• 미생물학회지
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• 제36권3호
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• pp.216-220
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• 2000

부산시 동아대학병원으로 내원한 83명의 환자 가건물로부터 methcillin 내성 Stphylococcus aureus(MRSA) 88 균주를 분리하고 응고 효소의 유형별 분석과 다약제 내성의 상호 관계를 연구하였다. 농(64.7%), 객담(26.2%), 기타 혈액, 장액 및 뇨로부터 균주가 분리되었고 mec A 유전자에 특이적인 primer 5'-AAAATCGATGGTAAAGGTT-GGC-3'와 5'-AGTTCTGCAGTACCGGATTTGC3'를 사용하여 PCR을 한결과 86균주에서 mec 유전자가 확인되었다. 응고효소형은 제 III형이 50%m IV형이 12.5%, III형이 6.8%, I, VII, VIII형이 4.5%로 제 II형이 가장 많았으며 제 V형은 전혀 분리되지 않았다. 응고효소형의 병동별 분포는 일반외과에서 제 II형이, 이비인후과 외래에서는 제 IV형이 우점종으로 분리되었다. 항균제 감수성 시험결과, vancomycin과 teicoplanin에서 전균주가 감수성을 나타내었었고 penionillin, cephalothin, erythromycin, gentamycin, imipenem, clindamycin, ciprofloxacin과 oxacillin등 8가지의 항균제에 대하여 동시내성을 나타낸 균주가 71주 (81%)였다. 항균제 내성과 응고효소형과의 상관관계는 없었다.

• Pediatric Infection and Vaccine
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• 제16권2호
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• pp.150-161
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• 2009

목 적: 황색포도알균은 소아에서 피부 및 연부조직 감염과 침습성 감염을 일으키는 주요한 원인균이다. 최근 미국에서는 지역사회관련 메티실린 내성 황색포도알균(communityassociated MRSA, CA-MRSA)에 의한 심한 감염이 증가하는 추세로 알려졌지만, 우리나라에서는 소아에서의 황색포도알균 감염의 임상적 특성에 대한 체계적 연구 결과가 아직 없는 실정이다. 본 연구에서는 단일기관에서 경험한 소아 황색포도알균 감염을 CA-MRSA 감염을 중심으로 조사하였다. 방 법: 2004년 1월부터 2007년 12월까지 4년 동안 서울대학교 어린이병원에서 치료받은 소아로부터 분리되었던 황색포도알균의 항균제 감수성 결과 및 균주가 분리되었던 환자 429명의 후향적 의무기록을 통해 검체 부위, 병원 감염 여부, 기저질환, 면역상태, 임상 질환 및 임상 경과에 대한 자료를 분석하였다. 감염의 발생 장소와 위험인자의 유무에 따라 원내 발생(Hospital-onset, HO), 또는 지역사회 발생(community-onset, CO) 의료기관 관련 감염(healthcare-associated, HA)과 지역사회 관련 감염(community-associated, CA)로 구분하였다. 결 과: 1세 미만의 환자 206명 중에서는 HO-HA 감염이 72%, CO-HA 감염이 7%, 그리고 CA 감염이 21%였으며 1세 이상의 환자 223명 중에서는 각각 48%, 28%, 24%였다. HA감염 중 CO-HA 감염의 비율은 1세 이상 환자군에서 1세 미만에 비해 높았으며(8.6% vs. 37.1%, P <0.001), CO 감염 중 HA 감염의 비율 역시 1세 이상 환자군에서 높았다(24.5% vs.54.3%, P <0.001). 전체 분리된 균주의 57%가 MRSA였고 CA감염의 30% (29/96)가 MRSA였으며, CA-MRSA 중 가장 흔한 감염 형태는 피부 및 연조직 감염이었다. 결 론 : 지역사회에서 발생하는 감염을 일으키는 황색포도알균의 메티실린 내성율이 높으며, CA-MRSA는 피부 및 연조직 감염이 가장 흔히 일으켰다.

