• 한국환경보건학회지
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• 제39권2호
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• pp.166-177
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• 2013

Objectives: The genus Legionella is common in aquatic environments. Some species of Legionella are recognized as potential opportunistic pathogens for human, notably Legionella pneumophila that causes, Legionellosis. Thus, we investigated the contamination of Legionella pneumophila on water supply systems in Seoul, including cooling towers, public baths, hospitals and fountains. Methods: The existence of 16S rRNA and mip gene of L. pneumophila was confirmed in the genome of the isolated strains by PCR. Results: During the summer season of 2010 and 2011, Legionella pneumophila were detected from 163 samples (21.1%) out of 772 samples collected. Among the 163 strains of L. pneumophila, eighty one isolates belonged to serogroup 1 (57.4%), 23 isolates were serogroup 5 (16.3%), 21 isolates were serogroup 6 (14.9%), 8 isolates were serogroup 2 (5.79%), and 8 isolates were identified in serogroup 3 (5.7%). Through PFGE (pulsed-field gel electrophoresis) analysis using Sfi I, genetic types of L. pneumophila were classified into five (A to E) patterns by the band similarity with excess of 70% from public baths. Conclusions: The PFGE patterns of the serotypes showed a tendency for diversity of L. pneumophila. Our results suggest the existence of serological and genetic diversity among the L. pneumophila isolates.

• 미생물학회지
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• 제53권3호
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• pp.156-162
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• 2017

레지오넬라증은 인공수계환경이 레지오넬라균에 오염되었을 때 에어로졸의 전파에 의하여 집단 발생되는 심각한 폐렴과 높은 치명률을 일으키는 호흡기질환이다. 본 연구에서는 경기도내 수계시설로부터 147주의 레지오넬라균을 검출하였고, 시설별, 수계환경별 분포현황을 조사하였다. 분리한 레지오넬라균 중에서 Legionella pneumophila의 검출률은 85.7%로 높게 나타났으며, 혈청군을 분석한 결과 L. pneumophila serogroup (sg) 1이 주로 검출되었다. Non-L. pneumophila 중에서는 L. wadsworthii이 가장 많이 검출되었다. L. pneumophila sg 1의 유전학적 다양성을 분석하기 위해 pulsed field gel electrophoresis (PFGE)와 sequence-based typing (SBT) 방법을 사용하여 비교 분석하였다. 32주에 대해 PFGE 분석 결과 22개의 PFGE pattern을 보였고, SBT 분석 결과 9개의 유형으로 나누어졌다. PFGE와 SBT 분석에서 모두 크게 3개 group으로 분류되어 매우 유사한 결과를 나타냈다. SBT 유형 중 ST1이 가장 우점하였고, 2개의 새로운 유형도 찾아낼 수 있었다. SBT는 데이터베이스가 잘 구축되어 있어 균주 간의 유전학적 유형분석을 쉽고, 간단하게 할 수 있기 때문에 레지오넬라증의 분자역학적 연구에 유용한 방법임을 확인할 수 있었다.

• 대한미생물학회지
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• 제21권1호
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• pp.107-111
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• 1986

An outbreak of Pontiac fever was reported in Seoul in 1984, but legionnaires disease was not known in Korea yet. Our knowledge on the presence or abscence of Legionella in cooling tower. which is the main source of the infection. is very limited. In this study an attempt was made to determine the presence of Legionella in cooling towers during June-September. and in the sputum specimens for routine bacteria culture, which was taken during July-August 1985. Among the 83 water samples 6 yielded L. pneumophila serogroup 1, while none of the 189 sputum samples yielded growth of Legionella. It is concluded that legionellosis can occur in Korea and if it happens it is most likely due to L. pneumophila serogroup 1.

• 생명과학회지
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• 제15권2호
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• pp.161-168
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• 2005

