“…37,38 Usually applied to ecological rather than pharmacological systems, the phage replication cycle is generally held to follow classic Lotka-Volterra dynamics of predator (phage) and prey (bacteria), based on population sizes and interactions between them. 39 Classic pharmacokinetic principles, predator-prey, infectious disease model dynamics, and host immune responses must all be considered, but phage pharmacokinetics (phage distribution and clearance), pharmacodynamics (predator-prey dynamics), and ratio of phages to bacteria (multiplicity of infection [MOI], perhaps better described in terms of initial MOI input ) 40,41 are subject to many, often poorly defined, variables that may influence outcomes. 42 Numerous methods of bacteriophage delivery have been explored, including topical, inhalational, oral and injectable (intravenous, intramuscular, subcutaneous and direct intralesional).…”