• 생명과학회지
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• 제29권1호
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• pp.84-89
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• 2019

신규 항세균물질을 탐색하는 사전조사에서 몇몇 분리균주들이 그람양성 세균과 그람음성 세균 모두에 항균활성을 보이며, 심지어 methicillin내성 Staphylococcus aureus (MRSA)에도 항균활성을 나타내었다. 이들 균주 중에서 한 균주가 표현형과 계통분석을 이용하여 특히 16S 리보좀 RNA 유전자 염기서열에 기초하여 Pseudomonas aeruginosa로 동정되었다. BCNU 1204 균주의 항균물질은 King's medium B (pH 7.0)에서 $35^{\circ}C$의 온도 조건으로 4일 배양 후 가장 최대로 생산되었다. 항균물질을 각종 유기용매로 분획한 결과, P. aeruginosa BCNU 1204의 dichloromethane (DCM)분획과 ethylacetate (EA) 분획이 그람 양성 세균에 강력한 항균활성을 보였으며, 특히 ethylacetate (EA) 분획이 methicillin내성 Staphylococcus aureus (MRSA)에 대하여 강한 항균활성을 나타내었다. Recycling preparative LC와 preparative TLC 로 활성물질 하나(분획 5-2)를 분리하여 GC-MS 분석한 결과 phenazine 화합물에 속하는 phenazine-1-carboxylic acid 로 동정하였다. 그리고 MRSA 균주에 대한 최소저해농도(minimum inhibitory concentration, MIC)가 MRSA균주인 CCARM 3089, 3090, 3091 그리고 3095 균주에 대하여 각각 $25{\mu}g/ml$, $50{\mu}g/ml$, ${\geq}25{\mu}g/ml$ 그리고 ${\geq}50{\mu}g/ml$ 임을 확인하였다. 그러므로 P. aeruginosa BCNU 1204 분리균주는 항 MRSA 항생물질을 개발하기 위한 잠재 가치가 높은 생물자원으로 기대되며, P. aeruginosa BCNU 1204 균주로부터 리더 화합물을 획득하기 위한 보다 많은 연구가 요구된다.

• Archives of Plastic Surgery
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• 제40권5호
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• pp.536-541
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• 2013

Background Pathogens in the nasal cavity during nasal surgery could lead to a systemic infectious condition, such as bacteremia, nosocomial infection, or toxic shock syndrome. However, there is no research about the prevalence of nasal carriage in patients with nasal bone fracture. Methods This was a prospective, double-blind, randomized study about the rate of nasal carriage in 200 patients with nasal bone fracture in Korea. Nasal secretions were taken from both the middle nasal meatus and colonized. All analyses were carried out using SPSS software. Results Pathogens were identified in 178 of the 200 cases. Coagulase-negative staphylococci (CNS) were the most cultured bacteria in 127 (66.84%) of the 190 total patients after excluding 10 cases of contaminated samples, and methicillin-resistant coagulase-negative staphylococci (MRCNS) were found in 48 (25.26%). Staphylococcus aureus was the second most identified pathogen, found in 36 (18.95%), followed by 7 cases (3.68%) of methicillin-resistant Staphylococcus aureus (MRSA). The prevalence rate of MRSA in the females was higher than that in the males (RR=4.70; 95% CI, 1.09-20.18), but other demographic factors had no effect on the prevalence rate of MRSA and MRCNS. Conclusions The prevalence rate of these pathogens in patients with nasal bone fracture in Korea was similar to other reports. However, few studies have addressed the prevalence rate of CNS and MRCNS in accordance with risk factors or the change in prevalence according to specific prophylaxis against infectious complications. Additional research is needed on the potential connections between clinical factors and microbiological data.

• 동의생리병리학회지
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• 제23권3호
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• pp.704-709
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• 2009

The emergence of methicillin-resistant of Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) has led to an urgent need for the discovery and development of new antibacterial agents. As part of an ongoing investigation into the antibacterial properties of the natural products, (2S)-7,4'-dihydroxy-5-methoxy-8-(${\gamma}$, ${\gamma}$-dimethylally)-f1avanone (2S-DMDF), isolated from the roots of Sophora flavescens, was found to be antibacterial active MRSA and VRE. Sophora flavescens has been used as antibacterial, antiviral, antiprotozoal, anti-inflammatory. Therefore, this study investigated the antibacterial activity of 2S-DMDF against all the bacterial strains tested. In this result, at the end point of an optically clear well, the minimum inhibitory concentrations (MICs) ranged from 0.97 to 15.6 mg/ml for 2S-DMDF, from 125 to 256 mg/ml for ampicillin, and from 64 to 512 mg/ml for gentamicin with MRSA, also, 7.8 to 15.6 mg/ml for 2S-DMDF, from 125 to 256 mg/ml for ampicillin, and from 512 to 1024< mg/ml for vacomicin with VRE. These findings indicated that the application of the tested 2S-DMDF alone might prove useful in the control and treatment of MRSA and VRE infections.

