Evidence map›Paper›PMID 38504262›Full record

SynthesisAnnals of clinical microbiology and antimicrobials2024

Global mapping of antibiotic resistance rates among clinical isolates of Stenotrophomonas maltophilia: a systematic review and meta-analysis.

Narjess Bostanghadiri, Mohammad Sholeh, Tahereh Navidifar, Leila Dadgar-Zankbar, Zahra Elahi, Alex van Belkum, Davood Darban-Sarokhalil

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Annals of clinical microbiology and antimicrobials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
19.1field-weighted citation impact, top 1% 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

30 citing papers in PubMed, 31 citations in OpenAlex.

  1. Molecular Regulation of Biofilm Development inPathogens (Basel, Switzerland) · 2026
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  5. Observational
  6. Review
  7. Article
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  11. Integrated genomic analysis ofFrontiers in microbiology · 2026
    Article
  12. Infection and drug resistance · 2026
    Review
  13. Review
  14. Article
  15. What Drives Mortality inMicroorganisms · 2025
    Article
  16. Article
  17. Insights into antibiotic resistance and prevalence ofNew microbes and new infections · 2025
    Review
  18. Epidemiological and Clinical Characteristics ofTropical medicine and infectious disease · 2025
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Narjess BostanghadiriDepartment of Microbiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Mohammad SholehDepartment of Bacteriology, Pasteur Institute of Iran, Tehran, Iran.
Tahereh NavidifarDepartment of Basic Sciences, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran.
Leila Dadgar-ZankbarDepartment of Microbiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Zahra ElahiDepartment of Microbiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Alex van BelkumOpen Innovation & Partnerships, BaseClear, Leiden, Netherlands.
Davood Darban-SarokhalilDepartment of Microbiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. davood_darban@yahoo.com.
Iran University of Medical Sciences · IRBiotechnology Research Center · IRIslamic Azad University, Shoushtar Branch · IRPasteur Institute of Iran · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInfections caused by Stenotrophomonas maltophilia are clinically important due to its intrinsic resistance to a broad range of antibiotics. Therefore, selecting the most appropriate antibiotic to treat S. maltophilia infection is a major challenge.

aimThe current meta-analysis aimed to investigate the global prevalence of antibiotic resistance among S. maltophilia isolates to the develop more effective therapeutic strategies.

methodA systematic literature search was performed using the appropriate search syntax after searching Pubmed, Embase, Web of Science and Scopus databases (May 2023). Statistical analysis was performed using Pooled and the random effects model in R and the metafor package. A total of 11,438 articles were retrieved. After a thorough evaluation, 289 studies were finally eligible for inclusion in this systematic review and meta-analysis.

resultPresent analysis indicated that the highest incidences of resistance were associated with doripenem (97%), cefoxitin (96%), imipenem and cefuroxime (95%), ampicillin (94%), ceftriaxone (92%), aztreonam (91%) and meropenem (90%) which resistance to Carbapenems is intrinsic. The lowest resistance rates were documented for minocycline (3%), cefiderocol (4%). The global resistance rate to TMP-SMX remained constant in two periods before and after 2010 (14.4% vs. 14.6%). A significant increase in resistance to tigecycline and ceftolozane/tazobactam was observed before and after 2010.

conclusionsMinocycline and cefiderocol can be considered the preferred treatment options due to low resistance rates, although regional differences in resistance rates to other antibiotics should be considered. The low global prevalence of resistance to TMP-SMX as a first-line treatment for S. maltophilia suggests that it remains an effective treatment option.

Indexed as

Anti-Bacterial AgentsDrug Resistance, BacterialGram-Negative Bacterial InfectionsStenotrophomonas maltophiliaDrug Resistance, Multiple, BacterialHumansMicrobial Sensitivity TestsAnti-Bacterial AgentsAntibiotic resistanceGlobal prevalenceMeta-analysisStenotrophomonas maltophiliaSystematic review

Identifiers

PMID38504262
PMCPMC10953290
OpenAlexW4392947394

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.