• 제목/요약/키워드: Antibiotic resistant

검색결과 802건 처리시간 0.033초

Evaluation of Cumulative and Conditional Antibiotic Release from Vancomycin-Embedded Fibrin Sealant and Its Antibacterial Activity : An In Vitro Study

  • Shin, Dong-Won;Sohn, Moon-Jun;Cho, Chong-Rae;Koo, Hae-won;Yoon, Sang Won
    • Journal of Korean Neurosurgical Society
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    • 제63권1호
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    • pp.45-55
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    • 2020
  • Objective : Fibrin sealants have been used for hemostasis, sealant for cerebrospinal fluid leakage, and adhesive barrier in neurosurgery. Further, as its clinical use and role of an effective drug delivery vehicle have been proposed. This study was performed to measure antibacterial activity and continuous local antibiotic release from different concentrations of vancomycin-impregnated fibrin sealant in vitro. Methods : Antibacterial activity was investigated by disk diffusion test by measuring the diameter of the growth inhibition zone of bacteria (methicillin-resistant Staphylococcus aureus, ATCC29213) from vancomycin-embedded fibrin sealant disc diluted at five different concentrations (C1-C5; 8.33, 4.167, 0.83, 0.083, and 0.0083 mg/disc, respectively). Continuous and conditioned release of vancomycin concentration (for 2 weeks and for 5 days, respectively) were also measured using high-performance liquid chromatography (HPLC) method. To mimic the physiologic wound conditions with in vitro, conditioned vancomycin release in phosphate buffer solution (PBS) was measured and replaced PBS for five consecutive days, half a day or completely daily. Results : In the disk diffusion test, the mean diameters of bacterial inhibition zone were 2.54±0.07 cm, 2.61±0.12 cm, and 2.13±0.15 cm (C1, C2, and C3 respectively) but 1.67±0.06 cm and 1.23±0.15 cm in C4 and C5, respectively. Continuous elution test elicited the peak release of vancomycin from the fibrin sealant at 48 hours, with continued release until 2 weeks. However, conditioned vancomycin release decreased to half or more on day 2, however, the sustainable release was measured over the therapeutic dose (10-20 ㎍/mL) for 5 days and 4 days in assays of half and total exchange of PBS. Conclusion : This study suggests that fibrin sealant can provide an efficient vehicle for antibiotic drug release in a wide range of neurosurgical procedures and the safe and effective therapeutic dose will be at the concentration embedded of 4.167 mg/disc or more of vancomycin.

도축돈에서 Pasteurella multocida의 분리, 분리주에 대한 미생물학적, 혈청학적성상 및 항생물질의 감수성조사와 돈폐에 대한 병리학적 관찰에 관하여 (Studies on Isolation of Pasteurella multocida from Slaughtered Pigs, Microbiological and Serological Properties, Antibiotic Susceptibility of the Isolates and Pathological Observation of Their Lungs)

  • 이학철;함태수;정유열;조성룡;이재현
    • 한국임상수의학회지
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    • 제6권2호
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    • pp.307-318
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    • 1989
  • In recent years much attention has been paid to swine respiratory infection caused by Pasteurella(P) multocida with rapid expansion of pork Industry in Korea. The present study was performed to observe the etiologic situation of P. multocida infection by bacteriological, serological(serotyping) and pathological examinations with the lungs respectively. In addition antibiotic susceptibility test was carried out against the isolated strains of P. multocida. The results obtained are as follows : 1. Eighteen strains(12.8%) wert isolated from the 140 cases of swine lungs examined, and biological and biochemical characteristics of the isolates were the sam as those in the references of other workers, whereas some differences were observed in sugar fermentation and enzyme activity according to the strain of isolates. 2. Capsular serotyping performed on 18 P. multocida revealed that 13 strains(72.2%) were A type and 5 strains(27.8%) were D type, respectively. 3. When serotyping was performed against somatic antigen on 18 strains capsular types of which were identified as described above 9(50%), 3(16.7%) and 4(22.2%) strains belong to 1:A, 3:A and 2:D, respectively, but untypable 2 strains(11.1%) were observed. 4. Antibiotic susceptibility test by employing disc method for 24 kinds of drugs revealed that 15 kinds of antibiotics were sensitive to 18 strains of P. multocida isolated such as ampicillin(l00%), penicillin(100%), cloxacillin(56%), piperacillin(70%), cefotaxime(30%), minocycline(60%), chloramphenicol(95%), erythromycin(39%), kanamycin(17%), gentamicin(70%), amikasin(30%), colistin(78%) and nalidixic acid(5%), respectively, but resistant to 9 kinds of antibiotics such as sulpenicillin, cefazolin, cephalothin, cefametazol, cefoperazone, kitasamycin, oleandomycin. lincomycin and bacitracin. 5. Pathological features of 60 cases of swine lungs indicated that pneumonic .lesions were observed in 38 cases(63.3%) examined by macroscopic finding, in which lesions of 8 cases(13.4%) would correspond to those of mycoplasmal infection, and 30 cases(50%) were similar to viral infection by histopathological finding, whereas 22 cases(36.7%) were considered to be normal by ecropsy or histopathological finding.

