2026/06/26 更新

写真a

ツジ シュウマ
辻 秀真
Tsuji Shuma
所属
保健学域 助教(特任)
職名
助教(特任)

学位

  • 博士(保健学) ( 2026年3月 )

経歴

  • 岡山大学   大学院保健学研究科検査技術科学分野   助教

    2025年8月 - 現在

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  • 岡山大学病院   医療技術部(検査部門)   技術補佐員(臨床検査技師)

    2024年7月 - 2025年8月

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  • 岡山赤十字看護専門学校   非常勤講師

    2024年4月 - 現在

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所属学協会

 

論文

  • Investigation of the cefazolin inoculum effect in blood culture-isolated methicillin-susceptible Staphylococcus aureus strains: A Japanese multicenter study 査読

    Shinnosuke Fukushima, Shuma Tsuji, Kazuyoshi Gotoh, Koji Iio, Sakura Ogawa, Norihito Koyanagi, Yuji Ito, Hiroshi Koganemaru, Atsushi Yoshida, Hideharu Hagiya

    Diagnostic Microbiology and Infectious Disease   115 ( 3 )   117345 - 117345   2026年7月

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    掲載種別:研究論文(学術雑誌)   出版者・発行元:Elsevier BV  

    DOI: 10.1016/j.diagmicrobio.2026.117345

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  • Necrotizing Fasciitis Caused by ESBL-Producing Raoultella ornithinolytica in an Immunocompromised Patient with VEXAS Syndrome. 査読

    Moe Sakamoto-Tokunaga, Takayuki Katsuyama, Masaki Matoba, Tomokazu Tamura, Natsuki Kubota, Yuya Terajima, Kenta Shidahara, Kei Hirose, Kazuya Matsumoto, Shoichi Nawachi, Takato Nakadoi, Yu Katayama, Keigo Hayashi, Yoshia Miyawaki, Eri Katsuyama, Haruki Watanabe, Mariko Takano-Narazaki, Yoshinori Matsumoto, Ken-Ei Sada, Shuma Tsuji, Kazuyoshi Gotoh, Shinnosuke Fukushima, Hideharu Hagiya, Jun Wada

    Acta medica Okayama   80 ( 2 )   141 - 145   2026年4月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    VEXAS (vacuoles, E1 enzyme, X-linked, autoinflammatory somatic) syndrome has a poor prognosis, with infections being a major cause of death. Raoultella ornithinolytica is an environmental bacterium found predominantly in soil and water. Although R. ornithinolytica can cause various infections, necrotizing fasciitis due to this bacterium has not been reported. We describe the case of an 84-year-old Japanese male with VEXAS syndrome who developed septic shock and necrotizing fasciitis while he was under immunosuppressive therapy. The pathogen was initially misidentified as R. planticola by mass spectrometry but later confirmed by whole-genome sequencing as extended spectrum β-lactamase (ESBL) produced by R. ornithinolytica. Although a life-saving leg amputation was required, the patient recovered with appropriate antibiotic therapy. R. ornithinolytica is thus able to cause severe skin infections in immunocompromised individuals.

    DOI: 10.18926/AMO/70456

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  • Draft genome sequence of blaIMP-1-carrying Phytobacter ursingii OUH-01, isolated from the feces of an acute lymphoblastic leukemia patient. 査読 国際誌

    Shuma Tsuji, Hideharu Hagiya, Shinnosuke Fukushima, Iori Urakami, Kazuyoshi Gotoh

    Microbiology resource announcements   15 ( 4 )   e0087625   2026年3月

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    担当区分:筆頭著者   記述言語:英語   掲載種別:研究論文(学術雑誌)  

    We report the 5.7 Mbp draft genome of carbapenem-resistant Phytobacter ursingii strain OUH-01, recovered from the feces of a patient with acute lymphoblastic leukemia. The genome comprises a chromosome (G+C content of 53.5%), three plasmids, and four linear contigs, including the 222 kb plasmid pOUH-phyto-IMP-01 carrying blaIMP-1. Nanopore/Illumina sequencing achieved 235× coverage.

