• 제목/요약/키워드: intradermal test

검색결과 82건 처리시간 0.025초

강원도 사육 한우의 간질 감염실태 (Prevalence of Fascioliasis of Korean Native Cattle in Kangwon Province in Korea)

  • 김연수;김상균;황의경
    • 대한수의학회지
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    • 제41권4호
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    • pp.557-563
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    • 2001
  • A field survey of fascioliasis of Korean native cattle raising and raised in specialized commercial breeding farms and local farms in Kangwon province using both intradermal test and sedimentation technique for feces was carried out from November to December, 1996. Fecal samples were taken from fascioliasis positive cattle by the intradermal test for the fecal examination. Liver tissues were randomly collected from an abattoir for histopathological examination of liver fluke infection in cattle. The results are as follows. 1. By the intradermal test for a total of 211 cattle raising in both Wonju and Wheongsung, Kangwon province, 60 heads(28.4%) showed positive reaction. Among 60 positive cattle, eggs of Fasciola hepatica were found from 51 heads(85.0%) by sedimentation technique. 2. According to the cattle raising areas, the positive rates by the intradermal test were 26.7%(20 out of 75 heads) in Wonju and 29.4%(40 out of 136 heads) in Wheongsung. 3. According to the age of cattle examined, the positive rates by the intradermal test in 1~3, 4~6 and 7~10 years old were 11.7%(7 out of 100 heads), 68.3%(41 out of 93 heads) and 20.0%(12 out of 18 heads), respectively. 4. The overall infection rates of fluke larvae from the slaughtered cattle at an abattoir in Wonju was 24.7%(37 out of 150 heads). In histopathology, liver lesions were observed such as inflammation with infiltration of eosinophils, polymorphonuclear cells, mononuclear cells and multinucleated giant cells, proliferation of connective tissues, calcification and abscess formation.

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항생물질 주사제의 피내반응검사에 대한 조사연구 (A Study on the Intradermal Skin Test of Antibiotics)

  • 유재희;손영희;김원옥
    • 기본간호학회지
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    • 제4권2호
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    • pp.319-336
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    • 1997
  • This study was done to identify the reality in doing the intradermal skin test of injectional antibiotics and to serve a basis to the clinical and educational situations. For the study, the survey was done to the staff nurses who are working at one of the selected 39 hospitals in the capital area, from January 6 to Feburary 8 in 1997. The data analysis was done by mean, standard deviation, Fisher's exact test, t-test, ANOVA through running SAS computer program. The results of the study were as follows : 1. The dilution ratio of the antibiotics was mostly 1 : 10 regardless of what kind of antibitics. Making the contrast was done only for the suspended to the antibiotics. Mostly the reaction was detected after 15 to 20 minutes from its diameter of redness and wheals. Most of the respondents answered they do the intradermal skin test only once for the same antibiotics. 2. In the education on the skin test the 66.7% from the respondents had exposed to the education mostly through the new nurses orientation. The 85,4% from them answered the need of the continuous education which had a significant difference in the number of beds(p=.046). The had experiences of detecting positive reactions(98.3%), and of anaphylaxis(49.5%) which had a significant difference in experience(p=.002) and in their age groups(p=.000). 3. The averge score of the confidence on the intradermal skin test was 3.32 form 4-point scale. Also it had a significant difference from the number of beds(p=.010), the year of experiences(p=.016), and their age groups(p=.046). 4. From the general characteristics of respondents, the injection methods had a significant difference in the amounts of injection, whether adopting the contrast pairing, and the repeatable skin tests for the same antibiotics. 5. Only 15 from 39 hospitals had their protocol about the intradermal skin test provided by nursing department which differs in its contents from that provided by the medical information center. From the results of the study, it is suggested that the continuous education on the intradermal skin test and its unified protocol should be provided. Also it is recomended that the drug manufacturer should notice about its anaphylactic cautions and pack its extra skin test use.

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알레르기 피부시험 (Allergic skin test)

  • 손병관;임대현
    • Clinical and Experimental Pediatrics
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    • 제50권5호
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    • pp.409-415
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    • 2007
  • Allergy skin prick test and intradermal test represent one of the major tools in the diagnosis of IgE-mediated diseases like as atopic asthma, allergic rhinitis, atopic dermatitis, food and drug allergy, and insect bite when properly performed. Skin tests are of particular importance in fields such as allergen standardization, pharmacology, and epidemiology. Even if skin tests seem easy to perform, adequate and proper interpretation requires well-trained physicians who can recognize the numerous factors that may modify the results of skin tests.

