• 제목/요약/키워드: Antibiotics-free

검색결과 111건 처리시간 0.034초

Treatment of the Mycobacterium chelonae Infection after Fat Injection

  • Kim, Seok-Kwun;Choi, Ji-An;Kim, Myung-Hoon;Kim, Min-Su;Lee, Keun-Cheol
    • Archives of Plastic Surgery
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    • 제42권1호
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    • pp.68-72
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    • 2015
  • For recent years, use of autologous fat injection has increased significantly in facial contouring surgery. Along with such increase in use, complications like atypical mycoplasma infection have been also on the increasing trend. The authors report two cases of Mycobacterium chelonae infection that occurred after autologous fat injection. Patients were treated as infection that resistant to common antibiotics and results were negative to routine culture and Gram staining. Acid-fast bacillus stain, polymerase chain reaction (PCR) test and mycobacterial cultures were conducted for diagnosis under suspicion of atypical mycoplasma infection. Then, combination antibiotics therapy, surgical treatment, and steroid injection were performed for treatment. Both patients were diagnosed with Mycobacterium chelonae in PCR test. They were positive to mycobacterial cultures. Combination antibiotics therapy was repeated to improvement of symptom. However, they could not be free from side effects such as deformation in facial contour, scar and pigmentation even after full recovery. When chronic wound infections after autologous fat injection, we must suspect atypical or mycobacterial infection and conduct examinations for a early diagnosis and proper antibiotic therapy that is effective to the nontuberculous mycobacteria.

Debridement, antibiotics, and implant retention in infected shoulder arthroplasty caused by Serratia marcescens: a case report

  • Lim, Sungjoon;Lee, Jun-Bum;Shin, Myoung Yeol;Jeon, In-Ho
    • Clinics in Shoulder and Elbow
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    • 제25권2호
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    • pp.154-157
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    • 2022
  • Periprosthetic joint infection (PJI) is one of the most devastating complications that can occur after shoulder arthroplasty. Although staged revision arthroplasty is the standard treatment in many cases, surgical intervention with debridement, antibiotics, and implant retention (DAIR) can be an effective option for acute PJI. We report a complex case of infected reverse shoulder arthroplasty (RSA) in a 73-year-old male. The patient had been previously treated for infected nonunion of a proximal humerus fracture caused by methicillin-resistant Staphylococcus epidermidis. He presented with a sinus tract 16 days after the implantation of RSA and was diagnosed with PJI caused by Serratia marcescens. The patient was successfully treated with DAIR and was free of infection at the last follow-up visit at 4 years postoperatively.

담도 폐쇄증에서 광범위 간문부 절제 및 간문부-공장 문합술의 치료성적 (Outcome of Extended Porta Hepatis Dissection and Hepatic Portojejunostomy for Biliary Atresia)

  • 이성철
    • Advances in pediatric surgery
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    • 제3권2호
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    • pp.93-97
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    • 1997
  • Extended porta hepatis dissection and hepatic portojejunostomy was performed on 14 biliary atresia patients during last 13 years by a single surgeon. The average age at operation was 68 days(range from 37 days to 98 days). The patients were admitted for 8 weeks postoperatively for administration of parenteral antibiotics. There was one operative mortality due to acute hepatic necrosis. Among 13 patients remaining, 12(92.5 %) became chemically jaundice-free within 36 weeks postoperatively(average 16.8 weeks). the earliest 8 weeks, and in one patients jaundice persisted. Five(38.5 %) patients developed cholangitis after operation. Among jaundice-free patients, one patient died of unrelated disease 2 years after hepatic portojejunostomy, who underwent left lateral segmentectomy because of a biloma. Eleven survivors(78.6 %) are jaundice-free. The oldest one is 13 years old, enjoying a normal life. The mean period of follow-up is 7 years and 3 months.

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Effect of Green Tea By-product on Performance and Body Composition in Broiler Chicks

  • Yang, C.J.;Yang, I.Y.;Oh, D.H.;Bae, I.H.;Cho, S.G.;Kong, I.G.;Uuganbayar, D.;Nou, I.S.;Choi, K.S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제16권6호
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    • pp.867-872
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    • 2003
  • This experiment was conducted to determine the optimum level of green tea by-product (GTB) in diets without antibiotics and to evaluate its effect on broiler performances. A total of 140 Ross broilers were kept in battery cages for a period of 6 weeks. Dietary treatments used in this experiment were antibiotic free group (basal diet as a control), antibiotic added group (basal+0.05% chlortetracycline), GTB 0.5% (basal+GTB 0.5%), GTB 1% (basal+GTB 1%) and GTB 2% (basal+GTB 2%). Antibiotic added group showed significantly higher body weight gain than other treatments (p<0.05). However, no significant differences were observed in feed intake and feed efficiency among treatments (p>0.05). The addition of green tea by-product to diets tended to decrease blood LDL cholesterol content compared to control group although there were no significant differences among treatments (p>0.05). Addition of green tea by-product increased docosahexaenoic acid (DHA) in blood plasma and tended to decrease cholesterol content in chicken meat, but a significant difference was not observed (p>0.05). The values of TBA in chicken meat decreased in groups fed diets with green tea-by product and antibiotics compared to control group (p<0.05). The crude protein content in chicken meat was decreased slightly in treatments with green tea by-product and antibiotics supplementation. The abdominal fat was increased in chickens fed with diets with green tea by-product compared to the control (p<0.05).

