Evidence map›Paper›PMID 23996629›Full record

ArticleLasers in surgery and medicine2013

Effective photodynamic therapy against microbial populations in human deep tissue abscess aspirates.

Constantine G Haidaris, Thomas H Foster, David L Waldman, Edward J Mathes, Joanne McNamara, Timothy Curran

Registry-linked trialOpen access · greenAbstract readEvaluation Study
In one paragraph

Article in Lasers in surgery and medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02240498 (A Phase 1 Study to Assess Safety and Feasibility of Methylene Blue Photodynamic Therapy to Sterilize Deep Tissue Abscess Cavities), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.7field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02240498 phase1completednot on this mapstarted 2014, after this paper: background citation

A Phase 1 Study to Assess Safety and Feasibility of Methylene Blue Photodynamic Therapy to Sterilize Deep Tissue Abscess Cavities

TypeinterventionalSponsorUniversity of RochesterRan2014 to 2023Enrolled21ConditionsAbscessArmsMethylene Blue, 20% I.V. Fat Emulsion, Insertion of optical fiber, Laser illumination, 5 minutes, Laser illumination, 10 minutes
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Constantine G HaidarisDepartment of Microbiology and Immunology, University of Rochester Medical Center, Rochester, New York, 14642; Center for Oral Biology, University of Rochester Medical Center, Rochester, New York, 14642.
Thomas H Foster
David L Waldman
Edward J Mathes
Joanne McNamara
Timothy Curran
University of Rochester Medical Center · US

Funding

PHOTOPHYSICS OF PHOTODYNAMIC THERAPYR01CA068409 · NCI · UNIVERSITY OF ROCHESTER · PI FOSTER, THOMAS HARRISON · 1995 to 2011
$3.8M
Mitochondrial function and antifungal photodynamic therapyR56AI083421 · NIAID · UNIVERSITY OF ROCHESTER · PI HAIDARIS, CONSTANTINE G · 2011 to 2011
$386k
NCI NIH HHS CA68409NCI NIH HHS R01 CA068409NIAID NIH HHS AI083421NIAID NIH HHS R56 AI083421
6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe primary therapy for deep tissue abscesses is drainage accompanied by systemic antimicrobial treatment. However, the long antibiotic course required increases the probability of acquired resistance, and the high incidence of polymicrobial infections in abscesses complicates treatment choices. Photodynamic therapy (PDT) is effective against multiple classes of organisms, including those displaying drug resistance, and may serve as a useful adjunct to the standard of care by reduction of abscess microbial burden following drainage. STUDY DESIGN/MATERIALS AND

methodsAspirates were obtained from 32 patients who underwent image-guided percutaneous drainage of the abscess cavity. The majority of the specimens (24/32) were abdominal, with the remainder from liver and lung. Conventional microbiological techniques and nucleotide sequence analysis of rRNA gene fragments were used to characterize microbial populations from abscess aspirates. We evaluated the sensitivity of microorganisms to methylene blue-sensitized PDT in vitro both within the context of an abscess aspirate and as individual isolates.

resultsMost isolates were bacterial, with the fungus Candida tropicalis also isolated from two specimens. We examined the sensitivity of these microorganisms to methylene blue-PDT. Complete elimination of culturable microorganisms was achieved in three different aspirates, and significant killing (P < 0.0001) was observed in all individual microbial isolates tested compared to controls.

conclusionsThese results and the technical feasibility of advancing optical fibers through catheters at the time of drainage motivate further work on including PDT as a therapeutic option during abscess treatment.

Indexed as

PhotochemotherapyAbdominal AbscessAbscessAdolescentAdultAgedAged, 80 and overCandida tropicalisCandidiasisCombined Modality TherapyDrainageFeasibility StudiesFemaleGram-Negative Bacterial InfectionsGram-Positive Bacterial InfectionsHumansMethylene BluePhotosensitizing Agentsantimicrobialbacteriafungiimage-guidedmethylene blue

Identifiers

PMID23996629
PMCPMC3904787
OpenAlexW1949655792

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.