1편 미생물학 총론 / 1
01. 의학 미생물학의 역사 ············································································· 3
02. 세균의 분류 ····························································································· 6
03. 세균 형태와 미세구조 ············································································· 9
04. 세균의 염색 ··························································································· 17
05. 에너지 대사 및 생화학적 시험 ····························································· 20
06. 세균의 증식 및 증식환경 ······································································ 23
07. 미생물 유전학 ······················································································· 28
08. 멸균과 소독 ··························································································· 30
09. 항미생물제 및 항셍제 감수성 시험 ······················································ 35
2차 실기문제 - 임상세균학1 ································································ 46
2편 임상세균학 / 55
01. 숙주 - 기생체 관계 ·············································································· 57
02. 정상 균무리와 기회감염 ······································································· 59
03. Staphylococcus와 Micrococcus, Stomatococcus, Planococcus ······ 62
04. Streptococcus와 Enterococcus ··························································· 72
05. Streptococcus pneumoniae ································································ 81
06. Neisseria와 Moraxella catarrhalis ······················································· 86
2차 실기문제 - 임상세균학 2 ······························································ 92
07. Bacillus ································································································ 106
08. Corynebacterium ················································································ 108
09. Listeria와 Erysipelothrix ····································································· 112
10. Actinomycetes(Actinomyces, Norcardia, Streptomyces) ················ 115
11. 그 밖의 그람양성 간균 ······································································· 118
12. Mycobacterium ··················································································· 119
2차 실기문제 - 임상세균학 3 ···························································· 124
13. 장내세균과(Enterobacteriaceae)의 일반적인 특성 ···························· 128
목차
14. Salmonella와 Shigella ········································································ 130
15. Yersinia ······························································································· 136
2차 실기문제 - 임상세균학 4 ···························································· 138
16. 기회감염 장내세균 ·············································································· 147
2차 실기문제 - 임상세균학 5 ···························································· 161
17. 비브리오과(Vibrionaceae)Vibrio, Aeromonas, Plesiomonas ············ 167
2차 실기문제 - 임상세균학 6 ···························································· 178
18. Pseudomonas ···················································································· 181
19. Pseudomonas 이외의 비발효성 그람음성 막대균 ·························· 186
2차 실기문제 - 임상세균학 7 ···························································· 188
20. Haemophilus ······················································································· 190
2차실기문제-임상세균학 8 ································································ 195
21. Bordetella ···························································································· 197
22. Legionella ··························································································· 201
2차 실기문제-임상세균학 9 ······························································ 204
23. Brucella ······························································································· 205
24. Francisella ·························································································· 208
25. Pasteurella ·························································································· 209
26. 그 외 Gram Negative Bacilli ····························································· 211
2차 실기문제 - 임상세균학 10 ·························································· 217
27. 무산소성 그람양성 알균 및 그람음성 알균 ······································· 218
28. 무산소성 무아포 그람양성 막대균 ····················································· 220
29. 무산소성 유아포 그람양성 막대균 (Clostridium) ······························· 221
30. 무산소성 그람음성 막대균 ·································································· 229
31. Campylobacter, Helicobacter, Spirillum ··········································· 234