    DOI: 10.1128/mra.00876-25

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  • Comments on “In vitro activity of cefiderocol against carbapenem-resistant Gram-negative pathogens in Japan” 査読

    Sakura Ogawa, Shinnosuke Fukushima, Mari Yamamoto, Shuma Tsuji, Kazuyoshi Gotoh, Hideharu Hagiya

    Journal of Infection and Chemotherapy   32 ( 3 )   102933 - 102933   2026年3月

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    掲載種別:研究論文(学術雑誌)   出版者・発行元:Elsevier BV  

    DOI: 10.1016/j.jiac.2026.102933

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  • Molecular epidemiological investigation of the carbapenemase-producing Enterobacterales isolates in Okayama prefecture, Japan 査読

    Shuma Tsuji, Shinnosuke Fukushima, Kazuyoshi Gotoh, Koji Iio, Mayu Sato, Yasurou Inoue, Sayaka Sakita, Tomoko Fudeyasu, Fumio Otsuka, Hideharu Hagiya

    Diagnostic Microbiology and Infectious Disease   114 ( 3 )   117209 - 117209   2026年3月

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    担当区分:筆頭著者   掲載種別:研究論文(学術雑誌)   出版者・発行元:Elsevier BV  

    DOI: 10.1016/j.diagmicrobio.2025.117209

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  • The Role of Nitrate-Reducing Bacteria Isolated from Helicobacter pylori-Infected Individuals in Gastric Cancer Development

    Serika Kuwagi, Kazuyoshi Gotoh, Marina Komatsubara, Shuma Tsuji, Shyoutarou Okanoue, Hiroyuki Okada, Jumpei Uchiyama, Akari Watanabe, Kenji Yokota

    Microorganisms   2026年3月

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    掲載種別:研究論文(学術雑誌)  

    DOI: 10.3390/microorganisms14040760

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  • 岡山県内におけるESBL産生およびカルバペネム耐性腸内細菌目細菌を対象とした疫学調査

    小川 桜, 福島 伸乃介, 後藤 和義, 辻 秀真, 飯尾 耕治, 廣田 千代子, 岸上 知由, 難波 幸枝, 福田 彦士, 萩谷 英大

    日本臨床微生物学会雑誌   36 ( Suppl.1 )   325 - 325   2025年12月

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    記述言語:日本語   出版者・発行元:(一社)日本臨床微生物学会  

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  • メチシリン感受性黄色ブドウ球菌が有するblaZ typeA株に対してのセファゾリン・イノキュラムエフェクトの迅速診断の検討

    小川 桜, 福島 伸乃介, 後藤 和義, 辻 秀真, 宇田 あさ陽, 飯尾 耕治, 萩谷 英大

    日本臨床微生物学会雑誌   36 ( Suppl.1 )   322 - 322   2025年12月

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    記述言語:日本語   出版者・発行元:(一社)日本臨床微生物学会  

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  • 同種造血幹細胞移植患者におけるリネゾリド耐性Enterococcus faeciumの経時的ゲノム進化

    後藤 和義, 浦上 伊織, 辻 秀真, 福島 伸乃介, 飯尾 耕治, 萩谷 英大

    日本臨床微生物学会雑誌   36 ( Suppl.1 )   369 - 369   2025年12月

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    記述言語:日本語   出版者・発行元:(一社)日本臨床微生物学会  

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  • 岡山県における海外型カルバペネマーゼ保有腸内細菌目細菌のゲノム解析

    辻 秀真, 福島 伸乃介, 後藤 和義, 飯尾 耕治, 佐藤 麻有, 井上 靖朗, 崎田 彩弥加, 筆安 智子, 萩谷 英大

    日本臨床微生物学会雑誌   36 ( Suppl.1 )   341 - 341   2025年12月

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    記述言語:日本語   出版者・発行元:(一社)日本臨床微生物学会  

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  • Whole-Genome Sequencing and In Vitro Characterization of a Disseminated ST398 Staphylococcus aureus Infection: A Case Report. 査読 国際誌

