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Could an appropriate antibiotic therapy improve neonatal outcome in preterm labor cases?

Research Project

Project/Area Number 15K10662
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Obstetrics and gynecology
Research InstitutionUniversity of Toyama

Principal Investigator

Yoneda Satoshi  富山大学, 附属病院, 講師 (30345590)

Co-Investigator(Kenkyū-buntansha) 齋藤 滋  富山大学, 大学院医学薬学研究部(医学), 教授 (30175351)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords切迫早産 / 抗菌薬 / 羊水中微生物 / ウレアプラズマ / 子宮内炎症 / スラッジ / 羊水中病原微生物
Outline of Final Research Achievements

Antibiotic therapy for preterm labor cases are effective for maternal infection, but it is rather worse for neonatal prognosis. However, intra-amniotic microbes are not evaluated.
A rapid and sensitive PCR system developped in our hospital could evaluate intra-amniotic microbes accurately. By using this PCR system, in positive-cases with intra-amniotic microbes, an appropriate antibiotic therapy could prolong the gestational days, whereas in negative-cases, an antibiotic had shortened the gestational period.
The intra-amniotic microbes should be detected accurately and an appropriate antibiotic therapy might be able to be a new strategy in management of preterm labor.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (31 results)

All 2018 2017 2016 2015

All Journal Article (10 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 4 results,  Open Access: 2 results) Presentation (17 results) (of which Int'l Joint Research: 1 results) Book (4 results)

  • [Journal Article] Sludge reflects intra-amniotic inflammation with or without microorganisms.2018

    • Author(s)
      Yoneda N, Yoneda S, Niimi H, Ito M, Fukuta K, Ueno T, Ito M, Shiozaki A, Kigawa M, Kitajima I, Saito S.
    • Journal Title

      Am J Reprod Immunol.

      Volume: 79(2) Issue: 2 Pages: 1-8

    • DOI

      10.1111/aji.12807

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A yolk sac larger than 5 mm suggests an abnormal fetal karyotype, whereas an absent embryo indicates a normal fetal karyotype.2018

    • Author(s)
      Yoneda S, Shiozaki A, Yoneda N, Sameshima A, Ito M, Shima T, Nakashima A, Yoshino O, Kigawa M, Takamori R, Shinagawa Y and Saito S
    • Journal Title

      J Ultrasound Med

      Volume: 37 Issue: 5 Pages: 1233-1241

    • DOI

      10.1002/jum.14467

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effectiveness of Helicobacter pylori eradication in pregnant women with idiopathic thrombocytopenic purpura.2017

    • Author(s)
      Ono Y, Shiozaki A, Yoneda N, Yoneda S, Yoshino O, Saito S
    • Journal Title

      J Obstet Gynaecol Res

      Volume: 43 Issue: 7 Pages: 1212-1216

    • DOI

      10.1111/jog.13341

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 切迫早産管理における羊水検査の意義2017

    • Author(s)
      米田 哲、米田徳子、齋藤 滋
    • Journal Title

      産婦人科の実際

      Volume: 66 Pages: 823-828

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 絨毛膜羊膜炎2016

    • Author(s)
      米田 哲、米田徳子、齋藤 滋
    • Journal Title

      周産期医学

      Volume: 46 Pages: 224-225

    • Related Report
      2016 Research-status Report
  • [Journal Article] Antibiotic Therapy Increases the Risk of Preterm Birth in Preterm Labor without Intra-Amniotic Microbes, but may Prolong the Gestation Period in Preterm Labor with Microbes, Evaluated by Rapid and High-Sensitive PCR System2016

    • Author(s)
      Yoneda S, Shiozaki A, Yoneda N, Ito M, Shima T, Fukuda K, Ueno T, Niimi H, Kitajima I, Kigawa M, Saito S
    • Journal Title

      American Journal of Reproductive Immunology

      Volume: 75(4) Issue: 4 Pages: 440-50

    • DOI

      10.1111/aji.12484

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 子宮内感染症(臨床的絨毛膜羊膜炎)2016

    • Author(s)
      米田 哲、福田香織、齋藤 滋
    • Journal Title

      ペリネイタルケア

      Volume: 新春増刊 Pages: 37-45

    • Related Report
      2015 Research-status Report
  • [Journal Article] 子宮内感染症(臨床的絨毛膜羊膜炎)2015

