Evidence map›Paper›PMID 42828630›Full record

ReviewInfection2026

Bacteriophage therapy for multidrug- and extensively drug-resistant Acinetobacter baumannii: isolation, characterization, and therapeutic applications.

Hafiz Anas Saeed, Arslan Ullah Khan, Mahnoor Jan, Umer Farooq, Muhammad Usama Nadeem, Rabia Arooj, Hafiz Muhammad Husnain Azam, Nazim Hussain

Abstract readReview
PubMed Publisher
In one paragraph

Review in Infection, 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. Article
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.

Hafiz Anas SaeedCentre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan.
Arslan Ullah KhanCentre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan.
Mahnoor JanCentre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan.
Umer FarooqCentre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan.
Muhammad Usama NadeemAllama Iqbal Medical College, Lahore, Pakistan.
Rabia AroojCentre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan.
Hafiz Muhammad Husnain AzamInstitute of Biotechnology, Brandenburg University of Technology (BTU), Cottbus-Senftenberg, Germany.
Nazim HussainCentre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan. nazim.camb@pu.edu.pk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcinetobacter baumannii is a WHO critical-priority pathogen that causes life-threatening healthcare-associated infections, particularly in intensive care units (ICUs). In South Asia and the Middle East, multidrug-resistant (MDR) and extensively drug-resistant (XDR) strains are common and resistance to cephalosporins is 87-100% and to carbapenems 78-90%, leaving only a few remaining therapeutic options like colistin, tigecycline, and polymyxin B.

objectivesThis review aimed to provide an overview of the current knowledge regarding the epidemiology, virulence factors, and resistance mechanisms of MDR/XDR A. baumannii globally and within Pakistan, with particular emphasis on therapeutic approach using bacteriophages as potential alternative to conventional antimicrobial therapy. This review is distinguished from prior publications on A. baumannii phage therapy by its integration of Pakistan-specific epidemiological and phage-isolation data with a critical, comparative synthesis of phage-antibiotic synergy evidence and emerging (2024-2026) clinical and preclinical literature. CONTENT: This review synthesizes current isolation, purification, and genomic/proteomic characterization methods for A. baumannii-targeting bacteriophages, and critically evaluates phage-antibiotic synergy (PAS), in vivo and compassionate-use clinical evidence, and translational and regulatory barriers, alongside emerging alternative antimicrobial strategies and surveillance gaps in resource-limited settings such as Pakistan.

conclusionsIn conclusion, combination therapy of phage and antibiotics, especially sequential phage-colistin therapy, is a promising strategy against MDR/XDR A. baumannii infections. There are several key priorities for the future to consider, such as the establishment of national phage banks, development of standardized phage susceptibility testing (phagograms), and the integration of phage therapy into antimicrobial stewardship and surveillance frameworks, especially in high-burden, resource-limited settings such as Pakistan.

Indexed as

Acinetobacter baumanniiBacterialBacteriophagesDrug resistanceMultipleNosocomial infectionPhage therapy

Identifiers

PMID42828630

What OpenQuestion holds

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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.