• Title/Summary/Keyword: 약제내성

Search Result 342, Processing Time 0.03 seconds

Serological Distribution and Properties of Antibiotic Resistance of Escherichia coli from Patients with Diarrhea (설사환자로부터 분리한 대장균의 혈청형 분포 및 항생제 내성유형)

  • 차인호;진성현;박은희;박성아;조현철;이영숙;정석훈;이영길;이상훈
    • Journal of Life Science
    • /
    • v.10 no.3
    • /
    • pp.262-272
    • /
    • 2000
  • As a part of investigation for basic epidemiology of diarrheogenic disease, we attempted isolation of Escherichia coli from patients with diarrhea. Seven hundred and twenty-one strains of E. coli were isolated from 1,239 patients with diarrhea. Seasonal distribution of patient with diarrhea was shown the most high at August (18.2%). Age group distribution of patient was shown the most high at children (54.6%, 2 to 10 years old). The serotypes of 721 E. coli isolates were in order of serotype O44 (16.8%), O153 (8.6%), O1 (7.5%), O166(5.7%), O8 and O86a (4.7%), and O125 (4.6%). The supernates cultured 36 strains among 721 E. coli isolates were indicated cytotoxicity against monolayered Vero cells. All of the isolates were susceptible to amikacin. The isolates were resistant in order of novobiocin (99.0%), moxalactam (97.1%), carbenicillin (96.1%), tetracycline (90.4%), ampicillin (85.9%), gentamicin (84.0%), streptomycin (78.4%), cephalothin (46.6%) and polymyxin B (4.2%). In the antibiotic resistant patterns, 125 kinds of multiple resistance patterns of E. coli isolates were detected. The highest resistant pattern was ampicillin-carbenicillin-chloramphenicol-cephalothin-erythro-mycin- gentamicin-moxalactam-novobiocin-penicillin G-streptomycin-tobramycin-tetracycline-tri methoprim type (24.3%).

  • PDF

Growth Inhibitions of Strains Exhibiting Resistances against General Disinfectants and Antibiotics by MBT-01108 Material. (MBT-01108 물질에 의한 일반 소독제 및 항생물질 내성균주의 생육억제)

  • Kim, Hae-Nam;Park, Jin-Young;Kim, Sam-Woong;Jun, Hong-Ki
    • Journal of Life Science
    • /
    • v.17 no.9 s.89
    • /
    • pp.1278-1283
    • /
    • 2007
  • The 30% resistant frequencies of pathogenic bacteria were identified against generally utilizing disinfectants. Among the used disinfectants, foodsef, Taego, and Iodo 175 were dictated by lower sensitivities against pathogenic bacteria, as well as higher resistant frequencies when compared with other disinfectants. The resistant frequencies against antibiotics were also dictated by 30% through MIC (minimal inhibitory concentration) and paper disc methods. Especially, the used bacteria exhibited resistances against gentamycin, kanamycin, and streptomycin, which included in all aminoglycoside group. The MBT-01108 material, which extracted and purified from a powder obtained by processing of Opunita ficus-indica var. saboten Makino trunk, did not develop or grow resistant bacteria. Interestingly, the multi-drug resistant bacteria such as MRSA, resistant Pseudomonas aeruginosa, VRE, and E. coli 0157 did not resistant against MBT-01108 material. These results suggest that MBT-01108 material uses as an anti-microbial agent.

Penicillin Resistant Distribution and in-vitro Susceptibility of Oral Antibiotics against Streptococcus pneumoniae, isolated from Pediatric Patients with Community-Acquired Respiratory Infections in Korea (급성 호흡기감염 환아에서 분리된 폐구균에 대한 페니실린 내성분포와 경구 항생제에 대한 감수성 연구)

  • Kang, Jin Han;Kim, Sun Mi;Kim, Jong Hyun;Hur, Jae Kyun;Lee, Kyung Yil;Shin, Young Ku;Park, Su Eun;Ma, Sang Hyuk;Hong, Young Jin
    • Clinical and Experimental Pediatrics
    • /
    • v.48 no.1
    • /
    • pp.40-47
    • /
    • 2005
  • Purpose : S. pneumoniae is one of major pathogens of community-acquired respiratory infections. The rate of antibiotic resistance to this organism has increased, and resistance to multiple antimicrobial agents in a single strain of S. pneumoniae may compromise the efficacy of empiric antimicrobial treatment commonly used for respiratory infections. We did this study to find out the penicillin resistant distributions and oral antibiotics susceptibility patterns against S. pneumoniae, isolated from pediatric patients with community-acquired respiratory infections in Korea. Methods : One hundred fifty six pneumococcal isolates obtained from pediatric patients with community-acquired respiratory infections such as acute otitis media(AOM), sinusitis and pneumonia between May 2000 to June 2003. And MICs of penicillin and oral antibiotics(amoxicillin, amoxicillin-clavulanate, cefaclor) were performed by broth microdilution methods according to the NCCLS(2003a). Results : Seventy eight percent of the isolates were resistant to penicillin. The isolates, collected from AOM patients showed the highest penicillin resistance(92.7%). The resistant rates of amoxicillin (16.7%) and amoxicillin-clavulanate(9.6%), based on susceptibility breakpoints established by the NCCLS, were markedly lower than these of penicillin. But, the resistant rate of cefaclor was very high, above 95%. Conclusion : We concluded that pneumococci isolated from study cases may be one of the world's highest penicillin resistant rates. But, amoxicillin and amoxicillin-clavulanate can be used as a first-line antibiotics. Finally, we hope that a continuous surveillance study to monitor resistant patterns of pneumococcal respiratory infections will be needed for the standard guidelines of empiric antibiotic treatment.

