Treatment of topical and systemic bacterial infections

Abstract

Bacteriophage covalently attached to a carrier particle with an average diameter of from 0.1 microns to 15 microns, are used in topical treatment of bacterial infection. Bacteriophage covalently attached to a carrier particle of average diameter 7 microns or less are used in systemic treatment of bacterial infection. A plurality of bacteriophages lytic against different bacterial strains gives wide antibacterial activity. A combination therapy comprises administration of antibiotic and bacteriophage covalently attached to a carrier particle.

1 - 50 . (canceled) 
     
     
         51 . A method of treating an acne infection of intact skin in a subject in need thereof, comprising administering a topical formulation to the subject, wherein the topical formulation comprises a bacteriophage covalently attached to a carrier particle. 
     
     
         52 . The method of  claim 51 , where in the carrier particle is approximately spherical and has an average diameter of up to 20 microns. 
     
     
         53 . The method of  claim 51 , wherein the treatment is free of salicylic acid and free of benzoyl peroxide. 
     
     
         54 . The method of  claim 51 , wherein the topical formulation comprises bacteriophage active against 3 or more strains of bacteria, wherein the bacteriophage is covalently attached to carrier particles. 
     
     
         55 . The method of  claim 51 , wherein the topical formulation is in the form of a gel, cream, or lotion. 
     
     
         56 . The method of  claim 55 , wherein the topical formulation comprises one or more or all of: a gel-forming agent, a cream-forming agent, a wax, an oil, a surfactant, and a binder. 
     
     
         57 . The method of  claim 56 , wherein the topical formulation comprises carrier particles with an average diameter of up to 20 microns. 
     
     
         58 . The method of  claim 57 , wherein the topical formulation comprises carrier particles with an average diameter of up to 10 microns. 
     
     
         59 . The method of  claim 51 , wherein the topical formulation comprises bacteriophages lytic for  P. acnes  covalently attached to the carrier particles with an average diameter of up to 20 microns, wherein the topical formulation is in the form of a cream or a gel. 
     
     
         60 . The method of  claim 59 , wherein the topical formulation comprises bacteriophages lytic for at least 3 different strains of  P. acnes,  wherein the bacteriophages are covalently attached to the carrier particles. 
     
     
         61 . The method of  claim 51 , wherein the topical formulation comprises bacteriophages lytic for  S. aureus  covalently attached to carrier particles with an average diameter of up to 20 microns, wherein the formulation is in the form of a cream or a gel. 
     
     
         62 . The method of  claim 61 , wherein the topical formulation comprises bacteriophages lytic for at least 3 different strains of  S. aureus  covalently attached to the carrier particles.