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Investigation causes of the increasing non vaccine type pneumococcal infections after the introduction of pneumococcal conjugate vaccine

Research Project

Project/Area Number 17K10097
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Pediatrics
Research InstitutionChiba University

Principal Investigator

Naruhiko Ishiwada  千葉大学, 真菌医学研究センター, 准教授 (30344980)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywords肺炎球菌 / 13価肺炎球菌結合型ワクチン / 非PCV13含有血清型 / 免疫原性 / 特異抗体価 / 血清型12F / 無莢膜株 / 上咽頭保菌 / 侵襲性肺炎球菌感染症 / バイオフィルム / 基礎疾患 / 感染症 / 細菌
Outline of Final Research Achievements

Nasopharyngeal carriage rate of Streptococcus pneumoniae in Japanese infants didn't change before and after the introduction of 13th-valent pneumococcal conjugate vaccine (PCV13).Among carriage pneumococcus strains, all strains changed non PCV13 serotypes and nontypeable S.pneumoniae strains increased after the introduction of PCV13. Clonally related serotype 12F,that is one of non PCV13 serotypes,increased the pathogen of invasive pneumococcal diseases (IPD) in Japan.
The titers of PCV13 serotype specific antibodies in non PCV13 immunized Japanese children with underlying disease was relatively lower than healthy Japanese children. This study result suggests that the recommendation of PCV13 is needed for non PCV13 immunized Japanese children with underlying diseases.The titers of non PCV13 serotype specific antibody in PCV13 immunized children with IPD were varied. The effects of PCV13 immunization against immune response of non PCV13 specific serotype pneumococcus was not clarified.

Academic Significance and Societal Importance of the Research Achievements

PCV13定期接種化後、PCV13含有血清型の侵襲性肺炎球菌感染症の激減と同時に、PCV13既接種乳児の鼻腔内肺炎球菌分離率は変わらないが、全てPCV13非含有血清型に変化していたことを証明したことは、PCV13定期接種化の効果とワクチン接種を継続する意義を明確にした。一方、同一性の高い血清型12Fや無莢膜株の顕在化は、継続した肺炎球菌サーベイランスの重要性を示唆するものであった。
本研究により基礎疾患を有する小児では、PCV13型肺炎球菌に対する免疫原性が低いことが明らかとなり、本邦においても肺炎球菌感染症ハイリスク小児に対してPCV13を積極的に勧奨すべき重要なデータと考えられた。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (13 results)

All 2020 2019 2018 2017 Other

All Int'l Joint Research (1 results) Journal Article (6 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 6 results,  Open Access: 2 results) Presentation (6 results) (of which Int'l Joint Research: 4 results,  Invited: 1 results)

  • [Int'l Joint Research] アラバマ大学(米国)

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Molecular typing, antibiotic susceptibility, and biofilm production in nonencapsulated Streptococcus pneumoniae isolated from children in Japan.2019

    • Author(s)
      Takeuchi N, Ohkusu M, Wada N, Kurosawa S, Miyabe A, Yamaguchi M, Nahm MH, Ishiwada N.
    • Journal Title

      J Infect Chemother

      Volume: 25 Issue: 10 Pages: 750-757

    • DOI

      10.1016/j.jiac.2019.02.007

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Clonal spread of serotype 12F ST4846 Streptococcus pneumoniae.2019

    • Author(s)
      Ohkusu M, Takeuchi N, Ishiwada N, Ohkusu K.
    • Journal Title

      J Med Microbiol

      Volume: 68 Issue: 9 Pages: 1383-1390

    • DOI

      10.1099/jmm.0.001047

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Molecular typing, antibiotic susceptibility, and biofilm production in nonencapsulated Streptococcus pneumoniae isolated from children in Japan.2019

    • Author(s)
      Takeuchi N, Ohkusu M, Wada N,Kurosawa S, Miyabe A,Yamaguchi M, Nahm MH, Ishiwada N
    • Journal Title

      J Infect Chemother

      Volume: -

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] 保育園児から分離された肺炎球菌の薬剤感受性、血清型推移について2018

    • Author(s)
      和田 紀之, 黒澤 サト子, 菅野 明則, 牧野 郁夫, 萩原 温久, 細部 千晴, 伊藤 圭子, 柴田 雄介, 時田 章史, 白井 泰生, 諏訪 美智子, 千葉 昭典, 泉田 直己, 沼口 俊介, 塙 佳生, 竹内 典子, 石和田 稔彦
    • Journal Title

      東京小児科医会報

      Volume: 36 Pages: 37-40

    • NAID

      130008125902

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Pneumococcal IgG levels against 13-valent pneumococcal conjugate vaccine serotypes in Japanese children with a medical history of hematopoietic neoplasms and solid tumors2018

    • Author(s)
      Takeshita K, Ishiwada N, Takeuchi N, Takahashi Y, Naito S, Nagasawa K, Hishiki H, Hoshino T, Shimojo N
    • Journal Title

      Japanese Journal of Antibiotics

      Volume: 71 Pages: 13-21

    • NAID

      40021485965

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] The Incidence of Pediatric Invasive Bacterial Diseases in Nippon Medical School Chiba Hokusoh Hospital before and after the Introduction of Conjugate Vaccines2018

    • Author(s)
      Sano T, Suzuki T, Nishigori A, Miyatake C, Koizumi S, Kaizu K, Fujita A, Kamisago M, Chang B, Ishiwada N, Asano T.
    • Journal Title

      Journal of Nippon Medical School

      Volume: 85 Issue: 1 Pages: 34-38

    • DOI

      10.1272/jnms.2018_85-5

    • NAID

      130006507444

    • ISSN
      1345-4676, 1347-3409
    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 千葉県内侵襲性インフルエンザ菌・肺炎球菌・GBS感染症罹患状況 2019年2020

    • Author(s)
      石和田稔彦、竹内典子、竹下健一、菱木はるか、大楠美佐子、常彬
    • Organizer
      第215回 日本小児科学会千葉地方会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Current pneumococcal vaccination status and serotype specific IgG levels of 13-valent pneumococcal conjugate vaccine in Japanese asplenic children2018

    • Author(s)
      Takeshita K. Ishiwada N. Takeuchi N. Fukasawa C. Hishiki H. Hoshino T. Shimojo N
    • Organizer
      11th The International Symposium on Pneumococci and Pneumococcal Diseases
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Epidemiological change of invasive pneumococcal disease and community-acquired pneumonia in children before and after the introduction of 13-valent pneumococcal conjugate vaccine era in Japan2018

    • Author(s)
      Ishiwada N, Takeuchi N, Ohkusu M, Naito S, Abe K, Omata Y, Hoshino T
    • Organizer
      11th The International Symposium on Pneumococci and Pneumococcal Diseases
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 肺炎球菌血清型12Fについての検討2018

    • Author(s)
      大楠美佐子、竹内典子、石和田稔彦
    • Organizer
      第29回日本臨床微生物学会総会・学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] Epidemiological change in pediatric community-acquired pneumonia before and after the introduction of pneumococcal conjugate vaccine era in Japan2017

    • Author(s)
      Ishiwada N
    • Organizer
      The 13th Congress of Asian Society for Pediatric Research Symposium Fight against Pneumonia in Asian Children
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Impact of the 13-valent pneumococcal conjugate vaccine on community-acquired pneumonia and pneumococcal pneumonia in children in Japan2017

    • Author(s)
      Ishiwada N
    • Organizer
      The 30th International Congress of Chemotherapy and Infection
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research

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Published: 2017-04-28   Modified: 2021-02-19  

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