| 試験進捗状況 | 試験終了/Completed |
| UMIN試験ID | UMIN000046537 |
| 受付番号 | R000052976 |
| 科学的試験名 | COVD-19流行下の上気道炎の原因微生物の解析 |
| 一般公開日(本登録希望日) | 2022/01/11 |
| 最終更新日 | 2022/01/04 (1版) |
| 基本情報/Basic information | |||
| 一般向け試験名/Public title | フィルムアレイ(Filmarray)を用いた上気道炎の原因微生物の解析 | Analysis of causative microorganisms of upper respiratory tract inflammation using Film array | |
| 一般向け試験名略称/Acronym | FAを用いた上気道炎の原因微生物の解析 | Analysis of causative microorganisms of upper respiratory tract inflammation using FA | |
| 科学的試験名/Scientific Title | COVD-19流行下の上気道炎の原因微生物の解析 | Analysis of microorganisms causing acute upper respiratory tract infection using a multiplex polymerase chain reaction during COVID-19 epidemic | |
| 科学的試験名略称/Scientific Title:Acronym | COVD-19流行下の上気道炎の原因微生物の解析 | Analysis of microorganisms causing acute upper respiratory tract infection using a multiplex polymerase chain reaction during COVID-19 epidemic | |
| 試験実施地域/Region |
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| 対象疾患/Condition | |||||
| 対象疾患名/Condition | 上気道炎 | upper respiratory tract inflammation | |||
| 疾患区分1/Classification by specialty |
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| 疾患区分2/Classification by malignancy | 悪性腫瘍以外/Others | ||||
| ゲノム情報の取扱い/Genomic information | いいえ/NO | ||||
| 目的/Objectives | ||
| 目的1/Narrative objectives1 | COVID-19流行下の上気道炎原因微生物の疫学 | Epidemiology of microorganisms causing upper respiratory tract infection under COVID-19 epidemic |
| 目的2/Basic objectives2 | その他/Others | |
| 目的2 -その他詳細/Basic objectives -Others | COVID-19流行下の上気道炎原因微生物の疫学 | Epidemiology of microorganisms causing upper respiratory tract infection under COVID-19 epidemic |
| 試験の性質1/Trial characteristics_1 | ||
| 試験の性質2/Trial characteristics_2 | ||
| 試験のフェーズ/Developmental phase | ||
| 評価/Assessment | ||
| 主要アウトカム評価項目/Primary outcomes | 上気道炎原因微生物の疫学 | Epidemiology of microorganisms causing upper respiratory tract infection |
| 副次アウトカム評価項目/Key secondary outcomes | ||
| 基本事項/Base | ||
| 試験の種類/Study type | 観察/Observational | |
| 試験デザイン/Study design | ||
| 基本デザイン/Basic design | ||
| ランダム化/Randomization | ||
| ランダム化の単位/Randomization unit | ||
| ブラインド化/Blinding | ||
| コントロール/Control | ||
| 層別化/Stratification | ||
| 動的割付/Dynamic allocation | ||
| 試験実施施設の考慮/Institution consideration | ||
| ブロック化/Blocking | ||
| 割付コードを知る方法/Concealment | ||
| 介入/Intervention | ||
| 群数/No. of arms | ||
| 介入の目的/Purpose of intervention | ||
| 介入の種類/Type of intervention | ||
| 介入1/Interventions/Control_1 | ||
| 介入2/Interventions/Control_2 | ||
| 介入3/Interventions/Control_3 | ||
| 介入4/Interventions/Control_4 | ||
| 介入5/Interventions/Control_5 | ||
| 介入6/Interventions/Control_6 | ||
| 介入7/Interventions/Control_7 | ||
| 介入8/Interventions/Control_8 | ||
| 介入9/Interventions/Control_9 | ||
| 介入10/Interventions/Control_10 | ||
| 適格性/Eligibility | |||||
| 年齢(下限)/Age-lower limit |
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| 年齢(上限)/Age-upper limit |
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| 性別/Gender | 男女両方/Male and Female | ||||
| 選択基準/Key inclusion criteria | 検査同意を得た外来受診患者 | Outpatients with consent for testing | |||
| 除外基準/Key exclusion criteria | 入院要すと判断された症例、上気道炎の類似診断ではない尿路感染症や胃腸炎といった症例 | Cases judged to require hospitalization, urinary tract infections and gastroenteritis that are not similarly diagnosed as upper respiratory tract infections | |||
| 目標参加者数/Target sample size | 500 | ||||
| 責任研究者/Research contact person | ||||||||||||||
| 責任研究者/Name of lead principal investigator |
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| 所属組織/Organization | 東北医科薬科大学病院 | Tohoku Medical and Pharmaceutical University | ||||||||||||
| 所属部署/Division name | 感染症科 | Division of Infectious Diseases and Infection Control, Faculty of Medicine | ||||||||||||
