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早産児気道検体を対象としたLAMP法によるUreaplasma. sppの検出精度の評価
http://hdl.handle.net/10232/00031783
http://hdl.handle.net/10232/000317832280d2d8-5c41-4534-a36a-6c7e4a5f8d2e
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Diss_三上_裕太_ISK618_2021 (954.3 kB)
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Abstract_三上_裕太_4517810366_2021 (131.7 kB)
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Result_mikami_yuuta_isk_618 (931.2 kB)
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Comments_mikami_yuuta_isk_618 (421.6 kB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2021-08-19 | |||||
タイトル | ||||||
タイトル | Validation of the loop-mediated isothermal amplification method for rapid and sensitive detection of Ureaplasma species in respiratory tracts of preterm infants | |||||
言語 | en | |||||
タイトル | ||||||
タイトル | 早産児気道検体を対象としたLAMP法によるUreaplasma. sppの検出精度の評価 | |||||
言語 | ja | |||||
著者 |
三上, 裕太
× 三上, 裕太 |
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言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||
資源タイプ | doctoral thesis | |||||
アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
要約(Abstract) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Introduction: A simple and rapid diagnosis of Ureaplasma spp. is required for the choice of the appropriate antibiotic. However, an ideal detection method has not been available. This study examines the efficacy of the loop-mediated isothermal amplification (LAMP) assay, which provides rapid and sensitive results, to detect Ureaplasma spp. in respiratory tract samples of preterm infants. Methods: The study included preterm infants born before 32 weeks of gestation admitted Kagoshima City Hospital from June 2018 to March 2020. Nasopharyngeal swabs and/or tracheal aspirates were obtained in the first seven postnatal days. One hundred sixty-seven nasopharyngeal swabs and 101 tracheal aspirates were analyzed by LAMP, culture, and quantitative real-time polymerase chain reaction. Results: All 167 infants had a median (range) gestational age of 28.7 weeks (22.3–30.9) and birthweight 1030g (322–1828). One hundred sixty-seven nasopharyngeal swabs and 101 tracheal aspirates were obtained. In the results of nasopharyngeal swabs, the sensitivity and specificity of LAMP were 73.9% (17/23) and 97.2% (140/144), whereas those of quantitative real-time polymerase chain reaction were 73.9% (17/23) and 95.8% (138/144), compared to culture. In the results of tracheal aspirates, the sensitivity and specificity of LAMP were 89.5% (17/19) and 92.7% (76/82), whereas those of quantitative real-time polymerase chain reaction were 89.5% (17/19) and 93.9% (77/82), compared to culture. Conclusions: The LAMP assay showed similar sensitivity and specificity with quantitative real-time polymerase chain reaction in the respiratory tracts of preterm infants including extremely preterm infants during the immediate postnatal period. Therefore, the LAMP is a practical alternative for the early detection so that appropriate antibiotics can be administered for preventing BPD. Yuta Mikami, Kazumasa Fuwa, Eriko Arima, Yasuo Suda, Itaru Yanagihara, Satoshi Ibara Validation of the loop-mediated isothermal amplification method for rapid and sensitive detection of Ureaplasma species in respiratory tracts of preterm infants PLOS ONE 2021 https://doi.org/10.1371/journal.pone.0247618 |
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言語 | en | |||||
作成日 | ||||||
日付 | 2021-07-09 | |||||
日付タイプ | Collected | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
NDC | ||||||
主題Scheme | NDC | |||||
主題 | 490 | |||||
ファイル(説明) | ||||||
内容記述タイプ | Other | |||||
内容記述 | 博士論文全文, 博士論文要旨, 最終試験結果の要旨, 論文審査の要旨 | |||||
言語 | ja | |||||
公開者・出版者 | ||||||
出版者 | PLOS | |||||
言語 | en | |||||
公開者・出版者 | ||||||
出版者 | 鹿児島大学 | |||||
言語 | ja | |||||
公開者・出版者 | ||||||
出版者 | カゴシマ ダイガク | |||||
言語 | ja-Kana | |||||
備考 | ||||||
値 | 【指導教員:茨聡】 | |||||
date.appl | ||||||
値 | 【学位申請日】2021-04-07 | |||||
学位名 | ||||||
言語 | ja | |||||
学位名 | 博士(医学) | |||||
学位名 | ||||||
言語 | en | |||||
学位名 | Doctor of Philosophy in Medical Science | |||||
学位授与機関 | ||||||
学位授与機関識別子Scheme | kakenhi | |||||
学位授与機関識別子 | 17701 | |||||
言語 | ja | |||||
学位授与機関名 | 鹿児島大学 | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2021-07-15 | |||||
学位授与番号 | ||||||
学位授与番号 | 甲総研第618号 |