Evidence map›Paper›PMID 41372491›Full record

ArticleScientific reports2025

Photodynamic therapy with methylene blue effectively kills antibiotic resistant bacteria from pediatric patients with perforated appendicitis.

Korry T Wirth, Eric Y Wang, Darrian S Hawryluk, Matthew M Byrne, Marjorie J Arca, Derek S Wakeman, Walter Pegoli, David G Darcy, Martin S Pavelka, Nicole A Wilson and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. 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

11 authors.

Korry T WirthDivision of Pediatric Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Eric Y WangDepartment of Microbiology and Immunology, University of Rochester Medical Center, Rochester, NY, USA.
Darrian S HawrylukDepartment of Biomedical Engineering, University of Rochester, Rochester, NY, USA.
Matthew M ByrneDivision of Pediatric Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Marjorie J ArcaDivision of Pediatric Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Derek S WakemanDivision of Pediatric Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Walter PegoliDivision of Pediatric Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
David G DarcyDivision of Pediatric Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Martin S PavelkaDepartment of Microbiology and Immunology, University of Rochester Medical Center, Rochester, NY, USA.
Nicole A WilsonDivision of Pediatric Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Timothy M BaranDepartment of Biomedical Engineering, University of Rochester, Rochester, NY, USA. timothy_baran@urmc.rochester.edu.

Funding

Photodynamic therapy for perforated appendicitisR21AI178152 · NIAID · UNIVERSITY OF ROCHESTER · PI BARAN, TIMOTHY M, WILSON, NICOLE APRIL · 2023 to 2024
$411k
NIAID NIH HHS R21 AI178152NIH HHS AI178152
6 · The paper itself

Abstract

Perforated appendicitis (PA) is the most common cause of intra-abdominal abscess in children and is associated with higher costs, extended hospitalizations, and worse postoperative outcomes compared to uncomplicated appendicitis. Photodynamic therapy (PDT) utilizes a photosensitizer and light to generate cytotoxic reactive species that are efficacious against bacteria. We sought to determine whether PDT could effectively eliminate bacteria isolated from the peritoneal cavities of pediatric patients with perforated appendicitis. After IRB approval, bacterial subcultures from 30 pediatric surgical patients with PA were developed as planktonic monocultures. Samples were derived from standard clinical collection of peritoneal fluid in patients undergoing surgery for PA. Cultures were incubated with the photosensitizer methylene blue (MB) and exposed to a 665 nm laser to perform PDT. Control conditions were MB alone, laser alone, or no MB and no laser. Log reductions in bacterial growth between groups were compared using two-way ANOVA. Bacteria were isolated from 28 (93.3%) specimens, and 26 (86.7%) were polymicrobial. The most prevalent organisms included Escherichia coli (76.7%), the Streptococcus anginosus group (56.7%), Bacteroides fragilis (46.6%), and Pseudomonas aeruginosa (26.7%), with antibiotic resistance common among E. coli isolates. For E. coli, MB-PDT caused a 5.86 ± 0.39 log

Indexed as

AppendicitisBacteriaDrug Resistance, BacterialMethylene BluePhotochemotherapyPhotosensitizing AgentsAdolescentAnti-Bacterial AgentsChildChild, PreschoolEscherichia coliFemaleHumansMaleMicrobial Sensitivity TestsAnti-Bacterial AgentsMethylene BluePhotosensitizing Agents

Identifiers

PMID41372491
PMCPMC12815967

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.