• Childhood Kidney Diseases
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• v.17 no.2
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• pp.65-72
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• 2013

Purpose: Urinary tract infection (UTI) caused by gram-positive uropathogens is usually hospital-acquired and associated with predisposing conditions. However, the incidence of gram-positive bacteria in community-acquired UTIs has recently increased worldwide. We aimed to investigate the clinical significance of UTI and associated genitourinary malformations in young children with febrile UTIs caused by gram-positive bacteria. Methods: We retrospectively reviewed the medical records of 566 patients (age, <1 year) who visited the Korea University Medical Center for febrile UTIs between January 2008 and May 2013. We classified the patients into the following two groups: gram-positive (P group) and gram-negative (N group), according to the results of urine culture. The fever duration; white blood cell (WBC) counts and C-reactive protein (CRP) levels in peripheral blood; and the presence of hydronephrosis, cortical defects, vesicoureteral reflux (VUR), and renal scarring were compared between the two groups. Results: The number of patients with gram-positive bacteria was 23 (4.1%) and with gram-negative bacteria was 543 (95.9%). The most common pathogen was Escherichia coli, and Enterococcus faecalis showed the highest incidence among gram-positive uropathogens. Patients with gram-positive bacteria showed longer fever duration compared to that in patients with gram-negative bacteria (P vs. N, $3.4{\pm}1.2$ vs. $2.9{\pm}1.6$ days, P <0.05). The incidence of VUR was increased in the gram-positive group compared to that in the gram-negative group (P vs. N, 55.6 vs. 17.8%, P<0.05). However, there were no significant differences in other laboratory and radiologic findings. Conclusion: The findings of our study show that community-acquired UTIs in patients younger than 1 year of age, caused by gram-positive uropathogens, can be associated with prolonged fever duration and the presence of VUR.

• Clinical and Experimental Pediatrics
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• v.50 no.1
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• pp.56-64
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• 2007

Purpose : This study was performed to identify the etiologic agents and antimicrobial susceptibility patterns of organisms responsible for bloodstream infections in pediatric cancer patients for guidance in empiric antimicrobial therapy. Methods : One hundred and ninety-seven episodes of bloodstream infections that developed in 128 pediatric cancer patients were analyzed, which were identified at the Seoul National University Children's Hospital during a 4 year-period from 2002 to 2005. Results : A total of 214 pathogens was isolated, of which 64.0 percent were gram-negative, 31.3 percent were gram-positive bacteria, and 4.7 percent were fungi. The most common pathogens were Klebsiella spp. (21 percent) and Escherichia coli (16.8 percent), and coagulase-negative staphylococci (CNS, 7.9 percent) and viridans streptococci (7.5 percent) emerged as important pathogens. Neutropenic patients were more often associated with gram-negative bacteria than non-neutropenic patients (67.5 percent vs. 51.1%, P=0.018) and patients with central venous catheters were more often associated with CNS and viridans streptococci than those without. Resistance rates of gram-positive bacteria to penicillin, oxacillin and vancomycin were 83.3 percent, 48.5 percent and 0.5 percent, respectively, and those of gram-negative bacteria to cefotaxime, piperacillin/tazobactam, imipenem, gentamicin and amikacin were 24.1 percent, 17.2 percent, 6.6 percent, 21.6 percent, and 14.2 percent, respectively. Gram-negative bacteremias were more often associated with intensive care than gram-positive bacteremias (26.5 percent vs. 10.3 percent, P=0.016), and patients with catheters were more often associated with intensive care (34.4 percent vs. 10.8 percent, P<0.001) and higher fatality rate (16.7 percent vs. 4.8 percent, P=0.012) than those without. Conclusion : This study revealed that gram-negative bacteria are still a dominant organism in bloodstream infections, especially in neutropenic patients, and confirmed that gram-positive bacteria are emerging as important etiological agents in bloodstream infections of pediatric hemato-oncologic patients.

• Pediatric Infection and Vaccine
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• v.19 no.3
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• pp.131-140
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• 2012

Purpose : This study was performed to identify the etiologic agents and antimicrobial susceptibility patterns of organisms responsible for bloodstream infections in pediatric cancer patients for guidance in empiric antimicrobial therapy. Methods : A 5-year retrospective study of pediatric hemato-oncologic patients with bacteremia in Seoul National University Children's Hospital, from 2006 to 2010 was conducted. Results : A total of 246 pathogens were isolated, of which 63.4% (n=156) were gram-negative, bacteria 34.6% (n=85) were gram-positive bacteria, and 2.0% (n=5) were fungi. The most common pathogens were Klebsiella spp. (n=61, 24.8%) followed by Escherichia coli (n=31, 12.6%), coagulase-negative staphylococci (n=23, 9.3%), and Staphylococcus aureus (n=22, 8.9 %). Resistance rates of gram-positive bacteria to penicillin, oxacillin, and vancomycin were 85.7%, 65.9%, and 9.5%, respectively. Resistance rates of gram-negative bacteria to cefotaxime, piperacillin/tazobactam, imipenem, gentamicin, and amikacin were 37.2%, 17.1%, 6.2%, 32.2%, and 13.7%, respectively. Overall fatality rate was 12.7%. Gram-negative bacteremia was more often associated with shock (48.4% vs. 11.9%, P<0.01) and had higher fatality rate than gram-positive bacteremia (12.1% vs. 3.0%, P=0.03). Neutropenic patients were more often associated with shock than non-neutropenic patients (39.6 % vs. 22.0%, P=0.04). Conclusion : This study revealed that gram-negative bacteria were still dominant organisms of bloodstream infections in children with hemato-oncologic diseases, and patients with gram-negative bacteremia showed fatal course more frequently than those with gram-positive bacteremia.