32. Spirochaeta(Treponema, Borrelia, Leptospira) ································ 236
33. Mycoplasma ····················································································· 241
34. Chlamydia ··························································································· 244
35. Rickettsia ···························································································· 246
36. 구강 미생물학 ····················································································· 251
37. 현미경과 그 외 기자재 및 키트 ························································· 252
38. 배지 및 배지 제조 ·············································································· 256
39. 세균의 동정을 위한 생화학적 시험 ···················································· 265
40 세균의 분리배양 및 동정 ·································································· 272
41. 임상분자생물학 ···················································································· 294
2차 실기문제 - 임상세균학 11 ··························································· 302
42. 종합문제 ······························································································ 312
3편 진단바이러스학 / 339
01. 진단바이러스학 ···················································································· 341
02. 외피 비보유 DNA 바이러스 ······························································· 351
03. 외피 보유 DNA 바이러스 ··································································· 353
04. 외피 비보유 RNA 바이러스 ······························································· 358
05. 외피 보유 RNA 바이러스 ··································································· 361
06. 바이러스의 실험실 진단 ····································································· 369
07. 종합문제 ······························································································ 370
2차 실기문제 - 진단바이러스학 ······················································· 388
4편 임상진균학 / 409
01. 임상진균학 개요 ·················································································· 411
02. 진균의 형태와 생식 ············································································ 412
03. 진균의 분류 ························································································· 415
04. 진균 감염증 ························································································· 419
05. 피부진균증 ··························································································· 420
06. 피하 진균증 ························································································· 425
07. 전신성 진균증 ····················································································· 426
08. 기회감염 진균증 ·················································································· 429
09. 효모 및 효모양진균 ············································································ 430
10. 진균의 배양과 동정 ············································································ 432
11. 종합문제 ······························································································ 435
2차 실기문제-임상진균학 ·································································· 440
목차
5편 인체기생충학 / 457
01. 기생충학 개요 ····················································································· 459
02. 인체 원충학 ························································································· 460
03. 인체 윤충학 ························································································· 465
04. 종합문제 ······························································································ 476
2차실기문제-인체 기생충학 ······························································· 482
최근 의학, 보건, 간호학계에 가장 큰 변화는 각 교과목별 학습목표가 표준화 되고, 문제 유형이 바뀌면서
문제를 출제하는 교수님들이나 국가고시를 준비하는 학생들이 많은 어려움을 겪고 있을 뿐만 아니라, 임상미생
물학의 발달에 따른 일부 미생물 학명의 변화가 있어 본서 출판의 필요성을 절감하게 되었다.
본서는 다음과 같은 점에 역점을 두고 편집하였다.
1. 문제유형은 국시원의 방침에 따라 A형으로 만들어 새로운 문제유형에 적응하도록 하였으며, 매장 끝에 2
차 시험 실기문제를 수록하였다.
2. 학생들이 정규 교과과정을 공부하면서, 이해하기 곤란한 문제에는 문제해설을 보고 자습하고 국가고시를
대비할 수 있도록 하였다.
3. 최근에 바이러스성 질환에 관한 관심도나 바이러스의 새로운 분류체계를 생각하여 이에 대한 문제를 많
이 다루었고 또한 미생물 동정에 분자생물학적 기법을 많이 이용하고 있어서 임상분자생물학에 관한 문
제도 다루었다.
4. 세균의 분리와 동정 못지않게 여러 가지 항생제에 대한 메커니즘, 항생제 내성 경향 등 항생제 감수성검
사에 관한 제반 사항에 대한 폭넓은 지식을 요구하고 있는 것을 감안하여 이에 대한 문제도 많이 다루었
다.
5. 세균의 동정을 위한 생화학적 시험 문제에서는 IMViC 시험을 시작으로 시험문제의 답가지에 시험원리 및
방법을 되도록 차례로 쓰고 맞는 답만을 찾아냄으로써 학생들이 시험원리와 방법을 잘 정리하여 익히도
록 하였다.
6. 임상적으로 중요한 진균과 기생충의 분리와 동정에서도 교과과정의 순서에 따라 진균과 기생충의 동정을
위한 검체, 배지선택, 중요한 형태적 특성, 유사한 점과 감별 점을 찾고, 학생들이 정리하여 잘 익힐 수
있도록 하였다.
본서가 나오기까지 조언과 협조를 아끼지 않으신 각 분야별 교수님들께 감사드립니다. 이 책이 출판의 용단
을 내려주신 고려의학 최병진 사장님과 편집부 직원 여러분께 진심으로 감사드립니다.
2015. 5
한국 임상병리학과 임상미생물학 교수회
