Evidence map›Paper›PMID 42899184›Full record

ReviewInfection and drug resistance2026

Phage Therapy as a Self-Replicating Strategy for Besieged Health Systems.

Emmanuel Olalere, Sidra Saif, Warda Imran, Faiza Khalid, Dadullah Faiz, Javeria Akhter, Laiba Manzoor, Ashesh Das

Abstract readReview
In one paragraph

Review in Infection and drug resistance, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Emmanuel OlalereCollege of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.ORCID 0009-0007-2571-2994
Sidra SaifDepartment of Microbiology, Akhtar Saeed Medical College, Rawalpindi, Pakistan.ORCID 0009-0004-2977-3100
Warda ImranDepartment of Microbiology, Dow University of Health Sciences, Karachi, Pakistan.
Faiza KhalidDepartment of Microbiology, Sheikh Zayed Medical College, Rahim Yar Khan, Pakistan.
Dadullah FaizDepartment of Microbiology, Faculty of Medicine, Kandahar University, Kandahar, Afghanistan.ORCID 0009-0000-2446-940X
Javeria AkhterDepartment of Community Health Directorate, Indus Hospital and Health Network, Karachi, Pakistan.ORCID 0009-0007-8587-7168
Laiba ManzoorDepartment of Microbiology, Dow University of Health Sciences, Karachi, Pakistan.
Ashesh DasDepartment of Internal Medicine, KPC Medical College and Hospital, Kolkata, West Bengal, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Active conflict zones and resource-limited health settings face compounding challenges from disrupted antibiotic supply chains concurrent with the proliferation of multidrug-resistant (MDR) and pan-drug-resistant (PDR) pathogens. In such settings, drug availability directly determines clinical outcomes. Methods: A narrative review of the literature was conducted in accordance with adapted SANRA (Scale for the Assessment of Narrative Review Articles) criteria, searching PubMed/MEDLINE, EMBASE, Cochrane Library, and grey literature sources for articles published between 1 Main Findings: Bacteriophages possess unique pharmacokinetic properties, including self-replication exclusively at infection sites, enabling pathogen clearance from a minimal dose burden. The Phage Support Ukraine (PhageSP UKR) initiative demonstrated rapid local phage isolation against circulating MDR and PDR Conclusion: Bacteriophage therapy represents a biologically rational and logistically feasible intervention for health systems under siege. While large-scale randomised controlled trial evidence remains limited, pragmatic deployment supported by compassionate use data and adaptive regulatory frameworks provides justification for clinical application against otherwise untreatable infections in conflict and resource-limited settings. Targeted investments in phage biobanking, rapid point-of-care production protocols, and harmonized international regulatory pathways are urgently needed.

Indexed as

antimicrobial resistancebacteriophageconflict medicineeskape pathogensmultidrug resistancephage therapyresource-limited settingstrauma infections

Identifiers

PMID42899184
PMCPMC13679533

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.