Combination vs. Monotherapy for Stenotrophomonas Maltophilia Infections

Trial statusCompleted
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorInstituto de Investigación Sanitaria Gregorio Marañón

About this trial

The goal of this multicentre observational study is to analyse the treatment strategies and the outcomes for patients with S. maltophilia infections using target trial emulation methodology. The main question it aims to answer is:

• Does combined therapy achieve better results than monotherapy in treating S. maltophilia infections?

Researchers will compare groups receiving monotherapy and combined therapy to see if there are differences in all-cause 30-day mortality.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult patients

S. maltophilia infections

Different episodes if a new infection ocurred > 30 days since the index episode

Disqualifiers

isolates obtained from patients outside of hospital admission

microbiological or clinical colonization

hospitalizations shorter than 72 hours since the time zero

patients who died in the first 72 hours since the time zero or who were in imminent risk of death

Trial population

The selection criterion was the isolation of S. maltophilia in consecutive clinical samples from hospitalised adult patients, identified in microbiology laboratories between 2024 and 2025. The investigators first estimated the incidence of the S. maltophilia isolations per 1,000 admissions. Then, differenced episodes of infection defined if the treating physician considered of clinical significance the S. maltophilia isolation. Different infection episodes were considered from 30 days after the index episode.

Trial design

Design model

Cohort

Time perspective

Other

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

All-cause mortality

Time frame
At 30 days
2

All-cause mortality

Time frame
At 60 days

Secondary outcomes

1

Frequency of complications

need for ICU admission and/or RRT, ECMO, recurrences, or in-hospital readmissions

Time frame
At 60 days
2

Frequency of adverse events

Time frame
At 60 days

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: