Skip to main content
Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases 12/2012

01.12.2012 | Article

Comparison of three typing methods for Pseudomonas aeruginosa isolates from patients with cystic fibrosis

verfasst von: V. Waters, J. E. A. Zlosnik, Y. C. W. Yau, D. P. Speert, S. D. Aaron, D. S. Guttman

Erschienen in: European Journal of Clinical Microbiology & Infectious Diseases | Ausgabe 12/2012

Einloggen, um Zugang zu erhalten

Abstract

The aim of this study was to compare two traditional pattern matching techniques, pulsed-field gel electrophoresis (PFGE) and random amplified polymorphic DNA (RAPD), with the more reproducible technique of multilocus sequence typing (MLST) to genotype a blinded sample of Pseudomonas aeruginosa isolates from cystic fibrosis (CF) patients. A blinded sample of 48 well-characterized CF P. aeruginosa isolates was genotyped by PFGE, RAPD, and MLST, each performed in a different laboratory. The discriminatory power and congruence between the methods were compared using the Simpson’s index, Rand index, and Wallace coefficient. PFGE and MLST had the greatest congruence with the highest Rand index (0.697). The discriminatory power of PFGE, RAPD, and MLST were comparable, with high Simpson’s indices (range 0.973–0.980). MLST identified the most clonal relationships. When clonality was defined as agreement between two or more methods, MLST had the greatest predictive value (100 %) in labeling strains as unique, while PFGE had the greatest predictive value (96 %) in labeling strains as clonal. This study demonstrated the highest level of agreement between PFGE and MLST in genotyping P. aeruginosa isolates from CF patients. MLST had the greatest predictive value in identifying strains as unique and, thus, has the potential to be a cost-efficient, high-throughput, first-pass typing method.
Literatur
1.
Zurück zum Zitat Gibson RL, Burns JL, Ramsey BW (2003) Pathophysiology and management of pulmonary infections in cystic fibrosis. Am J Respir Crit Care Med 168(8):918–951PubMedCrossRef Gibson RL, Burns JL, Ramsey BW (2003) Pathophysiology and management of pulmonary infections in cystic fibrosis. Am J Respir Crit Care Med 168(8):918–951PubMedCrossRef
2.
Zurück zum Zitat Hogardt M, Heesemann J (2010) Adaptation of Pseudomonas aeruginosa during persistence in the cystic fibrosis lung. Int J Med Microbiol 300(8):557–562PubMedCrossRef Hogardt M, Heesemann J (2010) Adaptation of Pseudomonas aeruginosa during persistence in the cystic fibrosis lung. Int J Med Microbiol 300(8):557–562PubMedCrossRef
3.
Zurück zum Zitat Denton M, Kerr K, Mooney L, Keer V, Rajgopal A, Brownlee K, Arundel P, Conway S (2002) Transmission of colistin-resistant Pseudomonas aeruginosa between patients attending a pediatric cystic fibrosis center. Pediatr Pulmonol 34(4):257–261PubMedCrossRef Denton M, Kerr K, Mooney L, Keer V, Rajgopal A, Brownlee K, Arundel P, Conway S (2002) Transmission of colistin-resistant Pseudomonas aeruginosa between patients attending a pediatric cystic fibrosis center. Pediatr Pulmonol 34(4):257–261PubMedCrossRef
4.
Zurück zum Zitat Aaron SD, Vandemheen KL, Ramotar K, Giesbrecht-Lewis T, Tullis E, Freitag A, Paterson N, Jackson M, Lougheed MD, Dowson C, Kumar V, Ferris W, Chan F, Doucette S, Fergusson D (2010) Infection with transmissible strains of Pseudomonas aeruginosa and clinical outcomes in adults with cystic fibrosis. JAMA 304(19):2145–2153PubMedCrossRef Aaron SD, Vandemheen KL, Ramotar K, Giesbrecht-Lewis T, Tullis E, Freitag A, Paterson N, Jackson M, Lougheed MD, Dowson C, Kumar V, Ferris W, Chan F, Doucette S, Fergusson D (2010) Infection with transmissible strains of Pseudomonas aeruginosa and clinical outcomes in adults with cystic fibrosis. JAMA 304(19):2145–2153PubMedCrossRef
5.