    Yosuke Sazumi, Shinnosuke Fukushima, Hideharu Hagiya, Atsushi Kato, Atsuhito Suyama, Kohei Oguni, Kazuyoshi Gotoh, Shoko Kutsuno, Junzo Hisatsune, Motoyuki Sugai, Shuma Tsuji, Koji Iio, Fumio Otsuka

    Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy   102845 - 102845   2025年10月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Staphylococcus aureus potentially causes systemic infections such as disseminated abscesses and bloodstream infections, leading to high mortality rates. We herein describe a case of disseminated muscle abscesses caused by sequence type (ST) 398 methicillin-sensitive S. aureus (MSSA), along with in vitro investigation results for potential pathogenic factors. A 67-year-old healthy woman was admitted to our hospital with complaints of systemic body pain. Blood cultures identified MSSA and contrast-enhanced computed tomography revealed multiple muscle abscesses extending from her neck to her soles. She received antibiotic treatment with intravenous cephazolin and underwent repeated surgical drainage, and was finally discharged. Notably, the MSSA strain exclusively affected her muscle tissues, prompting us to perform genetic analysis to uncover the underlying reason. Short-read genome analysis revealed the isolate to be ST398, harboring chp and scn genes known for immune evasion from human immunity. However, no other known pathogenic factors were identified despite rigorous assays for biofilm formation, surface and cell wall proteins, protease production, and hyaluronidase activity. ST398 S. aureus is commonly isolated from livestock, and her prior experience of being flooded could be related to the disease onset. The present case underscores the possibility of severe ST398 MSSA infections in humans, even in the absence of direct animal exposure.

    DOI: 10.1016/j.jiac.2025.102845

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  • Gut Dysbiosis Allows Foodborne Salmonella Colonization in Edible Crickets: A Probiotic Strategy for Enhanced Food Safety 査読

    Shuma Tsuji, Osamu Matsushita, Jumpei Uchiyama, Kenji Yokota, Tetsuya Bando, Hideyo Ohuchi, Kazuyoshi Gotoh

    Journal of Applied Microbiology   2025年8月

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    担当区分:筆頭著者   掲載種別:研究論文(学術雑誌)   出版者・発行元:Oxford University Press (OUP)  

    Abstract

    Aims

    Edible insects, including crickets, represent a promising protein source, yet concerns over foodborne pathogens limit consumer acceptance. This study investigated whether gut microbiota modulates colonization by Salmonella enterica subsp. enterica serovar Enteritidis (SE) in the two-spotted cricket (Gryllus bimaculatus).

    Methods and Results

    Under standard conditions, SE was undetectable in crickets despite prolonged exposure; however, antibiotic-induced dysbiosis enabled stable SE colonization. Long-read 16S rRNA sequencing revealed significant microbiota shifts, notably a reduction in Lactococcus garvieae. In vitro assays showed strong inhibitory effects of L. garvieae against SE, and supplementation of dysbiotic crickets with L. garvieae reduced SE colonization by ∼1,000-fold.

    Conclusions

    The native cricket gut microbiota, especially L. garvieae, plays a protective role against SE colonization. Enhancing beneficial gut bacteria could mitigate pathogen risks and promote edible insects as a sustainable protein.

    DOI: 10.1093/jambio/lxaf217

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  • Alteration of the intestinal microbiota associated with the development of nonalcoholic steatohepatitis and sarcopenia in SHRSP5/Dmcr. 査読 国際誌

    Taketo Fukuoka, Shusei Yamamoto, Koki Honma, Moe Fujii, Hinako Nakayama, Sora Kirihara, Kazuyoshi Gotoh, Shuma Tsuji, Yuki Kawai, Haruka Tago, Yuka Kono, Kunihiro Sonoda, Kazuya Kitamori, Shogo Watanabe

