Evidence map›Paper›PMID 27148173›Full record

ArticleFrontiers in microbiology2016

Bacteriophages as Potential Treatment for Urinary Tract Infections.

Wilbert Sybesma, Reinhard Zbinden, Nino Chanishvili, Mzia Kutateladze, Archil Chkhotua, Aleksandre Ujmajuridze, Ulrich Mehnert, Thomas M Kessler

Abstract read
In one paragraph

Article in Frontiers in microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Understanding bacterial biofilms: From definition to treatment strategies.Frontiers in cellular and infection microbiology · 2023
    Pooled it
  2. Trial
  3. Article
  4. Zinc oxide-bacteriophage synergistic combination for dual-mode antibacterial activity against multidrug-resistant Escherichia coli.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  5. Therapeutic strategies for multi-resistantJAC-antimicrobial resistance · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Potential of an Isolated Bacteriophage to InactivateAntibiotics (Basel, Switzerland) · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Two Newly IsolatedViruses · 2022
    Article
  17. Article
  18. Article
  19. Natural Bred εAntibiotics (Basel, Switzerland) · 2021
    Article
  20. Review
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

8 authors.

Wilbert SybesmaNeuro-Urology, Spinal Cord Injury Center and Research, University of Zürich, Balgrist University Hospital Zürich, Switzerland.
Reinhard ZbindenInstitute of Medical Microbiology, University of Zürich Zürich, Switzerland.
Nino ChanishviliThe Eliava Institute of Bacteriophage, Microbiology, and Virology Tbilisi, Georgia.
Mzia KutateladzeThe Eliava Institute of Bacteriophage, Microbiology, and Virology Tbilisi, Georgia.
Archil ChkhotuaTsulukidze National Center of Urology Tbilisi, Georgia.
Aleksandre UjmajuridzeTsulukidze National Center of Urology Tbilisi, Georgia.
Ulrich MehnertNeuro-Urology, Spinal Cord Injury Center and Research, University of Zürich, Balgrist University Hospital Zürich, Switzerland.
Thomas M KesslerNeuro-Urology, Spinal Cord Injury Center and Research, University of Zürich, Balgrist University Hospital Zürich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary tract infections (UTIs) are among the most prevalent microbial diseases and their financial burden on society is substantial. The continuing increase of antibiotic resistance worldwide is alarming so that well-tolerated, highly effective therapeutic alternatives are urgently needed.

objectiveTo investigate the effect of bacteriophages on Escherichia coli and Klebsiella pneumoniae strains isolated from the urine of patients suffering from UTIs. MATERIAL AND

methodsForty-one E. coli and 9 K. pneumoniae strains, isolated from the urine of patients suffering from UTIs, were tested in vitro for their susceptibility toward bacteriophages. The bacteriophages originated from either commercially available bacteriophage cocktails registered in Georgia or from the bacteriophage collection of the George Eliava Institute of Bacteriophage, Microbiology and Virology. In vitro screening of bacterial strains was performed by use of the spot-test method. The experiments were implemented three times by different groups of scientists.

resultsThe lytic activity of the commercial bacteriophage cocktails on the 41 E. coli strains varied between 66% (Pyo bacteriophage) and 93% (Enko bacteriophage). After bacteriophage adaptation of the Pyo bacteriophage cocktail, its lytic activity was increased from 66 to 93% and only one E. coli strain remained resistant. One bacteriophage of the Eliava collection could lyse all 9 K. pneumoniae strains.

conclusionsBased on the high lytic activity and the potential of resistance optimization by direct adaption of bacteriophages as reported in this study, and in view of the continuing increase of antibiotic resistance worldwide, bacteriophage therapy is a promising treatment option for UTIs highly warranting randomized controlled trials.

Indexed as

antibiotic resistanceantibioticsbacteriophage adaptationbacteriophagesurinary tract infection

Identifiers

PMID27148173
PMCPMC4826877

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Registered trials

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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.