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1. gastric acidity loss: salmonella, enteric pathogen

Vibrio cholerae, Shigella flexneri

2. T cell deficiency

thymic aplasia, Hodgkin's disease, sarcoidosis: Listeria, Mycobacterium, Candida, HSV,

AIDS : Pneumocystis carini, CMV

3. B cell deficiency

1) Bruton's X-linked agammaglobulinemia: S. pneumoniae, other streptococci

2) Agammaglobulinemia, CLL, multiple myeloma

: H. influenza, N. meningitidis, K. pneumoniae, S. aureus

3) selective IgM deficiency: S. pneumoniae, H. influenza

cf. Multiple myeloma¶§ pneumonia¸¦ Àß ÀÏÀ¸Å°´Â ±Õ: S. pneumoniae, S. aureus,

K. pneumoniae

pyelonephritis : GNB(E. coli)

4. steroidÅõ¿©½Ã cell mediated immunityÀå¾Ö À¯¹ß

5. encapsulated bacteria: H. influenza, S. pneumoniae, N. meningitidis

encapsulated bacteriaÀÇ °¨¿° À§ÇèÀÌ ³ôÀº °æ¿ì´Â?

B cell deficiency(multiple myeloma, CLL), splenectomyÈÄ

6. neutropenia: GNB, pseudomonas

7. ¼÷ÁÖÀÇ ¹æ¾î±âÀü

1) physical & chemical factor: skin, mucous membrane, endogenous microbial flora,

gastric acidity

2) inflammatory response: phagocyte, complement

3) RES system

4) immune response

8. ±Þ¼º¿°Áõ¹ÝÀÀ½Ã Áõ°¡ÇÏ´Â °Í: CRP, serum amyloid A protein, ¥á1-glycoprotein,

ceruloplasmin, ¥á-macroglobulin, complement, ¥á1-AT, fibrinogen

°¨¼ÒÇÏ´Â °Í: albumin, transferrin, ¥á2-HS glycoprotein, AFP

9. °¨¼ö¼º °Ë»ç ÇØ¼®½Ã ÁÖÀÇÁ¡

1) °¨¼ö¼º °Ë»ç¿¡ »ç¿ëÇÑ ±Õ¼ö°¡ ÀûÀ¸¸é °¨¼ö¼ºÀ¸·Î º¸°íÇÒ ¼ö ÀÖ´Ù.

2) P. aeruginosaÀÇ °æ¿ì¿¡ ¥â-lactamase°¡ À¯¹ßµÉ¼ö ÀÖÀ¸¹Ç·Î ¹Ýµå½Ã 24½Ã°£ÈÄ¿¡ Àç¹è¾ç

ÇÑ´Ù.

3) in vitro¿¡¼­´Â °¨¼ö¼ºÀÌÁö¸¸ in vivo¿¡¼­´Â Ç×»ýÁ¦°¡ µµ´ÞÇÏÁö ¸øÇÒ¼ö ÀÖ´Ù.

: S. typhiÀÇ °æ¿ì cefazolin, GMÀÇ °æ¿ì intracellular organism¿¡´Â µèÁö ¾Ê´Â´Ù.

cf. mycoplasma, chlamydia, legionella µî°ú °°Àº intracellular organism¿¡´Â cell

penetrationÀÌ

ÁÁÀº Ç×»ýÁ¦(rifampin, macrolide, quinolone, chloramphenicolµî)¸¦ »ç¿ëÇØ¾ß ÇÑ´Ù.

10. °áÇÙ±ÕÀÇ rifampin ³»¼º°Ë»ç: rpoB gene mutation

11. °¨¿°ÀÌ ÀǽɵǴ ȯÀÚ¿¡¼­ Ç÷¾×¹è¾çÀÌ À½¼ºÀÎ °æ¿ì

i) slow growing or fastidious(¹è¾çÁ¶°ÇÀÌ ±î´Ù·Î¿î) organism

ii) ±ÕÀÌ Ç÷·ù³»·Î ħ¹üµÇÁö ¾Ê´Â °æ¿ì

iii) prior antibiotic administration

12. DMȯÀÚ °¨¿°À» ¿¹¹æÇϱâ À§ÇÑ vaccine: pneumococcal vaccine, influenza vaccine, Td

vaccine

13. killed vaccine: Japanese encephalitis, rabies, influenza, hepatitis B, cholera

¹ÌÄ£ Àΰ£ÀÇ Á×Àº ³ú ÄÝ!

¹ÌÄ£: ±¤°ßº´, ÀÎ: ÀÎÇ÷翣ÀÚ, °£: °£¿°, ³ú: ³ú¿°, ÄÝ: ÄÝ·¹¶ó

14. live attenuated vaccine: typhoid fever, yellow fever, smallpox, polio, varicella, MMR,

BCG

ÀåÆ¼Çª½º¿¡ °É·Á Ȳõ±æ °¥»· Çß´ø ¼Ò¼ö°¡ »ì¾Ò´Ù. - MBC -

Ȳ: Ȳ¿­, õ: õ¿¬µÎ, ¼Ò: ¼Ò¾Æ¸¶ºñ, ¼ö: ¼öµÎ, M