{"id":5843,"date":"2023-02-15T11:55:14","date_gmt":"2023-02-15T02:55:14","guid":{"rendered":"http:\/\/www.med.niigata-u.ac.jp\/pub\/?p=5843"},"modified":"2023-02-15T13:37:31","modified_gmt":"2023-02-15T04:37:31","slug":"%e6%9c%ac%e9%82%a6%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b2021-2022%e5%b9%b4%e3%82%b7%e3%83%bc%e3%82%ba%e3%83%b3%e3%81%ae%e6%8a%97%e3%82%a4%e3%83%b3%e3%83%95%e3%83%ab%e3%82%a8%e3%83%b3%e3%82%b6%e5%89%a4","status":"publish","type":"post","link":"http:\/\/www.med.niigata-u.ac.jp\/pub\/2023\/02\/15\/%e6%9c%ac%e9%82%a6%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b2021-2022%e5%b9%b4%e3%82%b7%e3%83%bc%e3%82%ba%e3%83%b3%e3%81%ae%e6%8a%97%e3%82%a4%e3%83%b3%e3%83%95%e3%83%ab%e3%82%a8%e3%83%b3%e3%82%b6%e5%89%a4\/","title":{"rendered":"\u672c\u90a6\u306b\u304a\u3051\u308b2021\/2022\u5e74\u30b7\u30fc\u30ba\u30f3\u306e\u6297\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u5264\u611f\u53d7\u6027\u4f4e\u4e0b\u682a\u8abf\u67fb\u306e\u7d50\u679c"},"content":{"rendered":"<p>2021\/22\u5e74\u30b7\u30fc\u30ba\u30f3\u3000\u6297\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u5264\u611f\u53d7\u6027\u4f4e\u4e0b\u682a\u8abf\u67fb\u306e\u7d50\u679c<br 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src=\"http:\/\/www.med.niigata-u.ac.jp\/pub\/wppublichealth\/wp-content\/uploads\/2023\/02\/21-22_\u30b9\u30e9\u30a4\u30c91-600x216.jpg\" alt=\"\" width=\"600\" height=\"216\" srcset=\"http:\/\/www.med.niigata-u.ac.jp\/pub\/wppublichealth\/wp-content\/uploads\/2023\/02\/21-22_\u30b9\u30e9\u30a4\u30c91-600x216.jpg 600w, http:\/\/www.med.niigata-u.ac.jp\/pub\/wppublichealth\/wp-content\/uploads\/2023\/02\/21-22_\u30b9\u30e9\u30a4\u30c91-768x276.jpg 768w, http:\/\/www.med.niigata-u.ac.jp\/pub\/wppublichealth\/wp-content\/uploads\/2023\/02\/21-22_\u30b9\u30e9\u30a4\u30c91.jpg 942w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><\/p>\n<p>\u6642\u671f\u7684\u306b\u306f\u30012022\u5e741\u6708\u304b\u30893\u6708\u306b\u304b\u3051\u3066\u63a1\u53d6\u3055\u308c\u305f12\u4ef6\u4e2d\u30017\u4ef6\u3088\u308a\u65b0\u578b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u304c\u691c\u51fa\u3055\u308c\u307e\u3057\u305f\u30022022\u5e747\u6708\u304b\u30898\u6708\u521d\u3081\u306b\u63a1\u96c6\u3055\u308c\u305f4\u691c\u4f53\u306f\u30014\u4ef6\u5168\u3066\u3088\u308a\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6A\/H3N2\u304c\u691c\u51fa\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>A\/H3N2\u3068\u5224\u5b9a\u3055\u308c\u305f\u30014\u4ef6\u306b\u3064\u3044\u3066\u81e8\u5e8a\u691c\u4f53\u304b\u3089\u6b21\u4e16\u4ee3\u30b7\u30fc\u30af\u30a8\u30f3\u30b9\u3092\u5b9f\u65bd\u3057\u3001\u30a6\u30a4\u30eb\u30b9\u5168\u30b7\u30fc\u30af\u30a8\u30f3\u30b9\u89e3\u6790\u3092\u884c\u3044\u307e\u3057\u305f\u3002PA\u907a\u4f1d\u5b50\u306b\u306f\u3001\u30d0\u30ed\u30ad\u30b5\u30d3\u30eb\u306b\u5bfe\u3057\u3066\u611f\u53d7\u6027\u4f4e\u4e0b\u3092\u8d77\u3053\u3059\u5909\u7570\uff08PA\/E23K, PA\/I38X\u306a\u3069\uff09\u306f\u30014\u4ef6\u3068\u3082\u8a8d\u3081\u3089\u308c\u306a\u304b\u3063\u305f\u305f\u3081\u3001\u30d0\u30ed\u30ad\u30b5\u30d3\u30eb\u306b\u5bfe\u3057\u3066\u611f\u53d7\u6027\u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