Previous | Home | EndoTODAY | List | Next


[Scotch tape swab for Enterobius vermicularis]

[¾Öµ¶ÀÚ Áú¹® (¿Ü°ú ÀÇ»ç)] ¿äÃæ¿¡ ´ëÇؼ­´Â Àúµµ °ü½ÉÀÌ ¸¹½À´Ï´Ù. ¿Ü°úȯÀÚÁß¿¡´Â Ç×¹® °¡·Á¿òÁõ ȯÀÚ°¡ ¸¹¾Æ¼­ ±×·¸½À´Ï´Ù. ½ÇÁ¦ Áø·á¿¡¼­ Ç×¹®µµ¸»°Ë»ç·Î Ãæ¶õÀ» È®ÀÎÇÑ ÈÄ Ä¡·á¸¦ ÇϽóª¿ä? Áø´Ü¹ý Áß Scotch tape Ç×¹®µµ¸»°Ë»ç¸¦ ½ÇÁ¦·Î ¾î¶»°Ô ÇϽóª¿ä? ¿äÃæ Áø´Ü¿¡ »ç¿ëÇÏ´Â Àü¿ë Scotch tape°¡ ÀÖ½À´Ï±î? ¶Ç ±×°É º´¸®°ú·Î º¸³»½Ã³ª¿ä? ±×·¸°Ô º¸³»¸é °Ë»ç°á°ú±îÁö´Â ¾î´À Á¤µµ ½ÃÀÏÀÌ °É¸®³ª¿ä?


[ÀÌÁØÇà ´äº¯] ÁÁÀº Áú¹® °¨»çÇÕ´Ï´Ù. ¿äÃæ(Enterovius vermicularis, pin worm)Àº ¸ÍÀåºÎÀ§¿¡ ±â»ýÇÏ¸ç ¾ÏÄÆÀÌ ¹ã¿¡ Ç×¹® ¹ÛÀ¸·Î ±â¾î³ª¿Í Ç×¹®ÁÖÀ§ÀÇ ÇǺο¡ »ê¶õÇÏ°í Á×½À´Ï´Ù. Ç×¹®ÁÖÀ§¿¡ Ãæ¶õÀÌ ºÎÈ­ÇÏ¿© Ç×¹® °¡·Á¿òÁõÀ» ÀÏÀ¸Åµ´Ï´Ù. Ç×¹® °¡·Á¿òÁõÀÌ ½ÉÇÑ È¯ÀÚ¿¡¼­ ¿äÃæÀÌ Ç×¹®¿¡¼­ À°¾ÈÀ¸·Î °üÂûµÇ±âµµ ÇÕ´Ï´Ù. µå¹°°Ô ´ëÀå³»½Ã°æ¿¡¼­ pin worm (¿äÃæ)À» º¼ ¼ö ÀÖ½À´Ï´Ù. Whip worm (ÆíÃæ)¿¡ ºñÇÏ¿© pin worn (¿äÃæ)Àº ª°í ´ú Åõ¸íÇÏ°í ÇϾé½À´Ï´Ù. ÆíÃæó·³ µÑµÑ ¸»¸®Áö ¾Ê°í ¾à°£ curved ÇüÅÂÀÔ´Ï´Ù. Whip wormÀÇ °¡´Ã°í ±ä ½ÄµµºÎºÐÀÌ ¾ø´Â °Íµµ Â÷ÀÌÁ¡ÀÔ´Ï´Ù. ¿äÃæÀº ÀÏ¹Ý ´ëº¯°Ë»ç·Î Áø´ÜµÇÁö ¾Ê½À´Ï´Ù. Scotch tape¸¦ ÀÌ¿ëÇÏ¿© Ãæ¶õÀ» ¼ö°ÅÇÏ¿© °Ë»çÇÏ´Â ¹æ¹ýµµ ÀÖ½À´Ï´Ù. Scotch tape¸¦ ¼³¾ÐÀÚ¿¡ inside out ¹æ½ÄÀ¸·Î µÑ·¯ Àâ°í Ç×¹® ÁÖÀ§¸¦ swabÇÑ ÈÄ ÀÏ¹Ý À¯¸®½½¶óÀ̵忡 ºÙ¿© Çö¹Ì°æÀ¸·Î °üÂûÇÏ´Â °ÍÀÔ´Ï´Ù. º°´Ù¸¥ Àüóġ ¾øÀÌ Çö¹Ì°æÀ¸·Î Áï½Ã º¼ ¼ö ÀÖ½À´Ï´Ù. ¾à°£ÀÇ ¿°»öÀ» Çϱ⵵ ÇÕ´Ï´Ù.