Drug Resistant Coliform Organisms in Shinchun Stream (Daegu) (대구신천(大邱新川)으로부터 분리(分離)된 약제내성대장균군(藥劑耐性大腸菌群)의 전달성내성(傳達性耐性)에 관(關)하여)

  • Kim, Ki Seuk;Tak, Ryunbin
    • Korean Journal of Veterinary Research
    • /
    • v.17 no.2
    • /
    • pp.73-78
    • /
    • 1977
  • The distribution of coliform population and drug-resistant coliforms in Shinchun water during April to August in 1976 and R factors in resistant strains were studied. The mean coliform population in the stream water was 361 organisms per 0.1ml and 53.5% of total coliforms were fecal coliforms. Thritynine and a half percent of total coliforms were streptomycin (SM) resistant to one or more of following antibiotics; tetracycline (TC), chloramphenicol (CM), ampicillin (AP) and kanamycin (KM). The most frequent resistant pattern was triple resistance to SM, TC and AP (23.8%) and followed by quadruple one to SM, TC, CM and AP (17.5%). About 87 percent strains carried R factors which were transferable by conjugation to E. coli ML 1410 or S. typhimurium LT 2.

  • PDF

Effect of a Combined Treatment with Uniconazole, Silver Thiosulfate on Reduction of Ozone Injury in Tomato Plant (Uniconazole 과 Silver Thiosulfate 의 복합처리가 토마토의 오존피해경감에 미치는 효과)

  • Ku, Ja-Hyeong;Won, Dong-Chan;Kim, Tae-Il;Krizek, Donld T.;Mirecki, Roman M.
    • Korean Journal of Environmental Agriculture
    • /
    • v.11 no.1
    • /
    • pp.50-58
    • /
    • 1992
  • Studies were conducted to determine the combined effect of uniconazole [(E) -1-(4-chlorophenyl)-4, 4-demethyl 2-(1,2,4 triazol-1-yl)-1-penten-3-ol] and silver thiosulfate $[Ag {(S_2O_3)}^3\;_2-]$ (STS) on reduction of ozone injury in tomato plants(Lycopersicon esculentum Mill. 'Pink Glory'). Plants were given a 50ml soil drench of uniconazole at concentrations of 0, 0.001, 0.01 and 0.1 mg/pot at the stage of emerging 4th leaf. Two days prior to ozone fumigation, STS solution contained 0.05% Tween-20 was also sprayed at concentrations of 0, 0.3 and 0.6 mM. Uniconazole at 0.01 mg/pot and STS at 0.6 mM were effective in providing protection against ozone exposure(20h at 0.2ppm) without severe retardation of plant height and chemical phytotoxicity, respectively. Combined treatment with uniconazole, STS significantly reduced ozone injury at the lower concentration than a single treatment with uniconazole or STS. Uniconazole treatment reduced plant height, stem elongation and transpiration rate on a whole plant level and increased chlorophyll concentration. STS did not give any effect on plant growth and chlorophyll content but increased transpiration rate in non-ozone-fumigated plants. Ethylene production in the leaves of ozone-fumigated plants was decreased by uniconazole and STS pretreatment, but there was no protective effect on epinasty of leaves in uniconazole-treated plants. STS increased ethylene production in non-ozone-fumigated plants, but it significantly reduced the degree of epinasty and defoliation of cotyledons when plants were exposed to ozone. Uniconazole slightly increased superoxide dismutase and peroxidase activities. But STS showed little or no effects on such free radical scavengers. Day of flowering after seeding was shortened and percentages of fruit set were increased by uniconazole treatment. STS was highly effective on protecting reduction of fruit set resulting from ozone fumigation. These results suggest that combined use of uniconazole and STS should provide miximum protection against ozone injury without growth retardation resulting in yield loss.

