Phages as potential life-saving therapeutic option in the treatment of multidrug-resistant urinary tract infections

Urinary tract infections (UTIs) are among the most common bacterial infections worldwide and increasing antimicrobial resistance (AMR) challenges conventional antibiotic treatments. Phage therapy (PT) has emerged as a promising alternative due to its specificity, safety and efficacy against multidru...

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Main Authors: Beata Zalewska-Piątek, Michalina Nagórka
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Acta Biochimica Polonica
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Online Access:https://www.frontierspartnerships.org/articles/10.3389/abp.2025.14264/full
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author Beata Zalewska-Piątek
Michalina Nagórka
author_facet Beata Zalewska-Piątek
Michalina Nagórka
author_sort Beata Zalewska-Piątek
collection DOAJ
description Urinary tract infections (UTIs) are among the most common bacterial infections worldwide and increasing antimicrobial resistance (AMR) challenges conventional antibiotic treatments. Phage therapy (PT) has emerged as a promising alternative due to its specificity, safety and efficacy against multidrug-resistant (MDR) pathogens causing infectious diseases. PT demonstrates significant potential in treating chronic and recurrent UTIs, also including catheter-associated infection by reducing bacterial biofilms, delaying catheter blockage, and enhancing antibiotic efficacy when used in combination. Clinical trials and case studies have reported high rates of bacterial eradication and symptom improvement with minimal side effects. Although endotoxin release and immune activation during treatment should continue to be investigated. The aim of this review is to present issues related to the use of phages in the treatment of UTIs of various etiological origins in selected patients, including those with comorbidities, taking into account the legal regulations, safety and effectiveness of this experimental therapy. The growing prevalence of MDR uropathogens highlights the urgent need for alternative therapies, such as those based on phages in order to treat antibiotic-resistant infections and improve patient outcomes. Despite the great potential of PT, its clinical implementation and use of phages as a routine treatment for bacterial infections requires rigorous trials, standardized production protocols and regulatory advancements.
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series Acta Biochimica Polonica
spelling doaj-art-09256e56c34a4ba3a5c259d4fb8bee4d2025-02-11T04:11:15ZengFrontiers Media S.A.Acta Biochimica Polonica1734-154X2025-02-017210.3389/abp.2025.1426414264Phages as potential life-saving therapeutic option in the treatment of multidrug-resistant urinary tract infectionsBeata Zalewska-PiątekMichalina NagórkaUrinary tract infections (UTIs) are among the most common bacterial infections worldwide and increasing antimicrobial resistance (AMR) challenges conventional antibiotic treatments. Phage therapy (PT) has emerged as a promising alternative due to its specificity, safety and efficacy against multidrug-resistant (MDR) pathogens causing infectious diseases. PT demonstrates significant potential in treating chronic and recurrent UTIs, also including catheter-associated infection by reducing bacterial biofilms, delaying catheter blockage, and enhancing antibiotic efficacy when used in combination. Clinical trials and case studies have reported high rates of bacterial eradication and symptom improvement with minimal side effects. Although endotoxin release and immune activation during treatment should continue to be investigated. The aim of this review is to present issues related to the use of phages in the treatment of UTIs of various etiological origins in selected patients, including those with comorbidities, taking into account the legal regulations, safety and effectiveness of this experimental therapy. The growing prevalence of MDR uropathogens highlights the urgent need for alternative therapies, such as those based on phages in order to treat antibiotic-resistant infections and improve patient outcomes. Despite the great potential of PT, its clinical implementation and use of phages as a routine treatment for bacterial infections requires rigorous trials, standardized production protocols and regulatory advancements.https://www.frontierspartnerships.org/articles/10.3389/abp.2025.14264/fullurinary tract infectionsphagesphage therapyantimicrobial resistancemultidrug-resistant uropathogens
spellingShingle Beata Zalewska-Piątek
Michalina Nagórka
Phages as potential life-saving therapeutic option in the treatment of multidrug-resistant urinary tract infections
Acta Biochimica Polonica
urinary tract infections
phages
phage therapy
antimicrobial resistance
multidrug-resistant uropathogens
title Phages as potential life-saving therapeutic option in the treatment of multidrug-resistant urinary tract infections
title_full Phages as potential life-saving therapeutic option in the treatment of multidrug-resistant urinary tract infections
title_fullStr Phages as potential life-saving therapeutic option in the treatment of multidrug-resistant urinary tract infections
title_full_unstemmed Phages as potential life-saving therapeutic option in the treatment of multidrug-resistant urinary tract infections
title_short Phages as potential life-saving therapeutic option in the treatment of multidrug-resistant urinary tract infections
title_sort phages as potential life saving therapeutic option in the treatment of multidrug resistant urinary tract infections
topic urinary tract infections
phages
phage therapy
antimicrobial resistance
multidrug-resistant uropathogens
url https://www.frontierspartnerships.org/articles/10.3389/abp.2025.14264/full
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