Evidence map›Paper›PMID 37259013›Full record

ArticleVirus genes2023

Antibacterial effects of single phage and phage cocktail against multidrug-resistant Klebsiella pneumoniae isolated from diabetic foot ulcer.

Javad Jokar, Raed Obaid Saleh, Niloofar Rahimian, Abdolmajid Ghasemian, Ghazal Ghaznavi, Amirhossein Radfar, Elham Zarenezhad, Sohrab Najafipour

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Article in Virus genes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.5field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
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  4. Bacteriophage Therapy AgainstMicroorganisms · 2026
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  7. Article
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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 3 institutions in 2 countries.

Javad JokarSchool of Advanced Technologies in Medicine, Fasa University of Medical Science, Fasa, Iran.
Raed Obaid SalehDepartment of Pathological Analysis, College of Applied Science, University of Fallujah, Al-Anbar, Iraq.
Niloofar RahimianDepartment of Biotechnology, Faculty of Medicine, Fasa University of Medical Sciences, Fasa, Iran.
Abdolmajid GhasemianNoncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.ORCID http://orcid.org/0000-0002-1243-6341
Ghazal GhaznaviDepartment of Microbiology, Faculty of Medicine, Fasa University of Medical Sciences, Fasa, Iran.
Amirhossein RadfarDepartment of Medical Parasitology, School of Advanced Medical Science, and Technologies, Shiraz University If Medical Sciences, Shiraz, Iran.
Elham ZarenezhadDepartment of Biotechnology, Faculty of Medicine, Fasa University of Medical Sciences, Fasa, Iran.
Sohrab NajafipourSchool of Advanced Technologies in Medicine, Fasa University of Medical Science, Fasa, Iran. sohrabnajafipour@yahoo.com.
Fasa University of Medical Sciences · IRShiraz University of Medical Sciences · IRUniversity Of Fallujah · IQ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic foot ulcer (DFU) is associated with long-term hospitalization and amputation. Antibiotic resistance has made the infection eradication more difficult. Hence, seeking alternative therapies such as phage therapy seems necessary. Bacteriophages are viruses targeting specific bacterial species. Klebsiella pneumoniae (K. pneumoniae) is among causative agents of the DFU. In this study, the therapeutic effects of single phage and phage cocktail were investigated against multidrug-resistant (MDR) K. pneumonia isolated from DFU. Bacteriophages were isolated from animal feces and sewage samples, and were enriched and propagated using K. pneumoniae as the host. Thirty K. pneumoniae clinical isolates were collected from hospitalized patients with DFU. The antibiotic susceptibility pattern was determined using agar disk diffusion test. The phages' morphological traits were determined using transmission electron microscopy (TEM). The killing effect of isolated phages was assessed using plaque assay. Four phage types were isolated and recognized including KP1, KP2, KP3, and KP4. The bacterial rapid regrowth was observed following each single phage-host interaction, but not phage cocktail due to the evolution of mutant strains. Phage cocktail demonstrated significantly higher antibacterial activity than each single phage (p < 0.05) without any bacterial regrowth. The employment of phage cocktail was promising for the eradication of MDR-K. pneumoniae isolates. The development of phage therapy in particular, phage cocktail is promising as an efficient approach to eradicate MDR-K. pneumoniae isolated from DFU. The application of a specific phage cocktail can be investigated to try and achieve the eradication of various infections.

Indexed as

BacteriophagesDiabetes MellitusDiabetic FootPhage TherapyAnimalsAnti-Bacterial AgentsKlebsiella pneumoniaeAnti-Bacterial AgentsDiabetic foot ulcerKlebsiella pneumoniaeMonophageMultidrug resistancePhage cocktail

Identifiers

PMID37259013
OpenAlexW4378802320

What OpenQuestion holds

Textmetadata
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.