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혈액배양에서 VITEK MS와 VITEK 2 System을 이용한 신속 항생제 감수성 시험의 유용성 평가
박강균,유영빈,육근돌,김상하,김성현,김영권,Park, Kang-Gyun,Yu, Young-Bin,Yook, Keundol,Kim, Sang-Ha,Kim, Sunghyun,Kim, Young Kwon 대한임상검사과학회 2017 대한임상검사과학회지(KJCLS) Vol.49 No.3
The results of rapid antimicrobial susceptibility test (AST) in blood cultures were obtained by inoculating the bacteria directly into the VITEK MS and the VITEK 2 systems without subculturing in the blood culture positive medium. The obtained results were compared with the results using a standard method to evaluate their reliability and accuracy. The direct AST results in blood culture positive specimens were 97.9% (1,936/1,978), consistent with the standard AST results. Gram-positive bacteria showed a concordance rate of 97.2% (1,051/1,081), a very major error rate of 0.5% (5/1,081), a major error rate of 0.1% (1/1,081), and a minor error rate of 2.2% (24/1,081). Staphylococcus epidermidis was the main cause of discordance, and gentamicin (N=9) and fusidic acid (N=8) showed high errors. The overall concordance rate and minor error among the Gram-negative bacteria were 98.6% (885/897) and 1.4% (12/897), respectively. Escherichia coli and Pseudomonas aeruginosa were the major causative bacteria of Gram-negative bacteria. Among them, amoxicillin/clavulanic acid (N=3) showed high error. Direct AST met the CLSI criteria and shortened the reporting time by 24 hours; however, we found that there was a need to perform an addition test via disk diffusion for antimicrobials with very large errors. These results suggest that the method of direct AST in blood culture positive medium may be very useful in efficiently treating patients.
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마이코박테리움을 신속하게 배양할 수 있는 성장 인자에 관한 연구
하성일,박강균,석현수,신정섭,신동필,권민오,박연준,Ha, Sung-Il,Park, Kang-Gyun,Suk, Hyun-Soo,Shin, Jeong-Seob,Shin, Dong-Pil,Kwon, Min-O,Park, Yeon-Joon 대한임상검사과학회 2019 대한임상검사과학회지(KJCLS) Vol.51 No.2
Mycobacterium은 느리게 성장한다. 따라서 고체배지는 8주, 액체배지는 6주 동안 사용하여야 한다. 이 연구의 목적은 Mycobacterium을 빠르게 성장시킬 수 있는 성장 인자를 찾고, 신속한 동정을 위한 고체배지를 개발하는 데 도움을 주는 것이다. $Difco^{TM}$ Mycobacteria 7H11 agar (Becton, Dickinson and Company)에 activated charcoal, defibrinated sheep blood, L-ascorbic acid를 첨가하여 10종의 Mycobacteria 가지고 Mycobacterium 성장 인자 3가지를 평가하였다. 집락의 검출 시간 및 판독 용이성을 현재의 방법과 비교하였다. 빠르게 성장하는 Mycobacterium 있어 새로운 배지와 기존의 배지에서 검출 시간의 차이는 새로운 배지가 더 빠르다는 것을 확인시켜 주었다. M. kansasii와 M. intracelluare는 7H11 배지보다 7H11 C 배지에서 더 빠르게 자라는 것으로 확인되었다. MTB는 7H11 C 배지에서 다른 배지보다 빠르게 성장하였다. 이 연구는 2 두 가지 성장 인자가 빠르게 성장하는 Mycobacteria과 느리게 성장하는 Mycobacteria에 영향을 주는 것으로 확인되었다. 7H11 C 배지는 색상 대비로 인하여 10종의 모든 Mycobacterium에서 기존배지보다 더 뛰어난 판독 용이성을 보여 주었다. 특히, MTB가 성장했을 경우 집락의 크기가 다른 배지에서 보다 커서 시각화가 용이하였다. Mycobacteria grow slowly. Therefore, a solid medium should be used for eight weeks and a liquid medium for six weeks. The purpose of this study was to find the growth factors that can grow Mycobacterium rapidly and to help develop a solid medium for rapid identification. Three types of Mycobacterium growth factors were evaluated with 10 Mycobacteria by adding activated charcoal, defibrinated sheep blood, and L-ascorbic acid to $Difco^{TM}$ Mycobacteria 7H11 agar (Becton, Dickinson and Company, Sparks, MD, USA). The time to detection and the distinguishability of a colony were compared with that of the current method. In the rapidly growing Mycobacterium, the difference in detection time between the new media and conventional media confirmed that the new media was faster. M. kansasii and M. intracelluare grew faster in 7H11 C than in 7H11 medium. MTB grew faster than the other media in 7H11 C. This study confirmed that the two growth factors affect fast-growing Mycobacteria and slow-growing Mycobacteria. 7H11 C showed better distinguishability than the conventional media in all 10 Mycobacterium due to the color contrast. In particular, when the MTB was grown, the size of the colonies was larger than with other media, so visualization was easy.
