Evidence map›Paper›PMID 31548497›Full record

ArticleViruses2019

Bacteriophage Application for Difficult-to-treat Musculoskeletal Infections: Development of a Standardized Multidisciplinary Treatment Protocol.

Jolien Onsea, Patrick Soentjens, Sarah Djebara, Maia Merabishvili, Melissa Depypere, Isabel Spriet, Paul De Munter, Yves Debaveye, Stefaan Nijs, Paul Vanderschot and 4 more

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 2 pooled it
11.8field-weighted citation impact, top 1% 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.

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

97 citing papers in PubMed, 2 syntheses or guidelines pooled it, 154 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Editorial: Bacteriophage therapy in orthopedics-Key questions and emerging answers.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
    Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Phage diversity in One Health.Essays in biochemistry · 2024
    Review
  19. Challenges and opportunities of phage therapy forApplied and environmental microbiology · 2024
    Review
  20. Review

37 more citing papers are in PubMed but not listed here.

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

14 authors at 3 institutions in 1 country.

Jolien OnseaDepartment of Development and Regeneration, KU Leuven, 3000 Leuven, Belgium. jolien.onsea@uzleuven.be.
Patrick SoentjensCentre for Infectious Diseases, Queen Astrid Military Hospital, 1120 Brussels, Belgium. psoentjens@itg.be.
Sarah DjebaraCentre for Infectious Diseases, Queen Astrid Military Hospital, 1120 Brussels, Belgium. sarah.djebara@mil.be.
Maia MerabishviliLaboratory for Molecular and Cellular Technology, Queen Astrid Military Hospital, 1120 Brussels, Belgium. maia.merabishvili@mil.be.
Melissa DepypereDepartment of Laboratory Medicine, University Hospitals Leuven, 3000 Leuven, Belgium. melissa.depypere@uzleuven.be.
Isabel SprietPharmacy Department, University Hospitals Leuven, 3000 Leuven, Belgium. isabel.spriet@uzleuven.be.
Paul De MunterDepartment of General Internal Medicine, University Hospitals Leuven, 3000 Leuven, Belgium. paul.demunter@uzleuven.be.
Yves DebaveyeDepartment of Intensive Care Medicine, University Hospitals Leuven, 3000 Leuven, Belgium. yves.debaveye@uzleuven.be.
Stefaan NijsDepartment of Development and Regeneration, KU Leuven, 3000 Leuven, Belgium. stefaan.nijs@uzleuven.be.
Paul VanderschotDepartment of Development and Regeneration, KU Leuven, 3000 Leuven, Belgium. Paul.vanderschot@uzleuven.be.
Jeroen WagemansLaboratory of Gene Technology, KU Leuven, 3001 Leuven, Belgium. jeroen.wagemans@kuleuven.be.
Jean-Paul PirnayLaboratory for Molecular and Cellular Technology, Queen Astrid Military Hospital, 1120 Brussels, Belgium. Jean-paul.pirnay@mil.be.
Rob LavigneLaboratory of Gene Technology, KU Leuven, 3001 Leuven, Belgium. rob.lavigne@kuleuven.be.
Willem-Jan MetsemakersDepartment of Development and Regeneration, KU Leuven, 3000 Leuven, Belgium. willem-jan.metsemakers@uzleuven.be.
KU Leuven · BEQueen Astrid Military Hospital · BERega Institute for Medical Research · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bacteriophage therapy has recently attracted increased interest, particularly in difficult-to-treat infections. Although it is not a novel concept, standardized treatment guidelines are currently lacking. We present the first steps towards the establishment of a "multidisciplinary phage task force" (MPTF) and a standardized treatment pathway, based on our experience of four patients with severe musculoskeletal infections. After review of their medical history and current clinical status, a multidisciplinary team found four patients with musculoskeletal infections eligible for bacteriophage therapy within the scope of Article 37 of the Declaration of Helsinki. Treatment protocols were set up in collaboration with phage scientists and specialists. Based on the isolated pathogens, phage cocktails were selected and applied intraoperatively. A draining system allowed postoperative administration for a maximum of 10 days, 3 times per day. All patients received concomitant antibiotics and their clinical status was followed daily during phage therapy. No severe side-effects related to the phage application protocol were noted. After a single course of phage therapy with concomitant antibiotics, no recurrence of infection with the causative strains occurred, with follow-up periods ranging from 8 to 16 months. This study presents the successful outcome of bacteriophage therapy using a standardized treatment pathway for patients with severe musculoskeletal infection. A multidisciplinary team approach in the form of an MPTF is paramount in this process.

Indexed as

BacteriophagesPhage TherapyAnti-Bacterial AgentsBacteriaBacteriolysisClinical ProtocolsCombined Modality TherapyDrug Resistance, Multiple, BacterialHumansMicrobial Sensitivity TestsMusculoskeletal DiseasesOsteomyelitisPatient Care TeamPerioperative PeriodTreatment OutcomeAnti-Bacterial Agentsantibiotic resistancebacteriophage therapymultidisciplinary teammusculoskeletal infection

Identifiers

PMID31548497
PMCPMC6832313
OpenAlexW2974467838

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.