Original article PDF Young Uh*, Soon Deok Park, Jeong Seog Son*, Hyeun Gyeo Lee*, An Suk Jeoung*, Hyun Mi Cho*, and Kap Jun Yoon*, and Hyo Youl Kim Departments of Clinical Pathology* and Internal Medicine**, Yonsei University Wonju College of Medicine, Wonju, and Research Institute of Bacterial Resistance***, Yonsei University College of Medicine, Seoul, Korea Corresponding to Young Uh Ann Clin Microbiol 2000;3(2):99-110.Copyright © Korean Society of Clinical Microbiology. Abstract Background: In recent years, the incidence of extended-spectrum β-lactamase (ESBL) producing Klebsiella has been steadily increased, and the newer species K. planticola and K. terrigena, formerly regarded as nonpathogen, have been reported with astonishing frequency from human infectious processes by some investigators. The aim of this study is to elucidate the isolation rate and antimicrobial susceptibility of recent clinical Klebsiella isolates. Method: For the clinical Klebsiella isolates during the period of June 1999 to May 2000, isolation frequency of Klebsiella species by specimen, departments, age, and sex were analyzed. And antimicrobial susceptibilities

Original article PDF Hee Bong Shin*, Seok Hoon Jeong**, Myeungsuk Kim***, Won Ho Kim****, Kyungwon Lee*, and Yunsop Chong* Departments of Clinical Pathology* and Internal Medicine****, Yonsei University College of Medicine, Seoul, Korea Departments of Clinical Pathology***, Severnce Hospital, Seoul, Korea Departments of Clinical Pathology, College of Medicine, Kosin University**, Busan, Korea Corresponding to Kyungwon Lee, E-mail: leekcp@yumc.yonsei.ac.kr Ann Clin Microbiol 2001;4(2):87-95.Copyright © Korean Society of Clinical Microbiology. Abstract Background: Diarrheal disease has been one of the most common health problem in Korea with Salmonella and Shigella being the major bacterial pathogens. Prevalence of enteric bacterial pathogens may differ significantly depending on the socioeconomic status of a country. Therefore, rapid improvement of living conditions in Korea should have profound effect on the incidence of enteric infection. In some Salmonella infections, proper antimicrobial treatment is important to reduce morbidity and mortality, but rapid change of the susceptibility makes the susceptibility unpredictable. So, there is a need to

Case report PDF Wonkeun Song, M.D., Taek-Kyung Kim, M.T., Min-Jeong Park, M.D., and Kyu Man Lee, M.D. Department of Clinical Pathology, Hallym University College of Medicine, Seoul, Korea Corresponding to Wonkeun Song, E-mail: swonkeun@netsgo.com Ann Clin Microbiol 2001;4(2):139-141.Copyright © Korean Society of Clinical Microbiology. Abstract Hafnia alvei is gram-negative bacilli that is rarely isolated from human specimens and is rarely considered to be pathogenic. It has been associated with gastroenteritis, pneumonia, meningitis, bacteremia, and nosocomial wound infections. But, no case of extraintestinal H. alvei infection was documented in Korea to our knowledge. A 50-year-old man with hepatocellular carcinoma was admitted to our hospital via emergecy department because of abdominal pain. The peritoneal fluid and 3 consecutive blood cutures yielded H. alvei. The organism was susceptible to all antimicrobial agents tested, except cefazolin. Despite treatment with intravenous cefotaxime, the patient was expired after 4 days due to septicemia. (Korean J Clin Microbiol 2001;4(2):139-141) Keywords Hafnia

Original article PDF Wonkeun Song, M.D., Tae Jae Lee, M.T., Seung Joo Kim, R.N.*, Min-Jeong Park, M.D., and Kyu Man Lee, M.D. Departments of Clinical Pathology and Infection Control Office*, University of Hallym College of Medicine, Seoul, Korea Corresponding to Wonkeun Song, E-mail: swonkeun@netsgo.com Ann Clin Microbiol 2001;4(1):45-51.Copyright © Korean Society of Clinical Microbiology. Abstract Background: Methicillin-resistant Staphylococcus aureus (MRSA) is the most common nosocomial pathogen, which is particularly prevalent in intensive care units (ICUs). We performed this study to investigate the modes of transmission of MRSA and the role of nasal carriage of MRSA to subsequent MRSA infection in ICU. Methods: From September to November 1997, all patients admitted for more than two days to the ICU were studied prospectively. Nasal swabs were obtained at admission and weekly during the ICU stay. Surveillance cultures of nares of the ICU personnels were done. Molecular typing was performed with repetitive sequence-based PCR (rep-PCR).

