Publications by authors named "Young Hwa Choi"

Article Synopsis
  • Korea is experiencing a steady increase in newly diagnosed HIV cases, with women living with HIV making up 6.4% of the population, yet research on this group is limited.
  • A study analyzed data from 443 women living with HIV, identifying heterosexual contact as the primary risk factor, with 91.2% receiving antiretroviral therapy.
  • Findings showed significant health outcomes, including 118 pregnancies and various health issues such as breast and cervical cancer, indicating the need for focused health strategies for women with HIV in Korea.
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Background: Glycopeptides for ampicillin-susceptible Enterococcus faecalis/faecium bacteremia are readily prescribed depending on the severity of the condition. However, there is limited data on the outcomes of glycopeptide use compared to ampicillin-containing regimens for ampicillin-susceptible E. faecalis/faecium bacteremia.

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  • The Korean Society of Infectious Diseases has been updating adult immunization guidelines since 2007, with major revisions made for seven vaccines in 2023.
  • Key changes include enhanced influenza vaccines for the elderly, the introduction of a recombinant herpes zoster vaccine, and updates on pneumococcal vaccine options.
  • Other notable adjustments involve extending the HPV vaccine eligibility age, adding recommendations for meningococcal B vaccine, and altering pre-exposure rabies vaccine doses, while older guidelines remain for unmentioned vaccines.
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Article Synopsis
  • - The study assessed how quadrivalent meningococcal conjugate vaccines (MenACWY) affected the carriage of meningococcal bacteria in military recruits over a 5-week training period by comparing swab samples taken before and after vaccination.
  • - Results showed that overall meningococcal carriage rates slightly decreased from 10.6% to 9.5%, but there was a significant reduction in specific serogroups ACWY, especially serogroup C, which had a vaccine effectiveness of 83.0%.
  • - Despite the reductions in certain bacteria, some non-groupable strains increased and hypervirulent serogroup B strains persisted in the population, indicating that while MenACWY is effective, it may
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Background: Prediction of antibiotic non-susceptibility based on patient characteristics and clinical status may support selection of empiric antibiotics for suspected hospital-acquired urinary tract infections (HA-UTIs).

Methods: Prediction models were developed to predict non-susceptible results of eight antibiotic susceptibility tests ordered for suspected HA-UTI. Eligible patients were those with urine culture and susceptibility test results after 48 hours of admission between 2010-2021.

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This study aimed to assess the impact of a prolonged carbapenem use-focused antimicrobial stewardship program (ASP) on antimicrobial consumption and clinical outcomes and to analyze factors affecting adherence to interventions. Patients prescribed carbapenems for ≥ 2 weeks received intervention. Interrupted time-series analysis was performed to compare antimicrobial consumption before and after intervention.

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Background: Despite the low measles antibody positivity rate among young healthcare workers (HCWs) who have previously received two doses of a measles-containing vaccine (MCV), whether an additional dose of MCV acts as a booster remains unknown. Thus, we aimed to evaluate the immune responses to a third dose of MCV in young HCWs.

Methods: Hospital-wide measles seroprevalence was assessed using enzyme-linked immunosorbent assay (ELISA).

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To assess the influence of bridge structure manipulation on the electrochemical performance of π-conjugated molecule-bridged silicon quantum dot (Si QD) nanocomposite (SQNC) anode materials, we prepared two types of SQNCs by Sonogashira cross-coupling and hydrosilylation reactions; one is SQNC-VPEPV, wherein the Si QDs are covalently bonded by vinylene (V)-phenylene (P)-ethynylene (E)-phenylene-vinylene, and the other is SQNC-VPV. By comparing the electrochemical performances of the SQNCs, including that of the previously reported SQNC-VPEPEPV, we found that the SQNC with the highest specific capacity varied depending on the applied current density; SQNC-VPEPV (1420 mA h g) > SQNC-VPV (779 mA h g) > SQNC-VPEPEPV(465 mA h g) at 800 mA g, and SQNC-VPV (529 mA h g) > SQNC-VPEPEPV (53 mA h g) > SQNC-VPEPV (7 mA h g) at 2000 mA g. To understand this result, we performed EIS and GITT measurements of the SQNCs.

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Background: This study analyzed the validity of healthcare-associated infection (HAI) data of the Korean National healthcare-associated Infections Surveillance System.

Methods: The validation process consisted of external (EV) and internal (IV) validation phases. Of the 193 hospitals that participated from July 2016 through June 2017, EV was performed for 10 hospitals that were selected based on the HAI rate percentile.

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In 2005, the Korea Disease Control and Prevention Agency (KDCA) launched "Health Care Facility Counseling Project on People Living with human immunodeficiency virus (HIV)" funded by the private-subsidy project for the prevention of acquired immune deficiency syndrome (AIDS) and sexually transmitted diseases to provide people living with HIV (PLWH) psychological support and counsel them about the disease and antiretroviral therapy (ART). Currently, 38 counseling nurse specialists work at 28 healthcare facilities for patient care. Of all PLWH in Korea, 71.

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Background: Current guidelines for the therapeutic monitoring of vancomycin recommend dosing based on the area under the concentration-time curve (AUC) to achieve clinical efficacy while reducing nephrotoxicity. Although a wide range of nephrotoxicity thresholds have been reported, few studies have documented clinical outcomes based on AUC-guided vancomycin dosing in Korea.

Objective: The aim of the study was to evaluate whether a relationship exists between AUC and treatment outcomes in vancomycin treated patients in methicillin-resistant bacteremia.

