Serotype Distribution and Antimicrobial Susceptibilities of Invasive Streptococcus pneumoniae Isolates from Adults in Korea from 1997 to 2012

김충종,송진수,최수진,송경호,최평균,박완범,방지환,김의석,박상원,김홍빈,김남중,김의종,오명돈 대한의학회 2016 Journal of Korean medical science Vol.31 No.5

In Republic of Korea, a 7-valent pneumococcal conjugated vaccine (PCV7) was licensed for use in infants in 2003, and 13-valent PCV (PCV13) replaced it since 2010. We investigated trends in serotype distribution and antibiotic susceptibility of pneumococcal isolates from adult patients with invasive pneumococcal diseases (IPD). Invasive pneumococcal isolates from adult patients of ≥ 16 years of age were collected from 1997 to 2012. Serotypes of the isolates were determined by the Quellung reaction. Distribution of serotypes was analyzed according to the vaccine types. Antibiotic susceptibility was tested by using E-test strips. A total of 272 invasive pneumococcal isolates were included. The most common serotypes were serotype 19F (8.5%, 23/272), and serotype 3 (8.1%, 22/272), and 24.6% (67/272) of the isolates were of non-vaccine serotypes. Of the 272 isolates, 2.6% (7/272) were penicillin MICs of ≥ 4 μg/mL. The proportion of the PCV13 serotypes decreased from 63.3% (50/79) in 1997-2003 to 48.6% (17/35) in 2011-2012, whereas that of non-vaccine serotypes was 26.6% (21/79) and 25.7% (9/35), respectively, for the same periods. The proportion of the PCV13 serotypes showed a decreasing trend among adult patients with IPD over the study period.

Serotype-Dependent Inhibition of Streptococcus pneumoniae Growth by Short-Chain Fatty Acids

Lim Suwon,Lee Dongwook,Jeong Sungho,Park Jeong Woo,Im Jintaek,Choi Bokeum,Gwak Donghyun,Yun Cheol-Heui,Seo Ho Seong,Han Seung Hyun 한국미생물·생명공학회 2024 Journal of microbiology and biotechnology Vol.34 No.1

Streptococcus pneumoniae (pneumococcus) is an opportunistic pathogen that can cause severe infectious diseases such as pneumonia, meningitis, and otitis media. Despite the availability of antibiotics and pneumococcal vaccines against some invasive serotypes, pneumococcal infection remains a tremendous clinical challenge due to the increasing frequency of infection by antimicrobial resistant, nonencapsulated, and/or non-vaccine serotype strains. Short-chain fatty acids (SCFAs), which are produced at various mucosal sites in the body, have potent antimicrobial activity, including inhibition of pathogen growth and/or bacterial biofilm formation. In this study, we investigated the antimicrobial activity of SCFAs (acetate, propionate, and butyrate) against various serotypes pneumococci. Propionate generally inhibited the growth of S. pneumoniae serotypes included in the pneumococcal conjugate vaccine (PCV) 13, except for serotypes 3 and 7F, though butyrate and acetate showed no or low inhibition, depending on the serotypes. Of note, butyrate showed strong inhibition against serotype 3, the most prevalent invasive strain since the introduction of the PCV. No SCFAs showed inhibitory effects against serotype 7F. Remarkably, the nonencapsulated pneumococcal strain had more sensitivity to SCFAs than encapsulated parental strains. Taken together, these results suggest that propionate showing the most potent inhibition of pneumococcal growth may be used as an alternative treatment for pneumococcal infection, and that butyrate could be used against serotype 3, which is becoming a serious threat.

한국의 임상과 자연환경에서 분리된 Cryptococcus neoformans의 혈청형과 효소생성능

황수명,오광석,이경원,Hwang, Soo-Myung,Oh, Kwang-Seok,Lee, Kyung-Won 한국미생물학회 2006 미생물학회지 Vol.42 No.4

