Evidence map›Paper›PMID 42424293›Full record

ArticleRevista peruana de medicina experimental y salud publica2026

Ceftazidime-avibactam and aztreonam as a therapeutic alternative in two episodes of bacteremia due to Stenotrophomonas maltophilia after allogeneic hematopoietic stem cell transplantation: case report.

Wilder Bolaños-Vargas, Cesar Copaja-Corzo, Ivan Fernandez Vertiz, Alfredo Wong-Chang, Miriam Rut Baldeon Laureano

Abstract readCase Reports
In one paragraph

Article in Revista peruana de medicina experimental y salud publica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Aztreonam-Avibactam Successfully Treated SevereJournal of blood medicine · 2026
    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

5 authors.

Wilder Bolaños-VargasPharmacy Department, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru.
Cesar Copaja-CorzoHealth Evidence Generation and Synthesis Research Unit, Universidad San Ignacio de Loyola, Lima, Peru.
Ivan Fernandez VertizHematology Department, Special Hematology Service, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru.
Alfredo Wong-ChangHematology Department, Special Hematology Service, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru.
Miriam Rut Baldeon LaureanoHospital Nacional Edgardo Rebagliati Martins, Lima, Peru.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infection due to Stenotrophomonas maltophilia represents a therapeutic challenge in immunocompromised patients, especially during hematopoietic recovery after hematopoietic stem cell transplantation (HSCT). The use of trimethoprim-sulfamethoxazole (TMP-SMX), the first-line antimicrobial, is contraindicated due to its hematological toxicity. We present the case of a patient undergoing haploidentical HSCT who developed two episodes of bacteremia due to S. maltophilia on days +20 and +49. Given the contraindication of TMP-SMX due to severe myelosuppression, the combination of ceftazidime-avibactam and aztreonam was used as an alternative treatment, achieving clinical resolution in both episodes. The patient remained stable until day +100; however, he experienced graft failure and died on day +107 due to infection with Pseudomonas aeruginosa producing VIM-type carbapenemase. This case shows that the use of ceftazidi-me-avibactam plus aztreonam can be useful against S. maltophilia infections in post-HSCT patients with contraindications for the use of TMP-SMX.

Indexed as

Anti-Bacterial AgentsAzabicyclo CompoundsAztreonamBacteremiaCeftazidimeGram-Negative Bacterial InfectionsHematopoietic Stem Cell TransplantationStenotrophomonas maltophiliaAdultDrug CombinationsDrug Therapy, CombinationHumansMaleTransplantation, HomologousAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo CompoundsAztreonamCeftazidimeDrug CombinationsAztreonamCeftazidime-avibactamFebrile NeutropeniaHematopoietic Stem Cell TransplantationStenotrophomonas maltophilia

Identifiers

PMID42424293
PMCPMC13245987

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.