Zurück zum Zitat Al-Aloul M, Crawley J, Winstanley C, Hart CA, Ledson MJ, Walshaw MJ (2004) Increased morbidity associated with chronic infection by an epidemic Pseudomonas aeruginosa strain in CF patients. Thorax 59(4):334–336PubMedCrossRef Al-Aloul M, Crawley J, Winstanley C, Hart CA, Ledson MJ, Walshaw MJ (2004) Increased morbidity associated with chronic infection by an epidemic Pseudomonas aeruginosa strain in CF patients. Thorax 59(4):334–336PubMedCrossRef
6.
Zurück zum Zitat Saiman L, Siegel J; Cystic Fibrosis Foundation Consensus Conference on Infection Control Participants (2003) Infection control recommendations for patients with cystic fibrosis: microbiology, important pathogens, and infection control practices to prevent patient-to-patient transmission. Am J Infect Control 31(3 Suppl):S1–S62PubMed Saiman L, Siegel J; Cystic Fibrosis Foundation Consensus Conference on Infection Control Participants (2003) Infection control recommendations for patients with cystic fibrosis: microbiology, important pathogens, and infection control practices to prevent patient-to-patient transmission. Am J Infect Control 31(3 Suppl):S1–S62PubMed
7.
Zurück zum Zitat Kerem E, Conway S, Elborn S, Heijerman H; Consensus Committee (2005) Standards of care for patients with cystic fibrosis: a European consensus. J Cyst Fibros 4(1):7–26PubMedCrossRef Kerem E, Conway S, Elborn S, Heijerman H; Consensus Committee (2005) Standards of care for patients with cystic fibrosis: a European consensus. J Cyst Fibros 4(1):7–26PubMedCrossRef
8.
Zurück zum Zitat Schmid J, Ling LJ, Leung JL, Zhang N, Kolbe J, Wesley AW, Mills GD, Brown PJ, Jones DT, Laing RT, Pattemore PK, Taylor DR, Grimwood K (2008) Pseudomonas aeruginosa transmission is infrequent in New Zealand cystic fibrosis clinics. Eur Respir J 32(6):1583–1590PubMedCrossRef Schmid J, Ling LJ, Leung JL, Zhang N, Kolbe J, Wesley AW, Mills GD, Brown PJ, Jones DT, Laing RT, Pattemore PK, Taylor DR, Grimwood K (2008) Pseudomonas aeruginosa transmission is infrequent in New Zealand cystic fibrosis clinics. Eur Respir J 32(6):1583–1590PubMedCrossRef
9.
Zurück zum Zitat Kersulyte D, Struelens MJ, Deplano A, Berg DE (1995) Comparison of arbitrarily primed PCR and macrorestriction (pulsed-field gel electrophoresis) typing of Pseudomonas aeruginosa strains from cystic fibrosis patients. J Clin Microbiol 33(8):2216–2219PubMed Kersulyte D, Struelens MJ, Deplano A, Berg DE (1995) Comparison of arbitrarily primed PCR and macrorestriction (pulsed-field gel electrophoresis) typing of Pseudomonas aeruginosa strains from cystic fibrosis patients. J Clin Microbiol 33(8):2216–2219PubMed
10.
Zurück zum Zitat Kidd TJ, Grimwood K, Ramsay KA, Rainey PB, Bell SC (2011) Comparison of three molecular techniques for typing Pseudomonas aeruginosa isolates in sputum samples from patients with cystic fibrosis. J Clin Microbiol 49(1):263–268PubMedCrossRef Kidd TJ, Grimwood K, Ramsay KA, Rainey PB, Bell SC (2011) Comparison of three molecular techniques for typing Pseudomonas aeruginosa isolates in sputum samples from patients with cystic fibrosis. J Clin Microbiol 49(1):263–268PubMedCrossRef
11.
Zurück zum Zitat Mahenthiralingam E, Campbell ME, Foster J, Lam JS, Speert DP (1996) Random amplified polymorphic DNA typing of Pseudomonas aeruginosa isolates recovered from patients with cystic fibrosis. J Clin Microbiol 34(5):1129–1135PubMed Mahenthiralingam E, Campbell ME, Foster J, Lam JS, Speert DP (1996) Random amplified polymorphic DNA typing of Pseudomonas aeruginosa isolates recovered from patients with cystic fibrosis. J Clin Microbiol 34(5):1129–1135PubMed
12.
Zurück zum Zitat The International Pseudomonas aeruginosa Typing Study Group (1994) A multicenter comparison of methods for typing strains of Pseudomonas aeruginosa predominantly from patients with cystic fibrosis. J Infect Dis 169(1):134–142CrossRef The International Pseudomonas aeruginosa Typing Study Group (1994) A multicenter comparison of methods for typing strains of Pseudomonas aeruginosa predominantly from patients with cystic fibrosis. J Infect Dis 169(1):134–142CrossRef
13.