방사성(放射性) 옥소(沃素) 피내(皮內) 주사(注射)에 의(依)한 갑상선(甲狀腺) 기능검사(機能檢査)에 관(關)한 연구(硏究) (Studies of Thyroid Function Test Using Radioiodine by Intradermal Injection)

  • 김동수
    • 대한핵의학회지
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    • 제6권1호
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    • pp.41-49
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    • 1972
  • The author observed the thyroid $^{131}I$ uptake rate using an intradermal injection method. The amount of activity remaining at the site of intradermal injection of 0.1 ml. of $5{\mu}Ci.\;of\;^{131}I$ in physiologic saline was measured in 79 cases of hyperthyroidism and in 24 cases of hypothyroidism. The cases had been confirmed by clinical and laboratory findings, at the department of medicine, (radioisotope clinic) Pusan National University Hospital. Twenty-nine normal control cases were examined currently by the same technique during the period from Jan. 1967 to June 1970. The following results were obtained: 1. In the normal group, the ranges and mean values of the thyroid uptake 10, 15, 20, 25, 30 and 60 minutes after intradermal $^{131}I$ injection, were $0{\sim}10%(6.33{\pm}1.63),\;0{\sim}15%(7.83{\pm}2.12),\;0{\sim}15%(8.46{\pm}2.82),\;5.1{\sim}20%(9.66{\pm}2.27),\;5.1{\sim}25%(10.47{\pm}2.52),\;5.1{\sim}30%(13.03{\pm}4.42)$. 2. In the hyperthyroid group, the ranges and mean values of the thyroid uptake 10, 15, 20, 25, 30 and 60 minutes after intradermal $^{131}I$ injection were $5.1{\sim}45%(22.25{\pm}7.04),\;10.1{\sim}50%(28.32{\pm}6.67),\;15.1{\sim}55%(34.78{\pm}11.63),\;15.1{\sim}65%(37.95{\pm}7.72),\;20.1{\sim}65%(41.49{\pm}0.05)\;and\;20.18096(48.71{\pm}12.51)$. 3. In the hypothyroid group, he ranges of thyroid $^{131}I$ uptake by intradermal $^{131}I$ injection at 10, 15, 20, 25, 30 and 60 minutes lay between 0 and 10%, and the the mean values were $4.23{\pm}1.76,\;5.08{\pm}1.68,\;5.56{\pm}1.70,\;6.02{\pm}1.75,\;6.37{\pm}1.91\;and\;6.95{\pm}2.07$. 4. In conclusion, thyroid function test using an intradermal injection method in cases of hyperthyroidism, showed characteristic values which seemed to be of diagnostic significance.

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건성안 증후군의 피내침 치료에 대한 임상연구 동향 (Trend of Clinical Trials for Intradermal Acupuncture Treatment on Dry Eye Syndrome)

  • 송지훈;박수연
    • 한방안이비인후피부과학회지
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    • 제33권2호
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    • pp.12-22
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    • 2020
  • Objectives : The aim of this study is to review the trend of clinical trials conducted with the intradermal acupuncture treatment on dry eye syndrome. Methods : Through 4 foreign online databases(PubMed, Cochrane Library, EMBASE, and CNKI) and 3 domestic online databases(NDSL, RISS, and OASIS), we searched for clinical studies performed acupuncture treatment for dry eye syndrome from 2000 to 2020. Only randomized controlled trials(RCT) were selected and analyzed with the research method. Results : A total of 4 studies were reviewed. Cuanzu(攢竹, BL2), Taiyang(太陽, EX-HN5), and Sibai(四白, ST2) were the most frequently used acupoints in the studies. Among the evaluation indexes, Schirmer I test(SIT), tear film break-up time(BUT) were the most frequently used outcomes. In the most of the 4 studies, intradermal acupuncture treatment showed significant therapeutic effects for dry eye syndrome. Conclusions : These results suggest that it is necessary to develop more detailed standards for intradermal acupuncture treatment method as the method of intradermal acupuncture is getting more diverse, and objective tools are needed to evaluating dry eye syndrome.

EMLA 크림이 ampicillin sodium 항생제 피내반응검사에 미치는 효과 (Effects of EMLA Cream in Intradermal Skin Test of Ampicillin Sodium Antibiotics)

