• Microbiology and Biotechnology Letters
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• v.43 no.4
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• pp.396-400
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• 2015

Enterobacteriaceae is one of the major families responsible for public health threats. Due to the emergence of pathogens with antibiotic resistance, great concern has been raised regarding the prevalence of antibiotic resistant bacteria in natural environments. Therefore, the diversity of Gram negative Enterobacteriaceae was investigated in water samples collected from five streams in Korea using the cultivation method. Profiling of multi-drug resistance was conducted with isolates via disk diffusion assay. The results indicated that the Gram negative Enterobacteriaceae consisted of the following genus; Citrobacter, Enterobacter, Escherichia, Klebsiella, Kluyvera, Pantoea, Plesiomonas, Raoultella, Shigella and Enterobacter. These latter strains represented 49% of identified isolates. In addition, 78.3% of the identified genus exhibited resistance against more than seven out of thirteen tested antibiotics, suggesting a high prevalence of multi-drug resistant bacteria in natural environments.

• Korean Journal of Clinical Laboratory Science
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• v.52 no.4
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• pp.342-348
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• 2020

Uropathogenic Escherichia coli (UPEC) is a major cause of urinary tract infections (UTIs), which is one of the most common infectious diseases in humans worldwide. Since UPEC is increasingly gaining resistance to many antimicrobial agents, antibiotic therapy of UTI has recently become a great concern. This study examined the epidemiological relationship, and antimicrobial resistance patterns of 84 UPEC isolates obtained from UTI patients in Daejeon, from March to December 2017. Molecular epidemiology was investigated by multilocus sequence typing (MLST), and an antimicrobial susceptibility test was determined using an E-test. In this study, UTI was more common in females (73.8%) than in males (26.2%), and the highest incidence of UTI was observed in the age group in their 70s. Among the 84 UPEC isolates, 59 isolates (70.2%) were multidrug-resistant (MDR), and the major sequence type was ST131 (44 isolates, 52.4%). Interestingly, the rates of MDR in non-ST131 isolates (72.5%) were higher compared to ST131 isolates (68.2%). These results indicate the possibility of the development and spread of MDR in non-ST131 isolates. Effective surveillance networks and continuous research need to be conducted globally to prevent the emergence and international spread of MDR non-ST131 isolates.

• Proceedings of the Korea Water Resources Association Conference
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• 2023.05a
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• pp.15-15
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• 2023