    Folia microbiologica   2025年6月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Sarcopenia, characterized by skeletal muscle atrophy, was previously considered age-related; however, it is also associated with other diseases. Nonalcoholic fatty liver disease (NAFLD) is known to cause sarcopenia, and its complications have been reported to affect prognosis. The intestinal microbiota of patients with NAFLD or sarcopenia has been found to be altered compared to that of healthy individuals. However, the alterations that occur when both diseases coexist in humans or experimental animals remain unclear. Therefore, this study aimed to determine the intestinal microbiota changes associated with NAFLD with sarcopenia in SHRSP5/Dmcr rats at the time of concomitant disease. Fecal samples were collected from the rectum of SHRSP5/Dmcr rats fed a normal diet (non-NAFLD and non-Sarcopenia, n = 5) or a high-fat and high-cholesterol diet (NAFLD and Sarcopenia, n = 5) for 20 weeks, and subjected to 16S rRNA analysis. In the NAFLD and sarcopenia group, the diversity of the intestinal microbiota was reduced; further, the bacterial species reported in patients with NAFLD or sarcopenia were also changed. At the family level, the abundances of Akkermansiaceae, Bacteroidaceae, and Tannerellaceae were significantly higher whereas Ruminococcaceae and Lactobacillaceae were decreased in the NAFLD and sarcopenia group. At the genus level, the abundances of Akkermansia, Bacteroides, Ruminococcus, and Parabacteroides were significantly higher whereas the abundance of Lactobacillus was significantly decreased in the NAFLD and sarcopenia group. Overall, these findings help improve the existing understanding regarding the intestinal microbiota changes observed in conditions where NASH and sarcopenia co-occur.

    DOI: 10.1007/s12223-025-01283-3

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  • メチシリン感受性黄色ブドウ球菌におけるCefazolin inoculum effect(CInE)の探索的疫学研究とCInE迅速検査法に関する検討

    福島 伸乃介, 後藤 和義, 辻 秀真, 萩谷 英大, 飯尾 耕治, 伊藤 裕司, 小柳 紀人, 小金丸 博, 吉田 敦

    日本感染症学会総会・学術講演会・日本化学療法学会学術集会合同学会プログラム・抄録集   99回・73回   np198 - np198   2025年4月

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    記述言語:日本語   出版者・発行元:日本感染症学会・日本化学療法学会  

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  • Genetic variability in Neisseria meningitidis strains isolated in a Japanese hospital 査読

    Kazuyoshi Gotoh, Shinnosuke Fukushima, Hideharu Hagiya, Shuma Tsuji, Koji Iio, Osamu Matsushita

    IJID Regions   14   100511 - 100511   2025年3月

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    掲載種別:研究論文(学術雑誌)   出版者・発行元:Elsevier BV  

    DOI: 10.1016/j.ijregi.2024.100511

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  • Oral Inflammation and Microbiome Dysbiosis Exacerbate Chronic Graft-versus-host Disease 査読

    Yui Kambara, Hideaki Fujiwara, Akira Yamamoto, Kazuyoshi Gotoh, Shuma Tsuji, Mari Kunihiro, Tadashi Oyama, Toshiki Terao, Ayame Sato, Takehiro Tanaka, Daniel Peltier, Keisuke Seike, Hisakazu Nishimori, Noboru Asada, Daisuke Ennishi, Keiko Fujii, Nobuharu Fujii, Ken-ichi Matsuoka, Yoshihiko Soga, Pavan Reddy, Yoshinobu Maeda

    Blood Journal   2024年12月

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    掲載種別:研究論文(学術雑誌)   出版者・発行元:American Society of Hematology  

    The oral microbiota, second in abundance to the gut, is implicated in chronic systemic diseases, but its specific role in GVHD pathogenesis has been unclear. Our study finds that mucositis-induced oral dysbiosis in patients post-hematopoietic cell transplantation associated with increased chronic GVHD (cGVHD) even in patients receiving post-transplant cyclophosphamide. In murine HCT models, oral dysbiosis caused by bilateral molar ligatures exacerbated cGVHD and increased bacterial load in the oral cavity and gut with Enterococcaceae significantly increasing in both organs. In this model, the migration of Enterococcaceae to cervical lymph nodes (LNs) both pre- and post-transplantation activated antigen-presenting cells (APCs), thereby promoting the expansion of donor-derived inflammatory T cells. Based on these results, we hypothesize that pathogenic bacteria increased in the oral cavity might not only exacerbate local inflammation but also enhance systemic inflammation throughout the HCT course. Additionally, these bacteria translocated to the gut and formed ectopic colonies, further amplifying systemic inflammation. Furthermore, interventions targeting the oral microbiome mitigated murine cGVHD. Collectively, our findings highlight the importance of oral dysbiosis in cGVHD and suggest that modulation of the oral microbiome during transplantation may be an effective approach for preventing or treating cGVHD.