  • 김진;강희영
    • 기본간호학회지
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    • 제18권1호
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    • pp.46-53
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    • 2011
  • Purpose: The purpose of this study was to identify the effects of EMLA cream (eutectic mixture of local anesthetics, lidocaine and prilocaine) on pain during ampicillin sodium intradermal (ID) skin test, and also to assess skin reaction after the skin test. Methods: Forty-three nurse-volunteers had skin tests with 0.01ml-0.05ml ampicillin sodium antibiotics. Skin tests were done on each forearm to compare the pain level of the skin test site after application of EMLA cream with the pain level when no EMLA cream was applied. EMLA cream was applied at the ID skin test site with an occlusive dressing for one hour. Pain was evaluated using a visual analogue scale and pain sensation using the short form McGill Pain Questionnaire. The transverse diameter of the wheal and redness was read right after and at 15 minutes after the skin test. The results were compared using independent t-tests. Results: Pain score and sensation with EMLA cream treatment were significantly lower than when EMLA cream was not applied. There was no difference in skin reactions; reading of the skin test was not affected by EMLA cream. Conclusions: EMLA cream was found to be an effective local anesthetic to relieve the pain of clients having ampicillin sodium antibiotics ID skin tests.

Hypersensitivity Reaction to Perioperative Drug Mistaken for Local Anesthetic Systemic Toxicity in a Patient under Brachial Plexus Block

  • Jun, Jee Young;Kim, Youn Jin;Kim, Jong Hak;Han, Jong In
    • 고신대학교 의과대학 학술지
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    • 제33권3호
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    • pp.468-476
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    • 2018
  • Perioperative anaphylaxis, although rare, is a severe, life-threatening unexpected systemic hypersensitivity reaction. Simultaneous administration of various drugs during anesthesia, the difficulty of communicate with patients in sedation and anesthesia, and coverage of the patient with surgical drapes are considered to be factors that impede early recognition of anaphylactic reactions. It is very important to perform an intradermal skin test because antibiotics are the most common cause of perioperative anaphylaxis. We report a case of negative-intradermal skin test antibiotic anaphylaxis mistaken for local aesthetic systemic toxicity without increase of serum tryptase for confirmative diagnostic biomaker during surgery under brachial plexus block. It is not possible to exclude the danger of anaphylaxis completely, even if it is negative-intradermal skin test and normal tryptase level. Therefore, anesthesiologists should be closely monitored and treated early for antibiotics related hypersensitive reaction, like other medicines during anesthesia.

면역효소진단법을 이용한 폐흡충증 유행의 역학조사 (An epidemiological study of human paragonimiasis by means of micro-ELISA)

  • 조승열;이동근강신영김석일
    • Parasites, Hosts and Diseases
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    • 제21권2호
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    • pp.246-256
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    • 1983
  • 폐흡충증의 유행정도를 측정하는 데 사용하여 온 피내반응과 충란검사가 각각 특이도와 민감도에 문제를 갖고 있어 주민 중 현증 환자를 적절히 찾았다고 하기가 어렵게 되어가고 있다. 이러한 점을 개선하는 방법으로 폐흡충 특이 IgG항체를 검사함으로써 항체양성자의 수를 현증 환자의 수로 하는 방법을 폐흡충증 역학조사에 응용하고자 하였다. 이 연구에서는 특이항체를 면역효소진단법으로 측정하였을 때 그 효용성을 평가하고자 하였다. 전라남도 해남군 북평면과 북일면의 6개 국민학교, 2개 중학교, 1개 고등학교 학생과 2개 부락 주민 등 모두 4,285명을 우선 피내 반응으로 검사하고 폐흡충 피내반응 양성자에서 가래 검사를 한번 실시하였고 혈청을 채취하여 면역효소진단법으로 폐흡충 특이 IgG항체를 측정하였다. 그 결과를 요약하면 다음과 같다. 1. 총 대상자 4,285명 중 폐홉충 피내반응 양성자는 244명 (5.7%)이었고, 피내반응 양성자 중 충란 양성자는 7명 (4.2%), 면역효소진단법에 의한 특이 IgG항체 양성자는 40명 (16.7%)이었다. 전체 조사 대상자에 대한 충란 양성자의 비율은 0. 16%, 특이 IgG항체 양성자는 0.93%에 해당하였다. 2. 폐흡충 특이 IgG항체 양성자는 충란 양성자에서는 100%, 폐흡충 피내 반응은 양성이나 충란검사 음성자에서는 14.2%에서 나타났으나, 간흡충 피내반응 양성자 또는 피내반응 음성 자에서는 나타나지 않았다. 3. 폐흡충 특이 IgG항체 양성자는 피내반응 구진의 크기 9mrn이하에서는 없었고, 10mm에서는 5.5%, 11∼12mm에서는 26.1% 및 18.2%, 13mm이상에서는 평균 42.4%에서 양성이었다. 4. 특이항체 양성자 31명을 임상적으로 조사한 바 검사소건(흉부 X-선, 충란검사 및 호산구 비율)에서 폐흡충증에 합치하는 이상소견이 24례에서 나타나 현증 폐홉충증 환자로 생각할 수 있었고, 나머지 7례중 3례는 폐흡충증의 과거력이나 쳔증 증상을 갖고 있었으며 4례에서는 특이항체 양성소견 이외에는 어느 검사로도 폐흡충증임을 증명할 수가 없었다. 5. 폐홉충 특이 IgG항체 양성자 수의 피내반응 양성자 수에 대한 비율은 연령별로 7∼9세에서는 16.6%, 10∼14세에서 25.4%, 15w18세 군에서는 18.3%이었고 20세 이상에서는 10.0%로 떨어지고 있었다. 6. 체홉충 특이 IgG항체 양성자는 북평면의 산골 마을에서 주로 나타나고 있었다. 이상과 같은 결과에서 면역효소 진단법에 의하여 폐흡충 특이 IgG항체 양성자를 조사함으로써 어느 지역의 폐흡충중 현증 환자를 피내 반응이나 충란 검사보다도 더 사실에 가깝게 측정할 수 있다고 생각하였다. (이 연구를 수행하는데 현지조사를 직접 간접으로 도와 주신 해남군 보건소 민 경 소장님과 김용팔 주사, 북평면 면사무소 직원여러분과 해남군 교육청, 각급학교 교직원 여러분께 감사드립니다. 환자의 흉부 X-선 사진을 판독하여 주신 중앙의대 부속 성심병원 방사선과 과장 정전상 부교수께 도 감사드립니다. )

