AUTHOR=Wang Neng , Tang Congchen , Wang Lichun 

TITLE=Risk Factors for Acquired Stenotrophomonas maltophilia Pneumonia in Intensive Care Unit: A Systematic Review and Meta-Analysis

JOURNAL=Frontiers in Medicine

VOLUME=8

YEAR=2022

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2021.808391

DOI=10.3389/fmed.2021.808391

ISSN=2296-858X

ABSTRACT=<p><bold>Background and Aims:</bold><italic>Stenotrophomonas maltophilia</italic> is increasingly found in critically ill patients, but it is considered a pathogen of limited pathogenicity and therefore it is not often targeted. We systematically evaluated risk factors for <italic>S. maltophilia</italic> pneumonia in ICU patients for better clinical management.</p><p><bold>Methods:</bold> Prospective and retrospective studies of <italic>S. maltophilia</italic> infection in the ICU from database establishment to August 8, 2021, were searched through PubMed, web of science, Cochrane Library Embase and CNKI. The literature was independently screened and extracted by two authors according to inclusion and exclusion criteria, evaluated for quality by the NOS scale, and meta-analyzed by stata 14.0 software.</p><p><bold>Results:</bold> A total of eight studies with a sample size of 2,320 cases were included. Meta-analysis showed that APACHE-II score &gt; 20 (OR = 10.98, 95% CI: 5.67 ~ 21.26), COPD (OR = 3.97, 95% CI: 2.39 ~ 6.61), malignant tumor (OR = 2.15, 95% CI: 1.03 ~ 4.50), mechanical ventilation (OR = 8.75, 95% CI: 2.59 ~ 29.58), tracheotomy (OR = 6.12, 95% CI: 2.06 ~ 18.18), endotracheal intubation (OR = 4.25, 95% CI: 2.30 ~ 7.84), β- Lactamase inhibitors (OR = 9.98, 95% CI: 1.51 ~ 65.96), aminoglycosides (OR = 4.01, 95% CI: 2.06 ~ 7.80), carbapenems (OR = 2.82, 95% CI: 1.49 ~ 5.31), and quinolones (OR = 2.17, 95% CI: 1.21 ~ 3.89) were risk factors for ICU-acquired <italic>S. maltophilia</italic> pneumonia.</p><p><bold>Conclusion:</bold> Many risk factors are associated with <italic>S. maltophilia</italic> pneumonia in ICU patients. Clinical workers should pay more attention to assessing the risk of infection in ICU patients and enhance the prevention and management of high-risk groups, which will help reduce their risk of <italic>S. maltophilia</italic> infection.</p>