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논문 기본 정보

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학술저널
저자정보
Bae Mi Hyun (Department of Laboratory Medicine Hanyang University Guri Hospital Hanyang University College of Medicine Guri Korea.) Kim Min-Sun (Department of Laboratory Medicine Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Kim Taek Soo (Department of Laboratory Medicine Seoul National University Hospital Seoul National University College of Medicine Seoul Korea.) Kim Sunjoo (Department of Laboratory Medicine Gyeongsang National University College of Medicine Jinju Korea.) Yong Dongeun (Department of Laboratory Medicine and Research Institute of Bacterial Resistance Yonsei University Severance Hospital Yonsei University College of Medicine Seoul Korea.) Ha Gyoung Yim (Department of Laboratory Medicine Dongguk University Gyeongju Hospital Dongguk University College of Medicine Gyeongju Korea.) Ryoo Nam Hee (Department of Laboratory Medicine Keimyung University Dongsan Hospital Keimyung University School of Medicine Daegu Korea.) Uh Young (Department of Laboratory Medicine Yonsei University Wonju Severance Christian Hospital Yonsei University Wonju College of Medicine Wonju Korea.) Shin Jong Hee (Department of Laboratory Medicine Chonnam National University Hospital Chonnam National University Medical School Gwangju Korea.) Lee Hye Soo (Department of Laboratory Medicine Chonbuk National University Hospital Chonbuk National University Medical School Jeonju Korea.) Sohn Yong-Hak (Department of Laboratory Medicine Eulji University Hospital Eulji University School of Medicine Daejeon Korea.) Shin Sue (Department of Laboratory Medicine Seoul Metropolitan Government-Seoul National University Boramae Medical Center Seoul National University College of Medicine Seoul Korea.) Kim Mi-Na (Department of Laboratory Medicine Asan Medical Center University of Ulsan College of Medicine Seoul Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.38 No.10
발행연도
2023.3
수록면
1 - 14 (14page)
DOI
10.3346/jkms.2023.38.e73

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Background: The epidemiology of pathogenic bacteria varies according to the socioeconomic status and antimicrobial resistance status. However, longitudinal epidemiological studies to evaluate the changes in species distribution and antimicrobial susceptibility of pathogenic bacteria nationwide are lacking. We retrospectively investigated the nationwide trends in species distribution and antimicrobial susceptibility of pathogenic bacteria over the last 20 years in Korea. Methods: From 1997 to 2016, annual cumulative antimicrobial susceptibility and species distribution data were collected from 12 university hospitals in five provinces and four metropolitan cities in South Korea. Results: The prevalence of Staphylococcus aureus was the highest (13.1%) until 2012 but decreased to 10.3% in 2016, consistent with the decrease in oxacillin resistance from 76.1% in 2008 to 62.5% in 2016. While the cefotaxime resistance of Escherichia coli increased from 9.0% in 1997 to 34.2% in 2016, E. coli became the most common species since 2013, accounting for 14.5% of all isolates in 2016. Pseudomonas aeruginosa and Acinetobacter baumannii rose to third and fifth places in 2008 and 2010, respectively, while imipenem resistance increased from 13.9% to 30.8% and 0.7% to 73.5% during the study period, respectively. Streptococcus agalactiae became the most common pathogenic streptococcal species in 2016, as the prevalence of Streptococcus pneumoniae decreased since 2010. During the same period, pneumococcal penicillin susceptibility decreased to 79.0%, and levofloxacin susceptibility of S. agalactiae decreased to 77.1% in 2016. Conclusion: The epidemiology of pathogenic bacteria has changed significantly over the past 20 years according to trends in antimicrobial resistance in Korea. Efforts to confine antimicrobial resistance would change the epidemiology of pathogenic bacteria and, consequently, the diagnosis and treatment of infectious diseases.
#Epidemiology #Bacteria #Korea #Antimicrobial Resistance #MRSA #Streptococcus agalactiae

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