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The Potential of Bacteriophage-Antibiotic Combination Therapy in Treating Infections with Multidrug-Resistant
Abdul-Halim Osman1, Fleischer C N Kotey1, Alex Odoom1
1Department of Medical Microbiology, University of Ghana Medical School, Korle Bu, Accra P.O. Box KB 4236, Ghana.
Abstract:
The growing threat of antibiotic resistance is a significant global health challenge that has intensified in recent years. The burden of antibiotic resistance on public health is augmented due to its multifaceted nature, as well as the slow-paced and limited development of new antibiotics. The threat posed by resistance is now existential in phage therapy, which had long been touted as a promising replacement for antibiotics. Consequently, it is imperative to explore the potential of combination therapies involving antibiotics and phages as a feasible alternative for treating infections with multidrug-resistant bacteria. Although either bacteriophage or antibiotics can potentially treat bacterial infections, they are each fraught with resistance. Combination therapies, however, yielded positive outcomes in most cases; nonetheless, a few combinations did not show any benefit. Combination therapies comprising the synergistic activity of phages and antibiotics and combinations of phages with other treatments such as probiotics hold promise in the treatment of drug-resistant bacterial infections.
Insights
Antibiotic resistance is a major health threat. Combining antibiotics with bacteriophages (phages) shows promise for treating multidrug-resistant bacterial infections, offering a potential alternative therapy.
Area of Science:
- Microbiology
- Infectious Diseases
- Drug Discovery
Background:
- Antibiotic resistance poses a significant global health challenge, exacerbated by limited new antibiotic development.
- Bacteriophage (phage) therapy, once a promising alternative, now faces its own resistance challenges.
- Multidrug-resistant bacterial infections necessitate novel treatment strategies.
Purpose of the Study:
- To explore the potential of combination therapies involving antibiotics and phages for treating multidrug-resistant bacterial infections.
- To evaluate the efficacy of combining antibiotics with phages as an alternative to monotherapies.
Main Methods:
- Review of existing literature on antibiotic and phage therapies.
- Analysis of outcomes from combination therapy studies.
- Identification of synergistic interactions between antibiotics and phages.
Main Results:
- Both antibiotic and phage monotherapies are susceptible to resistance development.
- Combination therapies involving antibiotics and phages demonstrated positive outcomes in most cases.
- Some combinations showed no significant benefit, highlighting the need for careful selection.
Conclusions:
- Combination therapies, particularly those with synergistic activity between phages and antibiotics, hold significant promise for treating drug-resistant bacterial infections.
- Further research into phage-antibiotic combinations and phage with other treatments like probiotics is warranted.
- Exploring synergistic interactions is crucial for developing effective alternative treatments.
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