<?xml version="1.0" encoding="ISO-8859-1"?><cms:container xmlns:cms="http://edoc.hu-berlin.de/diml/module/cms"><cms:document><cms:meta><cms:entry id="front" part="front" ref="front" type="front"/><cms:entry type="title">Sequentielle Genotypisierung von <em>Pseudomonas aeruginosa</em>-Isolaten und Übereinstimmung von bakteriologischen Proben aus dem oberen und unteren Respirationstrakt von Patienten mit Cystischer Fibrose</cms:entry><cms:entry type="author">Andreas  Jung</cms:entry><cms:entry id="N10040" part="front" ref="N10040" type="dedication"/><cms:entry id="chapter1" part="chapter1" ref="chapter1" type="chapter">1 Einleitung</cms:entry><cms:entry id="N100D1" part="chapter1" ref="N100D1" type="section">1.1 Stand der Forschung</cms:entry><cms:entry id="N100D6" part="chapter1" ref="N100D6" type="subsection">1.1.1 Cystische Fibrose: Historisches</cms:entry><cms:entry id="N100DD" part="chapter1" ref="N100DD" type="citenumber">1</cms:entry><cms:entry id="N10118" part="chapter1" ref="N10118" type="subsection">1.1.2 Pathophysiologie der Atemwege</cms:entry><cms:entry id="N10126" part="chapter1" ref="N10126" type="citenumber">2</cms:entry><cms:entry id="N10146" part="chapter1" ref="N10146" type="subsection">1.1.3 Pulmonale Infektion mit P. aeruginosa
               </cms:entry><cms:entry id="N1018D" part="chapter1" ref="N1018D" type="subsection">1.1.4 Mikrobiologische Probengewinnung</cms:entry><cms:entry id="N101CE" part="chapter1" ref="N101CE" type="subsection">1.1.5 Typisierung von P. aeruginosa
               </cms:entry><cms:entry id="N101D8" part="chapter1" ref="N101D8" type="citenumber">3</cms:entry><cms:entry id="N102AD" part="chapter1" ref="N102AD" type="section">1.2 Aufgabenstellung</cms:entry><cms:entry id="N102B4" part="chapter1" ref="N102B4" type="citenumber">4</cms:entry><cms:entry id="chapter2" part="chapter2" ref="chapter2" type="chapter">2 Material und Methoden</cms:entry><cms:entry id="N102CB" part="chapter2" ref="N102CB" type="section">2.1 Patientenkollektiv, Ein- und Ausschlusskriterien</cms:entry><cms:entry id="N102D0" part="chapter2" ref="N102D0" type="helpercitenumber">4</cms:entry><cms:entry id="N102F1" part="chapter2" ref="N102F1" type="section">2.2 Probenentnahme</cms:entry><cms:entry id="N102F6" part="chapter2" ref="N102F6" type="subsection">2.2.1 Untersuchungszeitpunkte, Art der Proben</cms:entry><cms:entry id="N102FD" part="chapter2" ref="N102FD" type="citenumber">5</cms:entry><cms:entry id="N10308" part="chapter2" ref="N10308" type="subsection">2.2.2 Bronchiallavage</cms:entry><cms:entry id="N10315" part="chapter2" ref="N10315" type="subsection">2.2.3 Mikrobiologische Anzucht und Identifizierung</cms:entry><cms:entry id="N10323" part="chapter2" ref="N10323" type="citenumber">6</cms:entry><cms:entry id="N10329" part="chapter2" ref="N10329" type="section">2.3 Genotypisierung (Genetisches Fingerprinting)</cms:entry><cms:entry id="N1032E" part="chapter2" ref="N1032E" type="subsection">2.3.1 Phenol-Chlorophorm-Extraktion der genomischen DNA</cms:entry><cms:entry id="N1033A" part="chapter2" ref="N1033A" type="subsection">2.3.2 Random Amplified Polymorphic DNA (RAPD)-Analyse</cms:entry><cms:entry id="N1037C" part="chapter2" ref="N1037C" type="citenumber">7</cms:entry><cms:entry id="N1037F" part="chapter2" ref="N1037F" type="table"/><cms:entry id="N10690" part="chapter2" ref="N10690" type="subsection">2.3.3 DNA-Makrorestriktion und Pulsfeld-Gelelektrophorese</cms:entry><cms:entry id="N10697" part="chapter2" ref="N10697" type="citenumber">8</cms:entry><cms:entry id="N106BA" part="chapter2" ref="N106BA" type="section">2.4 