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우승균 ( Seung Gyun Woo ),이소연 ( So Yeon Lee ),최고운 ( Go Woon Choi ),홍유진 ( You Jin Hong ),이소민 ( So Min Lee ),박강균 ( Kang Gyun Park ),엄용빈 ( Yong Bin Eom ) 대한임상검사과학회 2015 대한임상검사과학회지(KJCLS) Vol.47 No.4
Equol has beneficial effects on human health. Fermented soy products contain equol, and many microbes participate in the equol production process. This study investigated fermented Korean soybean paste, doenjang. Thirty seven doenjang samples collected from different manufacturers were examined. Equol was detected in 3 samples (D2, D13, and D19) at the maximum content of 507 ng/100 g by liquid chromatography-tandem mass spectrometry (LC-MS/MS). Fifteen microbial species were isolated and identified by 16S rRNA gene sequence analysis and by matrix assisted laser desorption/ionization-time of flight mass spectrometry (MALDI-TOF MS). Bacillus spp, Paenibacillus spp, Tetragenococcus spp, Stapylococcus spp, and Clostridium species were the predominant bacteria in equol containing doenjang samples.
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CLSI M40-A2 기준에 따른 수송배지의 흡수 및 배출, 생존 효율, 회수율 평가
하성일,석현수,신정섭,허웅,박강균,박연준,Ha, Sung-Il,Suk, Hyun-Soo,Shin, Jeong-Seob,Heo, Woong,Park, Kang-Gyun,Park, Yeon-Joon 대한임상검사과학회 2019 대한임상검사과학회지(KJCLS) Vol.51 No.2
5종류의 수송배지를 흡수 및 배출 능력, 생존 효율, 회수율을 CLSI (Clinical and Laboratory Standards Institute) M40-A2의 Swab elution method (Quantitative) 기준으로 평가하였다. 액체배지가 반유동 배지보다 3가지 평가에서 대부분 우수한 결과값을 보여주었다. Flocked swab이 standard swab 형태보다 균의 흡수 및 배출의 능력 또한 우수하였다. 생존 효율에 대한 평가 결과는 액체배지(S4)가 가장 우수한 결과값을 보였다. 성장이 좋지 않은 S. pneumoniae는 액체배지(S4, S5)에서 생존효율과 회수율이 높았다. 균 회수율 평가 결과는 S. pyogenes는 모든 배지에서 CLSI 기준에 적합하였다. S. pneumoniae는 반유동 배지(S2, S3)에서 부적합하였고, 나머지 배지는 모두 기준에 적합하였다. H. influenzae는 반유동 배지(S1, S3)에서 부적합하였고, 반유동 배지(S2), 액체배지(S4, S5)에서 기준에 적합하였다. 호흡기 질환을 유발하는 S. pneumonia, H. influenzae의 생존 능력은 대부분의 배지에서 좋지 않았다. P. aeruginosa는 실온에서 과성장이 관찰되었다. 액체배지와 flocked swab의 조합이 3가지 평가 방법에서 가장 뛰어난 결과를 평가를 통해 확인하였다. The absorption and release capacities, survival efficiency, and recovery rates of five kinds of transport media were evaluated based on the swab elution method (Quantitative) of CLSI (Clinical and Laboratory Standards Institute) M40-A2. Liquid media showed mostly better results than semi-solid media in the three evaluations. The flocked swabs had better ability to absorption and discharge bacteria than the standard swabs. The liquid medium (S4) had the best survival efficiency. Pneumococcal strains with poor growth had a higher survival efficiency and recovery rate in liquid media (S4, S5). The results of microbial recovery showed that S. pyogenes met all the CLSI standards in all media. S. pneumoniae was inadequate in the semi- solid media (S2, S3) and all the remaining media met the criteria. H. influenzae was unsuitable in semi-solid media (S1, S3) and met the criteria in semi-solid medium (S2) and liquid medium (S4, S5). The viability of the H. influenzae, pneumococcal strain causing respiratory disease, was poor in most media. Overgrowth of P. aeruginosa was observed at room temperature. The combination of liquid medium and flocked swab confirmed the best results in the three evaluation methods.
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