• Journal of Korean Biological Nursing Science
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• 제11권2호
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• pp.114-119
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• 2009

Purpose: The effectiveness of an infection control program is important to hospital quality improvement and decreases of mortality rate and prevalence. Methicillin resistant Staphylococcus aureus (MRSA) is the most common pathogen causing nosocomial infection. The aim of the study was to identify the most important risk factors for acquiring an MRSA, to evaluate the MRSA incidence rates after the nursing intervention in Neurosurgery intensive care unit (ICU). Methods: Clinical data were collected prospectively from December 2008 until July 2009 in Neurosurgery ICU. The patients were divided into preintervention and postintervention groups. An infection was defined as an MRSA if it occurred 48 hr after admission to the Unit. Infection control program including hand washing, education of health care workers about MRSA, standard precaution and contact isolation of patients were applied for three month. Results: A total of 85 patients were included in the study. Forty-five patients of S. aurerus were detected. Among 45 of S. aurerus, MRSA were isolated from 38 patients. The incidence MRSA rate of postintervention group was 26.9% while incidence MRSA rate of preintervention group was 66.7%. In total, The incidence MRSA rate was 44.7%. The incidence of MRSA have decreased in the postintervention as compared with the preintervention group. Conclusion: The infection control program for MRSA was effective to decrease the MRSA isolation rate. The health care workers regular hand washing, education of nosocomial infection control is important enough to be emphasized.

• 대한임상검사과학회지
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• 제37권3호
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• pp.155-163
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• 2005

The purpose of this study is to investigate the carrier rate of S. aureus in the community, antibiotic susceptibility patterns of the organism, detection of MRSA and mecA gene in MRSA. Identification and antibiotic resistance patterns of S. aureus and MRSA were done by MicroScan Panels. MRSA strain was confirmed by disk diffusion method using oxacillin disk. The mecA gene in MRSA was detected by PCR. Eighty-four strains (27.4%) of S. aureus were isolated from the nasal specimens of 307 university students in Busan in 2004. Sixty-eight strains (81.9%) of 83 S. aureus were resistant to penicllin, 16 strains(19.3%) to erythromycin, 15 strains (18.1%) to gentamicin, 12 strains (14.5%) to tetracycline, 6 strains (7.2%) to chloramphenicol, 3 strains (3.6%) to ofloxacin, 2 strains (2.4%) to cefepime, clindamycin, imipenem, meropenem, norfloxacin, respectively. One strain (1.2%) was resistant to ciprofloxacin, cefazolin, cefotaxime, cefuroxime, and oxacillin. And all the strains (100%) of 84 S. aureus were susceptible to amoxicilin/K clavulanate, ticarcillin/K clavulanate, trimethoprim/sulfamethoxazole, rifampin, syncroid, teicoplanin, and vancomycin. One strain of 84 S. aureus isolates was methicillin-resistant Staphylococcus aureus (MRSA). The mecA gene was detected from the MRSA strain.