3057\u305f\u3002NA\u907a\u4f1d\u5b50\u306b\u306f\u3001\u30ce\u30a4\u30e9\u30df\u30cb\u30c0\u30fc\u30bc\u963b\u5bb3\u5264\u306b\u5bfe\u3057\u3066A\/H3N2\u3067\u611f\u53d7\u6027\u4f4e\u4e0b\u3092\u8d77\u3053\u3059\u5909\u7570\uff08NA\/Q136K, NA\/N294S, NA\/R292K\u306a\u3069\uff09\u306f\u30014\u4ef6\u3068\u3082\u8a8d\u3081\u3089\u308c\u306a\u304b\u3063\u305f\u305f\u3081\u3001\u30ce\u30a4\u30e9\u30df\u30cb\u30c0\u30fc\u30bc\u963b\u5bb3\u5264\u306b\u5bfe\u3057\u3066\u3082\u611f\u53d7\u6027\u3067\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n<p><a href=\"http:\/\/www.med.niigata-u.ac.jp\/pub\/wppublichealth\/wp-content\/uploads\/2023\/02\/21-22_\u30b9\u30e9\u30a4\u30c92.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-5847\" src=\"http:\/\/www.med.niigata-u.ac.jp\/pub\/wppublichealth\/wp-content\/uploads\/2023\/02\/21-22_\u30b9\u30e9\u30a4\u30c92-600x450.jpg\" alt=\"\" width=\"600\" height=\"450\" srcset=\"http:\/\/www.med.niigata-u.ac.jp\/pub\/wppublichealth\/wp-content\/uploads\/2023\/02\/21-22_\u30b9\u30e9\u30a4\u30c92-600x450.jpg 600w, http:\/\/www.med.niigata-u.ac.jp\/pub\/wppublichealth\/wp-content\/uploads\/2023\/02\/21-22_\u30b9\u30e9\u30a4\u30c92-768x576.jpg 768w, http:\/\/www.med.niigata-u.ac.jp\/pub\/wppublichealth\/wp-content\/uploads\/2023\/02\/21-22_\u30b9\u30e9\u30a4\u30c92.jpg 960w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><\/p>\n<p>\u7d50\u679c\u7684\u306b\u3001\u5f53\u8a72\u30b7\u30fc\u30ba\u30f3\u306e\u6297\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u5264\u611f\u53d7\u6027\u4f4e\u4e0b\u682a\u306e\u691c\u51fa\u6570\u306f\u30d0\u30ed\u30ad\u30b5\u30d3\u30eb\u3001\u30ce\u30a4\u30e9\u30df\u30cb\u30c0\u30fc\u30bc\u963b\u5bb3\u5264\u5171\u306b0.0%(\uff10\/4\uff09\u3067\u3057\u305f\u3002<\/p>\n<p><a href=\"http:\/\/www.med.niigata-u.ac.jp\/pub\/wppublichealth\/wp-content\/uploads\/2023\/02\/21-22_\u30b9\u30e9\u30a4\u30c93.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-5848\" src=\"http:\/\/www.med.niigata-u.ac.jp\/pub\/wppublichealth\/wp-content\/uploads\/2023\/02\/21-22_\u30b9\u30e9\u30a4\u30c93-600x262.jpg\" alt=\"\" width=\"600\" height=\"262\" srcset=\"http:\/\/www.med.niigata-u.ac.jp\/pub\/wppublichealth\/wp-content\/uploads\/2023\/02\/21-22_\u30b9\u30e9\u30a4\u30c93-600x262.jpg 600w, http:\/\/www.med.niigata-u.ac.jp\/pub\/wppublichealth\/wp-content\/uploads\/2023\/02\/21-22_\u30b9\u30e9\u30a4\u30c93-768x335.jpg 768w, http:\/\/www.med.niigata-u.ac.jp\/pub\/wppublichealth\/wp-content\/uploads\/2023\/02\/21-22_\u30b9\u30e9\u30a4\u30c93.jpg 959w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><\/p>\n<p>HA\u907a\u4f1d\u5b50\u306e\u89e3\u6790\u306e\u7d50\u679c\u3001\u3053\u306e4\u4ef6\u306e\u30a6\u30a4\u30eb\u30b9\u306fWHO\u30af\u30ec\u30fc\u30c93C.2a1b.2a.2\u306b\u5c5e\u3057\u30012022\/23\u5e74\u5317\u534a\u7403\u30ef\u30af\u30c1\u30f3\u682aA\/Darwin\/6\/2021\u3068\u907a\u4f1d\u5b50\u7684\u306b\u8fd1\u7e01\u306e\u30a6\u30a4\u30eb\u30b9\u3067\u3057\u305f\u30022022\u5e748\u6708\u9803\u306b\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u3067\u6d41\u884c\u3057\u305f\u30a6\u30a4\u30eb\u30b9\u3068\u3082\u975e\u5e38\u306b\u8fd1\u3044HA\u907a\u4f1d\u5b50\u914d\u5217\u3092\u6301\u3063\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n<p>Abstract: Four A\/H3N2 detected during the 2021\/22 season were all susceptible to anti-influenza drugs, baloxavir and neuraminidase inhibitors.