Evidence map›Paper›PMID 42364990›Full record

ArticleNature communications2026

Chronic suppression of a multidrug-resistant Pseudomonas aeruginosa in prosthetic joint infection using personalized bacteriophage treatment.

Rekha Arya, Dongzhu Ma, Jewelia J Rempuszewski, Nadine M Sadaka, Andrew J Frear, Beth Knapick, Dana M Parker, Vaughn S Cooper, Daria Van Tyne, Neel B Shah and 7 more

Abstract readCase Reports
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Living Microbial Drugs.Chemistry (Weinheim an der Bergstrasse, Germany) · 2026
    Review
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

17 authors.

Rekha AryaDepartment of Orthopaedic Surgery, Bethel Musculoskeletal Research Center, Arthritis and Arthroplasty Design Lab, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID http://orcid.org/0000-0001-7515-9049
Dongzhu MaDepartment of Orthopaedic Surgery, Bethel Musculoskeletal Research Center, Arthritis and Arthroplasty Design Lab, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jewelia J RempuszewskiDepartment of Orthopaedic Surgery, Bethel Musculoskeletal Research Center, Arthritis and Arthroplasty Design Lab, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Nadine M SadakaDepartment of Orthopaedic Surgery, Bethel Musculoskeletal Research Center, Arthritis and Arthroplasty Design Lab, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Andrew J FrearDepartment of Orthopaedic Surgery, Bethel Musculoskeletal Research Center, Arthritis and Arthroplasty Design Lab, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Beth KnapickDepartment of Orthopaedic Surgery, Bethel Musculoskeletal Research Center, Arthritis and Arthroplasty Design Lab, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Dana M ParkerDepartment of Orthopaedic Surgery, Bethel Musculoskeletal Research Center, Arthritis and Arthroplasty Design Lab, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID http://orcid.org/0009-0001-8377-8453
Vaughn S CooperDepartment of Microbiology and Molecular Genetics, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID http://orcid.org/0000-0001-7726-0765
Daria Van TyneDivision of Infectious Diseases, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID http://orcid.org/0000-0001-7284-0103
Neel B ShahDivision of Infectious Diseases, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
James B DoubDivision of Clinical Care and Research, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Ümit AkbeyDepartment of Structural Biology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID http://orcid.org/0000-0003-3161-2969
Joseph FacklerAdaptive Phage Therapeutics, Gaithersburg, MD, USA.
Subhendu BasuAdaptive Phage Therapeutics, Gaithersburg, MD, USA.
Arkadiy GarberMiddle Author Bioinformatics, LLC, Phoenix, AZ, USA.
Erin M NawrockiDepartment of Microbiology and Molecular Genetics, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-7610-7117
Kenneth L UrishDepartment of Orthopaedic Surgery, Bethel Musculoskeletal Research Center, Arthritis and Arthroplasty Design Lab, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. ken.urish@pitt.edu.

Funding

Cryo-electron microscopeS10OD025009 · OD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CONWAY, JAMES F. · 2018 to 2018
$2.0M
Direct electron detecting (DED) cameraS10OD019995 · OD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CONWAY, JAMES F. · 2015 to 2015
$548k
NIH HHS S10 OD019995NIH HHS S10 OD025009
6 · The paper itself

Abstract

Multidrug resistant (MDR) bacterial infections without antibiotic options are a public health emergency. Infections associated with medical implants serve as an example. Conventional antibiotics have limited ability to eradicate these infections as they are associated with antibiotic-tolerant biofilms. Here, we report the use of bacteriophage therapy for the treatment of a MDR, non-operable Pseudomonas aeruginosa periprosthetic joint infection that had failed multiple antibiotic and surgical interventions. Treatment with intermittent bacteriophage therapy alone without antibiotics over a 2 year time period resulted in clinical resolution of the infection, but not microbiological eradication. Bacteriophage therapy established this control, in part, by altering virulence as defined by disease severity and symptoms and disrupting biofilm. Whole genome sequencing demonstrated the continued presence of bacteriophage during treatment. This provides preliminary evidence that bacteriophage therapy can be used to treat MDR infections in salvage cases when surgical and antibiotic options do not exist.

Indexed as

BacteriophagesDrug Resistance, Multiple, BacterialPhage TherapyProsthesis-Related InfectionsPseudomonas aeruginosaPseudomonas InfectionsAnti-Bacterial AgentsBiofilmsHumansAnti-Bacterial Agents

Identifiers

PMID42364990
PMCPMC13527055

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.