곽낙원 교수
Nakwon Kwak
서울대학교 · 의학
연구실 소개
곽낙원 교수의 연구실은 결핵 및 다제내성결핵(MDR-TB), 특히 마이코박터이움 아브세수스 폐결핵(MAB-PD)을 포함한 비결핵항산화세균 감염의 진단 및 치료에 중점을 두고 있습니다. 특히 약물 치료 성공률 향상과 부작용 관리, 진단 기술의 정확성과 신속성 향상을 위한 임상 연구를 지속적으로 수행하고 있습니다. 최근에는 코로나19 패닉 기간 동안 결핵 진단 및 관리에 미친 영향에 대해서도 분석하여 감염병 대응 전략의 중요성을 제기하고 있습니다.
연구 현황
연구 성과 추이
표시된 성과는 수집된 데이터 기준으로 산출되며, 일부 차이가 있을 수 있습니다.
주요 논문
15Treatment of <i>Mycobacterium abscessus</i> pulmonary disease (MAB-PD), caused by <i>M. abscessus</i> subsp. <i>abscessus</i>, <i>M. abscessus</i> subsp. <i>massiliense</i> or <i>M. abscessus</i> subsp. <i>bolletii</i>, is challenging.We conducted an individual patient data meta-analysis based on studies reporting treatment outcomes for MAB-PD to clarify treatment outcomes for MAB-PD and the impact of each drug on treatment outcomes. Treatment success was defined as culture conversion for ≥12 mo
Treatment outcomes of macrolide-containing regimens are relatively poor in terms of both the treatment success and default rates. The default rate could be reduced if a thrice-weekly dosing schedule is available. Clinicians should be aware of decreased auditory function as the most common adverse event associated with macrolide-containing regimens.
After South Korea raised its infectious disease alert to the highest level in response to coronavirus disease emergence, tuberculosis notification during the first 18 weeks of 2020 decreased significantly from the same period for each year during 2015-2019. Adequate measures to diagnose, control, and prevent tuberculosis need to be maintained.
The Xpert MTB/RIF assay was introduced for timely and accurate detection of tuberculosis (TB). The aim of this study was to determine the diagnostic accuracy and turnaround time (TAT) of Xpert MTB/RIF assay in clinical practice in South Korea. We retrospectively reviewed the medical records of patients in whom Xpert MTB/RIF assay using sputum were requested. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) for the diagnosis of pulmonary tuberculos
Treatment outcomes for MDR-TB improved at a tertiary referral centre in South Korea. The improvement was associated with more frequent use of later-generation fluoroquinolones and linezolid.
This study was registered to the ClinicalTrials.gov (Identifier: NCT01616745 / registration date: June 12, 2012). The protocol was retrospectively registered.
This study was performed at Seoul National University Hospital ( NCT01616745 ).
Clinical outcomes are different according to the size of cavities in patients with cavitary NTM-PD; thus, the measurement of the size of cavities could help in making clinical decisions.
Clofazimine demonstrated a relatively favorable efficacy in severe MAC-PD, regardless of the maintenance dose. This effect was more pronounced when administered for a duration exceeding 6 months.
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