2020년 기준 국내 상수도 보급률은 99.1% 차지하고 있으며(환경부, 2019), 수도관리차원에서 수돗물은 먹는 물로 시판되어질 만큼 우수한 관리체계를 유지하고 있다. 그 반면에 지하수는 생활용수, 식품가공, 농·축산, 양어, 군부대를 비롯한 전국지역에서 연간 10억 8천만톤 용수를 소비하고 있음에도 (환겨례 신문, 2013; 환경부, 2019) 사용되는 지하수의 약 65%가 음용수 불가판정을 받았으며, 최근 지하수의 오염비율은 급격히 증가하는 추세이다. 특히, 지하수관정의 관리부주의에 의한 수질오염 및 수인성 다제내성균(슈퍼박테리아) 등에 의한 오염사례가 국내는 물론, 국제적으로 다수 보고되고 있는 실정이다 (환경부, 2013). 현재 지하수 수질관리는 공공기관 및 지자체 지정기관을 통해 진행되고 있으며, 검사기간은 수질채취로부터 통상 7~15일정도 소요되어 수질 관리 및 기준, 검사주기에 대한 애로가 많다. 현장 지하수관정에서 실시간 수질을 모니터링하고 이에 연동된 자동 수처리 시스템의 개발 및 도입은 나날이 심각해지는 환경오염 상황에서 선제적 예방과 해결방법으로 중요한 요소기술이다. 현재 지하수오염 및 부적합 음용의 수질처리는 화학약품, 필터여과, UV살균, O₃ (플라즈마)을 이용하는 것이 대표적이나, 화학약품의 경우 2차 오염이나 식품 세척 및 가공에 있어 부적합성의 한계점이 있다. 필터여과의 대표적인 RO필터의 경우 약 50% 순손실이 발생하고, UV 살균의 경우 UV에 의한 사용관리자의 위험 및 장비의 광부식 문제, O₃ 의 경우 고압전류 사용에 따른 위험성 등의 한계점이 나타나고 있다. 지하수 수질정화를 위한 광유도 활성산소(¹O₂, ·O^-₂)는 광감응제에 가시광의 빛 조사를 통해 생성되는 활성산소로의 에너지 및 전자 전이가 동시 진행되어 단일항 산소(¹O₂)와 슈퍼옥사이드 이온(·O^-₂)을 생성하게 된다. 생성된 활성산소는 유해미생물 또는 유기화학물과 개열, 제거, 치환 반응 등을 통해 미생물사멸 및 유해화학물질들이 분해 가능하다. 이를 이용한 지하수 유해미생물 사멸기술, 장비, 실시간 지하수의 분석기술 및 정수처리, 지하수 물순환 시스템 개발뿐만 아니라 지하수 음용수 및 오염개선, 지하수 기저유출에 의한 오염원 저감으로부터 지류·지천, 하천 본류 수질개선 등의 대상지역에 활용 가능하다. 또한 광유도 활성산소는 기존 상수도 수처리에 있어 오존(O₃) 처리와 이산화티탄을 이용한 AOP과정을 단일처리 공정으로, 기존 O₃ 의 특성상 확산 거리가 매우 길어 사람을 포함한 생체 내에 유입 시 다양한 부작용 발생과 O₃ 차폐시설 요구의 문제점 극복의 대안으로 환경 및 인체에 무해한 광유도 활성산소 시스템을 적극적으로 도입 및 적용해야 한다. 본 연구 목적은 정류상태 흡광분광기술을 이용한 실시간 수질 모니터링과 광유도 활성산소를 이용한 유해 미생물의 멸균효능 및 지하수 수질관리 기술로의 적용 가능성을 제시하고자 한다.

• Journal of Food Hygiene and Safety
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• v.23 no.1
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• pp.40-50
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• 2008

Spread of pathogenic micro-organisms through contaminated hands is a well recognized way of transmitting disease such as food poisoning. We investigated the prevalence of aerobic plate counts, coliform bacteria, and food-poisoning bacteria on hands in various age groups. The average number of aerobic plate counts was 3.3 log CFU/hand in kindergarteners, 3.4 log CFU/hand in elementary students, 3.2 log CFU/hand in middle school students, 3.4 log CFU/hand in high school students, and 3.3 log CFU/hand in adults. Two kindergarteners, 6 elementary students, and 2 adults were positive for the coliform bacteria. Among the food poisoning bacteria we tested, S. aureus was isolated from 47 individuals. Eight isolates of B cereus were all from kindergarteners. C. perfringens was isolated from 7 individuals. Among 47 isolates of S. aureus, 25 isolates produced toxins. Seven of eight isolates of B. cereus produced toxins. None of seven C. peifringens isolates produced toxins. All 47 isolates of S. aureus were sensitive to ciprofloxacin, trimethoprim/sulfamethoxazole, clindamyccin, imipenem, rifampin and vancomycin. Four isolates (8.5%) were resistant to cefepime, chloramphenicol, cefotetan, and gentamycin. Five isolates (10.6%) were resistant to oxacillin and 6 isolates were resistant to tetracycline. This study shows that it is needs to be established policy of school lunch and personal sanitation management.