Fifty eight Cryptococcus neoformans strains isolated from clinical and environmental sources in Korea were examined for their serotypes and extracellular enzyme activities. Among the 51 strains isolated from clinical sources, 48 strains were serotype A (94.1%), 2 strains were serotype B (3.92%), and 1 strain was serotype D (1.96%). All seven environmental strains isolated from pigeon excreta were identified as serotype A. All isolates of C. neoformtans were positive for the production of extracellular proteinase and phospholipase. In the API-ZYM system, all fifty eight isolates produced alkaine phosphatase, esterase C4, esterase lipase: C8, leucine arylamidase, acid phosphatase, naphthol-AS-BI-phosphohydrase, $\alpha$-glucosidase and $\beta$-glucosidase. Thirty nine isolates (67.2%) of C. neoformans produced N-acetyl-$\beta$-glucosidase. Two isolates, serotype B, and B only one serotype A produced $\beta$-glucuronidase. Analysis of enzymatic profiles to 21 enzymes revealed four biotypic patterns among the 58 strains. The enzymatic patterns of C. neoformans isolated from clinical and environmental sources represented a significant relationship with the serotypes. 한국의 임상검체와 자연환경에서 분리된 Cryptococcus neoformans 58주에 대한 혈청형과 세포외효소 생성능에 관한 셍물학적 특성을 조사하였다. 환자로부터 분리된 임상균주 51주 중 48주는 혈청형 A (94.1%) 였으며 2주는 혈청형 B (3.92%),그리고 나머지 1주는 혈청형 D (1.96%)였다. 자연환경에서 분리된 7주는 비둘기 분변에서 분리된 것들이며 모두 혈정형 A였다. 모든 균주는 proteinase와 phnospholipase를 생성하였고, 또한 API-ZYM system을 이용한 19종류의 효소생성능 시험에서는 alkaline phosphatase, esterase (C4), esterase lipase (C8), leucine arylamidase, acid phosphatase, naphthol-AS-BI-phosphohydrolase, $\alpha$-glucosidase, 그리고 $\beta$-glucosidase를 생성하였으나, N-acetyl-$\beta$-glucosarninidase는 39주 (67.2%)에서만 생성하였다. 혈청형 B로 동정된 2주와 혈청형 A로 동정된 균주중 1주는$\beta$-glucuronidase를 생성하였다. 본 연구에 사용된 총21종류의 효소 생성능 시험을 기초로 하여 생물형을 구분하였는데, 모두 4가지의 유형을 나타내었고, 또한 임상과 환경균주에서 혈정형과 생물형 특성간의 유의한 상관성를 나타내었다.

국내 임상분리주 Streptococcus pneumoniae의 혈청형에 따른 유전적 상관성

정경석 한국환경보건학회 2004 한국환경보건학회지 Vol.30 No.1

In an attempt to analyze the characteristics of domestic pathogenic strains of S. pneumoniae, the basic epidemiological charactristics of pathogenic strains such as their serotypes and frequency of penicillin resistance, and pattern of chromosomal DNA from PFGE(pulsed-field gel electrophoresis) were observed. For this study,56 strains of S. pneumoniae isolated from inpatients and outpatients in the four domestic university hospitals were collected from January to December in 1998. Among those strains, a total of 56 pathogenic strains from blood(39 isolates), cerebrospinal fluid(8 isolates) and other specimen(9 isolates) were selected and isolated. The penicillin resistance frequency of those 56 strains was identified with disk diffusion method with 66.1%. From the invasive strains, predominant serotypes were isolated in the order of 19F(12.5%), 23F(10.7%), 14(10.7%) and 9V(10.7%), totalling 45 percent. This experiment also used PFGE patterns to compare the correlations among genetic subtypes in several serotypes. The DNA fragments digested with Sma I and Apa I were resolved by PFGE. The PFGE patterns digested with Sma I were better than Apa I for analysis. In the DNA fragments digested with Sma 1, PFGE analysis of 56 S. pneumoniae isolates showed 25 different patterns. As a result, serotype was on the whole correlated to PFGE pattern on the ground that each different PFGE pattern by serotype was observed. This study can be utilized not only fur the study of incidence trend of domestic pneumococcal diseases but also as a useful basic data for the development of identification tool and treatment.

경북지역 가축에서 분리한 Salmonella 속균의 혈청형 분포 및 약제 감수성

김규태,정병열,김봉환 한국수의공중보건학회 2003 예방수의학회지 Vol.27 No.1

The present study was conducted to investigate the prevalence of serotypes and antimicrobial susceptibility of Salmonella isolated from various domestic animals in Gyeongbuk Province during the period from January to December 2000. From the 3,141 animal samples, 51 (1.6%) Salmonella spp. were isolated and belonged to 8 serotypes. Serotypes with decreasing order of prevalence were S. enteritidis (17 isolates; 29.6%), S. agona (11; 20.3%), S. rissen (8; 14.8%), S. gallinarum (4; 7.4%), S. derby (3; 5.5%), S. tvphirmvium (2; 3.7%), S. travis (1; 1.8%), S. montevideo (1; 1.8%) and untypable (4; 12.9%). Antimicrobial susceptibility tests showed that most isolates were susceptible to amikacin (loo%), ampicillin (92.2%), cephalothin (90.2%), chloramphenicol (96.1%), ciprofloxacin (92.2%), genta- micin (92.2%), kanamycin (98.0%), norfloxacin (92.2%), bimethoprim-sulfamethoxazole (100%) and tobramycin (100%). However, antimicrobials to which the high percentage of isolates were resistant were sbeptomycin (37.2%) and tetracycline (47.1%).