Original article PDF Young Uh, Gyu Yel Hwang, In Ho Jang, Hyeun Gyeo Lee, An Suk Jeoung, Soon Deok Park, Jeong Seog Son, and Kap Jun Yoon Department of Clinical Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea Corresponding to Young Uh, E-mail: u931018@wonju.yonsei.ac.kr Ann Clin Microbiol 2001;4(1):22-27.Copyright © Korean Society of Clinical Microbiology. Abstract Background: Although most of aerobic gram-positive bacilli have been considered to be contaminants, gram-positive bacilli should be identified to the species level if they are isolated from sterile body sites such as blood, and from adequately collected clinical specimens if they are the predominant organisms. However, identification of gram-positive bacilli are difficult due to the enormous diversity of these organisms and the small number of readily available commercial identification systems in clinical laboratories. Gram-positive bacilli and coccorods isolated from blood cultures were tested with BBL Crystal Gram-Positive (GP) Identification (ID) system in order to

Original article PDF Won keun Song, Chang Hee Oh*, Seung Joo Kim**, Tae Jae Lee, Min-Jeong Park, Dong Hoon Shin, Sung Ha Kang, and Kyu Man Lee Departments of Clinical Pathology, Pediatrics*, and Infection Control Office**, Hallym University College of Medicine, Seoul, Korea Corresponding to Won keun Song, E-mail: swonkeun@hallym.or.kr Ann Clin Microbiol 2002;5(1):21-25.Copyright © Korean Society of Clinical Microbiology. Abstract Background: Six babies infected with Staphylococcus aureus occurred in a neonatal intensive care unit (NICU) over a period of 2 months, which was successfully controlled with the aid of molecular typing of the isolates. Methods: We examined the staphylococcal toxins, mecA and tst gene PCR, and repetitive-element PCR (rep-PCR) typing in S. aureus isolated from the clinical specimens of infected babies, nasal swabs of the patients and medical personnels in a NICU, and environmental equipments. Results: Among all S. aureus isolates tested, they were toxic shock syndrome toxin 1 (TSST-1)producing methicillin-resistant S. aureus (MRSA) who have mecA and tst gene, and one identical repPCR pattern

Original article PDF Seong Geun Hong1, Sunjoo Kim2, Seok Hoon Jeong3, Chulhun L. Chang4, Sung Ran Cho5, Ji Young Ahn5, Jong Hee Shin6, Hye Soo Lee7, Won Keun Song8, Young Uh9, Jong Hwa Yum10, Dongeun Yong10, Kyungwon Lee10, Yunsop Chong10 Department of Laboratory Medicine, Coll. of Med., Pochon CHA Univ.1, Gyeongsang Nat. Univ. School of Med.2, Coll. of Med. Kosin Univ.3, Pusan Nat. Univ. Coll. of Med.4, Sooncheonhyang Univ. Coll. of Med.5, Chonnam Nat. Univ. Med. School6, Chonbuk Univ. Med. School7, Hanllym Univ. Coll. of Med.8, Yonsei Univ. Wonju Coll. of Med.9, Yonsei Univ. Coll. of Med.10 Corresponding to Kyungwon Lee, E-mail: leekcp@yumc.yonsei.ac.kr Ann Clin Microbiol 2003;6(2):149-155.Copyright © Korean Society of Clinical Microbiology. Abstract Background：Increase in extended-spectrum β-lactamase(ESBL)-producing Escherichia coli and Klebsiella pneumoniae have been reported in Korea. The aim of this study was to determine the nationwide prevalence of ESBL-producing E. coli and K. pneumoniae, and to investigate the types of ESBLs. Methods：A total of 2,221 E. coli and