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들깻잎과 생산환경에서 분리한 Bacillus cereus의 독소 유전자와 항생제 감수성 분석 (Profiles of Toxin Genes and Antibiotic Susceptibility of Bacillus cereus Isolated from Perilla Leaf and Cultivation Areas)

  • 김세리;이지영;이서현;류경열;박경훈;김병석;윤요한;심원보;김경열;하상도;윤종철;정덕화
    • 한국식품과학회지
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    • 제43권2호
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    • pp.134-141
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    • 2011
  • 본 연구는 들깻잎과 들깻잎 생산환경을 대상으로 276개의 시료를 채취하여 B. cereus를 분리 하였다. 분리된 B. cereus 200주의 toxicity를 평가하고자 독소유전자와 항생제내성을 검색하였다. 그 결과 분리된 균주에서 11개의 서로 다른 독소유전자 패턴은 확인하였으며 5개의 설사형독소와 구토형 독소를 모두 생성할 수 있는 균주는 21%였다. 가장 빈번하게 검출되는 독소유전자는 nheA(100%), enFM(100%), hblA, C, D(66.5%)였으며 EM은 가장 낮은 빈도(21.0%)로 검출되었다. 항생제 내성평가결과 분리된 대부분의 B. cereus는 18종의 항생제 중 10개의 항생제에 대해서는 감수성이었으나 ${\beta}$-lactam계 항생제인 penicillin(100%), ampicillin(100%), oxacillin(94.9%), amoxicillin-clavulanic acid(95.6%), cefazolin(78.2%)과 비${\beta}$-lactam계 항생제 rifampicin(58.0%)에 대해서 저항성을 보이는 것으로 나타났다. 들깻잎과 들깻잎 생산환경에서 분리된 B. cereus의 독소유전자와 항생제내성 패턴은 서로 유사하였다. 따라서 본 연구결과는 들깻잎에 오염된 B. cereus에 의하여 설사형 뿐만 아니라 구토형 식중독이 발생할 가능성을 시사하며 들깻잎과 생산환경에서 항생제 저항성 B. cereus가 검출되어 의약계뿐만 아니라 농업현장에서도 항생제내성균주 출현을 예방하는 대책이 요구된다.

상악동염 병소 부위에서 세균의 분리 동정 및 항생제 감수성에 대한 연구 (ANTIBIOTIC SUSCEPTIBILITY OF BACTERIA ISOLATED FROM MAXILLARY SINUSITIS LESION)

