Evidence map›Paper›PMID 42847627›Full record

ArticleInfection & chemotherapy2026

Synergistic Effect of Bacteriophage vB_KpnS_Pey and Antibiotic Combinations against Clinical Carbapenem-Resistant

Parva Farmehr, Salehe Sabouri, Roya Ahmadrajabi, Saereh Mohammadpour, Hossein Hosseini-Nave, Sanaz Rastegar

Abstract read
In one paragraph

Article in Infection & chemotherapy, 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

6 authors.

Parva FarmehrStudent Research Committee, Kerman University of Medical Sciences, Kerman, Iran.ORCID https://orcid.org/0009-0003-1542-5378
Salehe SabouriHerbal and Traditional Medicines Research Center, Institute of Pharmaceutical Sciences, Kerman University of Medical Sciences, Kerman, Iran.ORCID https://orcid.org/0000-0002-9479-212X
Roya AhmadrajabiMedical Mycology and Bacteriology Research Center, Kerman University of Medical Sciences, Kerman, Iran.ORCID https://orcid.org/0000-0001-5636-7037
Saereh MohammadpourDepartment of Biology, University of Aveiro, Aveiro, Portugal.ORCID https://orcid.org/0009-0009-9842-5229
Hossein Hosseini-Nave *Medical Mycology and Bacteriology Research Center, Kerman University of Medical Sciences, Kerman, Iran.ORCID https://orcid.org/0000-0002-9152-818X
Sanaz Rastegar *Medical Mycology and Bacteriology Research Center, Kerman University of Medical Sciences, Kerman, Iran.ORCID https://orcid.org/0000-0001-9793-0092

Funding

Kerman University of Medical Sciences 402001001
6 · The paper itself

Abstract

backgroundThe global rise of antimicrobial resistance, particularly among carbapenem-resistant MATERIALS AND

methodsA total of 30 non-duplicate clinical

resultsTEM revealed that phage vB_KpnS_Pey is a member of the class Caudoviricetes, with an icosahedral head and a long, non-contractile tail. This phage produced clear, halo-form plaques and exhibited lytic activity against 13.3% of CRKP isolates. It showed high EOP against most susceptible strains, a latent period of approximately 30 minutes, and a burst size of 315 plaque-forming units (PFU) per infected cell. The optimal MOI was determined to be 1,000 PFU/colony-forming unit. Combination assays demonstrated phage-antibiotic synergy between vB_KpnS_Pey and subinhibitory concentrations of ciprofloxacin and meropenem, resulting in enhanced bacterial clearance in time-kill experiments. No synergistic effect was observed with gentamicin and colistin.

conclusionThese findings highlight the therapeutic potential of phage vB_KpnS_Pey, particularly when combined with ciprofloxacin and meropenem, as an alternative or combined strategy for treating infections caused by CRKP. Further research is required to fully understand the bacteriophage's mechanisms of action and its associated limitations.

Indexed as

Antimicrobial resistanceKlebsiella pneumoniaePhage therapySynergismTime-kill

Identifiers

PMID42847627
PMCPMC13655465

What OpenQuestion holds

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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.