Lactic acid bacteria 계열의 복합 생균제가 육성돈의 성장 능력과 혈액 특성에 미치는 영향 (Effects of Feeding Lactic Acid Bacteria-Based Direct-Fed Microbial Complex on Growth Performance and Blood Characteristics in Growing Pigs)

  • 유종상;김인호
    • 한국산학기술학회논문지
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    • 제7권6호
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    • pp.1416-1420
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    • 2006
  • 3원 교잡종 (Landrace$\times$Yorkshire$\times$Duroc) 육성돈 72두를 공시하였으며, 시험 개시시 체중은 24.64$\pm$2.46kg이었다. 시험설계는 1)NC(basal diet; antibiotics free diet), 2) PC (NC diet + 0.1% antibiotics; chlortetracycline 0.05% + neomycin 0.05%), 3)DFM0.1(NC diet + 0.1% DFM)와 4)DFM0.3(NC diet + 0.3% DFM)의 4개 처리를 하여 처리당 6 반복, 반복당 3마리씩 완전임의 배치하였다. 총 사양시험 기간 동안, 일당증체량은 PC, DFM0.3, DFM0.1과 NC의 순으로 각각 806g, 781g, 774g및 753g으로 나타났으나, 유의적인 차이는 보이지 않았다(P>0.05). 사료효율에 있어서는 처리구간 유의적인 차이가 없었다(P>0.05). 혈액 내 IgG(Immunoglobulin G), WBC(White blood cell)함량에 있어서는 생균제를 0.3%첨가한 처리구에서 가장 높은 경향을 보였으나 유의적인 차이는 없었으며(P>0.05), RBC(Red blood cell)함량에 있어서는 처리구간 유의적인 차이를 보이지 않았다(P>0.05). 결론적으로 육성돈에 있어서 Lactic acid bacteria를 기초로한 복합생균제의 첨가, 급여 수준의 증가에 따라 성장 능력과 혈액성상이 개선시키는 영향을 주지 못하였다.

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종골 외측 1/2 이상의 결손을 동반한 개방성 골절의 동종 대퇴골두 이식과 유리 피판술을 이용한 치료 (1예 보고) (Treatment of Open Calcaneal Fracture with Massive Bone Loss using Femoral Head Allograft and Myocutaneous Free Flap (A Case Report))

  • 성기선;은상수;문구현
    • 대한족부족관절학회지
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    • 제11권1호
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    • pp.111-114
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    • 2007
  • Open calcaneal fracture with more than lateral half of bone loss and soft tissue defect occurred in 17 year-old male patient due to motor vehicle accident. Soft tissue defect included heel pad, peroneal tendon. Bone loss involved mainly most part of inferior tuberosity but not subtalar joint. Open dressing and debridement were done daily in operating room and antibiotics administration was started. After granulation tissue formed, femoral head allograft was performed and fixed with 6.0 mm screws to replace bone defect. Soft tissue defect was covered with latissimus dorsi musculocutaneous free flap. No sign of infection nor major osteolysis was observed in 15 months follow up period. Soft tissue defect was covered with latissimus dorsi musculocutaneous free flap.

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Marker Genes for in Vitro Selection of Transgenic Plants

  • Brasileiro, Ana C.M.;Aragao, Francisco J.L.
    • Journal of Plant Biotechnology
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    • 제3권3호
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    • pp.113-121
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    • 2001
  • The use of a marker gene in a transformation process aims to give a selective advantage to the transformed cells, allowing them to grow faster and better, and to kill the non-transformed cells. In general, the selective gene is introduced into plant genome along with the genes of interest. In some cases, the marker gene can be the gene of interest that will confer an agronomic characteristic, such as herbicide resistance. In this review we list and discuss the use of the most common selective marker genes on plant transformation and the effects of their respective selective agents. These genes could be divided in categories according their mode of action: genes that confer resistance to antibiotics and herbicides; and genes for positive selection. The contention of the marker gene flow through chloroplast transformation is further discussed. Moreover, strategies to recover marker-free transgenic plants, involving multi-auto-transformation (MAT), co-transformation, site specific recombination and intragenomic relocation of transgenes through transposable elements, are also reviewed.