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Purified protein derivatives(PPD) tuberculin 피내반응검사와 ELISA 항체가를 이용한 Mycobacterium bovis 진단에 관한 연구 (Studies on the diagnosis of purified protein derivatives (PPD) tuberculin intradermal tuberculin test and ELISA to antibodies of Mycobacterium bovis)

  • 추금숙;조범준;조영숙;강미선;오진식;이정원
    • 한국동물위생학회지
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    • 제32권2호
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    • pp.125-129
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    • 2009
  • SBovine tuberculosis is a chronic bacterial disease of animals and humans caused by Mycobacterium bovis. Besides the classical intradermal tuberculin test, a number of blood and serum tests have been used. The purpose of this study was to establish seroprevalence of M. bovis. The sera were screened using the ELISA technique. A total seroprevalence of 65.8% in positive cattle, suspect 36.0%, negative 5.9% in TB-infected herds by PPD and dairy cattle is 3.0%, Hanwoo is 1.6% in TB-free herds. The deer of seroprevalence is 55.0% in TB-infected herd and 7.7% in TB-free herds.

비교 피내 검사와 감마 인터페론 검사에 의한 우결핵의 진단 (Diagnosis of bovine tuberculosis by single intradermal comparative tuberculin test and gamma-interferon assay)

  • 조윤상;김종만;정석찬;우승룡;김종염;유한상;박용호;안종삼
    • 대한수의학회지
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    • 제39권6호
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    • pp.1119-1125
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    • 1999
  • Since Robert Koch found tubercle bacilli in 1882, the studies on tubercle bacilli of human and animal had been carried out. Being old tuberculin(OT) introduced in 1890, the specificity of the diagnosis of tuberculosis has been improved by continual uses of heat concentrated synthetic medium(HCSM) and purified protein derivatives(PPD) tuberculin. Now, two types of tuberculin test are used worldwidly ; the single intradermal test(SIT) using bovine tuberculin and the single intradermal comparative tuberculin test(SICTT) using avian and bovine tuberculins. In the SICTT, each countries have used with different combination of both avian and bovine tuberculins' titers. However, this kinds of studies have not reported in Korea. Therefore, the studies on the combination of their tuberculins' titers were performed through intradermal test of guinea pigs sensitized with either Mycobacterium bovis or M avium and were examined in 10 cattles of SIT positive reactors. Also, IFN-${\gamma}$ assay, the latest diagnostic method of bovine tuberculosis, was experimentally applied to SIT positive reactors. For determining the optimal titers, sensitized guinea pigs with M bovis and M avium were intradermally injected avian and bovine tuberculin. In guinea pigs sensitized with M bovis, bovine tuberculin 50 T.U. showed significant difference from all tested concentrations of avian tuberculin(p < 0.05). In guinea pigs sensitized with M avium, there is significantly different between bovine tuberculin and avian tuberculin by 25 T.U.(p < 0.01). Therefore, optimal titers of bovine and avian PPD tuberculins' titers for the SICTT in Korea were 5,000 and 2,500 tuberculin units, respectively, and the swelling diffences between bovine and avian site in SIT positive reactors were above 3mm. Also, in IFN-${\gamma}$ assay, the 9 SIT positive reactors were showed all the positive reactions.

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