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Establishment of the effective treatment for gonococcal pharygeal infection

Research Project

Project/Area Number 26462442
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Urology
Research InstitutionGifu University

Principal Investigator

YASUDA Mitsuru  岐阜大学, 医学部附属病院, 講師 (90311703)

Co-Investigator(Kenkyū-buntansha) 出口 隆  岐阜大学, 大学院医学系研究科, 教授 (40163935)
Project Period (FY) 2014-04-01 – 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 2016: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords淋菌咽頭感染 / 薬剤耐性淋菌 / セフトリアキソン耐性 / アジスロマイシン耐性 / 淋菌 / 薬剤耐性 / 咽頭感染
Outline of Final Research Achievements

We examined antimicrobial susceptibilities of Neisseria gonorrhoeae (total 2,787 clinical strains: 94 strains isolated from pharynx, 2,608 strains from urethra and 85 strains from cervix). Only ceftriaxone and spectinomycin have high antimicrobial activities against N. gonorrhoeae. Azithromycin is not recommended for treatment against gonococcal infections because the efficacy of azithromycin for gonococcal urethritis was decreased in Sendai. Moreover spectinomycin is not used to treat pharyngeal infection because of low tissue penetration. Therefore it is thought that ceftriaxone is effective to treat gonococcal pharyngeal infection from these results. In fact, ceftriaxone 1g single dose that is recommended in Japanese guideline have 51.48 hours of “Therapeutic time”. It is thought that ceftriaxone 1g single dose is effective to treat gonococcal pharyngeal infection because therapeutic time of this dose is over 30 hours that is >95% expected cure rate in pharyngeal infection.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (30 results)

All 2017 2016 2015 2014

All Journal Article (15 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 15 results,  Open Access: 3 results,  Acknowledgement Compliant: 2 results) Presentation (15 results) (of which Int'l Joint Research: 1 results,  Invited: 2 results)

  • [Journal Article] Antimicrobial Susceptibility of Neisseria gonorrhoeae in Japan from 2000 to 2015.2017

    • Author(s)
      Yasuda M, Hatazaki K, Ito S, Kitanohara M, Yoh M, Kojima M, Narita H, Kido A, Miyata K, Deguch T.
    • Journal Title

      Sexually Transmitted Diseses

      Volume: 44 Issue: 3 Pages: 149-153

    • DOI

      10.1097/olq.0000000000000556

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Haemophilus influenzae Isolated From Men With Acute Urethritis: Its Pathogenic Roles, Responses to Antimicrobial Chemotherapies, and Antimicrobial Susceptibilities.2017

    • Author(s)
      Ito S, Hatazaki K, Shimuta K, Kondo H, Mizutani K, Yasuda M, Nakane K, Tsuchiya T, Yokoi S, Nakano M, Ohinishi M, Deguchi T.
    • Journal Title

      Sexually Transmitted Diseses

      Volume: 44 Issue: 4 Pages: 205-210

    • DOI

      10.1097/olq.0000000000000573

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Novel penA mutations identified in Neisseria gonorrhoeae with decreased susceptibility to ceftriaxone isolated between 2000 and 2014 in Japan2016

    • Author(s)
      J Antimicrob Chemother
    • Journal Title

      J Antimicrob Chemother

      Volume: 71 Issue: 9 Pages: 2466-2470

    • DOI

      10.1093/jac/dkw161

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Male non-gonococcal urethritis: From microbiological etiologies to demographic and clinical features.2016

    • Author(s)
      Ito S, Hanaoka N, Shimuta K, Seike K, Tsuchiya T, Yasuda M, Yokoi S, Nakano M, Ohnishi M, Deguchi T.
    • Journal Title

      Int J Urol

      Volume: 23(4) Issue: 4 Pages: 325-31

    • DOI

      10.1111/iju.13044

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Microbiological efficacy and tolerability of a single-dose regimen of 1 g of ceftriaxone in men with gonococcal urethritis2016

    • Author(s)
      Ito S, Yasuda M, Hatazaki K, Mizutani K, Tsuchiya T, Yokoi S, Nakano M, Deguchi T
    • Journal Title

      J Antimicrob Chemother

      Volume: 71 Issue: 9 Pages: 2559-2562

    • DOI

      10.1093/jac/dkw180

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Remarkable increase of Neisseria gonorrhoeae with decreased susceptibility of azithromycin and increase in the failure of azithromycin therapy in male gonococcal urethritis in Sendai in 2015.2016

    • Author(s)
      Yasuda M, Ito S, Hatazaki K, Deguchi T.
    • Journal Title

      Journal of Infection and Chemotherapy

      Volume: 22 Issue: 12 Pages: 841-843

    • DOI

      10.1016/j.jiac.2016.07.012

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Japanese guideline for clinical research of antimicrobial agents on urogenital infections: Second edition2016

