Table 2.
No. | Phage/s | Host Strain | Against | Effectiveness | Description/ Remarks |
Reference |
---|---|---|---|---|---|---|
In vitro | ||||||
1. | vB_EcoM_LNA1 (A1) |
E. coli K12 MG1655 w/RP4 plasmid |
E. coli K12 MG1655 w/RP4 plasmid, E. coli K12 MG1655 w/pMS6198A plasmid, uropathogenic E. coli (UPEC) S79EC, UPEC S129EC |
Phage exhibited broad host range recognition and strong infectivity against UPEC strains as demonstrated by a large burst size and extended bacterial growth suppression. | [A] | [61] |
2. | SHWT1 | Salmonella pullorum | MDR Salmonella (S. Pullorum, Salmonella Gallinarum, S. Enteritidis, S. Typhimurium, Salmonella Derby, Salmonella London, Salmonella Typhi, Salmonella Heidelberg, Salmonella Paratyphi B) | Phage had a short latent period (5 min) and an average burst size of 146.6 ± 10.8 PFUs/cell. It retained lytic activity for at least 60 min at temperatures ranging between 4 and 65 °C and remained stable at pH 3 to 12. |
[A] | [47] |
3. | JD419 | S. aureus | MDR clinical S. aureus strains | A temperate phage that is stable at pH 6 to 8 and below 50 °C. Rapid replication and lysis of host strains were observed. No virulence or antibiotic resistance genes. |
[A] | [62] |
4. | AP025 and AP006 | P. aeruginosa PAO1/ P. aeruginosa ATCC9027 /clinical isolate | MDR P. aeruginosa | AP025 and AP006 phages exhibited a good infectivity rate (host range infectivity) of 39% and 30%, respectively, against MDR strains. | [A] | [98] |
5. | AP22 | A. baumannii | Genotype-varying MDR clinical A. baumannii strains | Phage exhibits rapid adsorption (>99% adsorbed in 5 min), a large burst size (240 PFU per cell), and stability in a wide range of pH. Infect and lyse 68% of MDR A. baumannii. |
[A] | [99] |
6. | C11S1A | E. coli | MDR E. coli in East Africa | Phage killed all 23 E. coli strains. Highly efficacious at 37 °C and pH 7.4. | [A] | [100] |
7. | ΦSER1 | Serratia | E. coli, Enterobacter spp., Klebsiella spp., Serratia spp., Pseudomonas spp., Citrobacter spp., MDR Pseudomonas | 85% effectiveness in terms of host range when compared with other phages. | [B] | [65] |
In vivo | ||||||
8. | SHWT1 | S. pullorum | MDR S. enteritidis and S. typhimurium | Reduced mice mortality when phage treatment was introduced. Survival rate of S. Enteritidis infection: 40% Survival rate of S. Typhimurium infection: 80%. |
[A] | [47] |
9. | AP025 and AP006 | P. aeruginosa PAO1/P. aeruginosa ATCC9027 /clinical isolate | MDR P. aeruginosa | A single dose of phages at higher concentrations, bacteria:phages at 1:10 and 1:100 were effective in eliminating bloodstream infection and achieving 100% mice survival. | [A] | [101] |
10. | PAK-P3 and P3-CHA | P. aeruginosa | MDR P. aeruginosa cystic fibrosis strains | A curative treatment (one single dose) administered 2 h after the onset of the infection allowed over 95% survival. A four-day preventive treatment (one single dose) resulted in 100% survival. |
[A] | [63] |
11. | øKp_Pokalde_002 | K. pneumoniae | Carbapenem-resistant K. pneumoniae (Kp56) | Bacterial count significantly decreased in blood and other organs after 24 h of phage administration. Phage exhibited rapid clearance and did not stimulate proinflammatory cytokines. There is also a significant reduction in proinflammatory cytokines caused by bacterial infection, reducing tissue inflammation. | [A] | [102] |
Case reports | ||||||
12. | Cocktail III (Kp152, Kp154, Kp155, Kp164, Kp6377, and HD001) | K. pneumonia | Extensively drug-resistant K. pneumonia (ERKp) in UTI | Phage-resistant mutants emerged when Cocktails I and II were used. After phage therapy (Cocktail III) combined with non-active antibiotics treatment, the patient’s pathogenic ERKp was completely eliminated and there are no recurrent UTI symptoms. No signs of recurrence for 6 months of follow-up. |
[A] | [97] |