Persistence and Variability of Stenotrophomonas maltophilia in Cystic Fibrosis Patients, Madrid, 1991-1998
2001

Stenotrophomonas maltophilia in Cystic Fibrosis Patients

Sample size: 25 publication Evidence: moderate

Author Information

Author(s): Sylvia Valdezate, Ana Vindel, Luis Maiz, Fernando Baquero, Hector Escobar, Rafael Canton

Primary Institution: Hospital Ramon y Cajal, Madrid, Spain

Hypothesis

What is the incidence and role of Stenotrophomonas maltophilia in cystic fibrosis patients?

Conclusion

The study found a high incidence of Stenotrophomonas maltophilia colonization in cystic fibrosis patients, with significant differences in bacterial counts and age of acquisition between those with single and repeated episodes.

Supporting Evidence

  • Overall incidence of S. maltophilia infection or colonization was 24% among cystic fibrosis patients.
  • Patients with repeated episodes had higher bacterial counts than those with a single episode.
  • Chronic colonization occurred more frequently in older patients.

Takeaway

This study looked at how a germ called Stenotrophomonas maltophilia affects kids with cystic fibrosis. They found that older kids are more likely to get it and that it can stick around for a long time.

Methodology

The study analyzed respiratory isolates from 25 cystic fibrosis patients over an 8-year period, using molecular typing, ribotyping, and pulsed-field gel electrophoresis.

Limitations

The small sample size may limit the generalizability of the findings.

Participant Demographics

Patients aged <1 to 32 years, with a median age of 14.5 years; 12 females and 13 males.

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.05

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