• Title/Summary/Keyword: 항생제 사용

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Antimicrobial Resistance Profiles of eae Positive Escherichia coli (eae+ Escherichia coli의 항생제 감수성 및 내성 패턴)

  • Lee, Min-Hwa;Choi, Chang-Sun
    • Journal of Food Hygiene and Safety
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    • v.22 no.2
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    • pp.116-119
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    • 2007
  • The antimicrobial susceptibility and antibiotic resistance patterns of 67 eae positive Escherichia coli strains isolated from pigs were investigated by disc diffusion method. Sixty-seven E. coli isolated from pigs showed susceptibility to Ceftiofur (98.5%), Lincomycin+Spectinomycin (74.6%), Danofloxacin (73.1%), Enrofloxacin (64.2%), and Neomycin (41.8%). However, the multiple resistance patterns were also seen in eae+E. coli isolates. Neomycin+Tylosin+Penicillin+Tetracycline, Tylosin+Penicillin+Tetracycline, and Neomycin+Tylosin+Danofloxacin+Penicillin+Tetracycline+Enrofloxacinwere the most prevalent patterns of multiple antibiotic resistance.

Antibiotic Resistance and Assessment of the Food-borne Pathogenic Microorganisms in Ready to Eat Meals (식사대용 식품(Ready-to-eat meals) 중 병원성 세균의 분포와 항생제 감수성 양상)

  • Hong, Eun-Kyung;Kim, Yun-A;Lee, Do-Kyung;Kang, Byung-Yong;Ha, Nam-Joo
    • Korean Journal of Microbiology
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    • v.42 no.4
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    • pp.265-270
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    • 2006
  • This study was performed in order to measure the level of food-borne pathogenic bacteria and antibiotic resistance pattern of found ready to eat meals such as Him-bap, Cho-bap, Hamburger, Sandwich and packed lunch boxes. A total of 497 samples were collected from supermarket and department of Seoul, Kyung-ki, Inctleon, Kang-won, Chung-Cheong from November, 2005 to March, 2006. The contaminated microorganisms were in most cases tract relative strain like E. coli and S. aureus. Result have shown E. coli was detected 4 strains and S. aureus was detected 22 strains. 26 strains were also tested the antibiotic resistance pattern. 26 strains were shown to be relatively susceptible to synercid, vancomycin, teicoplanin, ciprofloxacin, gentamycin, lincomycn, cefotaxime, meropenem, cephalosporin, amoxicillin-clavulanic acid by the MIC dilution method, but E. coli 1 strain was resistant to amoxicillin-clavulanic acid.

Efficacy and Cost Benefits of Rapid Antigen Detection Test for Group A Streptococci Obtained from Acute Pharyngitis in Children (소아 세균성 인두 편도염의 진단에 있어 신속 항원 검출 검사의 유용성과 비용 효과의 평가)

  • Youn, Suk;Chung, Hye-Jeon;Kim, Yun-Ho;Choi, Jin-Dong;Lee, Sang-Hoon;Min, Jung-Sik;Jung, Sang-Young;Jung, Sung-Ki;Ahn, Byung-Moon;Lee, Hee-Joo;Cha, Sung-Ho
    • Pediatric Infection and Vaccine
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    • v.12 no.2
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    • pp.124-134
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    • 2005
  • Purpose : It has been known that the diagnostic confirmation of group A streptococcal pharyngitis is accompanied with the results of throat culture and/or rapid antigen detection test(RADT). This study was designed to evaluate the usefulness and cost benefits of the RADT in patients with a sore throat compared the empirical antibiotic treated group without using RADT or throat culture with the antibiotic treated group according to the results of RADT test and/or throat culture. Methods : From April 2003 to August 2003, total 369 patients were enrolled this study. They were redistributed into two groups. In one group, the RADT test and throat culture were used and the patients received antibiotic treatment according to the results of test and in the other group, no diagnostic examinations were used and the patients were treated with antibiotics which were chosen empirically. The flow sheet with questionnaire was drawing up and obtained the clinical symptoms, signs and the name of antibiotics that were administered. Results : A total of 244 patients were treated after the throat culture and/or RADT, and 125 patients were treated empirically. The prevalence of bacteriologically confirmed group A streptococcal pharyngitis was 20.1%. The sensitivity and specificity of RADT were 89.8% and 86.1%, respectively. Positive predictive value and negative predictive value were 62.0% and 97.1%, respectively. The rate of antibiotic use was high in both groups. Because the physician used the antibiotics even if the result of RADT was negative. So about 37% of reduction of antibiotics use might be possible if we used antibiotics according to the results of RADT. There were no cost differences between the RADT applied group and the empirically treated antibiotic group if we could reduce the price of RADT to 63% of the current price. Conclusion : The RADT could be applied for the easy and rapid diagnosis and prompt treatment for group A streptococcal pharyngitis, and RADT could reduced the number of antibiotics used if the price of RADT was reduced to 63% of current price. For accurate evaluation of efficacy and cost effect, further controlled study is needed.

