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Isolation and Characterization of a Novel Lytic Phage N22 and Its Effect on Drug-Resistant .

作者信息

Liu Dongyu, Qin Kunhao, Hong Chengying, Huang Wei, Li Wei, Lian Puqiao, Li Mengyao, Chen Huaisheng, Liu Xueyan

机构信息

Department of Critical Care Medicine, Shenzhen People's Hospital, The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, 518020, People's Republic of China.

Jiangxi Province Key Laboratory of Organ Development and Epigenetics, Clinical Medical Research Center, Affiliated Hospital of Jinggangshan University, Medical Department of Jinggangshan University, Ji'an, 343009, People's Republic of China.

出版信息

Infect Drug Resist. 2025 Apr 10;18:1807-1818. doi: 10.2147/IDR.S515363. eCollection 2025.


DOI:10.2147/IDR.S515363
PMID:40231317
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11995918/
Abstract

BACKGROUND: (KP) infections present a significant clinical challenge and are frequently associated with elevated drug resistance. The use of phage therapy has resurged in response to escalating antibiotic resistance. This study aimed to address the multidrug resistance crisis in intensive care units by exploring the use of ceftazidime/avibactam (CAZ/AVI), a widely used clinical antimicrobial agent, in conjunction with phage therapy. MATERIALS AND METHODS: We screened a clinical strain of KP from ICU and successfully isolated phage N22 from hospital wastewater. We conducted an in-depth analysis of the physiological and biochemical properties of phage N22 and determined its optimal multiplicity of infection with the clinical KP strain. The inhibitory effects of phage N22 in combination with CAZ/AVI on biofilm formation were investigated. Comparative efficacies of these combinations were evaluated using a () model. RESULTS: Phage N22 inhibited KP biofilm formation. The impact of varying phage N22 concentrations when used alongside CAZ/AVI was examined, and the combination of phage N22 and CAZ/AVI was more effective against KP than CAZ/AVI alone. CONCLUSION: This study provides a preliminary investigation into the effects of combining CAZ/AVI with phage therapy, highlighting its potential significance in developing novel therapeutic strategies for bacterial infections resistant to CAZ/AVI. The findings underscore the importance of advancing highly effective phage agents as alternative treatment modalities for patients with infections refractory to conventional antibiotics.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3615/11995918/5eb55cf4d36b/IDR-18-1807-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3615/11995918/3cd48488a5a6/IDR-18-1807-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3615/11995918/dbdeb28f0144/IDR-18-1807-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3615/11995918/05417bd75850/IDR-18-1807-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3615/11995918/d71ef2403a60/IDR-18-1807-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3615/11995918/5eb55cf4d36b/IDR-18-1807-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3615/11995918/3cd48488a5a6/IDR-18-1807-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3615/11995918/dbdeb28f0144/IDR-18-1807-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3615/11995918/05417bd75850/IDR-18-1807-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3615/11995918/d71ef2403a60/IDR-18-1807-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3615/11995918/5eb55cf4d36b/IDR-18-1807-g0005.jpg

相似文献

[1]
Isolation and Characterization of a Novel Lytic Phage N22 and Its Effect on Drug-Resistant .

Infect Drug Resist. 2025-4-10

[2]
Ceftazidime-avibactam resistance in KPC-producing Klebsiella pneumoniae accompanied hypermucoviscosity acquisition.

BMC Microbiol. 2024-10-28

[3]
Ceftazidime-avibactam in the treatment of infections from carbapenem-resistant Klebsiella pneumoniae: Ceftazidime-avibactam against CR-KP infections.

J Glob Antimicrob Resist. 2021-9

[4]
Treating complicated carbapenem-resistant enterobacteriaceae infections with ceftazidime/avibactam: a retrospective study with molecular strain characterisation.

Int J Antimicrob Agents. 2017-4-4

[5]
Emergence of Hypervirulent Ceftazidime/Avibactam-Resistant Isolates in a Chinese Tertiary Hospital.

Infect Drug Resist. 2020-8-3

[6]
In vitro interaction of ceftazidime-avibactam in combination with different antimicrobials against KPC-producing Klebsiella pneumoniae clinical isolates.

Int J Infect Dis. 2017-12

[7]
Resistance to Ceftazidime/Avibactam in KPC-Producing Isolates: A Real-Life Observational Study.

Antibiotics (Basel). 2023-4-27

[8]
Emergence of ceftazidime/avibactam resistance in carbapenem-resistant Klebsiella pneumoniae in China.

Clin Microbiol Infect. 2019-9-5

[9]
Colonization by ceftazidime/avibactam-resistant KPC-producing Klebsiella pneumoniae following therapy in critically ill patients.

Clin Microbiol Infect. 2023-5

[10]
Ceftazidime-avibactam in the treatment of infections caused by KPC-producing Klebsiella pneumoniae: factors associated with clinical efficacy in a single-center cohort.

Int J Antimicrob Agents. 2020-9

本文引用的文献

[1]
Antibacterial effect of phage cocktails and phage-antibiotic synergy against pathogenic .

mSystems. 2024-9-17

[2]
Carbapenem-resistant Gram-negative bacteria (CR-GNB) in ICUs: resistance genes, therapeutics, and prevention - a comprehensive review.

Front Public Health. 2024

[3]
Dynamic within-host cefiderocol heteroresistance caused by bla amplification in pandrug-resistant and hypervirulent Klebsiella pneumoniae sequence type 11.

Drug Resist Updat. 2024-3

[4]
Efficacy and safety of ceftazidime/avibactam in patients with infections caused by β-lactamase-producing Gram-negative pathogens: a pooled analysis from the Phase 3 clinical trial programme.

J Antimicrob Chemother. 2023-11-6

[5]
Discovery of phage determinants that confer sensitivity to bacterial immune systems.

Cell. 2023-4-27

[6]
Characterization of a Lytic Bacteriophage and Demonstration of Its Combined Lytic Effect with a K2 Depolymerase on the Hypervirulent Strain 52145.

Microorganisms. 2023-3-6

[7]
Characterization of Novel Phage PG14 and Its Antibiofilm Efficacy.

Microbiol Spectr. 2022-12-21

[8]
Phage-antibiotic combination is a superior treatment against Acinetobacter baumannii in a preclinical study.

EBioMedicine. 2022-6

[9]
Susceptibility profiles and resistance genomics of Pseudomonas aeruginosa isolates from European ICUs participating in the ASPIRE-ICU trial.

J Antimicrob Chemother. 2022-6-29

[10]
Combination of pre-adapted bacteriophage therapy and antibiotics for treatment of fracture-related infection due to pandrug-resistant Klebsiella pneumoniae.

Nat Commun. 2022-1-18

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