Bacteriophagum proteus (Solution) Instructions for Use
Marketing Authorization Holder
Microgen NPO, JSC (Russia)
ATC Code
V03A (Other therapeutic agents)
Dosage Form
| Bacteriophagum proteus | Solution for oral, topical and external use: bottle 20 ml 4 or 10 pcs. or 100 ml 1 pc. |
Dosage Form, Packaging, and Composition
Solution for oral, topical and external use in the form of a clear liquid of yellow color of varying intensity, a greenish tint is possible.
| 1 ml | |
| Sterile purified filtrate of phagolysates of bacteria Proteus vulgaris, Proteus mirabilis (with activity according to Appelman – not less than 10-5) | 100% |
Excipients : preservative – 8-hydroxyquinoline sulfate / 8-hydroxyquinoline sulfate monohydrate in terms of 8-hydroxyquinoline sulfate – 0.0001 g/ml (calculated content).
20 ml – bottles (4) – cardboard packs.
20 ml – bottles (10) – cardboard packs.
100 ml – bottles (1) – cardboard packs.
Clinical-Pharmacological Group
Immunobiological drug – bacteriophage
Pharmacotherapeutic Group
Other therapeutic products
Pharmacological Action
It has the ability to specifically lyse Proteus bacteria.
Indications
Treatment and prevention of purulent-inflammatory and enteral diseases caused by bacteria P. vulgaris, P. mirabilis as part of complex therapy: diseases of the ear, throat, nose, respiratory tract and lungs (inflammation of the sinuses, middle ear, tonsillitis, pharyngitis, laryngitis, tracheitis, bronchitis, pneumonia, pleurisy); surgical infections (wound suppuration, burns, abscess, phlegmon, boils, carbuncles, hidradenitis, felons, paraproctitis, mastitis, bursitis, osteomyelitis); urogenital infections (urethritis, cystitis, pyelonephritis, colpitis, endometritis, salpingo-oophoritis); enteral infections (gastroenterocolitis, cholecystitis), intestinal dysbiosis; generalized septic diseases; purulent-inflammatory diseases of newborns (including omphalitis, pyoderma, conjunctivitis, gastroenterocolitis, sepsis); other diseases caused by Proteus bacteria.
For prophylactic purposes, it is used for the treatment of postoperative and freshly infected wounds, as well as for the prevention of nosocomial infections for epidemic indications.
ICD codes
| ICD-10 code | Indication |
| A09 | Other and unspecified gastroenteritis and colitis of infectious origin |
| A41 | Other sepsis |
| B96.4 | Proteus (mirabilis) (morganii) as the cause of diseases classified in other chapters |
| H66 | Suppurative and unspecified otitis media |
| J00 | Acute nasopharyngitis (common cold) |
| J01 | Acute sinusitis |
| J02 | Acute pharyngitis |
| J03 | Acute tonsillitis |
| J04 | Acute laryngitis and tracheitis |
| J15 | Bacterial pneumonia, not elsewhere classified |
| J20 | Acute bronchitis |
| J31.1 | Chronic nasopharyngitis |
| J31.2 | Chronic pharyngitis |
| J32 | Chronic sinusitis |
| J35.0 | Chronic tonsillitis |
| J37 | Chronic laryngitis and laryngotracheitis |
| J42 | Unspecified chronic bronchitis |
| J86 | Pyothorax (pleural empyema) |
| K61 | Abscess of anal and rectal regions |
| K63.8 | Other specified diseases of intestine |
| K81.0 | Acute cholecystitis |
| K81.1 | Chronic cholecystitis |
| L02 | Cutaneous abscess, furuncle and carbuncle |
| L03 | Cellulitis |
| L08.0 | Pyoderma |
| L73.2 | Hidradenitis suppurativa |
| M70 | Soft tissue disorders related to use, overuse, and pressure |