    DOI: 10.1182/blood.2024024540

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  • Clinical and microbiological characteristics of high-level daptomycin-resistant Corynebacterium species: A systematic scoping review. 査読 国際誌

    Shinnosuke Fukushima, Hideharu Hagiya, Kazuyoshi Gotoh, Shuma Tsuji, Koji Iio, Hidemasa Akazawa, Osamu Matsushita, Fumio Otsuka

    Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy   2024年12月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    INTRODUCTION: Corynebacterium species potentially develop high-level daptomycin resistance (HLDR) shortly after daptomycin (DAP) administration. We aimed to investigate the clinical and microbiological characteristics of HLDR Corynebacterium infections. METHODS: We first presented a clinical case accompanied by the results of a comprehensive genetic analysis of the isolate, and then performed a systematic scoping review. Based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews, we searched for articles with related keywords, including "Corynebacterium", "Daptomycin", and "Resistance", in the MEDLINE and Web of Science databases from the database inception to October 25, 2024. Clinical case reports and research articles documenting the isolation of HLDR Corynebacterium species, defined by a minimum inhibitory concentration of DAP at ≥256 μg/mL, were deemed eligible for this review. RESULTS: Of 80 articles screened, seven case reports detailing eight cases of HLDR Corynebacterium infections, as well as five research articles, were included. C. striatum was the most common species (7/9 cases, 77.8%), and prosthetic device-associated infections accounted for 66.7% of the cases. Duration of DAP administration before the emergence of HLDR isolates ranged from 5 days to 3 months; three-quarters of the cases developed within 17 days. Three HLDR isolates were genetically confirmed to have an alteration in pgsA2. The majority of the patients were treated with either glycopeptides or linezolid, with favorable outcomes. In vitro experiments confirmed that C. striatum strains acquire the HLDR phenotype at higher rates (71% to 100%) within 24 hours of incubation, compared to other Corynebacterium strains CONCLUSION: DAP monotherapy, especially for prosthetic device-associated infections, can result in the development of HLDR Corynebacterium. Additional research is warranted to investigate the clinical implications of this potentially proliferating antimicrobial resistant pathogen.

    DOI: 10.1016/j.jiac.2024.12.004

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  • 日本紅斑熱好発地域におけるヒト吸血をきたしたダニ種および保有病原体の検討

    福島 伸乃介, 後藤 和義, 辻 秀真, 角南 博, 中野 靖浩, 中本 健太, 萩谷 英大

    日本臨床微生物学会雑誌   35 ( Suppl.1 )   306 - 306   2024年12月

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  • カルバペネム耐性Enterobacter cloacae complexの分子疫学解析におけるPOT法とMLSTの有用性

    辻 秀真, 後藤 和義, 飯尾 耕治, 福島 伸乃介, 萩谷 英大

    日本臨床微生物学会雑誌   35 ( Suppl.1 )   370 - 370   2024年12月

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    記述言語:日本語   出版者・発行元:(一社)日本臨床微生物学会  

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  • 3症例から分離されたNeisseria meningitidis菌株の遺伝学的解析

    後藤 和義, 福島 伸乃介, 辻 秀真, 飯尾 耕治, 萩谷 英大

    日本臨床微生物学会雑誌   35 ( Suppl.1 )   374 - 374   2024年12月

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    記述言語:日本語   出版者・発行元:(一社)日本臨床微生物学会  

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  • Phenotypic and Genetic Characteristics of Carbapenemase-Producing Enterobacterales Isolates at Okayama University Hospital. 査読

    Kazuyoshi Gotoh, Makoto Miyoshi, I Putu Bayu Mayura, Shuma Tsuji, Koji Iio, Shinnosuke Fukushima, Osamu Matsushita, Hideharu Hagiya