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PULP TREATMENT OF PRIMARY TEETH USING A COMBINATION OF ANTIBIOTICS (항생제를 사용한 유치의 치수치료)

  • Kim, Dae-Eop
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.1
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    • pp.126-131
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    • 2005
  • The purpose of this study was to observe the potentiality of a mixture of antibiotics to relieve the endodontic and periapical infections in primary teeth. A mixture of metronidazole, ciprofloxacin, and minocyclin in distilled water or in a root canal sealer were used to disinfect the infected endodontic and periapical lesions. For application of this mixture, medication cavities were prepared at orifices of root canals by using the $Fissurotomy^{(R)}$ burs(S S White, USA). The cavities and bottom of pulp chamber were filled with antibiotics mixture. In this cases, clinical symptoms were improved following a single application of that mixture. Gingival swelling, pain, and fistulae were disappeared within a week. More long term evaluation will be needed. Although there were no reports of side effects, care should be taken if children are sensitive to antibiotics. Within the limitations of this case, the mixture of 3 antibiotics provided an excellent improvement in treatment of infected primary teeth under the physiologic root resorption.

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The investigation of antibiotic resistance community in environment samples using EC (effective concentration) concept (EC개념을 사용하여 환경 표본안에 항생제 저항 군집에 관한 연구)

  • Kim, Sung-Pyo;Kim, Lee-Hyung
    • Journal of Wetlands Research
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    • v.13 no.2
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    • pp.181-187
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    • 2011
  • The overall objective of this study is to develop the engineering-friendly-methodology which can investigate the fate of antibiotic resistance in environment microbial community. For this purpose, effective concentration (EC) concept was adopted with cultural based method which is currently used in engineering practice. When a tetracyline antibiotic was present as selective pressure agent among microbial community, activated sludge, the $EC_{50}$ and/or $EC_{90}$ of tetracycline in microbial community were statistically increased compared to control, especially higher growth rate and organic loading conditions of SBRs. Therefore, these results strongly suggested that the continuous monitoring of EC in microbial community can be used for characterizing the fate of tetracycline resistance community in environmental samples.

성장촉진제의 사용효과 재검토 -새로운 제품의 개발에 즈음하여

  • 한인규
    • KOREAN POULTRY JOURNAL
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    • v.19 no.4 s.210
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    • pp.99-102
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    • 1987
  • 가죽의 생산력을 향상시키고 도체조성을 개선하기 위해 현재 사용되고 있는 다양한 성장촉진제에 대하여 그 효과와 가능한 작용기전에 관해 정리하였다. 항생제는 여러 가축에 가장 널리 이용되고 있으며 성장 촉진 효과로 잘 알려져 있다. 그러나 가능한 내성문제 등 여러가지 우려되는 문제점으로 사용에 제한을 받고 있으며 따라서 부작용이 없는 새로운 항생제의 개발노력은 계속적으로 경주되어져야 한다고 본다. 생균제는 항생제의 대체 가능한 첨가제로서 장내에서 유해한 미생물들을 억제조절하고 반면 유익한 미생물 성장을 도와 성장을 촉진한다. 성장호르몬의 합성효과에 의한 성장촉진 및 체조성 개선 효과는 상당한 관심의 대상으로 연구가 되고 있으며 최근의 연구결과에 의하면 동물에 성장호르몬 투여는 성장촉진 효과와 더불어 근육생산을 늘리고 지방축적을 감소시켰다고하며 또한 유생산에도 상당한 증가효과가 있었다고 한다. 대부분 성호르몬인 합성호르몬은 주로 육생산 가축에서 성장촉진 및 도체품질 향상 목적으로 쓰이는데 보통 사료에 첨가되거나 직접 투여되기도 한다. 효모 배양물은 특히 어린 동물에서 증체 향상 효과가 보고되고 있는데 이런 효과는 효모의 효소에 의한 소화율 향상이나 비타민 B군등 미량 영양소의 직접적인 공급 효과로 풀이된다. 전체적으로 성장촉진 목적으로 이용되는 여러 제제들은 그 명확한 작용기작 규명 등 앞으로 보다 많은 연구노력이 이루어져야 할 것으로 본다.

