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ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2026

Novel bacteriophages effectively target multidrug-resistant clinical isolates of Klebsiella pneumoniae.

Malavika Binitha Hari, A L Sreelekshmi, Pradeesh Babu, Abhijith Pulimoottil Jaykumar, Sivaraj Barath, Sharayu Magar, Sutharsan Govindarajan, John Bernet Johnson, Anil Kumar, Jayalekshmi Haripriyan and 6 more

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Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Malavika Binitha HariSchool of Biotechnology, Amrita Vishwa Vidyapeetham, Kollam, Kerala, India.
A L SreelekshmiSchool of Biotechnology, Amrita Vishwa Vidyapeetham, Kollam, Kerala, India.
Pradeesh BabuSchool of Biotechnology, Amrita Vishwa Vidyapeetham, Kollam, Kerala, India.
Abhijith Pulimoottil JaykumarSchool of Biotechnology, Amrita Vishwa Vidyapeetham, Kollam, Kerala, India.
Sivaraj BarathDepartment of Biological Sciences, SRM University AP, Amaravati, Andhra Pradesh, India.
Sharayu MagarDepartment of Biological Sciences, SRM University AP, Amaravati, Andhra Pradesh, India.
Sutharsan GovindarajanDepartment of Biological Sciences, SRM University AP, Amaravati, Andhra Pradesh, India.
John Bernet JohnsonRajiv Gandhi Centre for Biotechnology (RGCB), Trivandrum, Kerala, India.
Anil KumarDepartment of Microbiology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Jayalekshmi HaripriyanSchool of Biotechnology, Amrita Vishwa Vidyapeetham, Kollam, Kerala, India.
Victor NizetDepartment of Pharmacology, University of California, La Jolla, San Diego, CA, USA.
Jason GillDepartment of Plant Pathology and Microbiology, Texas A&M University, College Station, TX, USA.
Lindsey CamaraDepartment of Biology, San Diego State University, San Diego, CA, USA.
Dwayne R RoachDepartment of Biology, San Diego State University, San Diego, CA, USA.
Bipin G NairSchool of Biotechnology, Amrita Vishwa Vidyapeetham, Kollam, Kerala, India.
Geetha B KumarSchool of Biotechnology, Amrita Vishwa Vidyapeetham, Kollam, Kerala, India. gkumar@am.amrita.edu.ORCID https://orcid.org/0000-0002-4584-6929

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe global rise in multidrug-resistant (MDR) Klebsiella pneumoniae, a critical ESKAPE pathogen, has outpaced the development of effective antibiotics. Bacteriophage therapy offers a promising alternative, but therapeutic candidates must be carefully selected for broad activity, genetic safety, synergistic cocktail performance, and clinical stability.

methodsWe isolated and characterized six novel lytic phages (vB_Kpn_AM.K1 to vB_Kpn_AM.K6) targeting K. pneumoniae by assessing morphology, host range, growth kinetics, physicochemical stability, and resistance frequency. Genomes were sequenced to confirm absence of lysogeny and virulence genes. Infection dynamics was visualized via fluorescence microscopy. Phage activity was tested across 60 different MDR K. pneumoniae clinical isolates, obtained from diverse sources such as blood, sputum, occult feces, urine etc.

resultsAll six isolated phages were identified as novel dsDNA phages belonging to Caudoviricetes, with genome sizes ranging from 111 to 169 Kbp, devoid of virulence and AMR genes and demonstrating strong bacteriolytic activity. Growth kinetics indicated burst sizes varying from 12-148 PFU/infected cell. The phages displayed stability between 4-50°C, pH 4 -10 and sustained complete activity after lyophilization. More significantly, the phages and their cocktail combinations could effectively kill 93% of MDR K. pneumoniae clinical isolates.

conclusionThese findings establish a panel of genetically safe, phenotypically diverse phages with broad and synergistic activity against MDR K. pneumoniae. The unique replication phenotypes and formulation stability highlight their potential for therapeutic development and deployment in clinical or resource-limited settings.

Indexed as

BacteriophagesDrug Resistance, Multiple, BacterialKlebsiella InfectionsKlebsiella pneumoniaePhage TherapyAnti-Bacterial AgentsGenome, ViralHost SpecificityHumansAnti-Bacterial AgentsESKAPE pathogensIntracellular replication dynamicsKlebsiella pneumoniaeMultidrug resistancePhage cocktail

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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.