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Procalcitonin Levels in Umbilical Venous Blood: Association between Chorioamnionitis Severity and Neonatal Outcome

Research Project

Project/Area Number 25462566
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

Kaneko Masatoki  宮崎大学, 医学部, 教授 (40264387)

Co-Investigator(Kenkyū-buntansha) 山口 昌俊  宮崎大学, 医学部, 講師 (90174630)
Project Period (FY) 2013-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2013: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywordsプロカルシトニン / 絨毛膜羊膜炎 / 新生児敗血症 / 新生児予後 / 胎盤 / 絨毛膜用膜炎
Outline of Final Research Achievements

Procalcitonin (PCT) helps identify or rule out severe bacterial infection in adult. It provides a relatively high degree of certainty in the differential diagnosis of sepsis, severe sepsis or septic shock in adult. The purpose of this study was to assess umbilical PCT level in predicting chorioamnionitis. As a result, PCT levels in the umbilical blood reflect the severity of CAM and are associated with neonatal outcomes such as neonatal sepsis, neonatal death, and severe IVH. However, umbilical PCT level elevated in the case of hypoxic insult in utero. Furthermore, umbilical PCT level showed the mild elevation in chorioamnionitis caused by fungal infection. When PCT level is used as a biomarker for diagnosis chorioamnionitis, we should pay attention to its interpreting.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (8 results)

All 2016 2015 2014 2013

All Journal Article (3 results) (of which Peer Reviewed: 3 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (5 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] Did antepartum hypoxic insult caused by fetal vessel thrombosis influence the procalcitonin level in umbilical blood? A case report2015

    • Author(s)
      Masatoki Kaneko, Aya Yamauchi, Rie Yamashita, Yuichiro Sato, Yuki Kodama, Hiroshi Sameshima
    • Journal Title

      Journal of Obstetrics and Gynecology Research

      Volume: 41 Pages: 1839-1842

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Maternal IgG avidity, IgM and ultrasound abnormalities: combined method to detect congenital cytomegalovirus infection with sequelae2013

    • Author(s)
      M Kaneko, H Sameshima, T Minematsu, K Kusumoto, A Yamauchi, T Ikenoue
    • Journal Title

      Journal of Perinatology

      Volume: 33 Issue: 11 Pages: 831-835

    • DOI

      10.1038/jp.2013.87

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Prospective study of the MD-twin score for antepartum evaluation of monochorionic diamniotic twins and its correlation with peinatal outcomes2013

    • Author(s)
      M Oohashi, M Kaneko, H Sameshima, Y Kodama, T Ikenoue
    • Journal Title

      Journal of Obstetrics and Gynecology Research

      Volume: 40 Issue: 3 Pages: 711-717

    • DOI

      10.1111/jog.12258

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] Placental pathological findings that reflect the elevation of procalcitonin level in the umbilical venous blood.2016

    • Author(s)
      Masatoki Kaneko, Masanao Ohhashi, Naoshi Yamada, Junsuke Muraoka, Hiroshi Sameshima
    • Organizer
      63rd Society for Reproductive Investigation Annual Scientific Meeting
    • Place of Presentation
      Montreal, QC, Canada
    • Year and Date
      2016-03-16
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 胎盤組織所見と臍帯血プロカルシトニン値との関連に関する検討2015

    • Author(s)
      金子政時、大橋昌尚、甲斐克秀、山田直史、鮫島浩
    • Organizer
      第51回日本周産期新生児医学会(口演)
    • Place of Presentation
      福岡県福岡市
    • Year and Date
      2015-07-10
    • Related Report
      2015 Research-status Report
  • [Presentation] Procalcitonin levels in umbilical venous blood reflect the severity of chorioamnionitis and correlate with neonatal outcomes2014

    • Author(s)
      Masatoki Kaneko
    • Organizer
      61st Annual Meeting of the Society for Gynecologic Investigation
    • Place of Presentation
      Florence, Italy
    • Related Report
      2013 Research-status Report
  • [Presentation] Procalcitonin levels in umbilical cord blood reflect severity of histological chorioamnionitis and associate with early-onset neonatal sepsis2013

    • Author(s)
      Masatoki Kaneko
    • Organizer
      31st Annual Meeting of the European Society for Paediatric Infectious Disease
    • Place of Presentation
      Milan, Italy
    • Related Report
      2013 Research-status Report
  • [Presentation] 絨毛膜羊膜炎が胎児心拍数モニタリング、臍帯血ガスおよびプロカルシトニン値に及ぼす影響2013

    • Author(s)
      金子政時
    • Organizer
      第49回日本周産期・新生児医学会、シンポジウム
    • Place of Presentation
      横浜市、神奈川県
    • Related Report
      2013 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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