Auswertung der Ergebnisse und Biometrie</cms:entry><cms:entry id="N106C1" part="chapter2" ref="N106C1" type="citenumber">9</cms:entry><cms:entry id="chapter3" part="chapter3" ref="chapter3" type="chapter">3 Ergebnisse</cms:entry><cms:entry id="N106D2" part="chapter3" ref="N106D2" type="section">3.1 Mikrobiologische Kulturen und Lungenfunktionsdaten</cms:entry><cms:entry id="N106D7" part="chapter3" ref="N106D7" type="helpercitenumber">9</cms:entry><cms:entry id="N106E2" part="chapter3" ref="N106E2" type="citenumber">10</cms:entry><cms:entry id="N106E5" part="chapter3" ref="N106E5" type="table"/><cms:entry id="N107E7" part="chapter3" ref="N107E7" type="citenumber">11</cms:entry><cms:entry id="N107EA" part="chapter3" ref="N107EA" type="table"/><cms:entry id="N1106E" part="chapter3" ref="N1106E" type="section">3.2 Vorhersagewerte der Atemwegsproben</cms:entry><cms:entry id="N11078" part="chapter3" ref="N11078" type="citenumber">12</cms:entry><cms:entry id="N1107B" part="chapter3" ref="N1107B" type="table"/><cms:entry id="N111A5" part="chapter3" ref="N111A5" type="section">3.3 Vergleich der Typisierungsmethoden</cms:entry><cms:entry id="N111BB" part="chapter3" ref="N111BB" type="citenumber">13</cms:entry><cms:entry id="N111BE" part="chapter3" ref="N111BE" type="table"/><cms:entry id="N11335" part="chapter3" ref="N11335" type="mm">605#657</cms:entry><cms:entry id="N11354" part="chapter3" ref="N11354" type="section">3.4Pseudomonas-Stämme und Subtypen</cms:entry><cms:entry id="N1135E" part="chapter3" ref="N1135E" type="citenumber">14</cms:entry><cms:entry id="N11373" part="chapter3" ref="N11373" type="citenumber">15</cms:entry><cms:entry id="N11379" part="chapter3" ref="N11379" type="table"/><cms:entry id="N11413" part="chapter3" ref="N11413" type="mm">605#667</cms:entry><cms:entry id="N1142A" part="chapter3" ref="N1142A" type="citenumber">16</cms:entry><cms:entry id="N11430" part="chapter3" ref="N11430" type="table"/><cms:entry id="N114FA" part="chapter3" ref="N114FA" type="citenumber">17</cms:entry><cms:entry id="N114FD" part="chapter3" ref="N114FD" type="mm">605#679</cms:entry><cms:entry id="chapter4" part="chapter4" ref="chapter4" type="chapter">4 Diskussion</cms:entry><cms:entry id="N11519" part="chapter4" ref="N11519" type="helpercitenumber">17</cms:entry><cms:entry id="N11522" part="chapter4" ref="N11522" type="section">4.1 Diagnostische Wertigkeit von mikrobiologischen Kulturen</cms:entry><cms:entry id="N1152F" part="chapter4" ref="N1152F" type="citenumber">18</cms:entry><cms:entry id="N11572" part="chapter4" ref="N11572" type="citenumber">19</cms:entry><cms:entry id="N11588" part="chapter4" ref="N11588" type="section">4.2 Methoden der Genotypisierung</cms:entry><cms:entry id="N1159F" part="chapter4" ref="N1159F" type="citenumber">20</cms:entry><cms:entry id="N115E5" part="chapter4" ref="N115E5" type="section">4.3 Intraindividuelle und longitudinale Variabilität der Pseudomonas-Genotypen</cms:entry><cms:entry id="N115EF" part="chapter4" ref="N115EF" type="citenumber">21</cms:entry><cms:entry id="N11638" part="chapter4" ref="N11638" type="citenumber">22</cms:entry><cms:entry id="chapter5" part="chapter5" ref="chapter5" type="chapter">5 Zusammenfassung</cms:entry><cms:entry id="N11646" part="chapter5" ref="N11646" type="helpercitenumber">22</cms:entry><cms:entry id="N11654" part="chapter5" ref="N11654" type="citenumber">23</cms:entry><cms:entry ref="N1165D" type="back"/><cms:entry id="N1165F" part="N1165F" ref="N1165F" type="abbreviation">Abkürzungsverzeichnis</cms:entry><cms:entry