Language

English

Publication Date

12-1-2022

Journal

Current Opinion in Organ Transplantation

DOI

10.1097/MOT.0000000000001029

PMID

36222821

PMCID

PMC9613597

PubMedCentral® Posted Date

12-1-2023

PubMedCentral® Full Text Version

Author MSS

Abstract

Purpose of review: Multidrug-resistant organisms (MDROs) are prevalent in transplant recipients and associated with poor outcomes. We review recent cases of phage therapy used to treat recalcitrant infections in transplant recipients and explore the future role of such therapy in this setting.

Recent findings: Individual case reports and small case series suggest possible efficacy of phage therapy for the treatment of MDRO infections in pre and posttransplant patients. Importantly, there have been no serious safety concerns in the reported cases that we reviewed. There are no applicable randomized controlled trials (RCTs) to better guide phage therapy at this time.

Summary: Given the safety and possibility of successful salvage therapy of MDRO infections using bacteriophages, it is reasonable to pursue phage therapy for difficult-to-treat infections on a compassionate use basis, but RCT data are critically needed to better inform management.

Keywords

Humans, Phage Therapy, Drug Resistance, Multiple, Bacterial, Transplant Recipients, Anti-Bacterial Agents, Bacterial Infections

Published Open-Access

yes

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