    • Author(s)
      米田 哲、福田香織、齋藤 滋
    • Journal Title

      ペリネイタルケア

      Volume: 34 Pages: 20-25

    • Related Report
      2015 Research-status Report
  • [Journal Article] 早産予防のための黄体ホルモン療法2015

    • Author(s)
      米田 哲
    • Journal Title

      日本産婦人科医会報

      Volume: 67 Pages: 10-11

    • Related Report
      2015 Research-status Report
  • [Journal Article] 切迫早期流産・絨毛膜下血腫・早期流産2015

    • Author(s)
      米田 哲、稲坂 淳、齋藤 滋
    • Journal Title

      臨床婦人科産科

      Volume: 69 Pages: 56-63

    • Related Report
      2015 Research-status Report
  • [Presentation] Yolk sac more than 5 mm suggests abnormal fetal karyotype in the case of early miscarriage, while absent embryo suggests normal fetal karyotype.2017

    • Author(s)
      Satoshi Yoneda, Arihiro Shiozaki, Noriko Yoneda, Mika Ito, Tomoko Shima and Shigeru Saito
    • Organizer
      69th Annual Congress of the Japan Society of Obstetrics and Gynecology
    • Related Report
      2017 Annual Research Report
  • [Presentation] Maintenance tocolysisが本当に効く症例とは、どんな未破水切迫早産症例?2017

    • Author(s)
      米田 哲、齋藤 滋
    • Organizer
      第5回 賢英周産期フォーラム
    • Related Report
      2017 Annual Research Report
  • [Presentation] 軽度の子宮内炎症が存在する未破水切迫早産に、プロゲデポーが有効?2017

    • Author(s)
      米田 哲、齋藤 滋
    • Organizer
      第5回 賢英周産期フォーラム
    • Related Report
      2017 Annual Research Report
  • [Presentation] 未破水切迫早産に対する長期tocolysisが必要な症例、不必要な症例に関した検討2017

    • Author(s)
      米田 哲、米田徳子、福田香織、伊東雅美、吉江正紀、塩崎有宏、齊藤 滋
    • Organizer
      第53回 日本周産期・新生児医学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 軽度の子宮内炎症を伴う未破水切迫早産例では、17-OHPCが妊娠期間延長に関与する?2017

    • Author(s)
      米田 哲、米田徳子、森田恵子、小野洋輔、伊藤実香、塩崎有宏、齋藤 滋
    • Organizer
      第65回 北日本産科婦人科学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 未破水切迫早産に対する羊水検査の意義について-分娩時期の予測、子宮内の炎症と感染、腸内細菌との関連性-2017

    • Author(s)
      米田 哲、米田徳子、伊藤実香、塩崎有宏、齋藤 滋
    • Organizer
      第11回 日本早産学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 軽度子宮内炎症を伴う未破水切迫早産例では、適切な抗菌薬治療のもと17-OHPCが妊娠期間延長に関与する2017

    • Author(s)
      米田 哲、米田徳子、森田恵子、小野洋輔、伊藤実香、塩崎有宏、齋藤 滋
    • Organizer
      第11回 日本早産学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 未破水切迫早産に対する黄体ホルモンの臨床的効果について -妊娠36週まで妊娠延長した症例において-2016

    • Author(s)
      米田 哲、米田徳子、福田香織、吉江正紀、塩崎有宏、齋藤 滋
    • Organizer
      第64回北日本産科婦人科学会
    • Place of Presentation
      札幌
    • Year and Date
      2016-09-17
    • Related Report
      2016 Research-status Report
  • [Presentation] 子宮内病原微生物陰性例の未破水切迫早産に対する17-OHPC筋注治療効果に関する検討2016

    • Author(s)
      米田 哲、米田徳子、生水貫人、伊東雅美、田中智子、福田香織、塩崎有宏、齋藤 滋
    • Organizer
      第52回日本周産期・新生児医学会
    • Place of Presentation
      富山
    • Year and Date
      2016-07-16
    • Related Report
      2016 Research-status Report
  • [Presentation] Appropriate antibiotic therapy for preterm labor with or without intra-amniotic microbes evaluated by rapid and false positive-negative PCR system could prolong the gestational period2016

