Evidence map›Paper›PMID 33408703›Full record

ReviewFrontiers in microbiology2020

The Rationale for Using Bacteriophage to Treat and Prevent Periprosthetic Joint Infections.

Jonas D Van Belleghem, Robert Manasherob, Ryszard Miȩdzybrodzki, Paweł Rogóż, Andrzej Górski, Gina A Suh, Paul L Bollyky, Derek F Amanatullah

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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
  4. Article
  5. Article
  6. Review
  7. Genetic applications in arthroplasty: A review.Bulletin of the Hospital for Joint Disease (2013) · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Current treatments for biofilm-associated periprosthetic joint infection and new potential strategies.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Review
  12. Review
  13. Review
  14. Review
  15. 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

8 authors at 4 institutions in 2 countries.

Jonas D Van BelleghemDivision of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University, Stanford, CA, United States.
Robert ManasherobDepartment of Orthopaedic Surgery, Stanford University, Stanford, CA, United States.
Ryszard MiȩdzybrodzkiLudwik Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Wrocław, Poland.
Paweł RogóżLudwik Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Wrocław, Poland.
Andrzej GórskiLudwik Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Wrocław, Poland.
Gina A SuhMayo Clinic, Rochester, MN, United States.
Paul L BollykyDivision of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University, Stanford, CA, United States.
Derek F AmanatullahDepartment of Orthopaedic Surgery, Stanford University, Stanford, CA, United States.
Stanford University · USLudwik Hirszfeld Institute of Immunology and Experimental Therapy · PLMayo Clinic in Arizona · USPolish Academy of Sciences · PL

Funding

Institutional Career Development Core (KL2)KL2TR003143 · NCATS · STANFORD UNIVERSITY · PI ASCH, STEVEN M. · 2019 to 2023
$8.7M
Heparanase and Regulatory T cell Stability and FunctionR21AI133240 · NIAID · STANFORD UNIVERSITY · PI BOLLYKY, PAUL L · 2018 to 2019
$438k
Biofilms and Bacteriophages in Chronic Wound InfectionsR21AI133370 · NIAID · STANFORD UNIVERSITY · PI BOLLYKY, PAUL L · 2017 to 2017
$319k
NCATS NIH HHS KL2 TR003143NIAID NIH HHS R21 AI133240NIAID NIH HHS R21 AI133370
6 · The paper itself

Abstract

Prosthetic joint infection (PJI) is a devastating complication after a joint replacement. PJI and its treatment have a high monetary cost, morbidity, and mortality. The lack of success treating PJI with conventional antibiotics alone is related to the presence of bacterial biofilm on medical implants. Consequently, surgical removal of the implant and prolonged intravenous antibiotics to eradicate the infection are necessary prior to re-implanting a new prosthetic joint. Growing clinical data shows that bacterial predators, called bacteriophages (phages), could be an alternative treatment strategy or prophylactic approach for PJI. Phages could further be exploited to degrade biofilms, making bacteria more susceptible to antibiotics and enabling potential combinatorial therapies. Emerging research suggests that phages may also directly interact with the innate immune response. Phage therapy may play an important, and currently understudied, role in the clearance of PJI, and has the potential to treat thousands of patients who would either have to undergo revision surgery to attempt to clear an infections, take antibiotics for a prolonged period to try and suppress the re-emerging infection, or potentially risk losing a limb.

Indexed as

biofilmimmune systemperiprosthetic joint infectionphage (bacteriophage)treatment

Identifiers

PMID33408703
PMCPMC7779626
OpenAlexW3114491683

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.