Ç×¹®µµ¸»°Ë»ç Àü¿ë Å×ÀÌÇÁ°¡ ÀÖ´Â °ÍÀº ¾Æ´Õ´Ï´Ù. Åõ¸í Å×ÀÌÇÁ¸é ¹¹µçÁö °¡´ÉÇÕ´Ï´Ù. Çö¹Ì°æ Áø´ÜÀº Á¦¹ý ¾î·Æ½À´Ï´Ù. ±â»ýÃæÇÐ ÈÆ·ÃÀ» ¹ÞÁö ¾ÊÀº ¼±»ý´ÔµéÀº µµ¸»ÇÑ Å×ÀÌÇÁ¸¦ ºÙÀÎ ½½¶óÀ̵带 ±â»ýÃæÇб³½Ç·Î º¸³»´Â °ÍÀÌ ÁÁ½À´Ï´Ù. ±â»ýÃæÇб³½Ç·Î º¸³»±â ¾î·Á¿ì¸é º´¸®°ú·Î º¸³¾ ¼ö ¹Û¿¡ ¾øÁö¸¸ ÁÁÀº ¹æ¹ýÀº ¾Æ´Õ´Ï´Ù. º´¸®°ú ÀÇ»çµéµµ º°·Î °æÇèÀÌ ¾ø´Â °ÍÀº ¸¶Âù°¡Áö±â ¶§¹®ÀÔ´Ï´Ù. ±â»ýÃæÇÐ ±³½Ç·Î º¸³»¸é °á°ú´Â Áï½Ã ¾Ë ¼ö ÀÖ½À´Ï´Ù. ÀüÈ­ ÇÑ Åë ³Ö¾î¾ß ÇÏ´Â ¼öµµ ÀÖÁö¸¸....


ÁßÁõ °¨¿°ÀÚÀÇ Ç×¹®¿¡¼­ º¸ÀÌ´Â ¿äÃæ. Image source


°¡´Ã°í ÇϾá pin ¸ð¾çÀÇ ¿äÃæ. Image source


´ëÀå³»½Ã°æ¿¡¼­ °üÂûµÈ ¿äÃæ. Image source


»ï¼º¼­¿ïº´¿ø ³»½Ã°æ½Ç¿¡¼­ Áø´ÜÇÑ ¿äÃæ. ´ç½Ã °Ë»ç¸¦ ´ã´çÇÏ¿´´ø fellow ¼±»ý´ÔÀÇ Áõ¾ð. "È× Áö³ª°¡´Â °ÍÀÌ À־ Àâ¾Ò½À´Ï´Ù. Àâ°íº¸´Ï ¿äÃæÀ̾ú½À´Ï´Ù."


Scotch tape swab ¹æ¹ýÀº Scotch tapeÀÇ ²öÀû²öÀûÇÑ ¸é¿¡ Ç×¹® ÁÖÀ§ÀÇ Ãæ¶õÀ» ºÙ¿© Çö¹Ì°æÀ¸·Î °üÂûÇÏ´Â ¹æ¹ýÀÔ´Ï´Ù. ¿äÃæ ¾ÏÄÆÀÌ Ç×¹® ÁÖÀ§¿¡ ¾ËÀ» ³º´Â ½À¼ºÀÌ Àֱ⠶§¹®ÀÔ´Ï´Ù. Àúµµ °æÇèÀÌ ¾ø¾î¼­ ÀÎÅͳݿ¡¼­ ±¸ÇÒ ¼ö ÀÖ´Â ÀڷḦ ¼Ò°³ÇÕ´Ï´Ù.

