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. 2023 Jun 22;12(7):1089. doi: 10.3390/antibiotics12071089

Table 2.

Summary of clinical case reports using phage–antibiotic combination against MDR P. aeruginosa.

Disease Bacteria Phage Therapy Antibiotic Combination Outcome Reference
Prosthetic joint infection (PJI) P. aeruginosa Three-phage cocktail (109 PFU/mL) Ciprofloxacin
Ceftazidime
Rapid improvement of patient’s health [46]
Catheter-related bacteremia Pandrug-resistant
P. aeruginosa
Personalized three-phage cocktail
(106 PFU/mL) IV 3 h for 21 days
IV Cefiderocol
2 weeks later IV Colistin
Favorable to patient after 21 months follow-up [47]
Catheter-related bacteremia P. aeruginosa XDR Phage cocktail (108 PFU/mL) by direct contact with the infected bone for 4 h Colistin (local)
IV Ceftolozane/Tazobactam
Favorable, with no bacterial growth and rapid healing of bone [48]
Liver infection P. aeruginosa XDR IV BFC1 cocktail (107 PFU/mL) IV Gentamycin, Colistin and Aztreonam Controlled the bloodstream infection, and retransplantation was possible after 72 days [22]
Cystic fibrosis P. aeruginosa MDR IV AB-PA01 (109 PFU/mL) every 6 h for 8 weeks Ciprofloxacin and Piperaciclin-tazobactam for 3 weeks; added Doripenem No P. aeruginosa recurrence or CF exacerbation [49]
Pneumonia P. aeruginosa MDR 1) Nebulized AB-PA01 (109 PFU/mL) for 2 weeks
2) AB-PA01-m1 and Navy-1 phage cocktail (109 PFU/mL)
Piperaciclin-Tazobactam and Colistin No active P. aeruginosa pneumonia after 3 months [50]
Recurrent infections post-transplant P. aeruginosa MDR IV AB-PA01 for 4 weeks (106 PFU/mL) Inhaled Colistin
Piperaciclin-Tazobactam from day 60 to 90
No additional P. aeruginosa was cultured [50]
Pneumonia Carbapenem-resistant
P. aeruginosa
Personalized two-phage cocktail preparations (108 PFU/mL). Nebulized administration and intrapleural for 24 days IV Amikacin, Azhitromycin, Imipenem, and Ceftazidime-Avibactam Clearance of the pathogen and clinical improvement [51]
Graft infection, bacteremia P. aeruginosa OMK01 (107 PFU/mL) Ceftazidime General clinical improvement [52]
Wound infection P. aeruginosa PA5 and PA10
(1010 PFU/mL)
IV Ceftazidime-Avibactam and Colistin The wound completely healed, with no P. aeruginosa detection [53]
Relapsing bacteremia P. aeruginosa MDR Local application of BFC 1.10 (107 PFU/mL) cocktail IV Ceftazidime-Avibactam Bacterial eradication [23]
Bacteremia P. aeruginosa MDR Local application (108 PFU/mL) during surgery every 8 h for 5 days IV Colistin, Meropenem, and Ceftazidime No P. aeruginosa detection [54]