  • 최영옥;김수관;김학균;김영종;최동국;김미광;박순낭;김민정;국중기
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제32권5호
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    • pp.436-446
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    • 2006
  • The purpose of this study was to isolate and identify the bacteria in chronic maxillary sinusitis (CMS) lesions from 3 patients and to determine the antimicrobial susceptibility of them against 10 antibiotics. One of them was odontogenic origin and the others were non-odontogenic origin. Pus samples were collected by needle aspiration from the lesions and examined by culture method. Bacterial culture was performed in three culture systems (anaerobic, CO2, and aerobic incubator). Identification of the bacteria was performed by 16S rRNA gene (16S rDNA) nucleotide sequencing method. To test the sensitivity of the bacteria isolated from the maxillary sinusitis lesions against seven antibiotics, penicillin G, amoxicillin, tetracycline, ciprofloxacin, cefuroxime, erythromycin, clindamycin, and vancomycin, minimum inhibitory concentration (MIC) was performed using broth dilution assay. Our data showed that enterobacteria such as Enterobacter aerogenes (30%), Klebsiella pneumoniae (25%), and Serratia marcescens (15%) were predominately isolated from the lesion of non-odontogenic CMS of senile patient (70 year old). Streptococcus spp. (40.3%), Actinomyces spp. (27.4%), P. nigrescens, M. micros, and P. anaerobius strains were isolated in the lesion of odontogenic CMS. In the lesion of non-odontogenic CMS, Streptococcus spp. (68.4%), Rothia spp. (13.2%), and Actinomyces sp. (10.5%) were isolated. The susceptibility pattern of 10 antibiotics was determined according to the host of the bacteria strains ratter than the kinds of bacterial species. Even though the number of CMS was limited as three, these results indicate that antibiotic susceptibility test must be accompanied with treatment of CMS. The combined treatment of two or more antibiotics is better than single antibiotic treatment in the presence of multidrug-resistant bacteria in the CMS lesions.

연안 해수에서 분리된 Vibrio mimicus K-1의 특성 (Characteristics of Vibrio mimicus K-1 Isolated from Coastal Sea Water)

  • 고병호;이원재;이명숙
    • 한국수산과학회지
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    • 제27권3호
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    • pp.292-298
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    • 1994
  • 식중독 원인균으로 알려진 Vibrio mimicus(V. mimicus)의 분포 상태와 이의 생리적 특성을 조사하기 위하여 1993년 1월부터 9월까지 민락동과 광안리 해수욕장 부근의 해수를 채취하여 V. mimicus의 월별 분포 상태를 실험하였으며, 여기서 분리된 균주 중에서 항생제 내성이 강한 균으로 분리, 동정된 V. mimicus K-1의 생리적 성질과 배양 특성을 조사하였다. 수온이 $16.3^{\circ}C$인 4월부터 검출되기 시작하여 8월까지 검출되었으나, 수온이 $15^{\circ}C$ 이하인 겨울철(1, 2, 3월)에는 전혀 검출이 되지 않았다. 분포 정도는 최소 0.4(MPN/100ml)에서 최고 70((MPN/100ml)으로 지역에 따라 차이가 있었다. V. mimicus K-1은 $37^{\circ}C$, pH 7.5, 그리고 염도 $0.5\%$에서 각각 최대의 증식율을 보였다. 그리고 항생제 (colistin, erythromycin, bacitracin, tetracycline, penicillin)에 대해서 내성을 나타내었다. 자외선(30W, 50m)에 대해서는 상당히 내성이 약했으며, 70초간 조사 후에는 검출이 되지 않았다. 열에 의한 치사율은 $50^{\circ}C$에서 5.7분, $60^{\circ}C$에서 2.1분, 그리고 $70^{\circ}C$에서는 0.7분 만에 최초균수의 $90\%$이상이 사멸하였다.

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Application of tylosin antibiotics to olive flounder (Paralichthys olivaceus) infected with Streptococcus parauberis