• Journal of the Korean Society of Food Science and Nutrition
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• v.45 no.8
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• pp.1227-1232
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• 2016

Electrolyzed activated water (EAW) has been reported to exhibit strong bactericidal effects on foodborne microorganisms. However, the disinfection efficacy of EAW is affected by factors such as water source and hardness. This study investigated bactericidal effects of EAW against three gram-positive (Bacillus cereus, Listeria monocytogenes, and Staphylococcus aureus) and three gram-negative (Cronobacter sakazakii, Escherichia coli O157:H7, and Salmonella Enteritidis) foodborne pathogens. Six strains were treated with EAW prepared at different water temperatures (4, 22, and $40^{\circ}C$) for 15 min, and D-values were generated. The results show that the lowest D-values for Lis. monocytogenes by EAW produced at $4^{\circ}C$ and $40^{\circ}C$ were 6.60 and 1.57 min, respectively. The lowest D-value for Sal. Enteritidis by EAW produced at $22^{\circ}C$ was 2.92 min. D-values of all strains treated by EAW produced at $40^{\circ}C$ decreased significantly compared to those treated by EAW produced at $4^{\circ}C$ (P<0.05). These results demonstrate that applying EAW produced at warm temperature is more effective for reducing foodborne pathogens for food safety.

• Korean Journal of Soil Science and Fertilizer
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• v.43 no.6
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• pp.995-1001
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• 2010

Biogeography is the study of the distribution of biodiversity over space and time. We report the development of a prototype database that maps of microbial diversity in the context of the geochemical and geological environment and geographic location. It aims to reveal where organisms live, and at what abundance in nation wide. Microbial data collected from agricultural land during 1999 to 2007 were categorized for mapping with ArcGIS program. Distribution maps of bacteria, fungi, Bacillus and gram negative bacteria of agricultural land showed different patterns from each other. Microbial biomass content investigated in year of 2007 was higher than in 1999.

• Korean Journal of Microbiology
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• v.38 no.2
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• pp.57-61
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• 2002

To investigate the characteristics of carbon sources utilization by the intestinal microflora of starfish, starfishes (Asterias amurensis) were collected from the South Sea near Jangheung-gun sumun-ri of Jeollanam-do on July 14,2000. The population densities of heterotrophic bacteria were in the range of $8.65{\pm}0.65{\times}10^3\cfu{\cdot}g^{-1}$ in the interval organs of starfish. Total 24 strains (Gram-negative bacteria. 11 strains, Gram-positive bacteria: 13 strains) from the internal organs of starfish were isolated. Dominant bacteria were Genus nbrio, Staphylococcus, and Corynebacterium. A high percentage of isolates was Gram positive rods. The catalase and oxidase positive were shown 54.2% and 20.8% of isolated bacteria, respectively. Isolated Gram negative and positive bacteria utilized various carbon sources. Among them, glucose could be utilized by all the isolated Gram negative bacteria, and sucrose, mannose, and maltose were utilized by a relatively high percentage of isolates. On the other hands, adipate and phenyl acetate were shown no utilization. In case of Gram positive bacteria, glucose was shown the highest utilization and the next highest utilization was fructose, trehalose, and maltose.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.2
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• pp.135-145
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• 2011

Purpose: This study was conducted to investigate the actual condition of caring soft contact lens cases and the change in contamination level of lens cases by wearing and storage period of soft contact lens. Methods: The actual condition of caring soft lens cases was surveyed with sixty-three of contact lens wearers. Soft contact lenses were worn for 1, 3, 7 and 14 days, and the lenses were separately stored in 12 lens cases for 1, 3 and 7 days. The contamination level of lens cases was determined by counting the numbers of microorganisms, gram negative bacteria and fungi. Results: Only 14% of survey answerers cleaned their lens cases with a brush, rinsed and dried them upside down before next usage of lens case when those lenses were kept for a long time. Furthermore, 54% of total answerers just kept soft contact lens in the case without changing the multipurpose solution. Microorganisms, gram negative bacteria and fungi were detected in lens cases even when soft contact lens were kept for 1 day in the lens case after wearing for 1 day and cleaning it with multipurpose solution. The numbers of microorganisms, gram negative bacteria and fungi in lens cases increased with storage periods of soft contact lens, and also contamination level of lens cases was increased in accordance with wearing period of lens. In the lens cases without changing multipurpose solution, the numbers of microorganisms, gram negative bacteria and fungi increased with storage period of lens with statistical significance. Conclusions: This study showed that lens wearers' concerns on caring contact lens case were not satisfactory. As the result, the contamination of lens cases was related to increase of lens wearing and storage periods suggesting that the proper instruction and education for lens wearers are required.

