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. 2023 Jan 10;10:1035812. doi: 10.3389/fpubh.2022.1035812

Table 3.

Meta-analysis of risk factors of lower respiratory tract infection caused by S. maltophilia.

Exposure factors Included studies Heterogeneity p Fixed-effect model (FEM) p Random-effect model (REM) p
General condition
Age, years 9 0 0.99 0.04 (−0.10~0.17) 0.59 0.04 (−0.10~0.17) 0.59
Gender 16 0 0.81 0.99 (0.82~1.19) 0.93 0.99 (0.82~1.19) 0.93
APACHE-II score >20 3 93 <0.001 2.68 (1.97~3.64) <0.001 5.56 (1.16~26.53) 0.03
Glucocorticoid 11 60 0.006 1.75 (1.37~2.23) <0.001 2.08 (1.32~3.27) 0.002
Hospitalization days 6 92 <0.001 7.36 (6.11~8.62) <0.001 14.56 (6.12~23.03) <0.001
Comorbid disease conditions
COPD 7 86 <0.001 1.45 (1.10~1.90) 0.008 1.89 (0.79~4.51) 0.15
Diabetes 7 34 0.17 0.96 (0.80~1.16) 0.67 1.00 (0.78~1.27) 0.97
Solid malignant tumors 9 0 0.81 1.29 (0.98~1.70) 0.07 1.27 (0.96~1.68) 0.09
Malignant tumors of the Hematologic system 5 42 0.14 0.90 (0.61~1.31) 0.57 0.88 (0.51~1.52) 0.65
Cardiovascular disease 9 37 0.12 0.87 (0.67~1.12) 0.26 0.95 (0.67~1.34) 0.77
Kidney dysfunction 3 0 0.88 0.85 (0.52~1.40) 0.52 0.85 (0.52~1.40) 0.53
Immunosuppression 7 40 0.13 1.07 (0.83~1.39) 0.59 1.06 (0.73~1.54) 0.74
Invasive manipulation
Mechanical ventilation 10 80 <0.001 8.42 (6.06~11.71) <0.001 14.16 (5.85~34.30) <0.001
Tracheal intubation 4 0 0.89 6.07 (3.63~10.16) <0.001 5.88 (3.54~9.75) <0.001
Tracheotomy 6 84 <0.001 3.84 (2.47~5.95) <0.001 3.77 (1.09~13.04) 0.04
Central venous Catheterization 11 80 <0.001 1,76 (1.35~2.30) <0.001 2.16 (1.07~4.36) 0.03
Urinary catheter 6 81 <0.001 1.85 (1.26~2.72) 0.002 2.30 (0.81~6.52) 0.12
Nasogastric tube 5 60 0.04 3.17 (2.20~4.57) <0.001 3.00 (1.60~5.63) <0.001
Operation 4 32 0.22 1.32 (0.86~2.03) 0.20 1.31 (0.70~2.44) 0.40
History of antibacterial Drug use
Carbapenems 12 77 <0.001 2.91 (2.38~3.55) <0.001 3.69 (2.31~5.89) <0.001
β-lactamase inhibitors 3 10 0.33 1.76 (1.30~2.39) <0.001 1.73 (1.18~2.55) 0.005
Aminoglycosides 7 50 0.06 2.13 (1.50~3.03) <0.001 2.57 (1.42~4.65) 0.002
Quinolones 4 89 <0.001 0.82 (0.62~1.08) 0.16 1.41 (0.50~3.93) 0.52
Glycopeptides 5 76 0.002 2.72 (1.97~3.76) <0.001 3.22 (1.48~7.01) 0.003
Use more than 3 kinds of antibacterial drugs 4 93 <0.001 2,47 (1.81~3.37) <0.001 6.21 (1.24~31.13) 0.03