  • Joo, Min-Soo;Hwang, Seong Don;Choi, Kwang-Min;Kim, Yoon-Jae;Hwang, Jee Youn;Kwon, Mun-Gyeong;Jeong, Ji-Min;Seo, Jung Soo;Lee, Ji Hoon;Lee, Hee-Chung;Park, Chan-Il
    • Fisheries and Aquatic Sciences
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    • 제23권8호
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    • pp.20.1-20.18
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    • 2020
  • Background: Olive flounder, Paralichthys olivaceus, is an economically important aquaculture species in Korea. Olive flounders have been heavily damaged by streptococcal infections every year and are treated with antibiotics. However, antibiotic abuse is causing the emergence of resistant strains, and to overcome this, research has shown that new antibiotics must be applied. Tylosin is a relatively safe antibiotic and has good activity against Gram-positive bacteria and mycoplasma. We studied the therapeutic effects and side effects of tylosin on Streptococcus parauberis-infected olive flounder. Methods: After artificial infection of olive flounder with S. parauberis SPOF18J3, an appropriate dose of tylosin was confirmed by intramuscular injection (I.M.) at 2.5, 5, 10, and 15 mg/kg, and oral administration at 10 and 20 mg/kg. After I.M. and oral administration dosing of tylosin, side effects were confirmed by serological analysis, histopathological analysis, and median lethal dose (LD50) analysis at both an appropriate concentration and a high concentration. Statistical analysis was performed using one-way analysis of variance (ANOVA) and Tukey's test (p < 0.05). Results: The appropriate I.M. and oral administration concentration of tylosin administered to olive flounder infected with S. parauberis SPOF18J3 was found to be 10 mg/kg. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels were showed not significantly different between the control group and the experimental groups. The histopathologic results showed mild inflammatory responses in muscle and tubular vacuolization and tubular atrophy appeared, but there were no significant differences between the groups. The LD50 was confirmed to be 461 mg/kg. Conclusion: In this study, an effective treatment method was provided by verifying the treatment effects and side effects of tylosin in olive flounder infected with S. parauberis, which can be applied directly to aquaculture sites. In addition, these results may be used as a reference for evaluation required upon request to obtain approval for tylosin antibiotics as fishery antibiotics in Korea. After approval, it is possible that a fishery disease manager will be able to prescribe and sell the antibiotic tylosin.

당뇨병성 족부 감염에서 항생제 혼합 시멘트 충전물 사용의 치료 실패 위험 인자 분석 (Risk Factors for the Treatment Failure of Antibiotic-Loaded Cement Spacer Insertion in Diabetic Foot Infection)

  • 박세진;송승철
    • 대한족부족관절학회지
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    • 제23권2호
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    • pp.58-66
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    • 2019
  • Purpose: To evaluate the efficacy of antibiotic-loaded cement spacers (ALCSs) for the treatment of diabetic foot infections with osteomyelitis as a salvage procedure and to analyze the risk factors of treatment failure. Materials and Methods: This study reviewed retrospectively 39 cases of diabetic foot infections with osteomyelitis who underwent surgical treatment from 2009 to 2017. The mean age and follow-up period were $62{\pm}13years$ and $19.2{\pm}23.3months$, respectively. Wounds were graded using the Wagner and Strauss classification. X-ray, magnetic resonance imaging (or bone scan) and deep tissue cultures were taken preoperatively to diagnose osteomyelitis. The ankle-brachial index, toe-brachial index (TBI), and current perception threshold were checked. Lower extremity angiography was performed and if necessary, percutaneous transluminal angioplasty was conducted preoperatively. As a surgical treatment, meticulous debridement, bone curettage, and ALCS placement were employed in all cases. Between six and eight weeks after surgery, ALCS removal and autogenous iliac bone graft were performed. The treatment was considered successful if the wounds had healed completely within three months without signs of infection and no additional amputation within six months. Results: The treatment success rate was 82.1% (n=32); 12.8% (n=5) required additional amputation and 5.1% (n=2) showed delayed wound healing. Bacterial growth was confirmed in 82.1% (n=32) with methicillin-resistant Staphylococcus aureus being the most commonly identified strain (23.1%, n=9). The lesions were divided anatomically into four groups; the largest number was the toes: (1) toes (41.0%, n=16), (2) metatarsals (35.9%, n=14), (3) midfoot (5.1%, n=2), and (4) hindfoot (17.9%, n=7). A significant difference in the Strauss wound score and TBI was observed between the treatment success group and failure group. Conclusion: The insertion of ALCSs can be a useful treatment option in diabetic foot infections with osteomyelitis. Low scores in the Strauss classification and low TBI are risk factors of treatment failure.

급식실 실내공기에서 분리된 황색포도상구균과 바실러스 세레우스의 독소 유전자 및 항생제 내성 (Toxin Gene and Antibiotic Resistance of Staphylococcus aureus and Bacillus cereus Isolated from Indoor Air in Cafeteria)

  • 오도경;조아현;김찬영;정은선;김중범
    • 한국식품위생안전성학회지
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    • 제36권6호
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    • pp.520-527
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    • 2021
  • 본 연구에서는 보육시설 실내공기에서 분리된 식중독 균주의 독소 유전자 분포와 항생제 내성을 분석하여 보육시설 실내공기에 의한 식중독 발생을 사전 예방하고 식중독 발생 시 적절한 치료를 위한 기초자료를 제공하고자 하였다. 어린이집 실내공기에서 분리된 Staphylococcus aureus 16주, Bacillus cereus 37주를 실험대상으로 하였다. S. aureus와 B. cereus 독소 유전자는 PCR 방법으로 검출하였다. 항생제 감수성 실험은 Clinical and Laboratory Standard Institute의 디스크 확산법에 따라 실험하였다. S. aureus 16 균주 중 11 균주(68.6%)에서 seg와 sei 독소 유전자가 검출되었다. B. cereus 37 균주 모두에서 nheA와 nheB 독소 유전자가 검출되었다. B. cereus 독소 유전자 패턴은 총 12개로 나타났으며 nheA-nheB-nheC 독소 유전자가 가장 중요한 패턴으로 나타났다. S. aureus 16 균주의 항생제 감수성실험 결과 ampicillin과 penicillin 항생제에 93.8%, 87.5% 내성을 나타내었으나 methicillin resistance Staphylococcus aureus와 vacomycin resistance Staphylococcus aureus는 검출되지 않았다. B. cereus 37 균주의 항생제 감수성 실험 결과 ampicillin과 penicillin 항생제에 100% 내성을 나타냈었다. 이러한 결과를 종합하여 볼 때 보육시설 실내공기에 오염된 S. aureus와 B. cereus에 의한 식중독을 발생을 예방하기 위하여 주기적인 환기와 공기 질 관리가 필요한 것으로 판단되었다.

도축장 출하 직장협착 돼지에서 분리된 살모넬라균 혈청형 및 항생제 감수성 (Serotyping and antibiotic susceptibility of Salmonella species from pigs with rectal stricture found in slaughterhouses)

  • 김지연;곽진주;서두리;이재기;임대웅;김하나;박지영;최종욱;윤병철
    • 한국동물위생학회지
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    • 제46권2호
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    • pp.137-145
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    • 2023
  • From November 2021 to October 2022, 151 pigs were discarded due to the suspected salmonellosis, when assessed by antemortem inspection at slaughterhouses in Gwangju. Among them, 85 cases shown with the rectal stricture were confirmed to be infected with Salmonella spp, when assessed by postmortem inspection and Salmonella-oriented culture in the laboratory, accounting for 56.3% of the carcass discard cases. Salmonella spp. were isolated in 58 cases (68.2%) out of 85 total discard cases. As for serotyping of the Salmonella isolates, 28 cases (48.3%) belonged to serogroup B and 28 cases (48.3%) belonged to serogroup C, those were the most frequent isolates, and 2 cases (3.4%) belonged to serogroup E. The most prevalent serotype was Rissen (39.7%), followed by I4,[5],12:i:-(37.9%), Derby (8.6%), Bareilly (5.2%), Infantis (3.4%), Give (3.4%), and Typhimurium (1.7%). The 58 isolates of salmonellae showed resistance to tetracycline (63.8%), chloramphenicol (56.9%), ampicillin (53.4%), and ampicillin-sulbactam (51.7%). S. Rissen showed resistance to chloramphenicol (82.6%), ampicillin (52.2%), ampicillin-sulbactam (52.2%), and tetracyclin (47.8%). S. I4,[5],12:i:-was resistant to tetracycline (90.9%), ampicillin (81.8%), ampicillin-sulbactam (77.3%), and chloramphenicol (59.1%). Among the isoates, S. Bareilly (3 strains), S. Infantis (2 strains), S. Give (2 strains), S. Rissen (3 strains), and S. I4,[5],12:i:- (1 strain) showed no resistance to the tested antimicrobials. As for the prevalence of the antibiotic resistance pattern, AM-SAM-TE-C was the most common, which was shown in 15.5% of S. Rissen. At second, the resistance pattern was occurred as AM-SAM-TE (12.1%) and AM-SAM-CF-CZ-FOX-CTX-NA-TE-C (12.1%), respectively in the case of S. I4,[5],12:i:-.

