Evidence map›Paper›PMID 32646376›Full record

ArticleBMC microbiology2020

Efficacy of phage cocktail AB-SA01 therapy in diabetic mouse wound infections caused by multidrug-resistant Staphylococcus aureus.

Legesse Garedew Kifelew, Morgyn S Warner, Sandra Morales, Lewis Vaughan, Richard Woodman, Robert Fitridge, James G Mitchell, Peter Speck

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
4.9field-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

55 citing papers in PubMed, 91 citations in OpenAlex.

  1. Review
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  7. mBio · 2026
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  14. Complete genome sequence of a methicillin-resistantMicrobiology resource announcements · 2025
    Article
  15. Review
  16. Phage therapy: a promising approach forJournal of virology · 2025
    Review
  17. Review
  18. Article
  19. Article
  20. CombatingFrontiers in cellular and infection microbiology · 2025
    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 at 4 institutions in 2 countries.

Legesse Garedew KifelewCollege of Science and Engineering, Flinders University, Adelaide, South Australia, Australia. legesse.kifelew@flinders.edu.au.ORCID 0000-0002-9219-8987
Morgyn S WarnerInfectious Diseases Unit, The Queen Elizabeth Hospital, Woodville, South Australia, Australia.
Sandra MoralesAmpliPhi Biosciences Corporation, Sydney, New South Wales, Australia.
Lewis VaughanResearch Development and Support, Flinders University, Adelaide, South Australia, Australia.
Richard WoodmanCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Robert FitridgeDiscipline of Surgery, The University of Adelaide, Adelaide, South Australia, Australia.
James G MitchellCollege of Science and Engineering, Flinders University, Adelaide, South Australia, Australia.
Peter SpeckCollege of Science and Engineering, Flinders University, Adelaide, South Australia, Australia.
Flinders University · AUAgriBio · AUQueen Elizabeth Hospital · AUThe University of Adelaide · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic foot ulcer (DFU) is a serious complication of diabetes mellitus. Antibiotic-resistant Staphylococcus aureus is frequently isolated from DFU infections. Bacteriophages (phages) represent an alternative or adjunct treatment to antibiotic therapy. Here we describe the efficacy of AB-SA01, a cocktail of three S. aureus Myoviridae phages, made to current good manufacturing practice (cGMP) standards, and which has undergone two phase I clinical trials, in treatment of multidrug-resistant (MDR) S. aureus infections.

resultsWounds of saline-treated mice showed no healing, but expanded and became inflamed, ulcerated, and suppurating. In contrast, AB-SA01 treatment decreased the bacterial load with efficacy similar or superior to vancomycin treatment. At the end of the treatment period, there was a significant decrease (p < 0.001) in bacterial load and wound size in infected phage- and vancomycin-treated groups compared with infected saline-treated mice. In phage-treated mice, wound healing was seen similar to vancomycin treatment. No mortality was recorded associated with infections, and post-mortem examinations did not show any evident pathological lesions other than the skin wounds. No adverse effects related to the application of phages were observed.

conclusionTopical application of phage cocktail AB-SA01 is effective, as shown by bacterial load reduction and wound closure, in the treatment of diabetic wound infections caused by MDR S. aureus. Our results suggest that topical phage cocktail treatment may be effective in treating antibiotic-resistant S. aureus DFU infections.

Indexed as

AnimalsBacterial LoadDiabetes Mellitus, ExperimentalDiabetic FootDisease Models, AnimalDrug Resistance, Multiple, BacterialMaleMicePhage TherapyStaphylococcal InfectionsStaphylococcus aureusVancomycinWound HealingWound InfectionVancomycinDiabetic miceInfectionMDR S. aureusPhage cocktailTreatmentWound

Identifiers

PMID32646376
PMCPMC7346408
OpenAlexW3042027960

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.