Evidence map›Paper›PMID 35042848›Full record

ArticleNature communications2022

Combination of pre-adapted bacteriophage therapy and antibiotics for treatment of fracture-related infection due to pandrug-resistant Klebsiella pneumoniae.

Anaïs Eskenazi, Cédric Lood, Julia Wubbolts, Maya Hites, Nana Balarjishvili, Lika Leshkasheli, Lia Askilashvili, Leila Kvachadze, Vera van Noort, Jeroen Wagemans and 8 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 163 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
163citing papers in PubMed, 2 pooled it
43.2field-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

163 citing papers in PubMed, 2 syntheses or guidelines pooled it, 271 citations in OpenAlex.

  1. Pooled it
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  8. [Bacteriophage Therapy in Orthopaedics and Trauma].Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2026
    Review
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  20. Bacteriophage Therapy AgainstMicroorganisms · 2026
    Review

103 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

18 authors at 6 institutions in 4 countries.

Anaïs EskenaziClinic of Infectious Diseases, CUB-Erasme Hospital, Brussels, Belgium. anaiseskenazi@me.com.ORCID 0000-0002-2659-1123
Cédric LoodDepartment of Biosystems, Laboratory of Gene Technology, KU Leuven, Leuven, Belgium.ORCID 0000-0001-7826-3378
Julia WubboltsDepartment of Infectious diseases, Leiden University Medical Centre, Leiden, The Netherlands.
Maya HitesClinic of Infectious Diseases, CUB-Erasme Hospital, Brussels, Belgium.
Nana BalarjishviliEliava Institute of Bacteriophages, Microbiology and Virology, Tbilisi, Georgia.
Lika LeshkasheliEliava Institute of Bacteriophages, Microbiology and Virology, Tbilisi, Georgia.
Lia AskilashviliEliava Institute of Bacteriophages, Microbiology and Virology, Tbilisi, Georgia.
Leila KvachadzeEliava Institute of Bacteriophages, Microbiology and Virology, Tbilisi, Georgia.
Vera van NoortDepartment of microbial and molecular systems, Computational systems biology, KU Leuven, Leuven, Belgium.ORCID 0000-0002-8436-6602
Jeroen WagemansDepartment of Biosystems, Laboratory of Gene Technology, KU Leuven, Leuven, Belgium.ORCID 0000-0002-2185-5724
Marc JayankuraDepartment of Orthopedic Surgery, CUB-Erasme Hospital, Brussels, Belgium.
Nina ChanishviliEliava Institute of Bacteriophages, Microbiology and Virology, Tbilisi, Georgia.ORCID 0000-0002-7859-3032
Mark de BoerDepartment of Infectious diseases, Leiden University Medical Centre, Leiden, The Netherlands.
Peter NibberingDepartment of Infectious diseases, Leiden University Medical Centre, Leiden, The Netherlands.
Mzia KutateladzeEliava Institute of Bacteriophages, Microbiology and Virology, Tbilisi, Georgia.
Rob LavigneDepartment of Biosystems, Laboratory of Gene Technology, KU Leuven, Leuven, Belgium.ORCID 0000-0001-7377-1314
Maya MerabishviliLaboratory for molecular and cellular technology, Queen Astrid Military Hospital, Brussels, Belgium.
Jean-Paul PirnayLaboratory for molecular and cellular technology, Queen Astrid Military Hospital, Brussels, Belgium.ORCID 0000-0002-6863-5219
George Eliava Institute of Bacteriophage, Microbiology and Virology · GEErasmus Hospital · BEKU Leuven · BELeiden University Medical Center · NLQueen Astrid Military Hospital · BELeiden University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 30-year-old bombing victim with a fracture-related pandrug-resistant Klebsiella pneumoniae infection after long-term (>700 days) antibiotic therapy is treated with a pre-adapted bacteriophage along with meropenem and colistin, followed by ceftazidime/avibactam. This salvage therapy results in objective clinical, microbiological and radiological improvement of the patient's wounds and overall condition. In support, the bacteriophage and antibiotic combination is highly effective against the patient's K. pneumoniae strain in vitro, in 7-day mature biofilms and in suspensions.

Indexed as

Drug Resistance, Multiple, BacterialPhage TherapyAdultAnti-Bacterial AgentsAzabicyclo CompoundsBacteriophagesBiofilmsCeftazidimeCpG IslandsDrug CombinationsDrug Resistance, MicrobialFractures, BoneGenome, ViralHumansKlebsiella InfectionsKlebsiella pneumoniaeAnti-Bacterial Agentsavibactam, ceftazidime drug combinationAzabicyclo CompoundsCeftazidimeDrug Combinations

Identifiers

PMID35042848
PMCPMC8766457
OpenAlexW4206824606

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.