Zurück zum Zitat Speert DP, Campbell ME, Henry DA, Milner R, Taha F, Gravelle A, Davidson AG, Wong LT, Mahenthiralingam E (2002) Epidemiology of Pseudomonas aeruginosa in cystic fibrosis in British Columbia, Canada. Am J Respir Crit Care Med 166(7):988–993PubMedCrossRef Speert DP, Campbell ME, Henry DA, Milner R, Taha F, Gravelle A, Davidson AG, Wong LT, Mahenthiralingam E (2002) Epidemiology of Pseudomonas aeruginosa in cystic fibrosis in British Columbia, Canada. Am J Respir Crit Care Med 166(7):988–993PubMedCrossRef
14.
Zurück zum Zitat Curran B, Jonas D, Grundmann H, Pitt T, Dowson CG (2004) Development of a multilocus sequence typing scheme for the opportunistic pathogen Pseudomonas aeruginosa. J Clin Microbiol 42(12):5644–5649PubMedCrossRef Curran B, Jonas D, Grundmann H, Pitt T, Dowson CG (2004) Development of a multilocus sequence typing scheme for the opportunistic pathogen Pseudomonas aeruginosa. J Clin Microbiol 42(12):5644–5649PubMedCrossRef
15.
Zurück zum Zitat Bio-Rad Laboratories. GenePath® Group 3 Reagent Kit. Instruction Manual. Bio-Rad Laboratories, Hercules, CA Bio-Rad Laboratories. GenePath® Group 3 Reagent Kit. Instruction Manual. Bio-Rad Laboratories, Hercules, CA
16.
Zurück zum Zitat Tenover FC, Arbeit RD, Goering RV, Mickelsen PA, Murray BE, Persing DH, Swaminathan B (1995) Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. J Clin Microbiol 33(9):2233–2239PubMed Tenover FC, Arbeit RD, Goering RV, Mickelsen PA, Murray BE, Persing DH, Swaminathan B (1995) Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. J Clin Microbiol 33(9):2233–2239PubMed
17.
Zurück zum Zitat Singh A, Goering RV, Simjee S, Foley SL, Zervos MJ (2006) Application of molecular techniques to the study of hospital infection. Clin Microbiol Rev 19(3):512–530PubMedCrossRef Singh A, Goering RV, Simjee S, Foley SL, Zervos MJ (2006) Application of molecular techniques to the study of hospital infection. Clin Microbiol Rev 19(3):512–530PubMedCrossRef
18.
Zurück zum Zitat White J, Gilbert J, Hill G, Hill E, Huse SM, Weightman AJ, Mahenthiralingam E (2011) Culture-independent analysis of bacterial fuel contamination provides insight into the level of concordance with the standard industry practice of aerobic cultivation. Appl Environ Microbiol 77(13):4527–4538PubMedCrossRef White J, Gilbert J, Hill G, Hill E, Huse SM, Weightman AJ, Mahenthiralingam E (2011) Culture-independent analysis of bacterial fuel contamination provides insight into the level of concordance with the standard industry practice of aerobic cultivation. Appl Environ Microbiol 77(13):4527–4538PubMedCrossRef
19.
Zurück zum Zitat Fothergill JL, White J, Foweraker JE, Walshaw MJ, Ledson MJ, Mahenthiralingam E, Winstanley C (2010) Impact of Pseudomonas aeruginosa genomic instability on the application of typing methods for chronic cystic fibrosis infections. J Clin Microbiol 48(6):2053–2059PubMedCrossRef Fothergill JL, White J, Foweraker JE, Walshaw MJ, Ledson MJ, Mahenthiralingam E, Winstanley C (2010) Impact of Pseudomonas aeruginosa genomic instability on the application of typing methods for chronic cystic fibrosis infections. J Clin Microbiol 48(6):2053–2059PubMedCrossRef
20.
Zurück zum Zitat Grundmann H, Hori S, Tanner G (2001) Determining confidence intervals when measuring genetic diversity and the discriminatory abilities of typing methods for microorganisms. J Clin Microbiol 39(11):4190–4192PubMedCrossRef Grundmann H, Hori S, Tanner G (2001) Determining confidence intervals when measuring genetic diversity and the discriminatory abilities of typing methods for microorganisms. J Clin Microbiol 39(11):4190–4192PubMedCrossRef
21.
Zurück zum Zitat Hunter PR, Gaston MA (1988) Numerical index of the discriminatory ability of typing systems: an application of Simpson’s index of diversity. J Clin Microbiol 26(11):2465–2466PubMed Hunter PR, Gaston MA (1988) Numerical index of the discriminatory ability of typing systems: an application of Simpson’s index of diversity. J Clin Microbiol 26(11):2465–2466PubMed
22.