• Journal of Microbiology and Biotechnology
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• 제21권6호
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• pp.659-664
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• 2011

Staphylococcus aureus (SA) bacteremia is associated with high mortality, and often results in metastatic infections. The methicillin-resistant SA (MRSA) is an urgent health care issue, as nosocomial infections with these bacteria represent limited treatment alternatives. Samples of whole blood containing challenge inoculums of SA and MRSA strains were passed through columns packed with surfaceheparinized polyethylene beads. The bound bacteria were eluted and quantitatively determined by culturing and by real-time PCR. Significant amounts of both SA and MRSA adhered to the heparinized beads (more than 65% of inoculated bacteria). After rinsing with buffer at high ionic strength, viable bacteria or bacterial DNA were eluted from the columns, indicating that the binding was specific. The conclusions that can be made from these experiments are that, as earlier reported in the literature, the high affinity of SA to heparin is retained in whole blood, and MRSA in whole blood binds to heparin with similar or higher affinity than SA. It should be possible to lower the amount of SA and/or MRSA from the blood of infected patients to levels that could be taken care of by the immune system. In previous studies, we have shown that passing blood from septic patients over beads coated with end-point-attached, biologically active heparin is a useful technique for regulating the levels of heparinbinding cytokine. These findings in combination with the present findings indicate the possibility of creating an apheresis technology for treatment of sepsis caused by SA and/or MRSA.

• Journal of Microbiology and Biotechnology
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• 제11권5호
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• pp.788-797
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• 2001

The usefulness of three PCR methods were evaluated for the epidemiological typing of Staphylococcus aureus: an enterobacterial repetitive intergenic consensus sequence PCR (ERIC-PCR), repetitive extragenic palindromic element PCR (REP-PCR), and 16S-23S intergenic spacer PCR (ITS-PCR). The analysis was performed using a collection of S. aureus strains comprised of 6 reference and 79 isolates from patients with various diseases. Among the 85 S. aureus strains tested, 6 references and 6 isolates were found to be susceptible to methicillin, whereas the remaining 73 isolates were resistant to it. PCR methods are of special concern, as conventional phenotypic methods are unable to clearly distinguish among methicillin-resistant S. aureus (MRSA) strains. The ability of the techniques to detect different unrelated types was found to be as follows: ERIC-PCR, 19 types; REP-PCR, 36 types; and ITS-PCR, 14 types. On the basis of combining the ERIC, REP, and ITS fingerprints, the 85 S. aureus strains were grouped into 56 genetic types (designated G1 to G56). The diversities for the 85 S. aureus strains, calculated according to Simpson\`s index, were 0.88 for an ERIC-PCR, 0.93 for a REP-PCR, and 0.48 for an ITS-PCR, and the diversity increased up to 0.97 when an ERIC-PCR and REP-PCR were combined. The above discrimination indices imply that the genetic heterogeneity of S. aureus strains is high. Accordingly, this study demonstrates that DNA sequences from highly conserved repeats of a genome, particularly a combination of ERIC sequences and REP elements, are a convenient and accurate tool for the subspecies-specific discrimination and epidemiologic tracking of S. aureus.

• Journal of Applied Biological Chemistry
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• 제66권
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• pp.98-104
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• 2023

메티실린 저항성 황색포도상구균(methicillin-resistant Staphylococcus aureus, MRSA)을 제어하기 위한 효과적이고 대안적인 전략이 계속해서 요구되고 있다. 이전 연구에서는 7,10-dihydroxy-8(E)-octadecenoic acid로부터 1단계 열처리를 통해 7,10-epoxyoctadeca-7,9-dienoic acid (EODA)이 생성되었음을 제시하였다. 추가적인 연구에서는 EODA가 MRSA를 포함한 광범위한 병원성 박테리아에 대해 높은 활성을 보인다는 것을 확인시켜 MRSA를 제어할 수 있는 새로운 항균제의 개발 가능성을 보여 주었다. 그러나 EODA를 산업적으로 사용하기 위해서는 극복해야 할 중요한 문제점이 있는데 그 중에서도 순수한 활성성분을 얻기 위한 정제에 많은 비용과 시간이 소요된다는 것이다. 이러한 문제를 해결하기 위해 본 연구는 열처리에 위한 EODA 생산 반응 후 얻어진 반응물을 추가적인 정제 과정 없이 조추출물의 상태로 사용할 때 항균 활성에 어떠한 변화가 나타나는 지 확인하는 데 초점을 맞추었다. 얻어진 결과로부터 조추출물의 상태로 사용하여도 EODA 자체가 나타내는 항균 활성에 유의한 변화가 감지되지 않았으며 상업용 항생제와 병용처리 시 나타나는 추가적인 시너지 효과 또한 그대로 유지됨을 확인하였다.