    • Author(s)
      Yasuda M, Muratani T, Ishikawa K, Kiyota H, Sakata H, Shigemura K, Takahashi S, Hamasuna R, Hayami H, Mikamo H, Yamamoto S, Watanabe T, Arakawa S.
    • Journal Title

      Journal of Infection and Chemotherapy

      Volume: 22 Issue: 10 Pages: 651

    • DOI

      10.1016/j.jiac.2016.07.018

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Multidrug-Resistant Mycoplasma genitalium Is Increasing.2016

    • Author(s)
      Deguchi T, Kikuchi M, Yasuda M, Ito S.
    • Journal Title

      Clinical infectious diseases

      Volume: 62 Issue: 3 Pages: 405-406

    • DOI

      10.1093/cid/civ898

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] New Clinical Strain of Neisseria gonorrhoeae with Decreased Susceptibility to Ceftriaxone, Japan.2016

    • Author(s)
      Deguchi T, Yasuda M, Hatazaki K, Kameyama K, Horie K, Kato T, Mizutani K, Seike K, Tsuchiya T, Yokoi S, Nakano M, Yoh M.
    • Journal Title

      Emerging infectious diseases

      Volume: 22 Issue: 1 Pages: 142-144

    • DOI

      10.3201/eid2201.150868

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Drug resistance-associated mutations in Mycoplasma genitalium in female sex workers, Japan.2015

    • Author(s)
      Deguchi T, Yasuda M, Horie K, Seike K, Kikuchi M, Mizutani K, Tsuchiya T, Yokoi S, Nakano M, Hoshina S.
    • Journal Title

      Emerging infectious diseases

      Volume: 21 Issue: 6 Pages: 1062-1064

    • DOI

      10.3201/eid2106.142013

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Re: Adrian Pilatz, Hamid Hossain, Rolf Kaiser, et al. Acute epididymitis revisited: impact of molecular diagnostics on etiology and contemporary guideline recommendations.2015

    • Author(s)
      Deguchi T, Yasuda M, Ito S.
    • Journal Title

      European urology

      Volume: 68 Issue: 3 Pages: 428-435

    • DOI

      10.1016/j.eururo.2015.03.045

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Bacterial loads of Ureaplasma parvum contribute to the development of inflammatory responses in the male urethra.2015

    • Author(s)
      Deguchi T, Shimada Y, Horie K, Mizutani K, Seike K, Tsuchiya T, Yokoi S, Yasuda M, Ito S.
    • Journal Title

      International journal of STD & AIDS

      Volume: 26 Issue: 14 Pages: 1035-1039

    • DOI

      10.1177/0956462414565796

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Sitafloxacin: antimicrobial activity against ciprofloxacin-selected laboratory mutants of Mycoplasma genitalium and inhibitory activity against its DNA gyrase and topoisomerase IV.2015

    • Author(s)
      Deguchi T, Kikuchi M, Yasuda M, Ito S.
    • Journal Title

      Journal of infection and chemotherapy

      Volume: 21 Issue: 1 Pages: 74-75

    • DOI

      10.1016/j.jiac.2014.08.021

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] A single 2 g oral dose of extended-release azithromycin for treatment of gonococcal urethritis.2014

    • Author(s)
      Yasuda M, Ito S, Kido A, Hamano K, Uchijima Y, Uwatoko N, Kusuyama H, Watanabe A, Miyamura R, Miyata K, Deguchi T.
    • Journal Title

      Journal of Antimicrobial Chemotherapy

      Volume: 69 Issue: 11 Pages: 3116-3118

    • DOI

      10.1093/jac/dku221

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical effectiveness and safety of tazobactam/piperacillin 4.5 g for the prevention of febrile infectious complication after prostate biopsy2014

    • Author(s)
      Yasuda M, Nakane K, Yamada Y, Matsumoto M, Sho T, Matsumoto M, Kobayashi K, Shigemura K, Nakano Y, Tanaka K, Hamasuna R, Ishihara S, Arakawa S, Yamamoto S, Matsubara A, Fujisawa M, Deguchi T, Matsumoto T.
    • Journal Title

      Journal of Infection and Chemotherapy

      Volume: 20 Issue: 10 Pages: 631

    • DOI

      10.1016/j.jiac.2014.06.011

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Presentation] 淋菌性尿道炎および非淋菌性尿道炎;AZM2g・単回2017

    • Author(s)
      安田 満
    • Organizer
      第91回日本感染症学会・第65回日本化学療法学会合同学会
    • Place of Presentation
      東京
    • Year and Date
      2017-04-06
    • Related Report
      2016 Annual Research Report
  • [Presentation] 尿道炎原因菌に対する抗菌活性;淋菌に対する抗菌活性2016

    • Author(s)
      安田 満
    • Organizer
      日本性感染症学会第29回学術大会
    • Place of Presentation
      岡山
    • Year and Date
      2016-12-03
    • Related Report
      2016 Annual Research Report
  • [Presentation] Clinical trials for Gonococcal Urethritis by Azithromycin 2g Single Dose2016