Dengue Virus Serotypes Circulating in Khyber Pakhtunkhwa Province, Pakistan, 2013-2015

Muhammad Suleman,Rani Faryal,Muhammad Masroor Alam,Salmaan Sharif,Shahzad Shaukat,Uzma Bashir Aamir,Adnan Khurshid,Mehar Angez,Massab Umair,Mian Muhammad Sufian,Yasir Arshad,Syed Sohail Zahoor Zaidi 대한진단검사의학회 2017 Annals of Laboratory Medicine Vol.37 No.2

From 2013 to 2015, the National Institute of Health, Pakistan, received 1,270 blood samples of suspected dengue cases reported from inpatient and outpatient departments of various hospitals in Khyber Pakhtunkhwa (KPK) province. In this study, we determined the circulating dengue virus (DENV) serotypes using real-time reverse transcriptase (RT)-PCR to understand the serotype-based epidemiology of DENV. All four serotypes (DENV-1 [6%], DENV-2 [33%], DENV-3 [47%], and DENV-4 [0.1%]) were found circulating during the study period. Our findings suggest the need for an active surveillance system coupled with the laboratory diagnosis, especially in the chronic endemic areas of the country. Public awareness programs are needed for effective control and prevention of outbreaks in the future.

가금 유래 병원성대장균의 생화학적 성상 및 혈청형

성명숙,김진현,하종수,조재근,설성용,김기석,Sung, Myung-Suk,Kim, Jin-Hyun,Ha, Jong-Su,Cho, Jae-Keun,Seol, Sung-Yong,Kim, Ki-Seuk 대한수의학회 2008 大韓獸醫學會誌 Vol.48 No.2

This study was conducted to investigate biochemical properties and O group serotypes of pathogenic 203 Escherichia (E.) coli isolates from poultry with collibacillosis in Korea during the period from April 2003 to December 2005. Biochemical and fermentative properties of 203 isolates of E. coli tested were in accordance with Cowan and Steel's classification standard. One hundred and forty one isolates (69.5%) could be classified into a total of 20 O serotypes. Among them, the predominant O groups were O78 (32.5%), O88 (7.8%), O15 (6.8%), O141 (6.4%), and O158 (3.0%) in decreased order. Other infrequently encountered serogroups included : O8 (2%), O161 (2%), O20 (1.5%), O125 (1.5%), O2 (1%). And O6, O18, O24, O46, O76, O109, O119, O138, O139 and O148 had a frequency of 0.5%, respectively. Sixty two isolates (30.5%) were non-typeable with standard 173 O antisera used in this study.

Studies on Pasteurella multocida isolated from pneumonic lungs of slaughter pigs

안병철,조광현,김봉환,Ahn, Byung-chul,Cho, Kwang-hyun,Kim, Bong-hwan The Korean Society of Veterinary Science 1994 大韓獸醫學會誌 Vol.34 No.3