• Clinical and Experimental Pediatrics
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• v.52 no.1
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• pp.61-67
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• 2009

Purpose : The rate of drug-resistant tuberculosis (DR-TB) in children is an indicator of the effectiveness of TB control programs in the community. This study aimed to assess the prevalence of DR-TB in children and evaluate TB management. Methods : Between January 1999 and July 2007, drug susceptibility tests for anti-TB drugs were employed for patients aged less than 19 years with culture-positive TB. Results : A total of 607 cases (16.6%) were resistant to at least one anti-TB drug as follows: isoniazid (INH; 13.8%), rifampin (8.9%), pyrazinamide (4.2%), streptomycin (3.7%), ethambutol (EMB; 5.9%), and para-aminosalicylic acid (PAS; 1.9%). Multidrug-resistant (MDR) TB was found in 276 cases (7.6%); extensive drug resistant (XDR) TB, in 5 cases (0.2%). The rate of resistance to at least one anti-TB drug in children aged >15 years (16.1%) was significantly lower than that in children aged <15 years (20.5%) (P=0.016). The rate of resistance to at least one anti-TB drug and multidrug-resistance in this survey decreased significantly (P<0.001) as compared to the previous survey (1987-1995). The rate of resistance to INH, EMB, and PAS also significantly decreased (P<0.05). Conclusion : The rate of DR-TB in children in Korea has decreased over time; however, it remains higher than that in other countries. MDR-TB and XDR-TB are the emerging problems in Korean children. Therefore, the selection of effective drugs through drug susceptibility tests and evaluating risk factors of resistant TB is essential to successful therapy and a decreased incidence of DR-TB.

• Journal of Chest Surgery
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• v.36 no.11
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• pp.839-845
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• 2003

Background: Even today when chemotherapy has been established as a treatment for tuberculosis and the prevalence of tuberculosis is gradually decreasing, multi-drug resistance tuberculosis still results in poor treatment performance and lowered survival periods. This research sought to analyze the surgery of multi-drug resistance tuberculosis, and determine the usefulness and danger of surgery in connection with this disease. Material and Method: Starting from February 1990 to February 2002, retrospective surveys were conducted targeted at 21 cases involving 20 patients who underwent surgery due to multi-drug resistance tuberculosis. The survey included 14 males cases and 6 females cases with the age averaging 42.8$\pm$12.1 years. 10.3$\pm$7.6 years on average passed after patients were initially diagnosed with tuberculosis. 13 patients (65%) tested positive in the pre-operative sputum AFB test, and all showed resistance against an average of 3.5 anti-tuberculosis agents including INH and RFP. Pre-operative radiologic examinations revealed cavitary lesions in 15 patients (75%), and three patients had lesions in the both lung fields, with the major lesions existing in the unilateral area. 13 patients (75%) failed negative conversion with medical treatment, while two patients (10%) with recurrent hemoptysis and five patients (25%) with lesions involving high recurrence-rate received the operation. Operations included nine cases (40%) of pneumonectomy, nine cases (45%) of lobectomy, and three cases of lobectomy with segmentectomy. The average follow-up period of patients stood at 23 months. Result: There was no post-operative death, and found were a total of eleven cases involving complications were found: three cases of long-term air leakage, three cases of bleeding requiring re-operation, two cases of empyemas due to broncho-pleural fistula, and one case of atelectasis, wound infection and chest wall fistula each. Eleven cases (85%) of negative conversion were completed immediately after the operation, and two cases failed negative conversion. Eleven months after the operation, the disease recurred in one case of negative conversion patients, and the patient was cured by completion pneumonectomy. Conclusion: If patients' lung function was sufficient and appropriate resection was possible, multi-drug resistance tuberculosis could achieve high-rate negative conversion and cure using combination of surgical and medical treatment, and also there were not many serious complications.

