• Title/Summary/Keyword: 장티푸스

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Epidermiological Study on Typhoid Fever, Dysentery and Diphtheria in Chungcheong Nam Do, Korea (충청남도 전지역에 발생보고된 장티푸스 이질 및 디프테리아에 대한 역학적 고찰)

  • Lee Song Goo
    • The Korean Nurse
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    • v.13 no.3 s.71
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    • pp.59-68
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    • 1974
  • Although many communicable diseases have been treated successfully since the advent of the antibiotic era and explosive epidemics have become less frequent in Korea as a result of continuous efforts to prevent the communicable diseases, the incidence of s

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플라즈마를 이용한 Toilet 오염 방지 표면 처리 기술의 개발 -I. 오염 현상의 정량적 평가-

  • Do, U-Ri;Yang, Won-Gyun;Ju, Jeong-Hun
    • Proceedings of the Korean Vacuum Society Conference
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    • 2010.02a
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    • pp.401-401
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    • 2010
  • 현대사회로 들어오면서 과거와 달리 외부에 있던 화장실이 내부로 들어오면서 변기 뚜껑을 닫지 않고 toilet flushing을 할 때 배변에 포함된 다량의 장티푸스, 포도상 구균 같은 종류의 세균이 화장실 곳곳에 퍼짐에 의하여 면역력이 약한 경우 여러 가지 세균성 질환 및 2차 감염을 통하여 장티푸스 및 피부 질환 등이 발생한다. 본 연구에서는 이런 감염을 최소화하기 위한 방법으로 플라즈마를 이용한 세변기 표면의 오염 방지처리 기술을 개발하는 것을 목표로 한다. 일차적으로 여러 가지 운용 조건에서 오염의 정도를 파악하고자 배변의 양에 따라 toilet flushing 시 피부 오염의 물질 노출 정도를 평가 하였다. 실험 방법은 배변을 모사하여 toilet system에 넣고 물을 내려 무게에 따른 물 튀김 정도와 위치 분포를 분석하였다. 밀가루 반죽의 무게가 증가하면서 피부에 닿는 물 튀김 면적이 특정 무게에서 최대 60.02 mm2까지 증가하다 감소했다. 또한 실제 측정 결과를 통하여 물 튀김의 분포가 뒤쪽에 집중되는 것을 볼 수 있었다. 이와 같이 실제 toilet flushing시 세균에 의하여 피부 오염 및 국부 감염이 발생할 수 있다는 것을 확인할 수 있었다. 또한 비데 동작 시 변기 내부에 잔존하는 세균 자체가 확산되는 정도를 3차원 유체 역학 모델링으로 예측하였다. 앞으로 세변기 뚜껑의 플라즈마 표면처리 및 toilet flushing 유로 디자인 개선을 통해 세균의 잔류 및 퍼짐을 최소화함으로써 최종적으로 세균성 질환을 줄일 수 있는 방법을 개발하는 것이 본 연구의 1단계 목표다.

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Cloning and Nucleotide Sequence Analysis of the aroA Gene from Salmonella typhi KNIH100 (Salmonella typhi KNIH100으로부터 aroA 유전자의 클로닝과 염기서열 분석)

  • 길영식;신희정;김영창
    • Korean Journal of Microbiology
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    • v.36 no.1
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    • pp.46-51
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    • 2000
  • Salmonella typhi is one of important causes of human enteric infections. S. typhi KNIH100 was isolated from a patient of typhoid fever in Korea. We cloned a 5.0 kb SalⅠ fragment containing the aroA gene encoding a 5-enolpyruvylshikimate-3-phosphate synthetase from chromosomal DNA of this strain. This recombinant plasmid was named pSAL80. E. coli CGSC2829, an aroA- mutant, was not grown on the M9 minimal medium but E. coli CGSC2829 (pSAL80) was grown on the M9 minimal medium. The aroA gene was composed of 1,284 base pairs with ATG initiation codon and TAA termination codon. Sequence comparison of the aroA gene exhibited 99%, 98%, and 77% identity with those of S. typhi Ty2, S. typhimurium, and E. coli respectively. As in the cases of Shigella sonnei and E. coli, the serC and aroA genes lie in a single operonic structure.