Zurück zum Zitat Severiano A, Pinto FR, Ramirez M, Carriço JA (2011) Adjusted Wallace coefficient as a measure of congruence between typing methods. J Clin Microbiol 49(11):3997–4000PubMedCrossRef Severiano A, Pinto FR, Ramirez M, Carriço JA (2011) Adjusted Wallace coefficient as a measure of congruence between typing methods. J Clin Microbiol 49(11):3997–4000PubMedCrossRef
23.
Zurück zum Zitat Armstrong DS, Nixon GM, Carzino R, Bigham A, Carlin JB, Robins-Browne RM, Grimwood K (2002) Detection of a widespread clone of Pseudomonas aeruginosa in a pediatric cystic fibrosis clinic. Am J Respir Crit Care Med 166(7):983–987PubMedCrossRef Armstrong DS, Nixon GM, Carzino R, Bigham A, Carlin JB, Robins-Browne RM, Grimwood K (2002) Detection of a widespread clone of Pseudomonas aeruginosa in a pediatric cystic fibrosis clinic. Am J Respir Crit Care Med 166(7):983–987PubMedCrossRef
24.
Zurück zum Zitat Cheng K, Smyth RL, Govan JR, Doherty C, Winstanley C, Denning N, Heaf DP, van Saene H, Hart CA (1996) Spread of beta-lactam-resistant Pseudomonas aeruginosa in a cystic fibrosis clinic. Lancet 348(9028):639–642PubMedCrossRef Cheng K, Smyth RL, Govan JR, Doherty C, Winstanley C, Denning N, Heaf DP, van Saene H, Hart CA (1996) Spread of beta-lactam-resistant Pseudomonas aeruginosa in a cystic fibrosis clinic. Lancet 348(9028):639–642PubMedCrossRef
25.
Zurück zum Zitat Johansen HK, Moskowitz SM, Ciofu O, Pressler T, Høiby N (2008) Spread of colistin resistant non-mucoid Pseudomonas aeruginosa among chronically infected Danish cystic fibrosis patients. J Cyst Fibros 7(5):391–397PubMedCrossRef Johansen HK, Moskowitz SM, Ciofu O, Pressler T, Høiby N (2008) Spread of colistin resistant non-mucoid Pseudomonas aeruginosa among chronically infected Danish cystic fibrosis patients. J Cyst Fibros 7(5):391–397PubMedCrossRef
26.
Zurück zum Zitat Jones AM, Govan JR, Doherty CJ, Dodd ME, Isalska BJ, Stanbridge TN, Webb AK (2001) Spread of a multiresistant strain of Pseudomonas aeruginosa in an adult cystic fibrosis clinic. Lancet 358(9281):557–558PubMedCrossRef Jones AM, Govan JR, Doherty CJ, Dodd ME, Isalska BJ, Stanbridge TN, Webb AK (2001) Spread of a multiresistant strain of Pseudomonas aeruginosa in an adult cystic fibrosis clinic. Lancet 358(9281):557–558PubMedCrossRef
27.
Zurück zum Zitat O’Carroll MR, Syrmis MW, Wainwright CE, Greer RM, Mitchell P, Coulter C, Sloots TP, Nissen MD, Bell SC (2004) Clonal strains of Pseudomonas aeruginosa in paediatric and adult cystic fibrosis units. Eur Respir J 24(1):101–106PubMedCrossRef O’Carroll MR, Syrmis MW, Wainwright CE, Greer RM, Mitchell P, Coulter C, Sloots TP, Nissen MD, Bell SC (2004) Clonal strains of Pseudomonas aeruginosa in paediatric and adult cystic fibrosis units. Eur Respir J 24(1):101–106PubMedCrossRef
28.
Zurück zum Zitat Pedersen SS, Koch C, Høiby N, Rosendal K (1986) An epidemic spread of multiresistant Pseudomonas aeruginosa in a cystic fibrosis centre. J Antimicrob Chemother 17(4):505–516PubMedCrossRef Pedersen SS, Koch C, Høiby N, Rosendal K (1986) An epidemic spread of multiresistant Pseudomonas aeruginosa in a cystic fibrosis centre. J Antimicrob Chemother 17(4):505–516PubMedCrossRef
29.
Zurück zum Zitat Scott FW, Pitt TL (2004) Identification and characterization of transmissible Pseudomonas aeruginosa strains in cystic fibrosis patients in England and Wales. J Med Microbiol 53(Pt 7):609–615PubMedCrossRef Scott FW, Pitt TL (2004) Identification and characterization of transmissible Pseudomonas aeruginosa strains in cystic fibrosis patients in England and Wales. J Med Microbiol 53(Pt 7):609–615PubMedCrossRef
30.
Zurück zum Zitat Bradbury R, Champion A, Reid DW (2008) Poor clinical outcomes associated with a multi-drug resistant clonal strain of Pseudomonas aeruginosa in the Tasmanian cystic fibrosis population. Respirology 13(6):886–892PubMedCrossRef Bradbury R, Champion A, Reid DW (2008) Poor clinical outcomes associated with a multi-drug resistant clonal strain of Pseudomonas aeruginosa in the Tasmanian cystic fibrosis population. Respirology 13(6):886–892PubMedCrossRef
