{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T17:46:33Z","timestamp":1791740793668,"version":"4.3.4"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perit Dial Int"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Peritoneal dialysis (PD)-related peritonitis due to\n                      <jats:italic toggle=\"yes\">Stenotrophomonas maltophilia<\/jats:italic>\n                      presents significant challenges in clinical management due to its multi-drug resistance and tendency to form biofilms. Published data on its clinical epidemiology and outcomes remain limited.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively reviewed all\n                      <jats:italic toggle=\"yes\">S. maltophilia<\/jats:italic>\n                      PD-peritonitis at a regional PD centre in Hong Kong from April 2005 to March 2025. Patient characteristics, antimicrobial sensitivity and resistance patterns, treatments, and outcomes were analysed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified 28\n                      <jats:italic toggle=\"yes\">S. maltophilia<\/jats:italic>\n                      peritonitis episodes in 27 patients during the study period, accounting for 0.96% of all peritonitis episodes. Nineteen (70.4%) patients had medical comorbidities suggesting immunocompromised states in addition to chronic kidney disease; most episodes occurred after hospitalization (64.3%) or antibiotic use (57.1%). While most initial isolates were susceptible to trimethoprim-sulfamethoxazole (100%), levofloxacin (96.3%), and minocycline (100%), later emergence of less susceptible isolates was common (42.9%). Six episodes (21.4%) achieved medical cure but 9 (32.1%) showed relapsing peritonitis. Fifteen (53.6%) experienced PD catheter removal while 12 (42.9%) required transfer to haemodialysis. Eight (28.6%) had peritonitis-associated death.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      This is the largest case series of\n                      <jats:italic toggle=\"yes\">S. maltophilia<\/jats:italic>\n                      PD-peritonitis to date.\n                      <jats:italic toggle=\"yes\">S. maltophilia<\/jats:italic>\n                      was an uncommon cause of PD-peritonitis but conferred substantial adverse outcomes. Early identification of\n                      <jats:italic toggle=\"yes\">S. maltophilia<\/jats:italic>\n                      and sufficient duration of appropriate antimicrobials may help achieve better outlook.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08968608261493212","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:19:47Z","timestamp":1791461987000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Stenotrophomonas maltophilia<\/i>\n                    peritoneal dialysis-related peritonitis: A 20-year single-centre retrospective review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2476-1360","authenticated-orcid":false,"given":"Wai Lun Will","family":"Pak","sequence":"first","affiliation":[{"name":"United Christian Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8179-8293","authenticated-orcid":false,"given":"Desmond Yat Hin","family":"Yap","sequence":"additional","affiliation":[{"name":"Queen Mary Hospital, The University of Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8020-3753","authenticated-orcid":false,"given":"Shui Kuen","family":"Cheng","sequence":"additional","affiliation":[{"name":"United Christian Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandy Ka Yee","family":"Chau","sequence":"additional","affiliation":[{"name":"United Christian Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi Kwan","family":"Lam","sequence":"additional","affiliation":[{"name":"United Christian Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sze Ho Sunny","family":"Wong","sequence":"additional","affiliation":[{"name":"United Christian Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00019-11"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00030-19"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(97)90013-5"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/089686089901900312"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/089686080402400418"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.3904\/kjim.2004.19.2.104"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/003655900750016922"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/08968608221080586"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1159\/000543693"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0896860819879873"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/9.12.1774"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1099\/jmm.0.076513-0"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciad428"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciab1013"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciae403"},{"key":"e_1_3_2_17_2","volume-title":"Performance standards for antimicrobial susceptibility testing. CLSI supplement M100.","author":"CLSI","year":"2024","unstructured":"CLSI. Performance standards for antimicrobial susceptibility testing. CLSI supplement M100. 34th ed. Clinical and Laboratory Standards Institute, 2024."},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/08968608231172740"},{"key":"e_1_3_2_19_2","unstructured":"Minocycline (Systemic). Lexi-Drugs. https:\/\/online.lexi.com (accessed February 20 2026)."},{"key":"e_1_3_2_20_2","volume-title":"The Sanford guide to antimicrobial therapy 2025.","author":"Gilbert DN","year":"2025","unstructured":"Gilbert DN, Chambers HF, Saag MS, et al. The Sanford guide to antimicrobial therapy 2025. 55th ed. VA: Antimicrobial Therapy, Inc., 2025."},{"key":"e_1_3_2_21_2","unstructured":"Cefiderocol. 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