Bulletin physiology and pathology of respiration,
Journal Year:
2024,
Volume and Issue:
1(93), P. 141 - 155
Published: Sept. 13, 2024
Gram-negative
bacteria
Stenotrophomonas
maltophilia
rank
third
among
non-fermenting
gram-negative
in
terms
of
detection
frequency
various
infectious
pathologies.
This
review
presents
information
on
the
virulence
factors,
mechanisms
used
by
S.
for
colonization
and
infection
human
body,
multiple
drug
resistance,
clinical
manifestations
diseases
caused,
methods
bacteriological
diagnosis.
The
importance
early
identification
this
pathogen
practicing
physicians
is
emphasized.
selection
treatment
infections
caused
discussed,
highlighting
challenges
faced
both
clinicians
microbiologists.
To
end,
current
domestic
international
scientific
publications
were
reviewed
using
electronic
library
search
engines
such
as
PubMed,
Google
Scholar,
eLIBRARY.ru,
CyberLeninka.
Virulence,
Journal Year:
2025,
Volume and Issue:
unknown
Published: May 2, 2025
Stenotrophomonas
maltophilia
is
a
gram-negative,
multidrug-resistant,
opportunistic
human
pathogen
responsible
for
hard-to-treat
infections
in
immunocompromised
individuals.
Besides
being
recognized
as
an
important
clinical
pathogen,
S.
also
widespread
the
natural
environment,
with
knowledge
of
pathogenic
potential
environmental
pool
still
lacking.
In
this
study,
we
aimed
to
identify
differences
virulence-related
traits
between
and
isolates
by
assessing
their
genotypic
phenotypic
features.
For
purpose,
40
from
environment
34
obtained
patients
were
analysed.
We
observed
high
degree
diversity
among
irrespective
origin.
Although
antibiotic
resistance-
genes
more
prevalent
isolates,
majority
analysed
present
isolates.
Most
importantly,
features,
specifically
ability
form
biofilms
display
twitching
motility
at
body
temperature
predominantly
characteristic
Our
study
indicates
that
adaptation
endure
feature
strongly
linked
strains
origin,
significant
when
differentiating
harmless
bacteria
ABSTRACT
Stenotrophomonas
maltophilia
expresses
a
type
IV
protein
secretion
system
(T4SS)
that
promotes
contact-dependent
killing
of
other
bacteria
and
does
so
partly
by
secreting
the
effector
TfcB.
Here,
we
report
structure
TfcB,
comprising
an
N-terminal
domain
similar
to
catalytic
glycosyl
hydrolase
(GH-19)
chitinases
C-terminal
for
recognition
translocation
T4SS.
Utilizing
two-hybrid
assay
measure
interactions
with
T4SS
coupling
VirD4,
documented
existence
five
more
substrates.
One
these
was
20845,
annotated
nuclease.
A
S.
mutant
lacking
gene
20845
impaired
Escherichia
coli
,
Klebsiella
pneumoniae
Pseudomonas
aeruginosa
.
Moreover,
cloned
conferred
robust
toxicity,
recombinant
E.
being
rescued
when
co-expressed
its
cognate
immunity
protein.
The
899
amino-acid
protein,
comprised
GHH-nuclease
in
N-terminus,
large
central
region
indeterminant
function,
C-terminus
secretion.
Engineered
variants
had
mutations
predicted
site
did
not
impede
indicating
antibacterial
effect
involves
nuclease
activity.
Using
flow
cytometry
DNA
staining,
determined
but
variants,
confers
loss
content
target
bacteria.
Database
searches
revealed
uncharacterized
homologs
occur
within
range
These
data
indicate
interbacterial
competition
through
action
multiple
toxic
effectors,
including
potent,
novel
DNase.
IMPORTANCE
is
multi-drug-resistant,
Gram-negative
bacterium
emerging
pathogen
humans.
Patients
cystic
fibrosis
are
particularly
susceptible
infection.
In
hospital
water
systems
various
types
infections,
co-exists
bacteria,
pathogens
such
as
We
previously
demonstrated
has
functional
VirB/D4
VI
Since
most
work
on
system,
this
observation
remains
noteworthy.
currently
stands
alone
model
human
expressing
biochemical,
genetic,
cell
biological
approaches,
now
both
discovery
(TfdA)
first
structural
determination
bactericidal
(TfcB).
European Journal of Microbiology and Immunology,
Journal Year:
2024,
Volume and Issue:
14(2), P. 185 - 194
Published: March 5, 2024
Extensive
use
of
carbapenems
may
lead
to
selection
pressure
for
Stenotrophomonas
maltophilia
(SM)
in
hospital
environments.
