Evidence map›Paper›PMID 39639202›Full record

Observational studyBMC infectious diseases2024

Evaluation of clinical outcomes and risk factors associated with mortality in patients with Stenotrophomonas maltophilia bloodstream infection: a multicenter study.

Yakup Gezer, Muhammet Rıdvan Tayşi, Arzu Tarakçı, Özlem Gökçe, Gamze Danacı, Sibel Altunışık Toplu, Ezgi Erdal Karakaş, Sevil Alkan, Sibel Kuyugöz Gülbudak, Mustafa Serhat Şahinoğlu and 4 more

Erratum issuedAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Molecular Regulation of Biofilm Development inPathogens (Basel, Switzerland) · 2026
    Review
  4. Clinical, microbiological, and molecular characteristics, outcomes, and risk factors for mortality of patients with Stenotrophomonas maltophilia bloodstream infection.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  5. Navigating the Challenges ofClinical case reports · 2026
    Article
  6. Article
  7. Article
  8. Infection and drug resistance · 2026
    Review
  9. Article
  10. The Other Face ofAntibiotics (Basel, Switzerland) · 2026
    Article
  11. What Drives Mortality inMicroorganisms · 2025
    Article
  12. Epidemiological and Clinical Characteristics ofTropical medicine and infectious disease · 2025
    Article
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Yakup GezerInfectious Diseases and Clinical Microbiology Clinic. Konya City Hospital, University of Health Sciences, Konya, Türkiye. dryakupgezer@gmail.com.ORCID http://orcid.org/0000-0002-1582-7313
Muhammet Rıdvan TayşiInfectious Diseases and Clinical Microbiology Clinic. Konya City Hospital, University of Health Sciences, Konya, Türkiye.
Arzu TarakçıInfectious Diseases and Clinical Microbiology Clinic. Konya City Hospital, University of Health Sciences, Konya, Türkiye.
Özlem GökçeInfectious Diseases and Clinical Microbiology Clinic, Basaksehir Cam and Sakura City Hospital, İstanbul, Türkiye.
Gamze DanacıInfectious Diseases and Clinical Microbiology Clinic, Basaksehir Cam and Sakura City Hospital, İstanbul, Türkiye.
Sibel Altunışık TopluDepartment of Infectious Diseases and Clinical Microbiology, Inonu University, Faculty of Medicine, Malatya, Türkiye.
Ezgi Erdal KarakaşDepartment of Infectious Diseases and Clinical Microbiology, Inonu University, Faculty of Medicine, Malatya, Türkiye.
Sevil AlkanDepartment of Infectious Diseases and Clinical Microbiology, Çanakkale Onsekiz Mart University, Faculty of Medicine, Canakkale, Türkiye.
Sibel Kuyugöz GülbudakInfectious Diseases and Clinical Microbiology Clinic, Mersin City Training and Research Hospital, Mersin, Türkiye.
Mustafa Serhat ŞahinoğluInfectious Diseases and Clinical Microbiology Clinic, Manisa City Hospital, Manisa, Türkiye.
Esra GürbüzInfectious Diseases and Clinical Microbiology Clinic, University of Health Sciences, Van Training and Research Hospital, Van, Türkiye.
Ayşe Oğuz AyarcıInfectious Diseases and Clinical Microbiology Clinic, Bursa City Hospital, Bursa, Türkiye.
Rukiyye BulutDepartment of Infectious Diseases and Clinical Microbiology, Necmettin Erbakan University, Faculty of Medicine, Meram, Konya, Türkiye.
Onur UralDepartment of Infectious Diseases and Clinical Microbiology, Selcuk University, Faculty of Medicine, Konya, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStenotrophomonas maltophilia, a pathogen that colonizes medical equipment and causes nosocomial infections due to its ability to form biofilms, has high mortality rates. This study investigated the risk factors related to mortality in patients who were diagnosed with S. maltophilia bacteremia.

methodsIt is a multi-center, retrospective ad observational cohort study. The demographic characteristics, clinical findings, microbiological data, and risk factors for patients were obtained from the medical records of patients at ten different hospitals between January 1, 2018, and June 30, 2023.

resultsThe study included a total of 321 patients. The observed thirty-day mortality rate was 46.1%. A central venous catheter (CVC) was present in 276 patients (86%), and in 66 of these patients (23.9%) the CVC was removed. While only 18 patients (5.6%) received appropriate empirical antibiotics, 242 (75.4%) patients received appropriate antibiotics according to antimicrobial susceptibility test (AST) results and treatment revisions. Multivariate analysis revealed that advanced age (hazard ratio [HR] = 1.02; 95% confidence interval [CI]: 1.00- 1.03), appropriate antibiotic treatment (HR = 0.35; 95% CI: 0.23-0.52), and removal of central venous catheters (HR = 0.31; 95% CI: 0.16-0.60) were significantly related to reduced mortality.

conclusionsS. maltophilia is a significant pathogen, and to reduce its high mortality rate, removal of the CVC and switching to appropriate antibiotics should be performed as soon as possible.

Indexed as

Anti-Bacterial AgentsGram-Negative Bacterial InfectionsStenotrophomonas maltophiliaAdultAgedAged, 80 and overBacteremiaCatheter-Related InfectionsCentral Venous CathetersCross InfectionFemaleHumansMaleMicrobial Sensitivity TestsMiddle AgedRetrospective StudiesAnti-Bacterial AgentsAppropriate antibioticCentral venous catheterMortalityRisk factorsStenotrophomonas maltophilia

Identifiers

PMID39639202
PMCPMC11619100

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.