Publications by authors named "Yumi Uchitani"

Unlabelled: Major genotyping methods used to characterize strains are based on various experimental approaches that need to be implemented in parallel for each strain. In this study, we developed a comprehensive workflow based on amplicon sequencing using next-generation sequencing. This workflow comprised PCR amplification with seven tubes, collection into single tubes, shotgun sequencing, assembly separating each target into individual contigs, and genotyping.

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Background: Since the introduction of the national routine vaccination program against Streptococcus pneumoniae in Japan from the early 2010s, the incidence of invasive pneumococcal disease (IPD) caused by non-vaccine serotypes has increased. This study focused on non-vaccine serogroup 24 strains derived from IPD and aimed to clarify their genetic characteristics.

Methods: Between 2013 and 2022, 121 strains identified as serogroup 24 in patients with IPD were collected and applied to multilocus sequence typing and next-generation sequencing.

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Article Synopsis
  • The study investigates the decline of streptococcal toxic shock syndrome (STSS) cases in Japan, particularly its connection to group A Streptococcus (GAS) strains, and aims to understand the reasons behind this decrease.
  • Researchers analyzed 526 GAS isolates from STSS patients between 2019 and 2022, noting a significant decrease in the prevalence of emm1 strains after the COVID-19 pandemic began.
  • The findings suggest that changes in public health measures during the pandemic, such as mask-wearing, may have reduced infections, particularly those from strains linked to pharyngeal infections, contributing to the reduction in STSS cases.
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The emergence of macrolide-resistant Bordetella pertussis (MRBP) is a significant problem because it reduces treatment options for pertussis and exacerbates the severity and spread of the disease. MRBP has been widely prevalent in mainland China since the 2010s and has been sporadically detected in other Asian countries. In Japan, two MRBP clinical strains were first isolated in Tokyo and Osaka between June and July 2018.

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Streptococcus suis is a gram-positive bacterium that causes meningitis, septicemia, endocarditis, and other disorders in pigs and humans. We obtained 42 and 50 S. suis isolates from lesions of porcine endocarditis and palatine tonsils, respectively, of clinically healthy pigs in Japan; we then determined their sequence types (STs) by multilocus sequence typing (MLST), cps genotypes, serotypes, and presence of classical major virulence-associated marker genes (mrp, epf, and sly).

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Article Synopsis
  • A newly recognized Enterobacterales species, previously known for promoting plant growth, has been linked to opportunistic infections in humans, causing delays in identifying outbreaks due to frequent misidentification.
  • In a recent study in Tokyo, NDM-producing strains of this bacterium were found in hospitalized pediatric patients and their environment, highlighting the risk of carbapenem-resistant infections in healthcare settings.
  • Whole-genome sequencing helped accurately identify these strains, revealing that they carry transferrable plasmids that can spread antibiotic resistance among Enterobacterales, necessitating prompt detection to control outbreaks effectively.
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The incidence of streptococcal toxic shock syndrome (STSS) due to group B Streptococcus (GBS) has been increasing annually in Japan and is becoming a serious challenge. Furthermore, in recent years, penicillin- or clindamycin-resistant strains used in treating streptococcal toxic shock syndrome have been reported. However, no report analyzed >100 isolates of group B Streptococcus causing streptococcal toxic shock syndrome.

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Streptococcus pyogenes (group A streptococcus; GAS) is an important gram-positive human pathogen capable of causing diseases ranging from mild superficial skin and pharyngeal infections to more severe invasive diseases, including streptococcal toxic shock syndrome (STSS). GAS produces a T protein, and T serotyping has considerable discriminatory power for epidemiological characterization of GAS. To clarify the relationship between STSS and pharyngitis in Japan, we examined the T serotypes of GAS strains isolated from clinical specimens of streptococcal infections (STSS, 951 isolates; pharyngitis, 16268 isolates) from 2005 to 2017.

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We recently detected a novel variant of an IMP-type metallo-β-lactamase gene () from meropenem-resistant but imipenem-susceptible TA6363 isolated in Tokyo, Japan. encodes a Ser262Gly point mutant of IMP-11, and transformation experiments showed that increased the MIC of carbapenems in recipient strains, whereas the MIC of imipenem was not greatly increased relative to that of other carbapenems, including meropenem. Kinetics experiments showed that IMP-68 imipenem-hydrolyzing activity was lower than that for other carbapenems, suggesting that the antimicrobial susceptibility profile of TA6363 originated from IMP-68 substrate specificity.

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Objectives: A carbapenem-resistant Enterobacter cloacae complex isolated in Tokyo, Japan, produced a carbapenemase that was detected by a Carba NP test and a modified carbapenem inactivation method, but none of the 'Big Five' carbapenemase genes was detected by PCR. This study aimed to identify the carbapenemase.

Methods: Carbapenemase genes were screened by WGS.

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Group G Streptococcus strains isolated from patients with severe invasive infections in the period 2002-2008 were surveyed and their prevalence compared with that observed in the period 1995-2001 in Japan. Strains with genotypes stg485, stg6792, stc36, stg6, and stg652 were isolated in both periods, whereas various new genotypes appeared in 2002-2008 and some genotypes found in 1995-2001 were not found subsequently, thus indicating a change in the prevalent genotyped strains causing severe invasive streptococcal infections.

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Evaluation of a genetic diagnostic technique using real time PCR of Swine Dysentery (SD) was performed using nox primers. Culture, ordinary PCR and real time PCR were compared in this experiment. Sixty-seven specimens from pigs with clinical signs of SD brought to a slaughterhouse in Shibaura, Tokyo, were used.

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