The
aim
our
study
was
assess
the
possible
association
between
systemic
antibiotic
and
incidence
SM.
A
retrospective,
observational
carried
out
a
tertiary-care
Hungary,
January
1st
2010
December
31st
2019.
Incidence-density
SM
resistant
trimethoprim-sulfamethoxazole
(SXT)
standardized
1000
patient-days,
while
expressed
as
defined
daily
doses
(DDDs)
per
100
patient-days.
Mean
density
infections
0.42/1000
patient-days;
11.08%
were
SXT,
mean
SXT-resistant
0.047/1000
Consumption
rate
colistin,
glycopeptides
increased
by
258.82,
278.94
372.72%
from
2019,
respectively.
Strong
significant
positive
correlations
observed
with
consumption
(r:
0.8759;
P
<
0.001
r:
0.8968;
0.001),
SXT
0.7552;
=
0.011
0.7004;
0.024),
0.7542;
0.012
0.8138;
0.001)
incidence-density/1000
Implementation
institutional
carbapenem-sparing
strategies
are
critical
preserving
these
life-saving
drugs,
affect
microbial
spectrum
clinical
settings.
BMC Infectious Diseases,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: Dec. 5, 2024
Stenotrophomonas
maltophilia,
a
pathogen
that
colonizes
medical
equipment
and
causes
nosocomial
infections
due
to
its
ability
form
biofilms,
has
high
mortality
rates.
This
study
investigated
the
risk
factors
related
in
patients
who
were
diagnosed
with
S.
maltophilia
bacteremia.
It
is
multi-center,
retrospective
ad
observational
cohort
study.
The
demographic
characteristics,
clinical
findings,
microbiological
data,
for
obtained
from
records
of
at
ten
different
hospitals
between
January
1,
2018,
June
30,
2023.
included
total
321
patients.
observed
thirty-day
rate
was
46.1%.
A
central
venous
catheter
(CVC)
present
276
(86%),
66
these
(23.9%)
CVC
removed.
While
only
18
(5.6%)
received
appropriate
empirical
antibiotics,
242
(75.4%)
antibiotics
according
antimicrobial
susceptibility
test
(AST)
results
treatment
revisions.
Multivariate
analysis
revealed
advanced
age
(hazard
ratio
[HR]
=
1.02;
95%
confidence
interval
[CI]:
1.00–
1.03),
antibiotic
(HR
0.35;
CI:
0.23–0.52),
removal
catheters
0.31;
0.16–0.60)
significantly
reduced
mortality.
significant
pathogen,
reduce
rate,
switching
should
be
performed
as
soon
possible.
Postępy Higieny i Medycyny Doświadczalnej,
Journal Year:
2024,
Volume and Issue:
78(1), P. 103 - 110
Published: Jan. 1, 2024
Abstract
Stenotrophomonas
maltophilia
is
a
Gram-negative
(G−)
opportunistic
pathogen,
prevalent
and
concerning
for
susceptible
patients.
It
primarily
causes
nosocomial
some
community-acquired
respiratory
bloodstream
infections.
Reservoirs
include
water,
plant
rhizospheres,
food,
animals.
Virulence
factors
motility,
biofilm
formation,
quorum
sensing,
with
ongoing
research
on
these
mechanisms.
A
major
concern
its
multidrug
resistance
to
antimicrobial
agents
like
trimethoprim-sulfamethoxazole
(TMP-SMX),
β-lactams,
macrolides,
fluoroquinolones,
aminoglycosides,
chloramphenicol,
tetracyclines,
polymyxins.
Effective
treatments
TMP-SMX,
quinolones,
penicillins,
penicillins
β-lactamase
inhibitors.
Rapid
diagnosis
crucial
successful
treatment,
leading
the
development
of
new
detection
methods
such
as
selective
steno
medium
agar
(SMA)
molecular
techniques
nucleic
acid
detection.
Patients
S.
are
prone
co-infections
other
G−
bacteria.
study
by
Safdar
et
al.
cancer
patients
from
1986
2002
showed
an
increase
in
infections
2%
7%,
making
it
5th
most
commonly
isolated
G-bacterium
this
group.
infects
ICU
individuals
SARS-CoV-2,
pneumonia
being
frequent
clinical
manifestation.
The
COVID-19
pandemic
increased
intensive
care
unit
admissions
mechanical
ventilation
use,
higher
infection
rates
maltophilia.