• Tuberculosis and Respiratory Diseases
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• v.64 no.6
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• pp.414-421
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• 2008

Background: Recently, in addition to multi-drug resistant tuberculosis (MDR-TB), extensively drug-resistant tuberculosis (XDR-TB) has become rapidly growing public health threat. This study examined the clinical differences between pulmonary TB patients with extensively drug resistance (XDR) and multi-drug resistance (MDR) at the National Medical Center in Korea in order to determine the clinical characteristics associated more with XDR-TB than MDR-TB. Methods: Patients who received a diagnosis of culture-confirmed pulmonary TB and a drug sensitivity test (DST) for anti-TB drugs at the National Medical Center between January 2000 and August 2007 were enrolled in this study. The patients were identified into the XDR-TB or MDR-TB group according to the DST results. The clinical characteristics were reviewed retrospectively from the medical records. Statistical analysis for the comparisons was performed using a ${\chi}^2$-test, independent samples t-test or binary logistic regression where appropriate. Results: A total 314 patients with culture-confirmed pulmonary TB were included. Among them, 18 patients (5.7%) had XDR-TB and 69 patients (22%) had MDR-TB excluding XDR-TB. A comparison of the clinical characteristics, revealed the XDR-TB group to have a higher frequency of a prior pulmonary resection for the treatment of TB (odds ratio [OR], 3.974; 95% confidence interval [CI], 1.052~15.011; P value 0.032) and longer average previous treatment duration with anti-TB drugs, including a treatment interruption period prior to the diagnosis of XDR, than the MDR-TB group (XDR-TB group, 72.67 months; MDR-TB group, 13.09 months; average treatment duration difference between two groups, 59.582 months; 95% CI, 31.743~87.420; P value, 0.000). In addition, a longer previous treatment duration with anti-TB drugs was significantly associated with XDR-TB (OR, 1.076; 95% CI, 1.038~1.117; P value, 0.000). A comparison of the other clinical characteristics revealed the XDR-TB group to have a higher frequency of male gender, diabetes mellitus (DM), age under 45, treatment interruption history, cavitations on simple chest radiograph and positive result of sputum AFB staining at the time of diagnosis of XDR. However, the association was not statistically significant. Conclusion: Pulmonary TB patients with XDR have a higher frequency of a prior pulmonary resection and longer previous treatment duration with anti-TB drugs than those with MDR. In addition, a longer previous treatment duration with anti-TB drugs is significantly associated with XDR-TB.

• Korean Journal of Veterinary Research
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• v.26 no.2
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• pp.229-235
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• 1986

1984년 5월부터 1985년 5월까지 대구(大邱), 경북(慶北), 경남(慶南) 및 충남지역(忠南地域) 7개(個) 양돈장(養豚場)의 자돈(仔豚) 및 성돈(成豚)의 분변(糞便) 및 양돈장(養豚場)의 흙, 하수(下水), 사료(飼料), 추비(推肥), 쥐 등 7,440예(例)와 대구시(大邱市) 도축장(屠畜場)의 도축돈(屠畜豚) 장간막임파절(腸間膜淋巴節) 및 직장내용물(直腸內容物) 555예(例)로부터 분리(分離)한 319주(株)의 Salmonelia속균(屬菌)을 대상으로 항균제(抗菌劑)에 대한 내성(耐性) 및 전달성(傳達性) R plasmid의 분포상황(分布狀況)을 조사(詞査)하였던 바 그 결과(結果)는 다음과 같다. 1. 공시균(供試菌) 319주(株) 중(中) 250주(株)(78.4%)가 ampicillin(An), chloramphenicol(Cm), gentamicin(Gm), kanamycin(Km), nalidixic acid(Na), rifampicin(Rf), streptomycin(Sm), sulfadimethoxine(Su), 또는 tetracycline(Tc)에 내성(耐性)을 나타내었으며, 약제별(藥劑別)로는 Su(74.9%), Sm(53.0%) 및 Tc(28.5%)에 높은 내성(耐性)이 인정(認定)되었다. 2. 내성균(耐性菌) 250주(株)의 전달성(傳達性) R plasmid 보유율(保有率)은 51.2%(128주(株))였으며, 약제별(藥劑別)로는 Am경우 100%, Tc 92. 3% 및 Cm 75.0% 순으로 보유율(保有率)이 높았다. 3. 내성균(耐性菌) 250주(株)의 내성양상(耐性樣相)은 SmSu(91주(株)), Su(59주(株)) 및 TcSmSu(50주(株))내성형(耐性型)이 대부분이었고 R plasmid 전달후(傳達後)의 내성양상(耐性樣相)은 TcSmSu(40주(株)) 및 TcSu(28주(株)) 내성형(耐性型)이 많았다. 4. 양돈장별(養豚場別) 내성균(耐性菌) 출현빈도(出現頻度)는 48.0~93.6%로 다양(多樣)하였고, 전달성(傳達性) R plasmid 보유율(保有率)은 0~77.8%로 내성균(耐性菌) 출현빈도(出現頻度)와 일치(一致)되지 않았다. 5. 공시균(供試菌) 319주(株) 중(中) 각각(各各) 2주(株)는 Rf 및 Gm에 대해 내성(耐性)을 나타내었고, 내성균(耐性菌) 250주(株) 중(中) 73.2%(183주(株))가 다제내성(多劑耐性)이었으므로 Salmonella의 다제내성화(多劑耐性化) 경향(傾向)이 있었다. 6. 내성균(耐性菌) 250주(株) 중(中) R plasmid 전달후(傳達後) 5주(株)는 TcAmCmSmSu내성형(耐性型), 1주(株)는 TcAmKmSmSu내성형(耐性型)임이 확인되었다.