31.
Zurück zum Zitat Speert DP (2002) Molecular epidemiology of Pseudomonas aeruginosa. Front Biosci 7:e354–e361PubMedCrossRef Speert DP (2002) Molecular epidemiology of Pseudomonas aeruginosa. Front Biosci 7:e354–e361PubMedCrossRef
32.
Zurück zum Zitat Tenover FC, Arbeit RD, Goering RV (1997) How to select and interpret molecular strain typing methods for epidemiological studies of bacterial infections: a review for healthcare epidemiologists. Molecular Typing Working Group of the Society for Healthcare Epidemiology of America. Infect Control Hosp Epidemiol 18(6):426–439PubMedCrossRef Tenover FC, Arbeit RD, Goering RV (1997) How to select and interpret molecular strain typing methods for epidemiological studies of bacterial infections: a review for healthcare epidemiologists. Molecular Typing Working Group of the Society for Healthcare Epidemiology of America. Infect Control Hosp Epidemiol 18(6):426–439PubMedCrossRef
33.
Zurück zum Zitat Fothergill JL, Upton AL, Pitt TL, Hart CA, Winstanley C (2008) Diagnostic multiplex PCR assay for the identification of the Liverpool, Midlands 1 and Manchester CF epidemic strains of Pseudomonas aeruginosa. J Cyst Fibros 7(3):258–261PubMedCrossRef Fothergill JL, Upton AL, Pitt TL, Hart CA, Winstanley C (2008) Diagnostic multiplex PCR assay for the identification of the Liverpool, Midlands 1 and Manchester CF epidemic strains of Pseudomonas aeruginosa. J Cyst Fibros 7(3):258–261PubMedCrossRef
34.
Zurück zum Zitat Lewis DA, Jones A, Parkhill J, Speert DP, Govan JR, Lipuma JJ, Lory S, Webb AK, Mahenthiralingam E (2005) Identification of DNA markers for a transmissible Pseudomonas aeruginosa cystic fibrosis strain. Am J Respir Cell Mol Biol 33(1):56–64PubMedCrossRef Lewis DA, Jones A, Parkhill J, Speert DP, Govan JR, Lipuma JJ, Lory S, Webb AK, Mahenthiralingam E (2005) Identification of DNA markers for a transmissible Pseudomonas aeruginosa cystic fibrosis strain. Am J Respir Cell Mol Biol 33(1):56–64PubMedCrossRef
35.
Zurück zum Zitat Williams HL, Turnbull L, Thomas SJ, Murphy A, Stinear T, Armstrong DS, Whitchurch CB (2010) A diagnostic PCR assay for the detection of an Australian epidemic strain of Pseudomonas aeruginosa. Ann Clin Microbiol Antimicrob 9:18PubMedCrossRef Williams HL, Turnbull L, Thomas SJ, Murphy A, Stinear T, Armstrong DS, Whitchurch CB (2010) A diagnostic PCR assay for the detection of an Australian epidemic strain of Pseudomonas aeruginosa. Ann Clin Microbiol Antimicrob 9:18PubMedCrossRef
36.
Zurück zum Zitat Johnson JK, Arduino SM, Stine OC, Johnson JA, Harris AD (2007) Multilocus sequence typing compared to pulsed-field gel electrophoresis for molecular typing of Pseudomonas aeruginosa. J Clin Microbiol 45(11):3707–3712PubMedCrossRef Johnson JK, Arduino SM, Stine OC, Johnson JA, Harris AD (2007) Multilocus sequence typing compared to pulsed-field gel electrophoresis for molecular typing of Pseudomonas aeruginosa. J Clin Microbiol 45(11):3707–3712PubMedCrossRef
37.
Zurück zum Zitat Waine DJ, Honeybourne D, Smith EG, Whitehouse JL, Dowson CG (2009) Cross-sectional and longitudinal multilocus sequence typing of Pseudomonas aeruginosa in cystic fibrosis sputum samples. J Clin Microbiol 47(11):3444–3448PubMedCrossRef Waine DJ, Honeybourne D, Smith EG, Whitehouse JL, Dowson CG (2009) Cross-sectional and longitudinal multilocus sequence typing of Pseudomonas aeruginosa in cystic fibrosis sputum samples. J Clin Microbiol 47(11):3444–3448PubMedCrossRef
Metadaten
Titel
Comparison of three typing methods for Pseudomonas aeruginosa isolates from patients with cystic fibrosis
verfasst von
V. Waters
J. E. A. Zlosnik
Y. C. W. Yau
D. P. Speert
S. D. Aaron
D. S. Guttman
Publikationsdatum
01.12.2012
Verlag
Springer-Verlag
Erschienen in
European Journal of Clinical Microbiology & Infectious Diseases / Ausgabe 12/2012
Print ISSN: 0934-9723
Elektronische ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-012-1701-z