| 郵便番号/Zip code | 9838536 | |||||||||||||
| 住所/Address | 宮城野区福室1の15の1 | 1-15-1 Fukumuro, Miyagino-ku, Sendai City, Miyagi, Japan | ||||||||||||
| 電話/TEL | 0222908850 | |||||||||||||
| Email/Email | m05009hi@jichi.ac.jp | |||||||||||||
| 試験問い合わせ窓口/Public contact | ||||||||||||||
| 試験問い合わせ窓口担当者/Name of contact person |
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| 組織名/Organization | 東北医科薬科大学病院 | Tohoku Medical and Pharmaceutical University | ||||||||||||
| 部署名/Division name | 感染症科・感染制御部 | Division of Infectious Diseases and Infection Control, Faculty of Medicine | ||||||||||||
| 郵便番号/Zip code | 9838536 | |||||||||||||
| 住所/Address | 宮城野区福室1の15の1 | 1-15-1 Fukumuro, Miyagino-ku, Sendai City, Miyagi, Japan | ||||||||||||
| 電話/TEL | 0222908850 | |||||||||||||
| 試験のホームページURL/Homepage URL | ||||||||||||||
| Email/Email | m05009hi@jichi.ac.jp | |||||||||||||
| 実施責任組織/Sponsor | ||
| 機関名/Institute | その他 | Department of Infection Control and Infectious Diseases, Tohoku Medical and Pharmaceutical University Hospital |
| 機関名/Institute (機関選択不可の場合) |
東北医科薬科大学病院 | |
| 部署名/Department | 感染制御部・感染症科 | |
| 研究費提供組織/Funding Source | ||
| 機関名/Organization | その他 | Department of Infection Control and Infectious Diseases, Tohoku Medical and Pharmaceutical University Hospital |
| 機関名/Organization (機関選択不可の場合) |
東北医科薬科大学病院感染制御部・感染症科 | |
| 組織名/Division | 感染制御部・感染症科 | |
| 組織の区分/Category of Funding Organization | その他/Other | |
| 研究費拠出国/Nationality of Funding Organization | 東北医科薬科大学病院 | Tohoku Medical and Pharmaceutical University |
| その他の関連組織/Other related organizations | ||
| 共同実施組織/Co-sponsor | ||
| その他の研究費提供組織/Name of secondary funder(s) | ||
| IRB等連絡先(公開)/IRB Contact (For public release) | ||
| 組織名/Organization | 東北医科薬科大学病院 | Tohoku Medical and Pharmaceutical University Hospital |
| 住所/Address | 仙台市宮城野区福室1の15の1 | 15-1, Fukumuro 1-chome, Miyagino-ku, Sendai City |
| 電話/Tel | 0222908850 | |
| Email/Email | m05009hi@jichi.ac.jp | |
| 他機関から発行された試験ID/Secondary IDs | ||
| 他機関から発行された試験ID/Secondary IDs | いいえ/NO | |
| 試験ID1/Study ID_1 | ||
| ID発行機関1/Org. issuing International ID_1 | ||
| 試験ID2/Study ID_2 | ||
| ID発行機関2/Org. issuing International ID_2 | ||
| 治験届/IND to MHLW | ||
| 試験実施施設/Institutions | ||
| 試験実施施設名称/Institutions | ||
| その他の管理情報/Other administrative information | ||||||||
| 一般公開日(本登録希望日)/Date of disclosure of the study information |
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| 関連情報/Related information | ||
| プロトコル掲載URL/URL releasing protocol | ||
| 試験結果の公開状況/Publication of results | 未公表/Unpublished | |
| 結果/Result | ||||||||
| 結果掲載URL/URL related to results and publications | ||||||||
| 組み入れ参加者数/Number of participants that the trial has enrolled | 411 | |||||||
| 主な結果/Results | 診断としては急性上気道炎(344/411)が最も多く、次いで急性気管支炎or肺炎、咽頭炎であった。上気道炎の原因微生物として最も多かったのはCoronavirus NL63(46/344: 13.4%)、次いでRhinovirus / Enterovirus(12.2%)、SARS-CoV-2(1.7%)であった。一方、急性気管支炎or肺炎の原因ウイルスとしてはSARS-CoV-2(11/43: 25.6%)が最も多かった。また、BioFire Respiratory Panel 2.1が陽性となった件数は411症例中103検体であった。 | The most common diagnosis was acute upper respiratory tract infection (344/411), followed by acute bronchitis or pneumonia and pharyngitis. The most common causative microorganism of upper respiratory tract infection was Coronavirus NL63 (46/344: 13.4%), followed by Rhinovirus / Enterovirus (12.2%) and SARS-CoV-2 (1.7%). On the other hand, SARS-CoV-2 (11/43: 25.6%) was the most common virus causing acute bronchitis or pneumonia. | ||||||
| 主な結果入力日/Results date posted |
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| 結果掲載遅延/Results Delayed | ||||||||
| 結果遅延理由/Results Delay Reason | ||||||||
| 最初の試験結果の出版日/Date of the first journal publication of results | ||||||||
