Purpose
The use of lytic bacteriophages for the control or elimination of pathogenic multidrug-resistant (MDR) bacteria is the promising alternative. However, the emergence of resistant bacterial variants after phage application may challenge its therapeutic benefit. In this study, we aimed to isolate candidate phages from sewage samples against two MDR
Escherichia coli
as well as their phage-resistant variant.
Methods
MDR
E. coli
isolates (n = 10) obtained from Jimma Medical Center that had been properly identified and stored were used to isolate bacteriophages. Two lytic coliphages were isolated from hospital sewage samples following standard protocols. Upon single phage infection, phage-resistant variant quickly evolved serving as a new host for the isolation of a third lytic phage. This virulent phage’s lytic activity against both its host and the wild host was investigated. The host infectivity of the various cocktails was assessed, and each phage’s biological properties were studied.
Results
Out of the first round of phage isolation process, two lytic phages were identified as VBO-
E. coli
4307 and VBW-
E. coli
4194. When exposed to VBO-
E. coli
4307, the wild-type
E. coli
4307 developed resistant variants. A third phage (VBA-
E. coli
4307R) was isolated specific to this resistant variant (
E. coli
4307R) under optimum condition. For VBO-
E. coli
4307, VBW-
E. coli
4194, and VBA-
E. coli
4307R, the plaque assays generated under comparable conditions were 2.13 × 10
10
PFU mL
−1
, 9.17 × 10
12
PFU mL
−1
, and 3.3 × 10
10
PFU mL
−1
, respectively. These phages have nearly identical stability and lytic ability but differ greatly in their host ranges for VBA-
E. coli
4307R.
Conclusion
While the wild-type MDR pathogen could easily evolve resistance when exposed to a single phage infection by VBO-
E. coli
4307, it is still possible to isolate a novel bacteriophage from environmental samples that is effective against the phage-resistant variants. This indicates that it is possible to manage the effects of phage resistance pathogens even if they are MDR.