본 논문에서는 축산물 중 닭고기 내 마크로라이드계(MLs) 항생물질(spiramycin, josamycin, tilmicosin, 그리고tylosin) 4종을 분석하기 위하여, 액-액 추출 과정을 거쳐서 PDA 검출기가 장착된 액체크로마토그래피를 이용하여MLs를 효율적으로 동시분석하는 방법을 확립하였다. 컬럼은 Unison UK-C18 (150 mm × 3 mm id, 3 μm), 이동상 용매는 0.1% TFA와 0.1% TFA in ACN로 기울기 용리를사용하였으며, 유속은 0.7 mL/min, 그리고, 주입량은 10 μL로 설정하여 분석하였다. 확립된 분석조건으로, 표준검정곡선은 50-1000 μg/kg의 농도범위에서 상관계수가 0.9975이상의 양호한 직선성을 나타내었으며, 회수율은 저, 중,고농도로 첨가하여 분석한 결과, 80.4-99.1%를 나타내었다. 검출한계는 8.8-19.6 μg/kg이었고, 정량한계는 26.6-59.4μg/kg이었으며, 일내(intra-day)와 일간(inter-day) 정밀도(CV%)는 0.9-13.2%, 2.4-13.1%이었다. 따라서, 확립된 분석방법은 축산물 중 닭고기 시료 내 MLs를 효과적으로분석하는데 이용될 수 있을 것으로 사료된다.

The present study aimed to identify the factors that can clinically predict responses to macrolides treatment in patients with Mycoplasma pneumoniae pneumonia. Of the patients admitted to the pediatrics department of Kwangju Christian Hospital during December 2012 to March 2015, 195 patients who had pneumonia according to findings of chest radiography, positive Mycoplasma IgM, and fever at the time of admission were selected as study subjects. Patients were divided into one group wherein the duration of fever after macrolides treatment was 3 days or less and another group wherein the duration of fever was 4 days or more (169 patients [86.7%] vs 26 patients [13.3%]). In the group with fever duration of 4 days or more, a greater number of patients had a history of atopic dermatitis (3.6% vs 15.4%, p=0.11), and the symptom duration before admission was longer (cough: 4.04 days vs 6.38 days, p<0.001; fever: 3.96 days vs 6.08 days, p<0.001). Moreover, according to laboratory test results in the group with fever duration of 4 days or more, LDH levels were high (648.16 IU/L vs 829.92 IU/L, p=0.001), and there was a significant correlation between LDH levels and the duration of fever after macrolides treatment.