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Study on the Genus Salmonella Cultures Isolated in Korea 1982 (한국에서 분리된 Salmonella 균속에 관한 연구)

  • Chung, T.H.;Yun, S.K.;Lee, B.K.;Choi, J.D.;Lee, M.W.
    • The Journal of the Korean Society for Microbiology
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    • v.18 no.1
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    • pp.31-38
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    • 1983
  • 1982년도 1월부터 12월 1년간 서울을 비롯한 전국 보건연구소, 검역소, 서울 시내 종합병원 임상병리실험실에서 수거한 가검물 및 분리한 세균 등 총 1,518건을 시험한 결과 이중 살모넬라균속이 687건이 동정되었다. 이중 441건이 장티푸스였으며 그외 살모넬라균이 246건이었다. 이에 대한 생화학적 특성, 혈청학적 특성, 지리적, 계절적, 성별에 대한 발생특성, 앰피실린 등 12가지 항생제에 대한 감수성 시험을 하였다.

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Characteristics of Water- and Foodborne Disease's Reports in Korea National Notifiable Infectious Disease Surveillance System, 2012-2021 (2012-2021 전수감시 대상 수인성·식품매개감염병의 발생 신고 특징)

  • Jisu Won;Bryan Inho Kim;Hyungjun Kim;Jin Gwack;Hae-Sung Nam
    • Journal of agricultural medicine and community health
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    • v.48 no.2
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    • pp.132-143
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    • 2023
  • Objectives: We aimed to describe the reporting patterns of 6 notifiable surveillance diseases in the Republic of Korea, including water- and foodborne infections, from 2012 to 2021. Methods: For the 12,296 cases that met the reporting criteria, we calculated the number of reported cases, including the number of cases confirmed by lab tests or suspected by a physician, the number of cases with delayed reporting and their average days of delay, and the median days required to report the confirmatory test results. Results: The overall number of reported cases consistently increased over the ten years, with a significant rise in the reported cases of typhoid fever, paratyphoid fever, and EHEC. Ninety-five percent of all reported cases were timely reported within one day of diagnosis. Vibrio vulnificus had the highest rate of delayed reporting (6.8% delayed over 1 day, 3.0% delayed over 3 days), while cholera had the lowest rate (1.9% delayed over 1 day, 0.1% delayed over 3 days). The average days of delayed reporting was 6.1 days: the highest for paratyphoid fever (10.8 days) and the lowest for cholera (2.7 days). For typhoid fever and paratyphoid fever, there has been an increase in the proportion of cases with negative test results. For vibrio vulnificus, there has been an increase in the proportion of cases with confirmed positive test results. As for EHEC, there has been a recent increase in cases with no confirmatory tests. Conclusions: Reported cases of water- and foodborne infectious diseases increased, indicating improved surveillance system completeness. However, for paratyphoid fever, improvements are needed in terms of timely notification by healthcare facilities and timely reporting of confirmatory test results.

Lipid A of Salmonella typhimurium Suppressed T-cell Mitogen-Induced Proliferation of Murine spleen Cells in the Presence of Macrophage (Salmonella typhimurium lipid A를 처리한 식세포 존재 조건에서 mitogen에 유도되는 이자 세포의 증식억제)

  • Kang, Gyong-Suk;Chung, Kyung-Tae
    • Journal of Life Science
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    • v.17 no.1 s.81
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    • pp.31-38
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    • 2007
  • Infection with virulent or attenuated Salmonella typhimuriumhas known to induce reduction in proliferative responses of spleen cells. We investigated a role of lipid A from S. typhimurium, a B cell mitogen, on proliferation of spleen cells by T cell mitogens such as concanavaline A and phytohemagglutinin under in vitro and ex vivo conditions. Lipid A alone induced proliferation of spleen cells in vitroin a dose-dependent manner. However, subsequent treatment of concanavaline A or phytohemagglutin in after lipid A treatment induced proliferation suppression of murine spleen cells in vitro and ex vivo. Removal of macrophages from spleen cells, which were obtained from a lipid A-injected mouse, restored proliferation by concanavaline A and phytohemagglutinin, indicating that macrophages appeared to play a role in lipid A-induced suppression. Secreted molecules from macrophages did not accounted for the suppression because suppressive effect was not achieved when the supernatant from macrophage-containing spleen cell culture was conditoned to macrophage-depleted spleen cell culture. Co-culture of spleen cells from lipid A-treated and - untreated mice showed proliferation suppression as increasing cell numbers of lipid A-treated mouse. These data suggested that the cell-to-cell contact of macrophage with splenic lymphocyte cells is responsible for immune responses against lipid A, which is applicable to the case of human S. typhi infection.

