Evidence map›Paper›PMID 28090041›Full record

Observational studyInternal medicine (Tokyo, Japan)2017

Clinical Characteristics of Stenotrophomonas maltophilia Bacteremia: A Regional Report and a Review of a Japanese Case Series.

Hirotaka Ebara, Hideharu Hagiya, Yuto Haruki, Eisei Kondo, Fumio Otsuka

Open access · diamondAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Internal medicine (Tokyo, Japan), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. The Other Face ofAntibiotics (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Article
  5. Medicina (Kaunas, Lithuania) · 2024
    Article
  6. Antibiotic utilization trends in Veterans Affairs patients withAntimicrobial stewardship & healthcare epidemiology : ASHE · 2024
    Article
  7. Antibiotics (Basel, Switzerland) · 2023
    Review
  8. Intra-Abdominal Abscess and Bacteremia Due toInfection and drug resistance · 2023
    Article
  9. Infectious diseases & clinical microbiology · 2022
    Article
  10. OvercomingOpen forum infectious diseases · 2022
    Review
  11. Antimicrobial agents and chemotherapy · 2022
    Article
  12. Article
  13. Article
  14. Frontiers in oncology · 2021
    Article
  15. Emergent Pneumonia in Children.Frontiers in pediatrics · 2021
    Review
  16. Article
  17. Article
  18. Open forum infectious diseases · 2020
    Article
  19. Article
  20. Epidemiological Trends and Resistance Associated withDiseases (Basel, Switzerland) · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Hirotaka EbaraDepartment of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
Hideharu Hagiya
Yuto Haruki
Eisei Kondo
Fumio Otsuka
Okayama University · JPTsuyama Chuo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Stenotrophomonas maltophilia is an emerging nosocomial pathogen that causes fatal infections in critically ill or immunocompromised patients. S. maltophilia bacteremia (SMB) is a rare condition, and its clinical characteristics in Japanese settings are not well known. Methods The medical charts of patients with SMB were retrospectively reviewed at two medical facilities (Okayama University Hospital and Tsuyama Chuo Hospital) for seven years. The data were analyzed along with those previously reported from other Japanese facilities. Result A total of 181 patients (110 men and 71 women) were evaluated. The major underlying diseases included hematologic malignancy (36.5%), solid organ malignancy (25.4%), and neutropenia (31.5%). The recent use of carbapenem was seen in 56.9% of the cases in total, and more than one-third of the patients in our hospitals were treated with carbapenem at the onset of SMB. Of 28 (63.6%) of 44 cases treated for S. maltophilia, those who did not survive were more likely to have been treated with broad-spectrum antibiotics. A multivariate analysis revealed that a higher updated Charlson Comorbidity Index [odds ratio (95% confidence interval), 1.75 (1.11-2.75); p=0.015] and intubation [odds ratio (95% confidence interval), 12.6 (1.62-97.9); p=0.016] were associated with mortality in our cases. Pathogens were often resistant to ceftazidime but susceptible to minocycline, trimethoprim/sulfamethoxazole, and fluoroquinolones. The overall mortality rates within 30 and 90 days were 37.5% and 62.5%, respectively. Conclusion The clinical characteristics of SMB in Japanese cases were similar to those reported from other countries. Clinicians should be aware that breakthrough infection by S. maltophilia may occur during administration of carbapenem.

Indexed as

Immunocompromised HostAdolescentAdultAgedAged, 80 and overAnti-Infective AgentsCarbapenemsChildChild, PreschoolCross InfectionFemaleGram-Negative Bacterial InfectionsHospitals, UniversityHumansInfantInfant, NewbornAnti-Infective AgentsCarbapenems

Identifiers

PMID28090041
PMCPMC5337456
OpenAlexW2575786705

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.