• 제목/요약/키워드: Susceptibility testing

검색결과 190건 처리시간 0.034초

The Rapid Drug Susceptibility Testing of Mycobacterium tuberculosis by GenoType$^{(R)}$ MTBDRplus in Contaminated Specimen

  • Heo, Reun;Kim, Yoon-Sik
    • 대한의생명과학회지
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    • 제19권4호
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    • pp.330-337
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    • 2013
  • There are several methods currently being used to diagnose tuberculosis in patients, such as smear, PCR, tuberculosis culture and X-ray. For a proper medical treatment, antimicrobial susceptibility test and rapid drug susceptibility testing have been operated. Tuberculosis bacilli usually need 3~8 weeks of culture period because of delay in RNA synthesis and require 15~22 hours for generation. After a germ raises in culture, we initiated antimicrobial susceptibility test for a proper treatment. It has some difficulties to give a proper prescription for a tuberculosis patient because antimicrobial susceptibility test requires 4 weeks. To supplement this, we are practicing drug susceptibility testing which allow us to know the sensibility of RMP and INH after 2 or 3 days. But this is only possible when more than 2 positive germ. Therefore, we should practice rapid drug susceptibility testing with culture test. But if media is contaminated by other germs except Mycobacterium tuberculosis, it's hard to interpret result about culture test and to practice antimicrobial susceptibility test and rapid drug susceptibility testing. Because we have to practice again smear, culture test after extracting specimen from the patient, time is consumed and proper patient treatment is postponed. To address these problems and quick patient treatment, rapid drug susceptibility testing is practiced by using GenoType$^{(R)}$ MTDRplus method. As a result of this method we detected sensibility 10 and 7 cases and resistance 0 and 3 cases using RIM and INH respectively with other 1 case toward medicals out of the total 11 test. In conclusion rapid drug susceptibility testing can be used from the contaminated specimen after elimination of contaminated source from culture and proved that it can be practiced for rapid examination of a tuberculosis patient.

A New and Rapid Testing Method for Drug Susceptibility of Mycobacterium leprae Using RT-PCR

  • Kim, Min-Joo;Lee, Ju-Hang;You, Ji-Chang
    • Journal of Microbiology and Biotechnology
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    • 제10권5호
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    • pp.685-689
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    • 2000
  • Due to the uncultivable nature of Mycobacterium leprae in vitro, the fast, easy, and accurate measurement of the antimicrobial drug susceptibility of this microbe has been difficult. Conventional methods for such testing are subjective, cumbersome, and expensive in some cases. Here, the utility of a reverse transcriptase-PCR (RT-PCR)-based assay for testing was examined and compared with a Buddmeyer-type radiorespirometric assay. The susceptibility of M. leprae to rifampin was determined by probing the presence of M.leprae-specific 18 kDa gene mRNA in M. leprae-infected IC-21 macrophage cells after drug treatment. The results showed that, as the refampin concentration was increased, the 360-bp cDNA products generated by the RT-PCR-based assay decreased in a dose-dependent manner as in the drug susceptibility observed in the Buddmeyer-type assay. The drug susceptibility testing of M. leprae by the RT-PCR based assay was found to be not only faster but also nearly $10^4$-fold more sensitive than the Buddmeyer-type assay. Moreover, it was also found that, unlike the RT-PCR based assay, the same testing by a DNA-PCR resulted in no differences in the 360-bp signal, regardless of the rifampin concentrations used. Accordingly, these results demonstrated that the drug susceptibility of M. leprae can be determined effectively by an RT-PCR-based assay, thereby providing a new, fast, and sensitive testing method.

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동상민감성 판정 실내실험법 및 기준에 대한 고찰 (Review of Frost-susceptibility Testing Methods and Criteria)

  • 이장근;진현우;유병현
    • 한국지반공학회논문집
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    • 제39권7호
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    • pp.39-48
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    • 2023
  • 동상으로 인한 구조물의 피해를 방지하고자 세계 100여개의 국가에서는 토양의 동상민감성을 판정하는 실내실험법에 대해 연구를 진행하였다. 미국과 일본은 알래스카와 홋카이도와 같은 동토지역을 포함하고 있어 동상에 대한 연구가 활발히 진행되었으며, 연구 결과와 현장 적용을 통해 동상민감성 판정 표준 실험법과 기준을 제시하고 있다. 그러나 실험 방법이 복잡하고 공학적인 해설이 부족하며, 결과 분석에 대한 논리가 모호한 부분이 여전히 존재하고 있다. 본 논문에서는 이러한 미국 ASTM(American Society for Testing and Materials)과 일본 JGS(Japanese Geotechnical Society)의 동상 실험법을 동상 실험에 미치는 온도조건, 시료크기, 동결방향, 배수조건 등을 고려하여 면밀히 비교 분석하고, 지금까지 연구결과를 종합하여 향후 국제적인 연구동향에 부합하는 국내 동상민감성 판정 실험법과 기준의 방향을 제시하고자 한다.