id="N11666" part="N1165F" ref="N11666" type="table"/><cms:entry id="N117FD" part="N117FD" ref="N117FD" type="bibliography">Literaturverzeichnis</cms:entry><cms:entry id="I_bib1" part="N117FD" ref="I_bib1" type="link"/><cms:entry id="I_bib2" part="N117FD" ref="I_bib2" type="link"/><cms:entry id="I_bib3" part="N117FD" ref="I_bib3" 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id="N12115" part="N1210E" ref="N12115" type="table"/><cms:entry id="N1252A" part="N1252A" ref="N1252A" type="appendix">Publikationen</cms:entry><cms:entry id="N1252C" part="N1252A" ref="N1252C" type="head"/><cms:entry id="N1252F" part="N1252A" ref="N1252F" type="p"/><cms:entry id="N12535" part="N1252A" ref="N12535" type="p"/><cms:entry id="N12541" part="N1252A" ref="N12541" type="p"/><cms:entry id="N12547" part="N1252A" ref="N12547" type="p"/><cms:entry id="N12553" part="N1252A" ref="N12553" type="p"/><cms:entry id="N12559" part="N1252A" ref="N12559" type="p"/><cms:entry id="N1256B" part="N1252A" ref="N1256B" type="p"/><cms:entry id="N12571" part="N1252A" ref="N12571" type="p"/><cms:entry id="N12596" part="N12596" ref="N12596" type="declaration">Eidesstattliche Erklärung</cms:entry><cms:entry part="N120FC" type=":current"/><cms:entry type=":lang">de</cms:entry><cms:entry id=":contents" part="front" ref=":contents" type=":contents">Inhaltsverzeichnis</cms:entry><cms:entry type=":help"><url href="http://...">Hilfe</url></cms:entry></cms:meta><cms:content><acknowledgement id="N120FC">
         <head>Danksagung</head>
         <p>Herrn Prof. K. Paul danke ich sehr herzlich für die Überlassung des Themas und die Möglichkeit der Mitarbeit an der BEAT-Studie sowie für die jahrelange intensive Zusammenarbeit und vorbehaltlose Unterstützung. Frau Dr. I. Kleinau verdient durch ihre engagierte Betreuung der Arbeit besondere Anerkennung. Ein Dank gebührt Herrn Prof. G. Döring und seiner Arbeitsgruppe, bei der ich die Methoden der DNA-Makrorestriktion und der PFGE erlernen durfte. Den Mitarbeitern des Instituts für Mikrobiologie der Charité unter der Leitung von Herrn Prof. U. Goebel danke ich für die vielfältige und tatkräftige Unterstützung bei der Projektdurchführung. Insbesondere Frau Dr. G. Schönian und ihre Arbeitsgruppe machte diese Arbeit durch die Bereitstellung des Arbeitsplatzes und der Materialien sowie durch geduldige Anleitung, Beratung und Supervision erst möglich. Ein besonderer Dank geht auch an Herrn Prof. M. Griese, der mir die Daten der Münchener Patienten zur Verfügung stellte, sowie an Herrn Prof. A. Bauernfeind und seine Arbeitsgruppe für die hervorragende zentrumsübergreifende Kooperation und wissenschaftliche Unterstützung. Vielen Dank auch an Frau S. Bisson und Frau T. Schink für die statistische Beratung. Nicht zuletzt möchte ich mich bei meinen Eltern bedanken, die mir in all den Jahren in emotionaler und finanzieller Hinsicht zur Seite standen und großen Anteil am Gelingen dieser Arbeit haben.</p>
         <p>Mitglieder der BEAT-Studiengruppe sind Herr Prof. K. Paul, Berlin, Herr Dr. E. Rietschel, Köln, Herr Dr. F. Ratjen, Essen, Herr Prof. H. von der Hardt und Herr Dr. M. Ballmann, Hannover, Herr Prof. G. Döring, Tübingen, sowie Herr Prof. M. Griese und Herr Prof. D. Reinhardt, München.</p>
         <p>Finanziell wurde die BEAT-Studie unterstützt von der Forschungsgemeinschaft Mukoviszidose des Mukoviszidose e. V. und von Hoffmann-La Roche.</p>
         <p>Auszüge der vorliegenden Arbeit wurden im Jahr 2002 publiziert (Jung A et al., Eur Respir J 2002; 20:1457-1463).</p>
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