Molecular Typing of Salmonella enterica serovar Typhi Strains Isolated in Busan by Pulsed-Field Gel Electrophoresis (부산지역에서 분리된 Salmonella enterica serovar Typhi균에 대한 PFGE를 이용한 Molecular typing)

  • Min, Sang-Kee;Lee, Ju-Hyun;Park, Eun-Hee;Kim, Jung-Ah;Kim, Kyu-Won
    • Journal of Life Science
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    • v.16 no.4
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    • pp.664-671
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    • 2006
  • We obtained 424 Salmonella enterica serovar Typhi isolates from sporadic cases of infection in Busan during 1996 to 2005. We investigated the trend of antimicrobial resistance and molecular typing by pulsed-field gel electrophoresis (PFGE). Of the total 424 isolates, 6 strains (1.4%) were multidrug-resistant (MDR) S. enterica serovar Typhi isolates, 2 strains (0.5%) were resistant to only nalidixic acid, and the remaining 416 strains (98.1%) were fully susceptible to the 18 antimicrobial agent. PFGE of XbaI-digested chromosomal DNA was performed on 50 sporadic S. enterica serovar Typhi isolates with the objective of investigating the extent of genetic diversity of these isolates in our region. We could find that these isolates were much more heterogeneous and at least 32 different PFGE patterns were generated according by dice coefficient, between 0.69 and 1.0. Restriction fragment patterns consisted of 13 to 18 fragments ranged in size from 20 to 630 kb. The results confirmed that PFGE would be an useful tool for investigating surveillance of sporadic or outbreak case and assessing clonality for S. enterica serovar Typhi in Busan area. Our finding will be valuable in developing rational strategies to control this pathogen and setting the basis of an effective PulseNet system in Korea.

Diagnostic Values of Abdominal Ultrasonography in Patients with Fever and Abdominal Symptoms (발열과 복부 증상을 주소로 하는 환아에서 복부 초음파 검사의 진단적 의의에 관한 연구)

  • Lee, Mi-Kyung;Im, Chang-Sung;Ahn, Sun-Mi;Kim, Chang-Hi;Lee, Dong-Jin;Kwan, Joong-Hyuck;Park, Yong-Hoon
    • Journal of Yeungnam Medical Science
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    • v.12 no.2
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    • pp.191-202
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    • 1995
  • Purpose: Acute febrile illness in children frequently accompanies with abdominal symptoms such as vomiting, diarrhea, and abdominal pain, even if its etiology is not occured from the gastrointestinal tract. If the etiology of fever was unknown and the fever was accompanied with abdominal symptoms, we should be concerned about whether the etiology of fever was originated from the gastrointestinal tract or interpretated from the abnormality in the gastrointestinal tract. This study was performed to evaluate the diagnostic value of abdominal ultrasonography in patients with fever and abdominal symptoms. Methods: We reviewed retrospectively the medical records of abdominal ultrasonographic (US) findings of 60 cases of acute febrile illness with abdominal symptoms at department of Pediatrics, Ulsan Dongang General Hospital during the period from January 1994 to June 1995. Results: The abnormal abdominal US findings obtained were as follows. 1) The abnormal US findings were seen in 56 cases (93.3%). 2) The most common abnormal US finding was the enlarged mesenteric lymph nodes in 52 cases (86.7%) 3) The enlarged mesenteric lymph nodes with or without intra-abdominal fluid were seen in 30 cases (50.0%) of a wide variety of illnesses, so their diagnostic values were absent. 4) The enlarged mesenteric lymph nodes and splenomegaly with or without ileocecitis were seen in 7 cases. Among them, 4 cases (6.7%) were confirmed as typhoid fever. 5) The US findings in 6 cases of typhoid fever were the enlarged mesenteric lymph nodes in all cases (100%), splenomegaly in 4 cases (66.7%), ileocecitis in 1 case (16.7%), enlarged mesenteric lymph nodes and splenomegaly in 4 cases (66.7%), enlarged mesenteric lymph nodes, splenomegaly and ileocecitis in 1 cases (16.7%). 6) The enlarged mesenteric lymph nodes and the abnormalities around the appendix were seen in 7 cases (11.7%), which were confirmed as appendicitis all. 7) The thickening of wall in urinary bladder was seen in 2 cases (3.3%) of acute cystitis and acute hemorrhagic cystitis. 8) The subtle thickening of wall in colon was seen in 1 cases (1.7%) of shigellosis. Conclusions: The enlarged mesenteric lymph nodes, splenomegaly and ileocolitis on the abdominal ultrasonography in patients with fever and abdominal symptoms aree suggestive findings of typhoid fever. The enlarged mesenteric lymph nodes and the abnormalities around the appendix on abdominal ultrasonography make the rapid diagnosis of acute appendicitis and its complications, when physical examination is difficult in small children and diagnosis of their illnesses is obscure in patients with fever and abdominal pain.

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