Errors of Antibiotic Susceptibility Testing from Automated and Manual Systems in Clinical Isolates of Acinetobacter baumannii

  • Sung, Ji Youn;Oh, Ji-Eun;Kim, Eun Sun
    • 대한임상검사과학회지
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    • 제45권1호
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    • pp.21-25
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    • 2013
  • Acinetobacter baumannii is an aerobic, gram-negative and glucose-non-fermenting bacterium, which has emerged as a serious opportunistic pathogen. Many clinical microbiology laboratories use the Vitek 2 system for the routine antimicrobial susceptibility testing process, including testing on A. baumannii isolates. However, in case of amikacin, it is now recommended to perform additional antimicrobial susceptibility testing for A. baumannii strains due to the relatively lower minimum inhibitory concentration (MIC) in the Vitek 2 system compared to conventional reference methods. In our study, we assessed MIC for amikacin susceptibility testing of A. baumannii isolates in the Vitek 2 system, the agar dilution, Etest, and disk diffusion method. We collected 40 gentamicin-resistant, A. baumannii strains (amikacin MIC by Vitek 2:${\leq}2{\mu}g/mL$, 2 isolates; $4{\mu}g/mL$, 34 isolates; $8{\mu}g/mL$, 4 isolates) from a University hospital and compared the Vitek 2 system to other reference methods for testing susceptibility to amikacin. The Vitek 2 system showed major errors in all of the 40 isolates, yielding a low MIC. The results of our study strongly suggested that the Vitek 2 system was not a reliable method to test the MICs of gentamicin; ranging from ${\geq}16{\mu}g/mL$ for amikacin susceptibility. Other tests, such as agar dilution, Etest, or disk diffusion methods, should be paralleled to determine the MIC of amikacin in A. baumannii.

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A New Method for Antimicrobial Susceptibility Testing of Vitro-cultured Bacteria by Means of Resonance Light Scattering Technique

  • Shi, Yu-Jun;Chen, Jun;Xu, Ming
    • Journal of Microbiology and Biotechnology
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    • 제18권1호
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    • pp.118-123
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    • 2008
  • A new method for antimicrobial susceptibility testing of vitro-cultured bacteria on an ordinary fluorescence spectrometer was developed. The viable bacteria reduced 3-(4,5 dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) to produce insoluble particles that displayed intense resonance scattering light. The assay showed a linear relationship between the number of viable bacteria and the intensity of resonance scattering light. Dead bacteria were unable to reduce MTT. Methicillin-resistant Staphylococcus aureus exposed to flavonoids from Marchantia convoluta showed a flavonoids concentration-dependent inhibition of the ability to reduce MTT. In the assay, less than 12 h was required to attain susceptibility results and fewer bacteria were utilized than in traditional methods. The RLS technique could, in combination with the MTT assay, be a rapid and sensitive measuring method to determine the in vitro activity of new antimicrobials.

Assessment of the effect of fines content on frost susceptibility via simple frost heave testing and SP determination

  • Jin, Hyunwoo;Ryu, Byung Hyun;Lee, Jangguen
    • Geomechanics and Engineering
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    • 제30권4호
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    • pp.393-399
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    • 2022
  • The Segregation Potential (SP) is one of the most widely used predictors of frost heave in cold regions. Laboratory step-freezing tests determining a representative SP at the onset of the formation of the last ice lens (near the thermal steady state condition) can predict susceptibility to frost heave. Previous work has proposed empirical semi-log fitting for determination of the representative SP and applied it to several fine-grained soils, but considering only frost-susceptible soils. The presence of fines in coarse-grained soil affects frost susceptibility. Therefore, it is required to evaluate the applicability of the empirical semi-log fitting for both frost-susceptible and non-frost-susceptible soils with fines content. This paper reports laboratory frost heave tests for fines contents of 5%-70%. The frost susceptibility of soil mixtures composed of sand and silt was classified by the representative SP, and the suitability of the empirical semi-log fitting method was assessed. Combining semi-log fitting with simple laboratory frost heave testing using a temperature-controllable cell is shown to be suitable for both frost-susceptible and non-frost-susceptible soils. In addition, initially non-frost-susceptible soil became frost susceptible at a 10%-20% weight fraction of fines. This threshold fines content matched well with transitions in the engineering characteristics of both the unfrozen and frozen soil mixtures.

