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Breakthrough of the management of preterm labor -Usage of highly sensitive PCR system for detecting microorganisim in Amniotic fluid-

Research Project

Project/Area Number 15K20133
Research Category

Grant-in-Aid for Young Scientists (B)

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

Principal Investigator

Yoneda Noriko  富山大学, 大学院医学薬学研究部(医学), 助教 (80377283)

Co-Investigator(Renkei-kenkyūsha) NIIMI Hideki  富山大学, 大学院医学薬学研究部(医学), 准教授 (50401865)
Project Period (FY) 2015-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2016: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords早産 / 子宮内感染 / 迅速高感度病原微生物検出法
Outline of Final Research Achievements

Intra-amniotic(IA) infection is one of the important risk factors for preterm birth.
1.We have established newly rapid and bacteria-free polymerase chain reaction (PCR) method. It was useful for detecting IA microorganisms. Polymicrobial infection with Mycoplasma/Ureaplasma and other bacteria induces severe IA inflammation associated with poor perinatal prognosis in preterm labor (PTL).
2.We examined the efficacy of the use of antibiotics in PTL with intact membranes, after evaluating intra-amniotic microbes by our PCR system. In the amniotic fluid (AF) microbe-negative PTL patients, antibiotic therapy significantly shortened the gestation period,whereas in the microbe-positive patients, appropriate antibiotic therapy (proper antibiotic selection against identified AF microbes) was significantly associated with an increase in gestation period . Appropriate antibiotic therapy in PTL with intact membranes prolonged the gestation period.

Report

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

    (26 results)

All 2017 2016 2015

All Journal Article (4 results) (of which Int'l Joint Research: 1 results,  Acknowledgement Compliant: 1 results,  Peer Reviewed: 3 results,  Open Access: 3 results) Presentation (14 results) Book (8 results)

  • [Journal Article] 母児の予後からみた娩出のタイミングと方法 子宮内炎症および病原微生物の的確な評価と新たな周産期管理法.2016

    • Author(s)
      米田徳子
    • Journal Title

      周産期学シンポジウム抄録集

      Volume: 34 Pages: 35-39

    • Related Report
      2016 Annual Research Report
    • Acknowledgement Compliant
  • [Journal Article] Polymicrobial Amniotic Fluid Infection with Mycoplasma/Ureaplasma and Other bacteria Induces Severe Intra-Amniotic Inflammation Associated with Poor Perinatal Prognosis in Preterm Labor.2016

    • Author(s)
      Yoneda N, Yoneda S, Niimi H, Ueno T, Hayashi S, Ito M, Shiozaki A, Urushiyama D, Hata K, Suda W, Hattori M, Kigawa M, Kitajima I, Saito S.
    • Journal Title

      Am J Reprod Immunol

      Volume: 75(2) Pages: 112-25

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [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] Eukaryote-Made Thermostable DNA Polymerase Enables Rapid PCR-Based Detection of Mycoplasma, Ureaplasma and Other Bacteria in the Amniotic Fluid of Preterm Labor Cases.2015

    • Author(s)
      Ueno T, Niimi H, Yoneda N, Yoneda S, Mori M, Tabata T, Minami H, Saito S, Kitajima I
    • Journal Title

      PLoS One.

      Volume: 10(6) Issue: 6 Pages: 1-17

    • DOI

      10.1371/journal.pone.0129032

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 検体採取後3時間以内での敗血症起炎菌迅速同定法(Melting Temperature mapping法)の開発2016

    • Author(s)
      仁井見英樹
    • Organizer
      第56回日本臨床化学会 学術賞受賞
    • Place of Presentation
      熊本
    • Year and Date
      2016-12-02
    • Related Report
      2016 Annual Research Report
  • [Presentation] 抗菌薬治療により子宮内病原微生物は消失するのか?-迅速高感度PCR法を用いた検討-2016

    • Author(s)
      米田徳子,米田 哲,新居絵理,太知さやか,福田香織,吉江正紀,塩﨑有宏,齋藤 滋.
    • Organizer
      第24回日本胎盤学会学術集会
    • Place of Presentation
      和歌山
    • Year and Date
      2016-11-25
    • Related Report
      2016 Annual Research Report
  • [Presentation] 迅速高感度PCR法による子宮内病原微生物の的確な評価と切迫早産の新たな周産期管理法.2016

    • Author(s)
      米田徳子
    • Organizer
      Toyama Science GALA 2016 若手部門 学長特別賞受賞
    • Place of Presentation
      富山
    • Year and Date
      2016-09-30
    • Related Report
      2016 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,塩﨑有宏,齋藤 滋
    • Organizer
      第64回北日本産科婦人科学会学術講演会
    • Place of Presentation
      札幌
    • Year and Date
      2016-09-17
    • Related Report
      2016 Annual Research Report
  • [Presentation] シンポジウム 羊膜バンク~設立から応用へ~羊膜バンクの設立 産婦人科医の立場から.2016

    • Author(s)
      米田徳子,米田 哲,塩﨑有宏,齋藤 滋.
    • Organizer
      第15回日本組織移植学会学術集会
    • Place of Presentation
      富山
    • Year and Date
      2016-08-28
    • Related Report
      2016 Annual Research Report
  • [Presentation] シンポジウム3「早産の現状と新たな予防治療への期待」抗菌薬の適正利用2016