<\/p>\n<p>Results of the 2021\/2022 Influenza Anti-Influenza Drug Susceptibility Investigation conducted by Division of International Health, Niigata University are reported.<\/p>\n<p>From October 2021 to the end of September 2022, 14 medical facilities nationwide participated to the study, we and received a total of 16 samples from influenza-like illness patients. Only pre-treatment samples were collected and no second visit samples after treatment were received.Firstly SARS-CoV-2 was screened by Real-time PCR, and then influenza was detected using real-time PCR and viral isolation.As a result, four cases of influenza A (4\/16, 25%) were detected, all of which were A\/H3N2.No influenza A\/H1N1pdm09 or B was detected.<\/p>\n<p>SARS-CoV-2 were detected in 7 of the 12 cases collected from January to March 2022.Four samples collected from July to early August 2022 turned out to be influenza A\/H3N2.<\/p>\n<p>Next-generation sequencing was performed on the clinical specimens from the four cases that were determined to be A\/H3N2, and a whole-virus sequencing analysis was implemented.No substitutions in polymerase gene (PA\/E23K, PA\/I38X, etc.) causing decreased susceptibility to baloxavir were found in any of the four A\/H3N2 viruses, suggesting that they were susceptible to baloxavir.No substations in neuraminidase gene (NA\/Q136K, NA\/N294S, NA\/R292K, etc.) causing decreased susceptibility to neuraminidase inhibitors were not observed in any of the four A\/H3N2 viruses, suggesting that they are also susceptible to neuraminidase inhibitors.<\/p>\n<p>As a result, the number of viruses that confer reduced susceptibility was 0.0% (0\/4) for both baloxavir and neuraminidase inhibitors.<\/p>\n<p>HA gene analysis showed that the four A\/H3N2 viruses belonged to WHO clade 3C.2a1b.2a.2 and were genetically related to the 2022\/23 Northern Hemisphere vaccine strain A\/Darwin\/6\/2021. They are also very similar to the viruses that circulated in Australia around August 2022.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2021\/22\u5e74\u30b7\u30fc\u30ba\u30f3\u3000\u6297\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u5264\u611f\u53d7\u6027\u4f4e\u4e0b\u682a\u8abf\u67fb\u306e\u7d50\u679c \u65b0\u6f5f\u5927\u5b66\u5927\u5b66\u9662\u533b\u6b6f\u5b66\u7dcf\u5408\u7814\u7a76\u79d1\u30fb\u56fd\u969b\u4fdd\u5065 \u6982\u8981\uff1a2021\/22\u5e74\u30b7\u30fc\u30ba\u30f3\u306b\u691c\u51fa\u3055\u308c\u305fA\/H3N2\u306e4\u4ef6\u306f\u3044\u305a\u308c\u3082\u6297\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u5264\u611f\u53d7\u6027\u4f4e\u4e0b\u306f\u306a\u304f\u3001\u30d0\u30ed<a href=\"http:\/\/www.med.niigata-u.ac.jp\/pub\/2023\/02\/15\/%e6%9c%ac%e9%82%a6%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b2021-2022%e5%b9%b4%e3%82%b7%e3%83%bc%e3%82%ba%e3%83%b3%e3%81%ae%e6%8a%97%e3%82%a4%e3%83%b3%e3%83%95%e3%83%ab%e3%82%a8%e3%83%b3%e3%82%b6%e5%89%a4\/\"> 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