Evidence map›Paper›PMID 31877146›Full record

ArticlePloS one2019

Evaluation of bacteriophage as an adjunct therapy for treatment of peri-prosthetic joint infection caused by Staphylococcus aureus.

Jodie L Morris, Hayley L Letson, Lisa Elliott, Andrea L Grant, Matthew Wilkinson, Kaushik Hazratwala, Peter McEwen

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 41 citations in OpenAlex.

  1. Vancomycin and phage COP-80B combination therapy for Staphylococcus epidermidis periprosthetic joint infections: a preclinical mouse study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. Review
  3. Review
  4. Review
  5. Bacterial and host interactions inFrontiers in microbiology · 2025
    Review
  6. Review
  7. Review
  8. Review
  9. The applications of animal models in phage therapy: An update.Human vaccines & immunotherapeutics · 2023
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Bacteriophage Therapy forFrontiers in cellular and infection microbiology · 2022
    Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. Article
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

7 authors at 3 institutions in 1 country.

Jodie L MorrisOrthopaedic Research Institute of Queensland, Townsville, Queensland, Australia.ORCID 0000-0002-4795-5539
Hayley L LetsonCollege of Medicine and Dentistry, James Cook University, Queensland, Australia.ORCID 0000-0003-0135-134X
Lisa ElliottAusPhage Pty Ltd, Townsville, Queensland, Australia.
Andrea L GrantOrthopaedic Research Institute of Queensland, Townsville, Queensland, Australia.ORCID 0000-0002-0568-0872
Matthew WilkinsonOrthopaedic Research Institute of Queensland, Townsville, Queensland, Australia.
Kaushik HazratwalaOrthopaedic Research Institute of Queensland, Townsville, Queensland, Australia.
Peter McEwenOrthopaedic Research Institute of Queensland, Townsville, Queensland, Australia.ORCID 0000-0001-5499-9532
Sydney Orthopaedic Research Institute · AUJames Cook University · AUReef Ecologic · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Phage therapy offers a potential alternate strategy for the treatment of peri-prosthetic joint infection (PJI), particularly where limited effective antibiotics are available. We undertook preclinical trials to investigate the therapeutic efficacy of a phage cocktail, alone and in combination with vancomycin, to reduce bacterial numbers within the infected joint using a clinically-relevant model of Staphylococcus aureus-induced PJI. Infected animals were randomised to 4 treatment groups, with treatment commencing 21-days post-surgery: bacteriophage alone, vancomycin alone, bacteriophage and vancomycin, and sham. At day 28 post-surgery, animals were euthanised for microbiological and immunological assessment of implanted joints. Treatment with phage alone or vancomycin alone, led to 5-fold and 6.2-fold reductions, respectively in bacterial load within peri-implant tissue compared to sham-treated animals. Compared to sham-treated animals, a 22.5-fold reduction in S. aureus burden was observed within joint tissue of animals that were administered phage in combination with vancomycin, corresponding with decreased swelling in the implanted knee. Microbiological data were supported by evidence of decreased inflammation within the joints of animals administered phage in combination with vancomycin, compared to sham-treated animals. Our findings provide further support for phage therapy as a tolerable and effective adjunct treatment for PJI.

Indexed as

AnimalsBacterial LoadBacteriophagesCombined Modality TherapyDisease Models, AnimalMaleProsthesis-Related InfectionsRandom AllocationRatsRats, Sprague-DawleyStaphylococcal InfectionsStaphylococcus aureusTreatment OutcomeVancomycinVancomycin

Identifiers

PMID31877146
PMCPMC6932802
OpenAlexW2998217741

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.