• Clinical and Experimental Pediatrics
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• v.48 no.6
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• pp.619-623
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• 2005

Purpose : Bacteremia in immunocompromised pediatric cancer patients can lead to high morbidity and mortality, if not treated early and properly. The incidence and antibiotic sensitivities to common pathogens of bacteremia in pediatric cancer patients are liable to change, according to region and time. We investigated the causative organisms and antibiotic sensitivities of bacteremia in pediatric cancer patients to assess the adequacy of empiric antimicrobial therapy. Methods : From September 1995 to August 2003, we retrospectively evaluated 58 episodes in 39 pediatric cancer patients with bacteremia treated at the Pediatric Department of Yeungnam University Hospital. We investigated and analyzed the causative organisms and the antibiotic sensitivity test results by reviewing the records of the microbiologically proven positive blood culture results. Results : The incidence of bacteremia in pediatric cancer patients in this study was 5.7 percent (58 episodes out of 1,022 occasions of blood cultures). Gram-positive organisms were isolated more often than gram-negative organisms (63.8 percent vs 36.2 percent) in the following order : Staphylococcus epidermidis (37.9 percent), Staphylococcus aureus (17.3 percent), Escherichia coli (12 percent), Streptococcus (8.6 percent), Enterobacter (6.9 percent), Klesiella (6.9 percent), Serratia (3.5 percent), Acinetobacter (3.5 percent), Proteus (1.7 percent) and Morganella morganii (1.7 percent). In antibiotic sensitivity tests, only six of 37 isolates (16 percent) of gram positive bacteria were sensitive to penicillin and 15 of 37 isolates (40 percent) were sensitive to oxacillin. All except one Staphylococcus aureus were sensitive to vancomycin and all except one Staphylococcus epidermidis were sensitive to teicoplanin among 37 isolates of gram positive bacteria. In the case of gram negative bacteria, two of 21 isolates (10 percent) and four of 21 isolates (19 percent) were sensitive to cefotaxime and ceftazidime, respectively. Only six of 21 isolates (29 percent) were sensitive to aminoglycoside, but all 21 isolates (100 percent) were sensitive to imipenem. All seven isolates tested after the year 2000 were sensitive to meropenem. Conclusion : In conclusion, we should choose the proper antimicrobials in treating pediatric cancer patients with suspected bacteremia, reflecting the increasing episodes of gram positive bacteremia and polymicrobial resistance of gram positive and negative organisms.

• Korean journal of food and cookery science
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• v.16 no.2
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• pp.160-166
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• 2000

The extracts of Opuntia ficus indica var. saboten were obtained by using seven solvents of increasing polarity and their antioxidative and antimicrobial activities were investigated along with thermal stability. The highest antioxidative activity expressed as electron donating ability and antimicrobial activity were observed in the 95% ethanol extract. Cell growth inhibition was not apparent on Escherichia coli, Pseudomonas aeruginosa and Salmonella typhimurium, but was great on Bacillus subtilis, Micrococcus luteus and staphylococcus aureus at the level of 4.5 mg/ml medium. The ethanol extract of Opuntia ficus indica var. saboten showed the thermal stability in the range of 40∼120$\^{C}$. It was re-extracted sequentially with hexane, chloroform, ethyl acetate, butanol, and water, among which ethyl acetate fraction showed the highest inhibitory effect against Bacillus subtilis, Micrococcus luteus and Escherichia coli.

• Microbiology and Biotechnology Letters
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• v.31 no.3
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• pp.242-249
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• 2003

Antimicrobial activity of Caesalpina sappan L. extract (CS extract) against animal husbandry disease-related bacteria was studied. The CS extracts showed a significant antimicrobial activity against Gram(+) bacteria and this antimicrobial activity was most significant against Staphylococcus epidermidis. Minimum inhibitory concentrations (MIC) of CS was in the range of 0.8∼16 mg/ml and 0.8∼10 mg/ml, in the case of MeOH extracts and EtOH extracts, respectively. In addition, the antimicrobial activity of each solvent fraction was most significant with EtOAc layer. The antimicrobial activities of CS extracts against most microbial strains were stable by either heat treatment or acid treatment, whereas those against S. aureus and Sal. typhimurium were reduced by acid treatment. The inhibitory effect of CS extracts on microbial cell growth was further examined by the addition of 0, 100, 300, and 500 ppm of CS extracts into growth medium. The growth of gram(+) bacteria, S. aureus and S. epidermidis, was inhibited for 72 hours in all ranges of CS extracts added, but the growth of gram(-) bacteria was only inhibited when at least 100 ppm of CS extracts were added. Taken together, the antimicrobial activities of CS extracts were more effective against gram(+) bacteria compared to those against gram(-) bacteria.