이 실험은 도축돈의 폐에서 Pasteurella multocida 감염의 발생빈도를 조사하고 분리된 Pasteurella multocida의 항생제에 대한 약제감수성, 생화학적특성, 협막혈청형의 분류 및 독소생성능에 대해서 조사하였다. 실험재료로는 영남지방의 돼지 450두가 사용되었으며, 재료채취는 1992년 4월부터 1993년 3월 사이에 시행되었다. P multocida는 도축돈의 폐 450예에서 80주가 분리되어 17.7%의 분리율을 나타내었다. 분리균 대부분의 생화학적 및 배양성상은 reference strain의 것과 일치하였으며, 분리균 80주의 협막혈청형을 동정한 결과 77주가 type A, 나머지 3주가 type D로 나타나 각각 96.3%, 3.8%의 분포비를 나타내었다. 항생제에 대한 감수성검사에서 모든 분리균주는 ampicillin, ceftiofur, cephalothin, ciprofloxacin, penicillin-G 등에 대해서는 매우 감수성이 높았으며 이들 분리균중 일부는 sulfadimethoxine과 streptomycin에 내성을 나타내었다. 분리균 80주중 61주가 독소생성능이 있는 것으로 나타났으며, type A 77, type D 3주중 76.6%가 각각 독소생성능이 있는 것으로 나타나 협막혈청형간에 독소생성능의 뚜렷한 차이가 인정되지 않았다. P multocida was isolated from 80(17.7%) of 450 pneumonic lungs of slaughter pigs. The majority of the biochemical and cultural characteristics of P multocida isolates were identical to those of the reference strains employed. Seventy seven strains(96.3%) among 80 isolates were capsular serotype A while the remaining 3(3.8%) were serotype D. All isolates were very susceptible to ampicillin, ceftiofur, cephalothin, ciprofloxacin and penicillin-G although some of them were resistant to sulfamethoxin and/or streptomycin. Sixty one(76.3%) of all 80 P multocida isolates were dermonecrotic toxin producers. Out of 77 isolates of serotype A and 3 isolates of serotype D, 59(76.6%) and 2(66.7%) were toxigenic, respectively. No difference was noted in dermonecrotic toxigenicity of the isolates in relation to capsular serotypes.

가축에서 대장균 감염증

송희종 ( Hee Jong Song ),채효석 ( Hyo Seok Chai ) 한국가축위생학회 1999 韓國家畜衛生學會誌 Vol.21 No.4

Escherichia coli is recovered from a wide variety of infections in many animals species. It may be a primary or secondary agent. Nursing and young animals are particularly susceptible, and urinary tract infections are frequent. The various serotypes of E coli are intestinal inhabitants of animals including humans and probably infect most mammals and birds ; therefore, they have a cosmopolitan distribution. Colibacillosis refers to any localized or systemic infection caused entirely or partly by E coli. Collibacillosis in mammals is most often a primary enteric disease, whereas collibacillosis in poultry is typically a secondary located or systemic disease occurring when host defenses have been impaired or overwhelmed. Other opportunistic bacteria, which can be identified by culture, may play a similar role to that of E coli in secondary infections. Collectively, infections caused by E coli are responsible for significant economic losses to the animal performance. From the standpoint of pathogenic mechanisms and diseases, four major categories of E coli are recognized enterotoxigenic(ETEC), enteropathogenic (EPEC), enteroinvasive(EIEC), and enterohemorrhagic(EHEC). In addition, two less-well-defined E coli categories are recognized in animals and humans : enteroaggregative and cytotoxin necrotizing factor-positive. The aforementioned categories are represented by different serotypes. Certain serotypes show a host preference and are encountered more frequently in some disease syndromes. Of the four major categories, ETEC is the most common cause of diarrhea in calves, lambs, and pigs. Strains in the other categories cause the less-common diarrhea and other disease syndromes. Enterotoxins and pilus antigens are the two most prominent virulence factors thus far identified for ETEC. Two enterotoxins, one heat-stable(ST) and one heat-labile(LT), are produced by enterotoxigenic strains of E coli not all culture produce both of these plasmid-based enterotoxins.

초생추의 살모넬라 감염율과 항생제 내성

강미선 ( Mi Seon Kang ),이수지 ( Su Ji Lee ),신영식 ( Young Sik Shin ) 한국동물위생학회 2015 韓國家畜衛生學會誌 Vol.38 No.2

An investigation was carried out to determine the prevalence and antimicrobial resistance of Salmonella isolated from chicks and ducks. A total of 2,522 samples collected from 281 farms were examined from 2013 to 2014. The overall prevalence of Salmonella spp. was 21.7% (61/281) of farms and 83 isolates (3.3%) were isolated from 2,522 samples. Nine serotypes of Salmonella spp. were identified such as S. Typhimurium (19/83), S. Enteritidis (12/83), S. London (11/83), S. Senftenberg (8/83), S. Infantis (4/83), S. Montevideo (3/83), S. Hadar (3/83), S. Saintpaul (1/83), S. Rissen (1/83) and S. Arizonae (2/83). Nineteen isolates were found to be untypable serotypes. In the results of antimicrobial resistance test, all of isolates were resistant to at least two antimicrobial agent and the high resistance was found to nalidixic acid (66.3%), streptomycin (57.8%). All of isolates were susceptible to amoxacillin/clavulic acid, cefeprime, ampicillin, sulfamethoxazole/trimethoprim. This results indicated the serotypes of Salmonella isolates are widely distributed in chicks and ducks. Therefore further epidemiological studies should be carried out in breeder farm and a hatchery.