    • Author(s)
      米田徳子,米田 哲,福田香織,吉江正紀,塩﨑有宏,斎藤 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 Annual Research 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黄体ホルモン(17-OHPC筋注)の治療効果に関する検討2016

    • Author(s)
      米田 哲,米田徳子、伊東雅美,田中智子,福田香織,塩﨑有宏,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 Annual Research Report
  • [Presentation] 当院で管理したpreterm PROMの臨床検討.2016

    • Author(s)
      吉江正紀,米田徳子,新居絵理,太知さやか,草開 妙,福田香織,米田 哲,塩﨑有宏,齋藤 滋.
    • Organizer
      北陸産婦人科学会 優秀演題賞受賞
    • Place of Presentation
      金沢
    • Year and Date
      2016-05-22
    • Related Report
      2016 Annual Research Report
  • [Presentation] 自然後期流産,早産の胎盤では有意にUreaplasma,Mycoplasmaと細菌混合感染が高率で,適切な抗菌薬治療により妊娠延長が期待できる.2016

    • Author(s)
      米田徳子,米田 哲,塩﨑有宏,才津義亮,津田 桂,青木藍子,福田香織,斎藤 滋.
    • Organizer
      第68回日本産婦人科学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2016-04-21
    • Related Report
      2016 Annual Research Report
  • [Presentation] 当院で管理したpreterm PROMの過去10年間の臨床的検討2016

    • Author(s)
      米田徳子
    • Organizer
      富山県母子医療研究会
    • Place of Presentation
      富山
    • Year and Date
      2016-03-16
    • Related Report
      2015 Research-status Report
  • [Presentation] 子宮内炎症および病原微生物の的確な評価と新たな周産期管理法2016

    • Author(s)
      米田徳子
    • Organizer
      第34回 周産期学シンポジウム
    • Place of Presentation
      神戸
    • Year and Date
      2016-02-05
    • Related Report
      2015 Research-status Report
  • [Presentation] 子宮内病原微生物の迅速高感度検出システムと早産の治療戦略2015

    • Author(s)
      米田徳子,米田 哲,伊藤実香,塩﨑有宏,斎藤 滋.
    • Organizer
      第42回日本産婦人科医会学術集会  Young Power Session
    • Place of Presentation
      新潟
    • Year and Date
      2015-10-17
    • Related Report
      2015 Research-status Report
  • [Presentation] 切迫早産の抗菌薬治療は有効か?~子宮内(羊水中)病原微生物の迅速高感度検出システムを用いた検討~.2015

    • Author(s)
      米田徳子,米田 哲,伊藤実香,塩﨑有宏,斎藤 滋.
    • Organizer
      第51回日本周産期・新生児医学会 ワークショップ「早産の予防戦略」
    • Place of Presentation
      福岡
    • Year and Date
      2015-07-10
    • Related Report
      2015 Research-status Report
  • [Presentation] 胎胞形成例では羊水中Ureaplasama,Mycoplasmaと細菌重複感染が多く,周産期予後不良である。2015

    • Author(s)
      米田徳子,米田 哲,小林 睦,安田一平,稲坂 淳、伊藤実香,塩﨑有宏,斎藤 滋.
    • Organizer
      第67回日本産婦人科学会総会
    • Place of Presentation
      横浜
    • Year and Date
      2015-04-10
    • Related Report
      2015 Research-status Report
  • [Book] 臨床化学2017

    • Author(s)
      仁井見英樹
    • Total Pages
      66
    • Publisher
      日本臨床化学会
    • Related Report
      2016 Annual Research Report
  • [Book] 周産期医学2016

    • Author(s)
      米田徳子,仁井見英樹,米田 哲,齋藤 滋
    • Total Pages
      119
    • Publisher
      東京医学社
    • Related Report
      2016 Annual Research Report
  • [Book] 周産期医学必修知識第8版2016

    • Author(s)
      米田哲,米田徳子,齋藤 滋
    • Total Pages
      1280
    • Publisher
      東京医学社
    • Related Report
      2016 Annual Research Report
  • [Book] 産科診療Q&A 一つ上を行く診療の実践2015

    • Author(s)
      米田 哲, 米田徳子, 齋藤 滋
    • Total Pages
      264
    • Publisher
      中外医学社
    • Related Report
      2015 Research-status Report
  • [Book] ペリネイタルケア2015新春増刊号 イラストでハイリスク妊娠がわかる本2015

    • Author(s)
      米田徳子,米田 哲,斎藤 滋
    • Total Pages
      233
    • Publisher
      メディカ出版
    • Related Report
      2015 Research-status Report
  • [Book] 産科と婦人科 82(5)2015

    • Author(s)
      米田徳子
    • Total Pages
      350
    • Publisher
      診断と治療社
    • Related Report
      2015 Research-status Report
  • [Book] 産科と婦人科 増刊 82 よくわかる検査と診断2015

    • Author(s)
      米田徳子,塩﨑有宏,斎藤 滋
    • Total Pages
      436
    • Publisher
      診断と治療社
    • Related Report
      2015 Research-status Report
  • [Book] 臨床婦人科産科69(3) 早産の予知・予防の新たな展開2015

    • Author(s)
      米田徳子,伊東雅美,齋藤 滋
    • Total Pages
      368
    • Publisher
      医学書院
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2018-03-22  

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