Related Experiment Video
Updated: Aug 28, 2025

Phage Therapy Application to Counteract Pseudomonas aeruginosa Infection in Cystic Fibrosis Zebrafish Embryos
Published on: May 12, 2020
[Phage therapy of purulent-inflammatory pathology of the outer and middle ear]
A V Gurov1, E G Lapenko1, A I Kryukov1
1Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia.
Abstract:
The steady growth of antibiotic resistance of bacteria and, as a result, difficulties in selecting effective drugs determine the search for an alternative strategy for the use of antimicrobials, and therapy based on the use of bacteriophages is such. Phage therapy in otorhinolaryngology is actively used for the treatment of rhinosinusitis, diseases of the pharynx and larynx. However, it should be noted that the use of this group of drugs in the treatment of ear diseases is not sufficiently covered. Currently, institutes and clinics around the world are undergoing many large multicenter studies aimed not only at finding effective bacteriophages against antibiotic-resistant bacteria, but also at isolating their enzymes (lysines), expression of transport proteins, genetic modifications that lead to the restoration of the sensitivity of bacteria to antimicrobial drugs. In this review, we sought to highlight modern works concerning the treatment of inflammatory ear diseases with bacteriophage preparations, the results of microbiological studies conducted in vitro, the main purpose of which was to combat multi-resistant strains of microorganisms - pathogens of purulent-inflammatory diseases of the outer and middle ear.
Insights
Bacteriophage therapy offers a promising alternative to antibiotics for treating antibiotic-resistant bacterial infections, particularly in ear diseases. This review highlights research on using bacteriophages and their enzymes to combat multi-resistant pathogens in the outer and middle ear.
Area of Science:
- Microbiology
- Otolaryngology
- Infectious Diseases
Background:
- Antibiotic resistance is a growing global health concern, necessitating alternative antimicrobial strategies.
- Phage therapy, using bacteriophages to target bacteria, is an established treatment in otorhinolaryngology for conditions like rhinosinusitis.
- The application of bacteriophage therapy for inflammatory ear diseases remains underexplored.
Purpose of the Study:
- To review current research on bacteriophage preparations for treating inflammatory ear diseases.
- To highlight in vitro microbiological studies targeting multi-resistant bacterial pathogens in the outer and middle ear.
Main Methods:
- Literature review of recent scientific works on bacteriophage therapy for ear infections.
- Analysis of in vitro microbiological studies investigating bacteriophages and their enzymes (lysins) against resistant bacteria.
Main Results:
- Ongoing global research focuses on identifying effective bacteriophages and their enzymes against antibiotic-resistant bacteria.
- Studies explore genetic modifications to restore bacterial sensitivity to antimicrobial drugs.
- In vitro data indicate potential for bacteriophages in combating multi-resistant pathogens in ear infections.
Conclusions:
- Bacteriophage therapy presents a viable alternative for managing antibiotic-resistant bacterial infections in otorhinolaryngology, especially for ear diseases.
- Further research and clinical trials are warranted to establish the efficacy and safety of phage preparations for treating inflammatory ear conditions.
Related Concept Videos
Lytic Cycle of Bacteriophages
Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Tonsillitis II: Management
Lysogenic Cycle of Bacteriophages
Tonsillitis I: Introduction
Etiology
Three primary contributing factors have been identified.