벼멸구에 대한 수도품종(水稻品種)의 저항성기작(抵抗性機作)에 관(關)한 연구(硏究) (Studies on the Mechanism of Varietal Resistance of Rice to the Brown Planthopper(Nilaparvata lugens $ST{\AA}L$)

  • 김정화;최승윤;박종성
    • 한국응용곤충학회지
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    • 제24권2호
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    • pp.51-60
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    • 1985
  • 본시험(本試驗)은 우리나라에서 수도(水稻)에 큰 피해(被害)를 주는 벼멸구(Nilaparvata lugens $ST{\AA}L$)에 대(對)한 수도품종(水稻品種)의 저항성반응(抵抗性反應), 항충성(抗蟲性), 화학적성분(化學的成分), 효소(酵素)의 작용(作用)및 벼멸구의 선호성등(選好性等)을 분석(分析)하여 벼멸구에 대(對)한 수도품종(水稻品種)의 저항성기작(抵抗性機作)을 밝히고자 실시(實施)하였으며 그 결과(結果)를 요약(要約)하면 다음과 같다. 1 유묘(幼苗)의 저항성반응(抵抗性反應)에서 청청(靑靑)벼, 가야(伽倻)벼, 한강(漢江)찰벼, 삼강(三剛)벼, IR-36는 저항성(抵抗性), 남풍(南豊)벼, 영풍(永豊)벼는 중도저항성(中度抵抗性), 진흥(振興), 상풍(常豊)벼, 추청(秋晴)벼는 감수성(感受性)이었다. 2 선호성중(選好性中) 식이선호성(食餌選好性)은 감수성품종(感受性品種)에서 높았고, 저항성(抵抗性)과 중도저항성품종(中度抵抗性品種)에서 낮았다. 이상(以上)과같은 식이선호성(食餌選好性)은 충접종(蟲接種) 72시간이내(時間以內)에 검정(檢定)하여야 한다. 산란선호성(産卵選好性)은 감수성품종(感受性品種)에서 높았고, 저항성(抵抗性)과 중도저항성(中度抵抗性)에서는 낮았으나 이와같은 산란선호성(産卵選好性)은 감수성대조품종(感受性對照品種)과 공시품종(供試品種)을 각(各) 1본(本)씩 짝지어 충(蟲)을 접종(接種)하고 조사(調査)해야 진정(眞正)한 구별(區別)이 된다. 3. 항충성(抗蟲性)에서 감로배설량(甘露排泄量)은 저항성품종(抵抗性品種)에서보다 감수성품종(感受性品種)에서 현저(顯著)히 많았다. 벼멸구의 Amylase 활성(活性)은 저항성(抵抗性)에서보다 감수성품종(感受性品種)에서 높았으며 접종시간(接種時間)의 경과(經過)에 따라 감수성품종(感受性品種)에서 그 변화(變化)가 컸다. 암컷성충(成蟲)의 체중(體重)은 수컷보다 무거웠으며 감수성(感受性)에서 사육(飼育)된 성충(成蟲)의 자웅평균체중(雌雄平均體重)은 저항성품종(抵抗性品種)에서 사육(飼育)된 것보다 무거웠다. 차세대(次世代)의 밀도증식(密度增植)은 감수성(感受性)에서보다 저항성품종(抵抗性品種)에서 현저(顯著)히 낮았다. 4. 수도품종(水稻品種)의 화학적조성성분중(化學的組成成分中) $P_2O_5$, CaO, MgO, Hemicellulose, 엽록소(葉綠素)는 감수성(感受性)에서보다 저항성(抵抗性)에서 함량(含量)이 높았고, Acid detergent fiber, Lignin, Cellulose 는 감수성(感受性)에서 높았다. Esterase isozyme의 영동대(泳動帶)에 있어서 Est ${\beta}-2$는 IR-36을 제외(除外)한 저하성(抵抗性)과 중도저항성품종(中度抵抗性品種)에서, Est ${\beta}-3$는 IR-36에서만 검출(檢出)되었다. 이상(以上)의 결과(結果)로보아 벼멸구의 Amylase 활성정도(活性程度)와 수도(水稻)의 Estrase isozyme의 전기영동(電氣泳動)은 품종저항성(品種抵抗성)을 판정(判定)하는 새로운 방법(方法)으로 이용(利用)할 수 있을 것으로 생각한다.

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