    • Author(s)
      Satoshi Yoneda, Arihiro Shiozaki, Noriko Yoneda, Mika Ito, Tomoko Shima and Shigeru Saito
    • Organizer
      68th Annual Congress of the Japan Society of Obstetrics and Gynecology
    • Place of Presentation
      tokyo
    • Year and Date
      2016-04-22
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] こんなにおなか張ってます!入院?点滴(Tocolysis)?するの?しないの?2016

    • Author(s)
      米田 哲、齋藤 滋
    • Organizer
      第4回 賢英周産期フォーラム
    • Place of Presentation
      千葉
    • Related Report
      2016 Research-status Report
  • [Presentation] 実は切迫早産に対する適切な抗菌薬治療は、有効である可能性があった!2016

    • Author(s)
      米田 哲、齋藤 滋
    • Organizer
      第4回 賢英周産期フォーラム
    • Place of Presentation
      千葉
    • Related Report
      2016 Research-status Report
  • [Presentation] 妊娠12週未満の自然流産:超音波所見から胎児染色体異常を予測する方法に関する検討2015

    • Author(s)
      米田 哲、米田徳子、伊藤実香、島 友子、中島彰俊、吉野 修、塩崎有宏、齋藤 滋
    • Organizer
      第63回北日本産科婦人科学会
    • Place of Presentation
      福島
    • Year and Date
      2015-09-05
    • Related Report
      2015 Research-status Report
  • [Presentation] 前期破水を伴わない自然早産児の短期予後不良例と在胎週数、組織学的絨毛膜羊膜炎、羊水中IL-8値との関連2015

    • Author(s)
      米田 哲、米田徳子、稲坂 淳、伊藤実香、塩崎有宏、齋藤 滋
    • Organizer
      第51回 日本周産期・新生児医学会
    • Place of Presentation
      福岡
    • Year and Date
      2015-07-10
    • Related Report
      2015 Research-status Report
  • [Presentation] 産婦人科医師として、娘・息子のパパとして、産婦人科医師の妻と共に、なぜ富山大学なのか?2015

    • Author(s)
      米田 哲
    • Organizer
      第1回 新・私の履歴書. 富山大学准講会企画
    • Place of Presentation
      富山大学
    • Year and Date
      2015-06-12
    • Related Report
      2015 Research-status Report
  • [Presentation] 産科学的には、在胎週数(未熟性)?それとも組織学的絨毛膜羊膜炎(FIRSのリスク)? どっちが大事?2015

    • Author(s)
      米田 哲、伊藤実香、齋藤 滋
    • Organizer
      第3回賢英フォーラム
    • Place of Presentation
      山口
    • Year and Date
      2015-05-16
    • Related Report
      2015 Research-status Report
  • [Presentation] Maintenance (Long-term) tocolysisのPit Hole -羊水中病原微生物陰性の切迫早産例に対する抗菌薬の投与はかえって妊娠期間を短縮する-2015

    • Author(s)
      米田 哲、米田徳子、副田 翔、小野洋輔、稲坂 淳、伊藤実香、塩崎有宏、齋藤 滋
    • Organizer
      第67回日本産科婦人科学会
    • Place of Presentation
      横浜
    • Year and Date
      2015-04-12
    • Related Report
      2015 Research-status Report
  • [Book] 切迫流産・切迫早産. 1336専門家による私の治療 2017-18年度版2017

    • Author(s)
      米田 哲、齋藤 滋
    • Total Pages
      1734
    • Publisher
      日本医事新報社
    • Related Report
      2017 Annual Research Report
  • [Book] 早産(前期破水、無症候性頸管長短縮例の管理を含む)2016

    • Author(s)
      米田 哲、齋藤 滋
    • Publisher
      メジカルビュー社
    • Related Report
      2016 Research-status Report
  • [Book] 産科診療Q&A2015

    • Author(s)
      米田 哲、米田徳子、齋藤 滋
    • Publisher
      中外医学社
    • Related Report
      2015 Research-status Report
  • [Book] 第3版MFICUマニュアル2015

    • Author(s)
      米田 哲、齋藤 滋
    • Publisher
      メディカ出版
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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