    Acta medica Okayama   78 ( 5 )   371 - 376   2024年10月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Spread of carbapenemase-producing Enterobacterales (CPE) is an ongoing public health issue worldwide, including in Japan. In this study, we investigated the phenotypic and genetic characteristics of CPE isolates at Okayama University Hospital over the 5 years (2013-2018) prior to the outbreak of the 2019 coronavirus pandemic. Of 24 carbapenem-resistant Enterobacterales isolated during the study period, we identified 8 CPE isolates harboring blaIMP-1 (5 isolates) and blaIMP-6 genes (3 isolates). Bacterial species and carbapenem susceptibility patterns exhibited diversity. Minimum inhibitory concentrations (MICs) of meropenem were generally higher than those of imipenem and biapenem. Results of pulsed-field gel electrophoresis demonstrated that neither clonal nor plasmid-mediated outbreaks of blaIMP-harboring CPE isolates have developed at our hospital. One Klebsiella oxytoca isolate showed a high MIC (128 μg/mL) of meropenem, which could be explained by the high plasmid copy number. Subsequent analysis of this isolate may elucidate the intricacies of carbapenem resistance profiles among CPE isolates. Collectively, our findings underscore the necessity for ongoing genetic surveillance of CPE, complemented by tailored approaches for infection prevention and control.

    DOI: 10.18926/AMO/67657

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  • Cefazolin inoculum effect in methicillin-susceptible Staphylococcus aureus clinical isolates 査読

    Shuma Tsuji, Kazuyoshi Gotoh, Tadahiro Manabe, Koji Iio, Shinnosuke Fukushima, Osamu Matsushita, Hideharu Hagiya

    Diagnostic Microbiology and Infectious Disease   110 ( 1 )   116399 - 116399   2024年9月

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    担当区分:筆頭著者   掲載種別:研究論文(学術雑誌)   出版者・発行元:Elsevier BV  

    DOI: 10.1016/j.diagmicrobio.2024.116399

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  • Detection of imported clinical strain of bla NDM-1-harbouring ST147 Klebsiella pneumoniae from a Ukrainian immigrant 査読

    Shinnosuke Fukushima, Hideharu Hagiya, Kazuyoshi Gotoh, Shuma Tsuji, Koji Iio, Osamu Matsushita

    Journal of Travel Medicine   2024年1月

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    掲載種別:研究論文(学術雑誌)   出版者・発行元:Oxford University Press (OUP)  

    We have isolated a blaNDM-1-harbouring ST147 Klebsiella pneumoniae strain from a Ukrainian immigrant hospitalized at a Japanese hospital, which was genetically corroborated to be highly identical to a Russian-derived isolate. This case highlights that the geopolitical risk potentially increases the global dissemination of antimicrobial resistance pathogens.

    DOI: 10.1093/jtm/taae011

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  • 岡山市内で分離されたblaIMP-1搭載プラスミドを保有するPhytobacter属細菌のゲノム解析

    後藤 和義, 辻 秀真, 飯尾 耕治, 萩谷 英大

    日本臨床微生物学会雑誌   34 ( Suppl.1 )   338 - 338   2023年12月

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    記述言語:日本語   出版者・発行元:(一社)日本臨床微生物学会  

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  • 岡山市内で在留外国人から分離されたNDM型カルバペネマーゼ産生Klebsiella pneumoniae ST147

    辻 秀真, 後藤 和義, 飯尾 耕治, 萩谷 英大

    日本臨床微生物学会雑誌   34 ( Suppl.1 )   337 - 337   2023年12月

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    記述言語:日本語   出版者・発行元:(一社)日本臨床微生物学会  

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▼全件表示

受賞

  • 国立大学臨床検査学系博士後期課程優秀賞

    2026年3月   国立大学臨床検査技師教育協議会  

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  • OU-SPRING 2024 Winter Research Symposium

    2024年12月   最優秀発表賞

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  • 岡山大学科学技術イノベーション創出フェローシップ OU-SPRING

    2024年4月   文部科学省  

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