Internet¿¡¼­ ±ºÇÑ Scotch tape swab ¹æ¹ýÀ» ¼³¸íµå¸³´Ï´Ù (link). ¾Æħ ÀÏÂï È­Àå½Ç °¡±â Àü sampling ÇÏ´Â °ÍÀÌ ÁÁ½À´Ï´Ù (Collect sample first thing in the morning before washing or using toilet. Apply tape applicator to the anus, using a rocking motion to cover as much of the perianal mucosa as possible).

1) Fold a 2 inch long piece of Sellotape sticky side out over the end of a wooden tongue depressor.
2) Grip tongue depressor close to edge of sellotape.
3) Press firmly against the perianal region.
4) Stick the Sellotape on to a glass microscope slide. Write name and date on slide.
5) Place in Slide holder for transport to laboratory


Enterobius ova (Scotch tape prep). This slide shows the microscopic appearance of a positive scotch tape preparation. Sometimes the adult female worm may even be present in the scotch tape preparation. (HTML, Image source)


[Âü°íÀÚ·á]

1) ¼­¿ï´ëÇб³ ±â»ýÃæÇб³½Ç Á¶½Â·Ä ±³¼ö´ÔÀÇ 1975³â ³í¹®. Significance Of Scotch-tape Anal Swab Technique In Diagnosis Of Enterobius Vermicularis Infection (Àü¹® PDF)ÀÇ ¹æ¹ýÀ» º¸½Ã¸é ´ÙÀ½°ú °°ÀÌ ¼³¸íµÇ¾î ÀÖ½À´Ï´Ù. "Strips of Scotch cellulose adhesive tape, 2 x 7 cm in dimension, serially numbered were held adhesive-side-out over the wooden tongue depressor by fingers and swab perianal region. Only one swab was taken from each of the subjects."

2) Rush University Medical Center¿¡¼­ Á¦°øÇÑ Scotch tape swab Á¤º¸


¿äÃæÀÇ Ä¡·á¿øÄ¢Àº ¹Ýµå½Ã ¾Æ¼Å¾ß ÇÕ´Ï´Ù. ÁöÅ°Áö ¾ÊÀ¸¸é ¹«Á¶°Ç Àç¹ßÇÕ´Ï´Ù (¾Æ·¡ Á¶¼±ÀϺ¸ »ç·Ê ÂüÁ¶).

1) °¡Á· ¶Ç´Â ´Üü ±¸¼º¿ø ¸ðµÎ¸¦ µ¿½Ã¿¡ Ä¡·áÇÑ´Ù.
2) 3ÁÖ °£°ÝÀ¸·Î 3ȸ ÀÌ»ó ¹Ýº¹ Ä¡·áÇÑ´Ù (±â»ýÃæ¾àÀÌ larva¸¦ Á×ÀÌÁö ¸øÇÑ´Ù).
3) ¼ÕÅéÀ» Àß ±ð°í, ¸ñ¿åÀ» ÀÚÁÖÇÏ°í ¼ÕÀ» Àß ¾Ä´Â´Ù.
4) ³»º¹°ú ħ±¸¸¦ Àϱ¤ ¼Òµ¶ÇÑ´Ù.
5) ¹æ¾ÈÀÇ ¸ÕÁö¸¦ ±ú²ýÀÌ Ã»¼ÒÇÑ´Ù.
6) Áº¯±â¸¦ ºñ´©·Î ¸ÅÀÏ Ã»¼ÒÇÑ´Ù.

ÇҾƹöÁö ÀÇ»çµéÀº ´©±¸³ª ¾Æ´Â »ó½Ä°°Àº °ÍÀε¥  ŒÀº ÀÇ»çµéÀº ¾Æ´Â ºÐÀÌ ¸¹Áö ¾Ê´õ±º¿ä. ÀÌ ¿øÄ¢µéÀ» ¾Ë·ÁÁÖ½ÃÁö ¾ÊÀ¸¸é Àý´ë·Î Ä¡·áµÇÁö ¾Ê½À´Ï´Ù. Àú´Â Çлý ½ÃÇè¿¡ ¸Å³â ÃâÁ¦ÇÕ´Ï´Ù. "¿äÃæÀÇ Ä¡·á¿øÄ¢À» ¾²½Ã¿À."