Weitere Artikel der Ausgabe 12/2012

European Journal of Clinical Microbiology & Infectious Diseases 12/2012 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Positiver FIT: Die Ursache liegt nicht immer im Dickdarm

27.05.2024 Blut im Stuhl Nachrichten

Immunchemischer Stuhltest positiv, Koloskopie negativ – in solchen Fällen kann die Blutungsquelle auch weiter proximal sitzen. Ein Forschungsteam hat nachgesehen, wie häufig und in welchen Lokalisationen das der Fall ist.

GLP-1-Agonisten können Fortschreiten diabetischer Retinopathie begünstigen

24.05.2024 Diabetische Retinopathie Nachrichten

Möglicherweise hängt es von der Art der Diabetesmedikamente ab, wie hoch das Risiko der Betroffenen ist, dass sich sehkraftgefährdende Komplikationen verschlimmern.

Mehr Lebenszeit mit Abemaciclib bei fortgeschrittenem Brustkrebs?

24.05.2024 Mammakarzinom Nachrichten

In der MONARCHE-3-Studie lebten Frauen mit fortgeschrittenem Hormonrezeptor-positivem, HER2-negativem Brustkrebs länger, wenn sie zusätzlich zu einem nicht steroidalen Aromatasehemmer mit Abemaciclib behandelt wurden; allerdings verfehlte der numerische Zugewinn die statistische Signifikanz.

ADT zur Radiatio nach Prostatektomie: Wenn, dann wohl länger

24.05.2024 Prostatakarzinom Nachrichten

Welchen Nutzen es trägt, wenn die Strahlentherapie nach radikaler Prostatektomie um eine Androgendeprivation ergänzt wird, hat die RADICALS-HD-Studie untersucht. Nun liegen die Ergebnisse vor. Sie sprechen für länger dauernden Hormonentzug.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.