• Title/Summary/Keyword: Vancomycin-resistant

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A Case Report of a Stroke Patient with Vancomycin-Resistant Enterococci Colonization Treated with Korean Medicine, Especially Gami-sipjeondaebo-tang (반코마이신 내성 장알균(Vancomycin Resistant Enterococci) 집락이 검출된 뇌졸중 환자에 대한 가미십전대보탕의 효과 1례)

  • Seo, Hee-jeong;Bae, Go-eun;Choi, Jin-yong;Shim, So-hyun;Seo, Hyung-bum;Han, Chang-woo;Kim, So-yeon;Choi, Jun-yong;Park, Seong-ha;Yun, Young-ju;Lee, In;Kwon, Jung-nam;Hong, Jin-woo
    • The Journal of Internal Korean Medicine
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    • v.39 no.5
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    • pp.939-948
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    • 2018
  • Objectives: We treated a stroke patient with vancomycin-resistant enterococci (VRE) colonization using Gami-sipjeondaebo-tang. Methods: A patient diagnosed with intracranial hemorrhage with VRE colonization was treated with herbal medicine and acupuncture. We checked general conditions every day and performed stool VRE culture once a week. We evaluated the improvement of symptoms by change in VAS grade, general weakness, and stool VRE culture results. Results: After a treatment of Gami-sipjeondaebo-tang combined with acupuncture therapy, improvement of the general condition was observed. Also, VRE colonization was no longer detected in the stool culture. Conclusions: This case report proved the effect of Korean medicine for a stroke patient with VRE colonization, but further study is needed.

Effect of Korean Medicine Treatment on Vancomycin-resistant Enterococci Colonization in a Stroke Patient: A Case Report (반코마이신 내성 장알균(Vancomycin Resistant Enterococci)이 검출된 뇌졸중 환자의 집락 해제에 대한 한방치료 1례 : 증례보고)

  • Seo, Hyung-bum;Lee, Chan;Cho, Im-hak;Heo, Gi-yoon;Kang, Hee-kyung;Han, Chang-woo;Kim, So-yeon;Choi, Jun-yong;Park, Seong-ha;Yun, Young-ju;Hong, Jin-woo;Kwon, Jung-nam;Lee, In
    • The Journal of Internal Korean Medicine
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    • v.41 no.6
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    • pp.1191-1199
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    • 2020
  • We studied the effect of Korean medicine treatment on the clearance of vancomycin-resistant enterococcus (VRE) colonization and on improvement in symptoms in a stroke patient. The patient was continuously followed up with stool VRE cultures while being treated with herbal medicine, Chunglijagam-tang, acupuncture, and oxygen therapy. We also checked the coccygeal pressure sore condition and the oxygen levels during therapy. No VRE colonization was found after treatment and the oxygen levels and pressure sores had improved. This study proved that Korean medicine treatment could be effective for the clearance of VRE colonization and improvement of symptoms.

Antimicrobial Susceptibility of Enterococcus spp. Isolated from Han-river Area in Korea (한강 유역에서 분리한 Enterococcus 속 세균의 항생제 감수성)

  • Kim, Mal-Nam;Kwon, Oh-Min
    • Korean Journal of Environmental Biology
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    • v.26 no.3
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    • pp.240-246
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    • 2008
  • From the 4 sampling stations located in the basin of the Han River, total 46 strains of Enterococcus spp. composed of 15 E. faecium strains, 26 E. casseliflavus strains, 1 E. faecalis strain and 4 E. hirae strains were isolated. Among the 46 strains, 45 strains exhibited streptomycin-resistance, while 21 and 19 stains were resistant against tetracycline and quinupristin/dalfopristin, respectively. As for gentamicin and vancomycin, 15 strains and 1 strain showed resistance against the respective antimicrobial agents. Among the 46 strains, 39 strains showed resistance against more than 2 antimicrobial agents, and 10 strains demonstrated resistance to more than 5 antimicrobial agents. Especially, the strain isolated from the station C at Anyangcheon, exhibited resistance against all the 8 kinds of the antimicrobial agents. As the sampling site approached to the lower stream of the Han-river, the antibiotic resistant strains and the multi-drug resistant strains were detected more frequently. The MIC values of the antibiotic resistant strains measured by the disc diffusion method disclosed that 16 strains possessed maximum MIC value of 4,096 ${\mu}g$ mL$^{-1}$ against streptomycin and 17 strains possessed maximum MIC value of 2,048 ${\mu}g$ mL$^{-1}$ against gentamicin. Meanwhile, 1 strain exhibited maximum MIC value of 5121 ${\mu}g$ mL$^{-1}$ against vancomycin. As for quinupristin/dalfopristin and tetracycline, 2 and 33 strains showed maximum MIC value of 641 ${\mu}g$ mL$^{-1}$, respectively. Comparison of the MIC values of the strains of the this study with those of the strains of the other research groups isolated from the hospital drainage and also those from the live stock farm drainage indicated that the strains resistant against vancomycin and quinupristin/dalfopristin may be originated from the livestock farm drainage.