신속한 항생제 감수성 테스트 법의 개발을 위한 Water-Soluble Tetrazolium Salt의 적용 (Application of water-soluble tetrazolium salt for development of rapid antimicrobial susceptibility testing methods)

  • 황성돈;조동희;김광일;조미영;지보영;박명애;박찬일
    • 한국어병학회지
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    • 제28권2호
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    • pp.71-78
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    • 2015
  • In this study, we conducted to the development of a rapid antimicrobial susceptibility test method using WST-1 which is known to water-soluble tetrazolium salt, in order to rapidly response against bacterial diseases in fish. Eight of antibiotics which are permissioned for marine organism from government were used to rapid antimicrobial susceptibility testing using the WST-1. As a result, a similar tendency was verified compare to conventional antibiotic susceptibility test results. Generally, the antibiotic susceptibility test method required about 3 days (72 hours) for determine the effective antibiotics, however, we have confirmed that the our method using WST-1 was required at least 36 hours in this study. Consequentially, our method will contribute to development of rapid antimicrobial susceptibility testing for bacterial diseases in fish.

Module level EMC verification method for replacement items in nuclear power plant

  • Hee-Taek Lim;Moon-Gi Min;Hyun-Ki Kim;Gwang-Hyun Lee;Chae-Hyun Yang
    • Nuclear Engineering and Technology
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    • 제55권7호
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    • pp.2407-2418
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    • 2023
  • Internal replaceable electronic module substitutions can impact EMC (ElectroMagnetic Compatibility) qualification testing and results if EMC testing is conducted at the cabinet level. The impact of component substitutions on EMC qualification results therefore should be evaluated. If a qualitative evaluation is not adequate to ensure that the modified product will not impact the cabinet level EMC qualification results, a new qualification testing should be conducted. Component level retesting should be conducted under electromagnetically equivalent conditions with the cabinet level test. This paper analyzes the propagation of conducted susceptibility test waveforms in a representative cabinet and evaluates the impact of component substitutions on cabinet level EMC qualification results according to the location of the replacement items. A guideline for a qualitative evaluation of the impact of component substitutions is described based on the propagation of the conducted susceptibility test waveforms. A module level test method is also described based on an analysis of the shielding effectiveness of the cabinet.

전계의 균일성을 고려한 자동차의 전자파 내성시험 방법에 관한 연구 (The Electro-Magnetic Susceptibility Test Method of a Road Vehicle Considering the Field Uniformity)

  • 배민관;신재곤;용기중;우현구
    • 한국자동차공학회논문집
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    • 제18권4호
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    • pp.84-91
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    • 2010
  • Owing to revolutionary developments in automobile technologies, a variety of advanced vehicles - hybrid vehicle, hydrogen fuel-cell vehicle, electric vehicle, etc. - emerges recently. The safety is getting more important for developing automobiles. The electro-magnetic compatibility has to be assured, since those advanced vehicles are equipped with various new electronic systems. Electro-magnetic compatibility tests, in general, consist of an EMI(electro-magnetic interference) test and an EMS (electro-magnetic susceptibility) test. We investigated the susceptibility test method suggested in KMVSS (Korean Motor Vehicle Safety Standard) as the EMS test method. A series of experiments results that the above test method should be partially revised to comply with a Korean governmental standard method. In this paper, the some directions of modifications are presented to enhance the quality of the above EMS test method.

Performance of the BacT Alert 3D System Versus Solid Media for Recovery and Drug Susceptibility Testing of Mycobacterium tuberculosis in a Tertiary Hospital in Korea

  • Kim, Seoung-Cheol;Jeon, Bo-Young;Kim, Jin-Sook;Choi, In Hwan;Kim, Jiro;Woo, Jeongim;Kim, Soojin;Lee, Hyeong Woo;Sezim, Monoldorova;Cho, Sang-Nae
    • Tuberculosis and Respiratory Diseases
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    • 제79권4호
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    • pp.282-288
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    • 2016
  • Background: Tuberculosis (TB) is a major health problem, and accurate and rapid diagnosis of multidrug-resistant (MDR) and extended drug-resistant (XDR) TB is important for appropriate treatment. In this study, performances of solid and liquid culture methods were compared with respect to MDR- and XDR-TB isolate recovery and drug susceptibility testing. Methods: Sputum specimens from 304 patients were stained with Ziehl-Neelsen method. Mycobacterium tuberculosis (Mtb) isolates were tested for recovery on $L{\ddot{o}wenstein$-Jensen (LJ) medium and the BacT Alert 3D system. For drug susceptibility testing of Mtb, isolates were evaluated on M-KIT plates and the BacT Alert 3D system. Results: The recovery rates were 94.9% (206/217) and 98.2% (213/217) for LJ medium and the BacT Alert 3D system, respectively (kappa coefficient, 0.884). The rate of drug resistance was 13.4% for at least one or more drugs, 6.0% for MDR-TB and 2.3% for XDR-TB. M-KIT plate and BacT 3D Alert 3D system were comparable in drug susceptibility testing for isoniazid (97.7%; kappa coefficient, 0.905) and rifampin (98.6%; kappa coefficient, 0.907). Antibiotic resistance was observed using M-KIT plates for 24 of the total 29 Mtb isolates (82.8%). Conclusion: The liquid culture system showed greater reduction in the culture period, as compared with LJ medium; however, drug susceptibility testing using M-KIT plates was advantageous for simultaneous testing against multiple drug targets.