Abstract
We here present detailed descriptions of successful treatment of a series of diabetic toe ulcers using the Eliava BioPreparations’ commercial preparation of the very well-studied anti-staphylococcal bacteriophage Sb-1. This chapter outlines what we feel is an appropriate mechanism to speed movement toward full-scale clinical trials with bacteriophage use to treat wound infections and to help address the crisis in antibiotic resistance.
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References
Bhullar K, Waglechner N, Pawlowski A, Koteva K, Banks ED, Johnston MD, Barton HA, Wright GD (2012) Antibiotic resistance is prevalent in an isolated cave microbiome. PLoS One 7:e34953. doi:10.1371/journal.pone.0034953
D'Costa VM, King CE, Kalan L, Morar M, Sung WW, Schwarz C, Froese D et al (2011) Antibiotic resistance is ancient. Nature 477:457–461. doi:10.1038/nature10388
Boyko EJ, Lipsky BA (1995) Infection and diabetes mellitus. In: Harris I (ed) Diabetes in America, 2nd edn. NIH, Washington, DC, pp 485–496
Oates A, Bowling FL, Boulton AJ, McBain AJ (2012) A molecular and culture-based assessment of the microbial diversity of the diabetic chronic foot wounds and contralateral skin sites. J Clin Microbiol 50:2263–2271
Abularrage CJ, Sidawy AN, Aidinian G, Singh N, Weiswasser JM, Arora S (2005) Evaluation of the microcirculation in vascular disease. J Vasc Surg. doi:10.1016/j.jvs.2005.05.019
Game F (2010) Management of osteomyelitis of the foot in diabetes mellitus. Nat Rev Endocrinol 6:43–47. doi:10.1038/nrendo.2009.243
Lázaro-Martínez JL, Aragón-Sánchez J, García-Morales E (2014) Antibiotics versus conservative surgery for treating diabetic foot osteomyelitis: a randomized comparative trial. Diabetes Care 37:789–795. doi:10.2337/dc13-1526
Fish R, Kutter E, Wheat G, Blasdel B, Kutateladze M, Kuhl S (2016) Bacteriophage treatment of intransigent diabetic toe ulcers: a case series. J Wound Care 25:S27–S33. doi:10.12968/jowc.2016.25.7.S27
Lipsky BA, Berendt AR, Cornia PB, Pile JC, Peters EJ, Armstrong DG, Deery HG et al (2012) Infectious diseases society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. Clin Infect Dis 54:132–173. doi:10.1093/cid/cis346
Scheck M (1977) Etiology of acquired hammertoe deformity. Clin Orthop Relat Res 123:63–69
Barfoed BL, Paulsen MS, Christensen PM, Halvorsen PA, Jarbøl DE, Larsen ML, Munch MR, Søndergaard J, Nielsen JB (2016) Associations between patients’ adherence and GPs’ attitudes towards risk, statin therapy and management of non-adherence-a survey and register-based study. Fam Pract 33:140–147. doi:10.1093/fampra/cmw005
Kvachadze L, Balarjishvili N, Meskhi T, Tevdoradze E, Skhirtladze N, Pataridze T, Adamia R et al (2011) Evaluation of lytic activity of staphylococcal bacteriophage Sb-1 against freshly isolated clinical pathogens. Microb Biotechnol 4:643–650. doi:10.1111/j.1751-7915.2011.00259.x
Kutateladze M, Adamia R (2008) Phage therapy experience at the Eliava Institute. Med Malad Infect 38:426–430. doi:10.1016/j.medmal.2008.06.023
Kutateladze M, Adamia R (2010) Bacteriophages as potential new therapeutics to replace or supplement antibiotics. Trends Biotechnol 28:591–595. doi:10.1016/j.tibtech.2010.08.001
Tevdoradze E, Kvachadze L, Kutateladze M, Stewart CR (2014) Bactericidal genes of staphylococcal bacteriophage Sb-1. Curr Microbiol 68:204–210. doi:10.1007/s00284-013-0456-9
Wolcott RD, Rhoads DD, Dowd SE (2008) Biofilms and chronic wound inflammation. J Wound Care 17:333–341. doi:10.12968/jowc.2008.17.8.30796
Granger DN, E Senchenkova. 2010. Inflammation and the microcirculation. Colloquium series on integrated systems physiology: from molecule to function, vol 2. doi:10.4199/C00013ED1V01Y201006ISP008
Abedon ST, Kuhl SJ, Blasdel BG, Kutter EM (2011) Phage treatment of human infections. Bacteriophage 1:66–85. doi:10.4161/bact.1.2.15845
Chanishvili N (2016) Bacteriophages as therapeutic and prophylactic means: summary of the Soviet and post Soviet experiences. Curr Drug Deliv 13(3):309–323
Górski A, Międzybrodzki R, Weber-Dąbrowska B, Fortuna W, Letkiewicz S, Rogóż P, Jończyk-Matysiak E, Dąbrowska K, Majewska J, Borysowski J (2016) Phage therapy: combating infections with potential for evolving from merely a treatment for complications to targeting diseases. Front Microbiol 7:1515. doi:10.3389/fmicb.2016.01515
Rhoads DD, Wolcott RD, Kuskowski MA, Wolcott BM, Ward LS, Sulakvelidze A (2009) Bacteriophage therapy of venous leg ulcers in humans: results of a phase I safety trial. J Wound Care 18:237–243. doi:10.12968/jowc.2009.18.6.42801
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Fish, R., Kutter, E., Wheat, G., Blasdel, B., Kutateladze, M., Kuhl, S. (2018). Compassionate Use of Bacteriophage Therapy for Foot Ulcer Treatment as an Effective Step for Moving Toward Clinical Trials. In: Azeredo, J., Sillankorva, S. (eds) Bacteriophage Therapy. Methods in Molecular Biology, vol 1693. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-7395-8_14
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DOI: https://doi.org/10.1007/978-1-4939-7395-8_14
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