| 参加者背景/Baseline Characteristics | 当院において、後ろ向き観察研究を実施した。2020年11月1日から2021年5月31日までに外来を受診し、BioFire Respiratory Panel 2.1検査に同意した全患者のカルテを確認した。このうち、COVID-19以外の疾患で入院した患者、尿路感染症や胃腸炎と診断された患者を除外した。研究対象は、上気道感染症、気管支炎・肺炎、咽頭炎、副鼻腔炎と診断され、外来診療を受けている患者であった。
レビューには、診断と抗菌薬投与を含む治療の詳細が含まれていた。上気道感染症患者における抗菌薬の過剰使用は世界的な問題であり、本疾患の病態には不要であることから、上気道感染症に対する抗菌薬投与を不適切な抗菌薬投与と定義しました。これらの患者は、発熱、咳、咽頭痛、鼻汁、倦怠感、呼吸困難、喀痰、頭痛などの全身症状とともに来院した |
We reviewed the medical records of all patients who visited the outpatient clinic between November 1, 2020 and May 31, 2021, and who consented to the BioFire Respiratory Panel 2.1 test. Of these, patients admitted to the hospital with conditions other than COVID-19 and those diagnosed with urinary tract infections or gastroenteritis were excluded. The study population consisted of patients diagnosed with upper respiratory tract infections, bronchitis/pneumonia, pharyngitis, and sinusitis who were being treated as outpatients.
The review included details of the diagnosis and treatment, including antimicrobial administration. The overuse of antibiotics in patients with upper respiratory tract infections is a global problem and is unnecessary in the pathogenesis of the disease, and therefore, we defined the administration of antibiotics for upper respiratory tract infections as inappropriate antibiotics. These patients presented to the clinic with general symptoms, such as fever, cough, sore throat, nasal discharge, malaise, dyspnea, sputum, and headache, along with other symptoms |
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| 参加者の流れ/Participant flow | 上気道炎症状があって当院を受診する。受診した際に検査をうける。入院となったならば研究対象者からは除外される。外来診察の結果、尿路感染症と診断された方は除外した。 | They were examined when they visited our hospital because they had symptoms of upper respiratory tract infection. Hospitalized patients Inpatients were excluded from the study. Those who were diagnosed with urinary tract infection as a result of outpatient examination were excluded. | ||||||
| 有害事象/Adverse events | なし | Nothing
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| 評価項目/Outcome measures | 上気道炎の原因微生物 | Causative Microorganisms of Upper Respiratory Inflammation | ||||||
| 個別症例データ共有計画/Plan to share IPD | なし | Nothing | ||||||
| 個別症例データ共有計画の詳細/IPD sharing Plan description | なし | Nothing | ||||||
| 試験進捗状況/Progress | ||||||||
| 試験進捗状況/Recruitment status | 試験終了/Completed | |||||||
| プロトコル確定日/Date of protocol fixation |
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| 倫理委員会による承認日/Date of IRB |
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| 登録・組入れ開始(予定)日/Anticipated trial start date |
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| フォロー終了(予定)日/Last follow-up date |
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| 入力終了(予定)日/Date of closure to data entry |
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| データ固定(予定)日/Date trial data considered complete |
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| 解析終了(予定)日/Date analysis concluded |
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| その他/Other | ||
| その他関連情報/Other related information | 鼻腔から検体を得た411名の上気道炎症状の患者の原因微生物を多項目PCRkitであるフィルムアレイを用いて調査し結果をレビューした。 | We collected specimens from the nasopharynx of 411 outpatients who visited our hospital for upper respiratory tract infection symptoms from November 2020 to May 2021 and analyzed them using the BioFire Respiratory Panel, a multiplex polymerase chain reaction system. |
| 管理情報/Management information | ||||||||
| 登録日時/Registered date |
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| 最終更新日/Last modified on |
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| 閲覧ページへのリンク/Link to view the page | |
| URL(日本語) | https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000052976 |
| URL(英語) | https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052976 |