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업체탐방 - 케민코리아

  • Kim, Dong-Jin
    • KOREAN POULTRY JOURNAL
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    • v.48 no.9
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    • pp.128-131
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    • 2016
  • 닭에 있어서 여름철 콕시듐증 피해는 크게 증가하는 경향을 보이고 있다. 콕시듐증은 닭에서 생산성 저하를 일으키는 가장 큰 요인 중 하나이다. 본회에서 최근 농가에 다발하는 질병을 조사한 결과 콕시듐이 5대 질병에 포함되었으며, 한국가금수의사회가 상반기에 집계한 질병순위에서도 역시 같은 결과를 보여줄 정도로 농가에 지속적으로 피해를 주는 질병으로 나타났다. 정부에서도 2012년부터 배합사료 내 항생제 첨가 품목을 엄격히 제한하고 일부 품목은 천연제제로 대체하는 정책을 시행해 오고 있다. 수의사 처방제, 각종 친환경 정책 등으로 이제는 항생제를 사료공장에서 사용할 수 없게 되면서, 그 동안 사용해 오던 일반 항콕시듐제들도 동물용의약품으로 분류되어 항생제와 같은 기준으로 까다로운 절차를 통해 사용되어야 하므로 사료회사들에게 큰 부담으로 작용하기에 이르렀다. 이달에는 이러한 번거로움을 줄이고 효능에서도 탁원한 효과를 보이고 있는 천연항콕시듐제를 출시 1년만에 국내시장 50% 이상을 석권하고 있는 케민社(사)를 소개코자 한다.

뱀장어 및 미꾸라지의 염산옥시데트라싸이클린의 잔류에 관한 연구

  • 신동규;구재근
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2002.10a
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    • pp.102-103
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    • 2002
  • 옥시테트라싸이클린(OTC)은 테트라사이클린계 항균물질로 비브리오병, 지느러미 붉음병, 인린 병, 아가미 썩음병 등과 같은 수산동물 질병 치료에 많이 사용되고 있는 항균제이다. 어류의 질병을 치료하기 위해 투여된 항생제에 대하여 어체내의 잔류농도에 대한 과학적 규명없이 관습적이고 반복적으로 사용되고 있어 과잉투여에 의한 경제적 손실, 과소투여에 의한 내성균의 발현, 양식 어류 체내의 항생물질 잔류 농도등 항생제 사용 문제는 양식산업뿐 아니라 수산가공 입장에서도 매우 중요한 현안으로 대두되고 있다. (중략)

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Non-carbapenem Drugs for Patients with Bacteremia caused by Extended-Spectrum β-Lactamase-Producing Enterobacteriaceae: Piperacillin-Tazobactam (Extended-Spectrum β-Lactamase 생성 장내세균속균종 균혈증 환자들의 치료에서 비카바페넴 항생제의 단일 기관 치료 결과: Piperacillin-Tazobactam을 중점으로)

  • Hyunjoo Oh;Seunghee Lee;Misun Kim;Sang Taek Heo;Jeong Rae Yoo
    • The Korean Journal of Medicine
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    • v.99 no.3
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    • pp.149-157
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    • 2024
  • Background/Aims: Carbapenems are recommended for treating bacteremia caused by extended-spectrum β-lactamase (ESBL) producing Enterobacteriaceae (ESBL-E). However, this has resulted in a significant rise in the utilization of carbapenems in cases of ESBL-E infection. We evaluated the clinical outcomes of patients with ESBL-E bacteremia treated with non-carbapenem antimicrobials. Methods: We conducted a retrospective case-control study of a cohort of patients with documented ESBL-E bacteremia from January 2021 to December 2021. The patients were divided into two groups according to whether they received non-carbapenem or carbapenem therapy. The rates of treatment failure, 30-day mortality and microbiologic failure, and the durations of hospitalization and of antimicrobial therapy were compared between the two groups. Antimicrobial susceptibility testing and phenotypic identification of ESBL-E were performed using the Vitek 2 system. Results: Of 118 patients with ESBL-E bacteremia, 54 received non-carbapenem drugs (non-carbapenem group [NCG]) and 64 received carbapenems (carbapenem group [CG]). Treatment failure at 30 days occurred in 16.7% of the patients in the NCG and in 18.8% in the CG (p = 0.65). The 30-day mortality rate was 14.8% in the NCG and 17.2% in the CG (p = 0.63). Extra-urinary tract infection and prior antimicrobial therapy within 30 days were risk factors for treatment failure in patients with ESBL-E bacteremia. The clinical outcomes did not differ significantly between the two groups, challenging the prevailing preference for carbapenems in the treatment of ESBL-E bacteremia. Conclusions: Non-carbapenem antimicrobials such as piperacillin/tazobactam are recommended for patients with mild ESBL-E bacteremia in South Korea.