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. 2019 Jan 16;32(2):e00066-18. doi: 10.1128/CMR.00066-18

TABLE 1.

Advantages, disadvantages, and similarities of phage therapy compared to antibiotic therapy

Advantages Similarities Disadvantages
Specificity: does not kill the microbiota
Self-limitation: once the bacterial host is killed, it ceases to function
Available for patients with antibiotic allergies
Safety: no effects on mammalian cells
Exponential reproduction allows for lower doses
Evolution: if resistance arises, phages mutate alongside bacteria
Antibiofilm activity
Simple and inexpensive to produce
Ubiquity
Administration requires a neutralized-pH environment
Therapeutic success depends on variables such as time of treatment initiation
Activity is influenced by the immune system of the patient
Versatility in routes of administration
Occurrence of bacterial resistance to the therapeutic agent
Specificity: causative bacterium must be identified beforehand, narrow spectrum of action
Induction of phage-neutralizing antibody production (clinical relevance to be determined)
Significantly smaller body of evidence and correctly designed clinical trials supporting its effectiveness
Lack of a specific regulatory framework, and legal issues regarding intellectual property