    • Author(s)
      安田 満
    • Organizer
      19th IUSTI Asia-Pacific conference
    • Place of Presentation
      岡山
    • Year and Date
      2016-12-01
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 尿路性器感染症に関する臨床試験実施のためのガイドライン 第2版2016

    • Author(s)
      安田 満
    • Organizer
      第64回日本化学療法学会総会
    • Place of Presentation
      神戸
    • Year and Date
      2016-06-10
    • Related Report
      2016 Annual Research Report
  • [Presentation] 性感染症ガイドライン2016

    • Author(s)
      安田 満
    • Organizer
      第104回日本泌尿器科学会総会
    • Place of Presentation
      仙台
    • Year and Date
      2016-04-23
    • Related Report
      2016 Annual Research Report
  • [Presentation] 三学会合同抗菌薬感受性サーベイランス報告 尿道炎2016

    • Author(s)
      安田 満
    • Organizer
      第90回日本感染症学会総会
    • Place of Presentation
      仙台
    • Year and Date
      2016-04-15
    • Related Report
      2016 Annual Research Report
  • [Presentation] 岐阜県における性感染症教育の取り組み2016

    • Author(s)
      安田 満
    • Organizer
      第12回思春期性教育・性感染症研究会
    • Place of Presentation
      仙台
    • Related Report
      2016 Annual Research Report
  • [Presentation] 岐阜県における尿道炎・子宮頸管炎に関するガイドライン、診断・治療に関するアンケート調査2015

    • Author(s)
      安田 満、出口 隆、小林 博
    • Organizer
      第85回日本感染症学会西日本地方会学術集会,第58回日本感染症学会中日本地方会学術集会,第63回日本化学療法学会西日本支部総会
    • Place of Presentation
      奈良
    • Year and Date
      2015-10-17
    • Related Report
      2015 Research-status Report
  • [Presentation] 尿路性器感染症に関する臨床試験実施のためのガイドライン改訂委員会報告2015

    • Author(s)
      安田 満
    • Organizer
      第85回日本感染症学会西日本地方会学術集会,第58回日本感染症学会中日本地方会学術集会,第63回日本化学療法学会西日本支部総会
    • Place of Presentation
      奈良
    • Year and Date
      2015-10-16
    • Related Report
      2015 Research-status Report
  • [Presentation] JAID/JSC感染症治療ガイド2014「尿路・性器感染症」の改訂のポイント2015

    • Author(s)
      安田 満
    • Organizer
      第85回日本感染症学会西日本地方会学術集会,第58回日本感染症学会中日本地方会学術集会,第63回日本化学療法学会西日本支部総会
    • Place of Presentation
      奈良
    • Year and Date
      2015-10-15
    • Related Report
      2015 Research-status Report
  • [Presentation] 性感染症ガイドラインの正しい読み方2015

    • Author(s)
      安田 満
    • Organizer
      第80回日本泌尿器科学会東部総会
    • Place of Presentation
      東京
    • Year and Date
      2015-09-26
    • Related Report
      2015 Research-status Report
  • [Presentation] 淋菌感染症治療の標準化に向けて2014

    • Author(s)
      安田 満
    • Organizer
      日本性感染症学会第27回学術大会
    • Place of Presentation
      神戸
    • Year and Date
      2014-12-07
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 岐阜県における尿道炎・子宮頸管炎の診断・治療に関するアンケート調査2014

    • Author(s)
      安田 満、旗崎恭子、高井 学、河田 啓、 亀山紘司、高木公暁、堀江憲吾、清家健作、 出口 隆、小林 博
    • Organizer
      日本性感染症学会第27回学術大会
    • Place of Presentation
      神戸
    • Year and Date
      2014-12-07
    • Related Report
      2014 Research-status Report
  • [Presentation] 2013年に男子淋菌性尿道炎患者より分離された淋菌の薬剤感受性報告2014

    • Author(s)
      安田 満、伊藤 晋、旗崎恭子、波多野紘一、成田晴紀 、 楊 睦正、米田尚生、 藤本佳則、前田真一 、 出口 隆
    • Organizer
      日本性感染症学会第27回学術大会
    • Place of Presentation
      神戸
    • Year and Date
      2014-12-06
    • Related Report
      2014 Research-status Report
  • [Presentation] Meet the Expert  -専門医を目指して-  泌尿器感染症2014

    • Author(s)
      安田 満
    • Organizer
      第62回日本化学療法学会西日本支部総会、第57回日本感染症学会中日本地方会学術集会、第84回日本感染症学会西日本地方会学術集会
    • Place of Presentation
      岡山
    • Year and Date
      2014-10-24
    • Related Report
      2014 Research-status Report
    • Invited

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Published: 2014-04-04   Modified: 2018-03-22  

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