  • PDF

Clinical Evaluation of Surgical Resection on Pulmonary Tuberculosis -Multiple Drug Resistent Pulmonary Tuberculosis (폐결핵 환자에 적용된 폐절제술의 임상적 연구 -다제약제내성 결핵환자를 중심으로-)

  • 전희재;한동기
    • Journal of Chest Surgery
    • /
    • v.30 no.8
    • /
    • pp.786-792
    • /
    • 1997
  • A clinical study of 71 cases of pulmonary tuberculosis that had had surgical resection during the period of 7 years and 6months from January 1989 to June 1996 in National Masan Tuberculosis Hospital. The results were as follows. 1. The ratio of male to female was 3.7:1 and in the age incidence the fourth decade was 22%, the third decade 15%. Although medical treatment was performed for more than 3 to 6 months, preoHeratively the conversion failure rate of positive sputum to negative state was 66.2%(47 cases). Of the failure cases, multiple-drug-resistant(MDR) patients were 41 cases(87.2%), 3. In MDR group, preoperatively conversion failure rate was 71.9%. 4. From the view of indica ion for lung resection on the radiographic finding, cavitary lesions were 43 cases(60.6%), destroyed lung lesions were 24 cases(33.8%). 5. The incidence of postoperative complication was 28.2%(20 cases). All cases were MDR 6. group and the most common of complication was tuberculosis spreading. In bilateral lesion, incidence of postoperative tuberculosis spreading was 25%(7 cases). Of the 7 cases, there was the cavitary lesion in 6 cases(86.7%). Total conversion rate of AFB positive sputum to negative state related to resectional sugery was 76.6% and in MDR group conversion rate of AFB positive sputum to negative state was 73.2% Conversion rate of MDR group with bilateral lesion was the lowest(60%). Conversion rate of drug-sensitivity group was 100% regardeless of lesions Slt to. In conclusion, despite of long-standing medical treatment, it is difficult to converse sputum-positive to negative state in multiple-drug resistance patients and that increases postoperative complications su h as tuberculosis relapse as a lack of appropriate drugs postoperatively. Postoperative conversion rate of sputum-positive to negative state was decreased in multiple-drug resistance patients. Because multiple-drug resistance patients have inireased due to several factors in Korea, it is important to prevent spreading of multiple-drug resistnce patients through the aggressive operative treatment. When the first medical therapy is fail or drug-resistance is found, operative treatment should be considered with the secondary medical therapy. The operation should be aggressively attempted even though at first medical treatment if indicated.

  • PDF

Characteristics and Antimicrobial Susceptibility Patterns of Pasteurella multocida Isolated from Pneumonic Lung Lesions of Swine (돼지 폐렴병소에서 분리한 Pasteurella multocida의 특성 및 항생제 감수성 양상)

  • Shon, Jun-Hyung;Choi, Seong-Kyoon;Cho, Gil-Jae
    • Journal of Life Science
    • /
    • v.19 no.5
    • /
    • pp.615-619
    • /
    • 2009
  • The present study was conducted to investigate the species-specific gene detection and antimicrobial susceptibility of Pasteurella (P.) multocida isolated from pneumonic lung lesions of Youngnam swine herds during the period from July 2006 to September 2007. A total of 91 (36.3%) strains of P. multocida were isolated from 251 pneumonic lung lesions. The species-specific P. multocida gene was detected at 460 bp amplicons by PCR. The P. multocida tested was susceptible to florofenicol (93.4%), amikacin (91.2%), cephalothin (87.9%), cefoxitin (84.6%), ofloxacin (80.2%) and norfloxacin (65.9%) in 27 antimicrobial susceptibility tests. Most of strains were resistant to more than 5 drugs.

이달의 과학자 - 경북대 의대 임상병리학교실 서장수 교수

  • Korean Federation of Science and Technology Societies
    • The Science & Technology
    • /
    • v.32 no.3 s.358
    • /
    • pp.22-23
    • /
    • 1999
  • 인간의 혈액세포와 관련된 연구를 계속하고 있는 경북대 의대 임상병리학교실 서장수 교수는 최근 혈액종양세포에서의 약제내성기전과 이를 극복하는 방법 그리고 헤라핀이 혈소판감소증 등을 일으키는 부작용을 밝히는 작업을 하고 있다. 서교수는 97년 미국 혈액학 잡지에 '헤파린유도 혈소판감소증 유발항체의 해파린:혈소판 제4인자 복합체 다면인식'등의 논문을 발표해 전 세계 학계의 관심을 모았다.

  • PDF

약제내성환자의 재치료

  • 권동원
    • 보건세계
    • /
    • v.40 no.5 s.441
    • /
    • pp.6-11
    • /
    • 1993
  • 초치료나 재치료를 막론하고 결핵환자치료의 대원칙은 첫째. 의사가 적절한 처방을 내리고 둘째. 환자가 적절한 처방을 정해진 기간동안 중단 없이 규칙적으로 복용하는 것이다. 의사와 환자가 각자의 원칙을 잘 지킨다면 초치료 때에도 치료에 실패하여 난치성 환자가 되는 경우가 많이 줄어들 것이다. 그러나 원칙은 간단하여도 그것을 실행한다는 것은 매우 어렵다. 더구나 초치료 때 보다도 재치료 때가 더욱 어렵다. 왜냐하면 의사의 입장에서는 초치료에 실패한 환자에게 적절한 재치료 처방을 하기가 꽤 까다롭고, 환자의 입장에서는 적절한 처방이라도 초치료처방 보다 치료기간이 더 길며 부작용 발생도 더 많은 재치료처방을 중단 없이 규칙적으로 복용하는 것이 상당히 어렵기 때문이다.

  • PDF