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전호(Anthriscus sylvestris) 뿌리 정유의 항균 및 항산화 작용 (Antibacterial and Antioxidant Activities of the Essential Oil from the Roots of Anthriscus sylvestris)

  • 임혜림;신승원
    • 약학회지
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    • 제56권5호
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    • pp.320-325
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    • 2012
  • To develop a new effective and safe natural antibiotics and antioxidant the essential oil was extracted from the roots of Anthriscus sylvestris by steam distillation. Its composition was analyzed by GC-MS. The activities of the essential oil fraction and its main components were evaluated against antibiotic-susceptible and -resistant strains of some food-born bacteria. In addition the synergism was examined with this oil combined with antibiotic by checkerboard titer test. The antioxidant activities were determined by in 1,1-diphenyl-2-picryl-hydrazil (DPPH) free radical scavenging activity test and reducing power assay. The essential oil fraction of A. sylvestris revealed significant inhibiting activities against antibiotic-susceptible and -resistant species of Vibrio and Shigella with MICs ranged from 1.00~4.00 mg/ml. It showed synergistic or additive effects when it was combined with amphicillin or trimethoprim/sulfamethoxazole (1 : 9). Additionally, the essential oil fraction of A. sylvestris exhibited significant DPPH free radical scavenging activity and the reducing power.

울릉도의 항생제 내성균 조사 (Survey of Antibiotic Resistant Bacteria in Ulleungdo, Korea)

  • 이준형;홍혜원;한덕기
    • 한국환경농학회지
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    • 제41권4호
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    • pp.344-354
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    • 2022
  • BACKGROUND: Although antibiotics have contributed to treatment of bacterial infection, the antibiotic abuse can lead to antibiotic resistant bacteria. Impact of human activities on distribution of antibiotic resistance has been intensively issued and occurrence of antibiotic resistant bacteria in contaminated environments would not be a surprise. Nonetheless, anthropogenic contamination with the dissemination of antibiotic resistance along uncontaminated environments has been less considered. The aim of this study is to investigate antibiotic resistant bacteria across Ulleungdo, known as antibiotic resistance free and anthropogenic pollution free environment in Rep. of Korea. METHODS AND RESULTS: Antibiotic resistant bacteria in coastal seawater of Ulleungdo were investigated in July 2021. Antibiotic susceptibility test using the disk diffusion method was applied with six drugs according to the Clinical and Laboratory Standards Institute (CLSI) guideline. Total 43 bacterial isolates were tested and 20 isolates among of them showed multidrug resistance. Particularly, the number and ratio of resistant bacteria were relatively high in a densely populated area of Ulleungdo. The bacterial communities were investigated using 16S rRNA gene metabarcoding approach in the coastal seawater and soils of Ulleungdo. In the bacterial communities, Firmicutes were selectively distributed only in seawater, suggesting the possibility of anthropogenic contamination in coastal seawater of Ulleungdo. CONCLUSION(S): We found antibiotic resistant bacteria in a populated area of Ulleungdo. The occurrence of antibiotic resistant bacteria in Ulleungdo seems to result from the recent anthropogenic impact. Consistent monitoring of antibiotic resistant bacteria in the uncontaminated environment needs to considered for future risk assessment of antibiotics.

Reconstruction with fibular osteocutaneous free flap in patients with mandibular osteoradionecrosis

  • Kim, Min Gyun;Lee, Seung Tae;Park, Joo Yong;Choi, Sung Weon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제37권
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    • pp.7.1-7.7
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    • 2015
  • Background: Osteoradionecrosis is a delayed complication from radiation therapy which causes chronic pain, infection and constant deformity after necrosis. Most of the osteoradionecrosis occurs spontaneously or after the primary oncologic surgery, dental extraction or by trauma of prosthesis. The treatment of osteoradionecrosis relies on both conservative measures and surgical measures. The fibular osteocutaneous free flap has become more popular choice for reconstruction of maxillofacial defects as a treatment of osteoradionecrosis. Methods: We presented our experiences from 7 patients with osteoradionecrosis who have had reconstruction surgery with fibular osteocutaneous free flap at National Cancer Center during the recent 5 years. We performed segmental mandibular resection with fibular osteocutaneous free flap for all 7 patients of advanced osteoradionecrosis who were not controlled by conservative treatment such as wound irrigation, debridement, and antibiotics. Results: A wide range of techniques were available for the reconstruction of composite defects resulted from the treatment of advanced mandibular osteoradionecrosis. Significant improvement was noted in relieving pain and treating trismus after the surgery however difficulty in swallowing and xerostomia showed less improvement. Conclusions: We concluded that fibular osteocutaneous free flap can be performed safely in patients with osteoradionecrosis and yields positive outcomes with significantly increased success rate. The fibular osteocutaneous free flap was our preferred choice for the mandibular reconstruction due to its versatility and predictability.