2001년부터 2003년까지 부산지역의 냉각탑수에서 분리한 L. pneumophila (serogroup 1) 39균주에 대해 제한효소 SfiI 처리한 경우 PFGE 양상은 dice coefficient $<65\%$의 유사성을 가진 band를 Awl로 10개의 pulsotype으로 나누었고, 가장 많았던 유형은 E pulsotype으로 39주중 18주로 $46.2\%$를 나타내었으며, 그 외 A pulsotype $17.9\%$, C pulsotype $15.4\%$, F pulsotype $7.7\%$ 및 B, D, G, H, I, J pulsotype이 각각 $2.6\%$로 유전적 양상이 다양하였다. 제한효소 NotI 처리한 경우 PFGE 양상은 dice coefficient $<60\%$의 유사성을 가진 band를 $a\~h$로 8개의 pulsotype으로 나누었고, 가장 많았던 유형은 f pulsotype이 $38.5\%$였으며 그 외 d pulsotype $20.5\%$, e pulsotype $17.9\%$, a pulsotype $10.3\%$, h pulsotype $7.7\%$ 및 b, c, g pulsotype이 각각 $2.6\%$를 차지하였다. 본 연구를 통하여 부산지역에서 분리되는 레지오넬라균에 대한 유전자 유형분석 결과를 데이터베이스화하여, 레지오넬라증의 집단 발생 또는 산발적인 질병 발생이 있을 경우 분자학적 측면에서 사람과 환경에서 분리된 균으로부터 감염원과 감염경로를 규명하는 역학적인 도구로써 이용 가능할 것으로 사료되었다.

• 한국환경보건학회지
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• 제14권1호
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• pp.23-32
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• 1988

A study was carried out to find distribution of Legionella spp. in hot water supplying systems of buildings in Seoul. Water samples were taken from the hot water taps in three research institute buildings during the period from the 2nd to 27th February, 1987. And all of the three buildings were supplied with hot water from the same central hot water tank. GVPC BCYEa and blood agar were used for the isolation of Legionella pneurnophila and slide agglutination test (SAT) was performed to identify their strain types. Main findings were as follows 1. 44 samples taken from hot tap-water revealed 20% of positive culture and 44 samples taken from hot water spouts revealed 11% of positive culture. 2. The 78% of positive samples taken from hot water was obtained from 25.1$\circ$C~45.0$\circ$C temperature range. 3. Only, Legionella pneumophila serogroup 3 was identified and most of them has been than 2$\mu$m in length. 4. The densities of the Legionella pneurnophila isolated from hot water samples were within the range of $1.0\times 10^2$ to $1.1\times 10^3$ CFU/l and their densities isolated from hot water spouts were either 1 CFU/plate or 2 CFU/plate.

• Tuberculosis and Respiratory Diseases
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• 제50권4호
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• pp.409-414
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• 2001

연구배경 : 국내의 지역사회획득 폐렴 원인균에 대한 연구가 부족하며, 특히 레지오넬라 폐렴균은 중증환자에서 중요한 원인균임을 고려할 때 이에 대한 연구가 시급하다. $NOW^{TM}$ Legionella Urinary Antigen Test는 Legionella 폐렴균의 90%를 차지하는 Legionella penumophila serogroup 1에 대해 90% 이상의 민감도를 갖는 검사법으로 이를 이용하였다. 방 법 : 1999년 7월부터 일년간 강원지역 일개 대학병원에 입원한 지역사회획득 폐렴환자를 대상으로 요즘 레지오넬라 항원 검사를 시행하였다. 결 과 : 총 54예중 요중 레지오넬라 항원이 양성으로 나온 예는 없었다. 환자의 59.3%는 중환자실에 입원한 중증의 지역사회획득 폐렴 환자였다. 결 론 : 국내에서 Legionella pneumophila에 의한 지역사회 획득 폐렴은 매우 드물 것으로 생각되어, 향후 치료지침을 만드는데 고려해야 할 요소로 생각된다.

• Journal of Preventive Medicine and Public Health
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• 제50권4호
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• pp.274-277
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• 2017

Objectives: Legionnaires' disease (LD) is a severe type of pneumonia caused by inhalation of aerosols contaminated with Legionella. On September 22, 2016, a single case of LD was reported from a newly built apartment building in Gyeonggi province. This article describes an epidemiologic investigation of LD and identification of the possible source of infection. Methods: To identify the source of LD, we interviewed the patient's husband using a questionnaire based on the Legionella management guidelines from the Korea Centers for Disease Control and Prevention. Water samples from the site were collected and analyzed. An epidemiological investigation of the residents and visitors in the apartment building was conducted for 14 days before the index patient's symptoms first appeared to 14 days after the implementation of environmental control measures. Results: Legionella pneumophila serogroup 1 was isolated from the heated-water samples from the patient's residence and the basement of the apartment complex. Thirty-two suspected cases were reported from the apartment building during the surveillance period, yet all were confirmed negative based on urinary antigen tests. Conclusions: The likely source of infection was the building's potable water, particularly heated water. Further study of effective monitoring systems in heated potable water should be considered.