• Journal of fish pathology
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• v.9 no.2
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• pp.195-201
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• 1996

Ninety-six isolates of Edwardsiella tarda recovered from outbreaks of Edwardsiellosis in cultured eels(Anguilla japonica) in Kunsan, were examined for drug susceptibility, distribution and transferabilities of R plasmid. All of the E. tarda isolates examined were sensitive to gentamicin(GM), streptomycin(SM), norfloxacin(NF), and amikacin(AK). But most isolates were resistant to sulfadimethoxine(SD, 86 strains), ampicillin(AM, 84 strains), penicillin G(PM, 80 strains), nalidixic acid (NA, 67 strains), oxytetracycline(OT, 44 strains), and oxolinic acid(OA, 37 strains). Twenty different combinations of drug resistance patterns were observed : the frequently encountered pattern was SD-AM-PM-NA-OA(16 strains), SD-AM-PM-NA(14 strains), SD-AM-PM-NA-OT-OA(12 strains), SD-AM-PM-OT(10 strains), and SD-AM-PM-NA-OT(8 strains). Transferable R plasmids were found out to be carried in 78 out of 94 resistant strains, indicating that these isolates carry conjugally transferable R plasmids associated with single or multiple drugs. The frequently observed transferarble R plasmids were AM(8 strains), AM-PM-NA(8 strains), Am-SD(6 strains), PM(6 strains), and SD(6 strains) These results suggest that high dose of various antibacterials might have already been introduced to eel culture system leading to the acquirement of multi-drug resistance to wide range of antibacterials.

• Journal of the Korea Convergence Society
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• v.8 no.11
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• pp.141-149
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• 2017

This study was to investigate the sanitary microbiological aspects of Cheonho Reservoir and its antibiotic resistance in the natural environment to contribute to the public healthcare improvement. Groups of coliforms, were counted at three sites of the Cheonho Reservoir in July and September 2013, and the isolates were identified according to the water pollution process test standards. Antibiotic resistance was evaluated using the Korea National Institute of Health's standard antibiotic susceptibility test. The average coliform counts in Cheonho Reservoir were $2.0{\times}10^3CFU/mL$, 41% of which were identified as Escherichia coli(E. coli). Antibiotic resistance rate in E. coli isolated from Cheonho reservoir was highest in Ampicillin 31.3%, Ticarcillin 25.0%, Cefaxolin and Cefoxitin 18.8% respectively. Convergence multiple resistance patterns, 38,5% presented resistance to 4 durgs, 6 drugs resistance were 7.7%. The more than 2 drugs resistance were 92.3%. Cheonho Reservoir is a public park that accessible to the citizens, further convergence studies are needed to develop sanitary microbiological management practices and study antibiotic resistance of the reservoir.