지 형이 홍콩가금시장에서 검출되었다. 1997년에 가장 많이 분리된 H9N2 조류독감바이러스는 PB1과 PB2가 A/Chicken/HongKong /156/97 (H5N1)과 유전적으로 유사한 A/HongKong/G9/97 (H9N2)형이다. A/Chicken/Hong Kong/156/97(H5N1)의 나머지 유전자는 A/Chicken/HongKong/739/94 (H9N2)와 A/chicken /Hong Kong/G23/97의 유전자와 비슷하다. 하나의 A/Quail/Hong Kong/G1/97은 Quail에서 분리되었고, 두 개의 A/Duck/Hong Kong/Y280/97 (H9N2)은 오리에서 분리되었다. A/Quail/Hong Kong/G1/97 (H9N2)의 6개의 내부유전자는 A/HongKon9/156/97 (H5N1)에 유사하나, A/Duck/ Hongkong/Y280/97 (H9N2)의 유전자는 A/HongKong/156/97 (H5N1)과 유사하지 않다. 킬러임파구는 바이러스로 감염된 목표세포를 MHC에 의존하여 파괴한다. 독감바이러스 특이 킬러임파구는 독감바이러스로 감염된 mice의 폐로부터 독감바이러스를 제거하는데 중요하다고 알려져 있다. 독감바이러스의 HA단백질은 특이 킬러임파구의 주요 목표항원 단백질이 아니다. 내부단백질인 nucleoprotein, polymerase (PB1 PB2, PA), Matrix protein, 그리고 비 구조단백질인 NS1에 대한 특이 킬러임파구의 반응이 사람과 mice에서 보고되었다. 독감바이러스에 대한 mice의 킬러임파구의 인식영역은 제한되어 있다고 알려져 있다. 많은 mice MHC 1은 독감바이러스 단백질의 킬러임파구의 epitope를 표현하지 못한다. 사람 기억킬러임파구는 다양한 종류의 독감바이러스의 단백질을 인식한다고 알려져 있다. 지금까지, 닭에서의 독감바이러스의 킬러임파구에 대한 연구는 되지 않았다.

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Prospective Study of Helicobacter pylori Reinfection Rate and Its Related Factors (전향적 연구에 의한 Helicobacter pylori 재감염률 및 관련요인)

  • Kang, Pock-Soo;Lee, Kyeong-Soo;Kim, Chang-Yoon
    • Journal of agricultural medicine and community health
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    • v.28 no.1
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    • pp.79-92
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    • 2003
  • Objectives: To investigate the reinfection rate of Helicobacter pylori and the factors related to reinfection of H. pylori, 86 persons were examined in April 2000 after 1 year follow-up period and 77 persons were examined in October 2001 after two and a half-year follow-up period in Gyeongju-si, Gyeongsangbuk-do, Korea. Methods: The subjects were confirmed as H. pylori negative by urea breath test(UBT), and asked to answer the questionnaire regarding demographic characteristics, dyspepsia symptoms, health-related behaviors and family history. Results: The reinfection rate on the first year of the eradication of H. pylori was 15.6%, when the 77 subjects have finished follow-up observation for one year. In the urea breath test performed after two and a half year, 13 out of 77 were positive, with the reinfection rate of 16.9%. Age, sex, socio-economical status, educational level and family history were not associated with the reinfection, while there was significant association between the reinfection and postprandial fullness and epigastric bloating in subjective dyspepsia that the subjects who were determined to be negative in the urea breath test for the following year. The treatment compliance and drinking were significant variables in univariate analysis. Meanwhile, the cases in which the dyspepsia symptom scores for the recent year were 2 to 3 points served as the only statistically significant variable in multiple logistic regression analysis, with the odds ratio of 4.5. The cases in which salt intake during meals was exceeded were 8.7 in the odds ratio, but statistically insignificant. Conclusions: Conclusively, the first-year reinfection rate was 15.6%, and the second-year reinfection rate was 16.9%. Thecomplaints of subjective dyspeptic symptoms and the treatment compliance, as the basis for predicting the H. pylori reinfection in communities, can be used as the basis to screen the subjects for follow-up examination to find out H. pylori infection.

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Antigenic protein fractions of Metagonimus yokogawci reacting with patient sera (요꼬가와흡충증 항체진단의 검토 및 특이 항원 단백질 분석)

  • 이승철;정영배
    • Parasites, Hosts and Diseases
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    • v.31 no.1
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    • pp.43-48
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    • 1993
  • Antibody test is sometimes necessary for the diagnosis of acute human metagonimiasis because eggs may not be detected in stool. The antibody test (ELISA) was evaluated for its significance by reacting human sera from clinically diagnosed metagonimiasis, fascioliasis, clonorchiasis and paragonimlasis with 4 crude extracts of Metosonimn vokognwai (metacercariael , adults of Fosciola hepatica Cronorchis sinenis and Paragonimus westermoni. By ELISA, 10 of 11 metagonimlasis sera showed the highest absorbance (abs.) to the homologous antigen. Cross reactions to M. yokogawai antigen occurred most frequently in clonorchiasis sera. The antigenic protein fractions in M. vokogawai metacercarial extract were observed by SDS-PAGElimmunoblot using patients and control sera together with experimental cat sera. Out of 14 protein bands In the extract, 11 bands were reacting. Cross reacting bands to other trematodiasis sera were frequently observed. Of the reacting bands, 66 and 22 kDa proteuls were recognized as specific for metagonimiasis.

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