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With the introduction of combination antiretroviral therapy (cART), the prevalence of human immunodeficiency virus (HIV)-associated nontuberculous mycobacteria (NTM) disease has declined. However, NTM diseases still occur in people living with HIV/acquired immunodeficiency syndrome (AIDS) (PLWHA). We analysed the clinical and microbiological features of NTM diseases in PLWHA in South Korea.

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Background: Neurological manifestations of COVID-19 are thought to be associated with the disease severity of COVID-19 and poor clinical outcomes. Dysregulated immune responses are considered to be mediating such complications. Our case illustrates multiple critical neurological complications simultaneously developed in a patient with non-severe COVID-19 and successful recovery with a multifaceted therapeutic approach.

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Article Synopsis
  • - The study investigated invasive pneumococcal disease (IPD) in adults during the late stage of the PCV13 vaccine era, finding a significant prevalence of specific serotypes and high rates of antibiotic resistance.
  • - Among 160 IPD cases analyzed, serotypes related to the pneumococcal vaccines (PCV13 and PPSV23) were identified, with serotype 3 and 19A being the most common, highlighting the ongoing risk to older and chronically ill individuals.
  • - Notably, over 32% of pneumococcal isolates showed non-susceptibility to the antibiotic ceftriaxone, particularly in specific serotypes, indicating a concerning trend in antimicrobial resistance that may impact
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We investigated the association between short-term exposure to air pollution and the risk of acute exacerbation of chronic obstructive pulmonary disease (AE-COPD) in seven metropolitan cities in Korea. We used national health insurance claims data to identify AE-COPD cases in 2015. We estimated short-term exposure to particulate matter (PM) with a diameter of ≤2.

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Article Synopsis
  • The study aimed to develop COVID-19 prediction models using influenza data to quickly and accurately assess risks of hospital admission and death in patients diagnosed with COVID-19.
  • The researchers created three COVID-19 Estimated Risk (COVER) scores that quantify risks related to pneumonia and mortality based on historical data and validated them using a large dataset of COVID-19 patients across multiple countries.
  • They found that seven key health predictors, along with age and sex, effectively distinguished which patients were likely to face severe outcomes, achieving strong performance in model validation.
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Background: Campylobacter spp., common commensals in the gastrointestinal tract of animals, especially poultry, can cause acute gastrointestinal illness in humans through animal-to-human transmission. Although Campylobacter fetus, especially subspecies fetus, rarely leads to systemic infections such as bacteremia in immunocompromised patients, it is unclear whether Campylobacter fetus subspecies venerealis (Cfv) causes infectious diseases in humans.

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Aerosolized antibiotics are being increasingly used to treat respiratory infections, especially those caused by drug-resistant pathogens. Their use in the treatment of hospital-acquired pneumonia and ventilator-associated pneumonia in critically ill patients is especially significant. They are also used as an efficient alternative to overcome the issues caused by systemic administration of antibiotics, including the occurrence of drug-resistant strains, drug toxicity, and insufficient drug concentration at the target site.

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During the 2019 domestic measles outbreak in Korea, measles occurred in healthcare workers with two doses of the measles, mumps and rubella vaccine, and the strict application of the Occupational Safety and Health Act required medical institutions to identify healthcare workers' immunity to measles and vaccinate the susceptible pockets. In response to the frontline medical institutions' request to review the measles recommendations and guidelines, the Korean Society of Infectious Diseases held a roundtable discussion on the causes of measles outbreak, timing of vaccinations, antibody tests, and booster vaccinations for healthcare workers, and financial support from the government and municipality as well as response strategies against the outbreak in healthcare settings. In Korea, the seroprevalence of measles is decreasing in the vaccine-induced immunity group during the maintenance of measles elimination over several years.

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Background: In South Korea, the number of Q fever cases has rapidly increased since 2015. Therefore, this study aimed to characterize the epidemiological and clinical features of Q fever in South Korea between 2011 and 2017.

Methods/principal Findings: We analyzed the epidemiological investigations and reviewed the medical records from all hospitals that had reported at least one case of Q fever from 2011 to 2017.

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Article Synopsis
  • The COVID-19 vulnerability (C-19) index was developed to predict which patients might need hospitalization for pneumonia related to COVID-19 but is at risk of bias and lacks external validation.
  • The study aimed to externally validate the C-19 index using data from various healthcare settings and target populations to determine its predictive capabilities for hospitalization due to pneumonia.
  • Results showed that while the C-19 index performed moderately well in internal validation, its external validation yielded low predictive accuracy across different countries, suggesting that it may underestimate the actual risk of hospitalization.
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Candidemia is an important healthcare-associated infection (HAI) in intensive care units (ICUs). However, limited research has been conducted on candidemia in the Republic of Korea. We aimed to analyze the secular trends in the incidence and distribution of candidemia in ICUs over 12-years using data from the Korean National Healthcare-Associated Infections Surveillance System (KONIS).

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Articulation disorder is associated with impaired control of respiration and speech organ movement. There are many cases of dysarthria and dysphonia in stroke patients. Dysphonia adversely affects communication and social activities, and it can interfere with everyday life.

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Article Synopsis
  • - The study evaluates improvements in infection control activities in Korean hospitals following a government policy change against infection prevention, initiated in late 2015 and implemented in 2016.
  • - Surveys conducted in 2013, 2015, and 2017 showed an increase in the number of hospitals participating, and a significant reduction in the number of inpatient beds per infection control professional over time.
  • - Results indicate that hospitals, particularly teaching hospitals, saw notable advancements in hand hygiene practices and infection control procedures after the policy's implementation.
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