Analysis of Risk Factors and Effect of Vancomycin for Sternal Infection after Coronary Artery Bypass Graft (관상동맥우회술 후 흉골감염의 위험인자분석 및 반코마이신의 효과)

  • Baek, Jong-Hyun;Jung, Tae-Eun;Lee, Dong-Hyup;Lee, Jang-Hoon;Kim, Jung-Hee
    • Journal of Chest Surgery
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    • v.43 no.4
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    • pp.381-386
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    • 2010
  • Background: Sternal wound infection (SWI) is an important complication after cardiac surgery. The aim of this study was to investigate the predictors affecting sternal wound infection and preventive factors including short term Vancomycin therapy in patients who underwent coronary artery bypass grafting (CABG). Material and Method: A retrospective study was done using data collected from January 2001 through December 2007. This included 219 patients who had isolated CABG. The definition of SWI was documentation from a microbiological study and a requirement for simple closure or other surgical revision. Result: The overall incidence of SWI was 7.8% (n=17). The causative organisms were methicillin resistant Staphylococcus aureus (MRSA, n=13), methicillin resistant Staphylococcus epidermidis (n=2), Pseudomonas aeruginosa (n=1), and Candida albicans (n=1). Ten cases had deep sternal wound infection with mediastinitis; 7 cases had a superficial wound infection. Infection-related mortality was low (1/17; 6%). Diabetes mellitus (p=0.006) and smoking history (p=0.020) were factors that predicted high risk. Short term use of vancomycin decreased the incidence of MRSA-associated SWI (p=0.009). For treatment, curettage and rewiring or flap were needed in most cases (88%, n=14). Conclusion: Patients who had diabetes mellitus and a smoking history need careful management. Short term use of vancomycin is effective for prevention of SWI with MRSA.

METHICILLIN RESISTANT STAPHYLOCOCCAL INFECTION;REPORT OF 2 CASES (Methicillin Resistant Staphylococcal Infection;증례보고)

  • Kim, In-Soo;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.2
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    • pp.180-184
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    • 2001
  • MRSI is the staphylococcal infection having resistance to the methicillin which is semisynthetic penicillinase-resistant agents against penicillinase. These infections are very difficult to treat because they have resistance to almost every antibiotics except for vancomycin. We experienced MRSE(methicilline-resistant staphylococcal epidermis) infected 56 years old man who developed 2 months after arthroplasty for TMJ ankylosis and MRSA(methicilline-resistant staphylococcal aureus) infected 59 years old man who was performed arthroplasty far traumatic TMJ disc displacement.

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Complete Genome Sequence of an optrA-positive Linezolid-resistant Staphylococcus rostri Strain PJFA-333 Isolated from a Pig in Korea

  • Gi Yong Lee;Soo-Jin Yang
    • Microbiology and Biotechnology Letters
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    • v.51 no.3
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    • pp.293-295
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    • 2023
  • Linezolid, the first oxazolidinone introduced into human clinical use, has become a last resort antibiotic in treatment of serious infections caused by Gram-positive pathogens, including methicillin-resistant staphylococci and vancomycin-resistant enterococci. Although oxazolidinones are strictly prohibited for use in food-producing animals, occurrence of linezolid-resistant staphylococci has recently been reported in livestock farms in Korea. Here, we report the complete genome sequence of an optrA-positive linezolid-resistant Staphylococcus rostri strain PJFA-333 isolated from a pig farm in Korea.