Original article PDF Seong Geun Hong1, Dongeun Yong2, Kyungwon Lee2, Eui-Chong Kim3, Wee Kyo Lee4, Seok Hoon Jeong5, Won Keun Song6, Yeon Jun Park7, Mi-Na Kim8, Young Uh9, Jong Hee Shin10, Jongwook Lee11, Ji Young Ahn12, Sun Wha Lee13, Jae Seok Kim5, Hee Bong Shin1 Departments of Laboratory Medicine, Coll. of Med., Pochon CHA Univ.1, Yonsei Univ. Coll. of Med.2 Seoul Nat. Univ. Coll. of Med.3, Ajou Univ. of Med.4, Coll. of Med. Kosin Univ.5, Hanllym Univ. Coll. of Med.6 The Catholic Univ. of Kor.7, Univ. of Ulsan Med. Coll. and Asan Med. Center8, Yonsei Univ. Wonju Coll. of Med.9 Chonnam Nat. Univ. Med. School10, Keonyang Univ. Med. Coll.11 Sooncheonhyang Univ. Coll. of Med.12; Neodin Med. Res. Center13 Corresponding to Kyungwon Lee, E-mail: leekcp@yumc.yonsei.ac.kr Ann Clin Microbiol 2003;6(1):29-36.Copyright © Korean Society of Clinical Microbiology. Abstract Background: A rapid increase of antimicrobial-resistant bacteria has become a serious problem in many countries. The aim of this

Original article PDF Seong Geun Hong1, Jongwook Lee2, Dongeun Yong3, Eui-Chong Kim4, Seok Hoon Jeong5, Yeon Jun Park6, Tae Yeal Choi7, Young Uh8, Jong Hee Shin9, Wee Kyo Lee10, Ji Young Ahn11, Sung-Hee Lee12, Gun-Jo Woo13, and Kyungwon Lee3 Departments of Laboratory Medicine, Coll. of Med., Pochon CHA Univ.1; Keonyang Univ. Med. Coll.2; Yonsei Univ. Coll. of Med.3; Seoul Nat. Univ. Coll. of Med.4; Coll. of Med. Kosin Univ.5; The Catholic Univ. of Kor.6; Hanyang Univ. Coll. of Med.7; Yonsei Univ. Wonju Coll. of Med.8; Chonnam Nat. Univ. Med. School9; Ajou Univ. Coll. of Med.10; Sooncheonhyang Univ. Coll. of Med.11; Cheju Hanmaeum Hospital12; Food Microbiology Division, Center for Food Safety Evaluation, Korea Food and Drug Administration13 Corresponding to Kyungwon Lee, E-mail: leekcp@yumc.yonsei.ac.kr Ann Clin Microbiol 2004;7(2):171-177.Copyright © Korean Society of Clinical Microbiology. Abstract Background : A rapid increase in antimicrobial-resistant bacteria has become a serious problem in Korea. Moreover, the

Original article PDF Byung-Chan Jeon2, Ki-Young Kwon2, Seok Hoon Jeong1, Il Kwon Bae1, Su Bong Kwon1, Byung Kyu Cho1, Dongeun Yong3, Kyungwon Lee3 Departments of Laboratory Medicine1, Neurosurgery2, Kosin University College of Medicine; Department of Laboratory Medicine3, Yonsei University College of Medicine Corresponding to Seok Hoon Jeong, E-mail: kscpjsh@ns.kosinmed.or.kr Ann Clin Microbiol 2004;7(2):139-147.Copyright © Korean Society of Clinical Microbiology. Abstract Background : Acinetobacter baumannii is a glucose-nonfermenting gram-negative rod and is a well-recognized nosocomial pathogen. In recent years, A. baumannii strains showing resistance to carbapenems by producing metallo-β-lactamases or OXA-type β-lactamases have increased, and it is considered to be a serious clinical problem. But genotypes of carbapenemases produced by A. baumannii isolates in Korea have been rarely reported. The purpose of this study was to investigate the prevalence of imipenem-resistant A. baumannii and to determine the mechanism of resistance. Methods : During the period of January through September, 2003, susceptibilities to imipenem of A. baumannii isolates from patients admitted in Kosin