| M71 | Other bursopathies |
| M86 | Osteomyelitis |
| N10 | Acute tubulointerstitial nephritis (acute pyelonephritis) |
| N11 | Chronic tubulointerstitial nephritis (chronic pyelonephritis) |
| N30 | Cystitis |
| N34 | Urethritis and urethral syndrome |
| N61 | Inflammatory diseases of the breast |
| N70 | Salpingitis and oophoritis |
| N71 | Inflammatory disease of uterus, excluding cervix (including endometritis, myometritis, metritis, pyometra, uterine abscess) |
| N72 | Inflammatory disease of cervix uteri (including cervicitis, endocervicitis, exocervicitis) |
| N76 | Other inflammatory diseases of vagina and vulva |
| O91 | Infections of the breast associated with childbirth |
| P36 | Bacterial sepsis of newborn |
| P38 | Omphalitis of newborn with or without mild hemorrhage |
| P39.1 | Neonatal conjunctivitis and dacryocystitis |
| P39.4 | Neonatal skin infection |
| P78.8 | Other specified disorders of the digestive system in the perinatal period |
| R09.1 | Pleurisy |
| T79.3 | Posttraumatic wound infection, not elsewhere classified |
| Z29.8 | Other specified prophylactic measures |
| ICD-11 code | Indication |
| 1A40.Z | Infectious gastroenteritis or colitis, unspecified |
| 1B70.1 | Streptococcal cellulitis of the skin |
| 1B70.2 | Staphylococcal cellulitis of the skin |
| 1B70.Z | Bacterial cellulitis or lymphangitis caused by unspecified bacterium |
| 1B75.0 | Furuncle |
| 1B75.1 | Carbuncle |
| 1B75.2 | Furunculosis |
| 1B75.3 | Pyogenic skin abscess |
| 1G40 | Sepsis without septic shock |
| AA9Z | Unspecified suppurative otitis media |
| CA00 | Acute nasopharyngitis |
| CA01 | Acute rhinosinusitis |
| CA02.Z | Acute pharyngitis, unspecified |
| CA03.Z | Acute tonsillitis, unspecified |
| CA05 | Acute laryngitis or tracheitis |
| CA09.1 | Chronic nasopharyngitis |
| CA09.2 | Chronic pharyngitis |
| CA0A.Z | Chronic rhinosinusitis, unspecified |
| CA0F.Y | Other specified chronic diseases of the palatine tonsils and adenoids |
| CA0G | Chronic laryngitis or laryngotracheitis |
| CA20.1Z | Chronic bronchitis, unspecified |
| CA40.0Z | Bacterial pneumonia, unspecified |
| CA42.Z | Acute bronchitis, unspecified |
| CA44 | Pyothorax |
| DA92.1 | Pneumatosis intestinalis of the small intestine |
| DA98.Z | Polyps of small intestine, unspecified |
| DB31.1 | Pneumatosis of the colon |
| DB36.Z | Certain infections of the colon, unspecified |
| DB70.0Z | Abscess of anal and rectal region, unspecified |
| DC12.0Z | Acute cholecystitis, unspecified |
| DC12.1 | Chronic cholecystitis |
| DE2Z | Diseases of the digestive system, unspecified |
| EB21 | Pyoderma gangrenosum |
| ED92.0 | Hidradenitis suppurativa |
| EH1Z | Neonatal infection of the skin, unspecified |
| FB50.1 | Bursitis associated with use, overuse or pressure |
| FB50.Z | Bursitis, unspecified |
| FB84.Z | Osteomyelitis or osteitis, unspecified |
| GA00 | Vulvitis |
| GA01.Z | Inflammatory diseases of uterus, except cervix, unspecified |
| GA02.Z | Unspecified vaginitis |
| GA07.Z | Salpingitis and oophoritis, unspecified |
| GA0Z | Inflammatory diseases of female genital tract, unspecified |
| GB21.Z | Inflammatory diseases of the breast, unspecified |
| GB50 | Acute tubulo-interstitial nephritis |
| GB51 | Acute pyelonephritis |
| GB55.Z | Chronic tubulo-interstitial nephritis, unspecified |
| GB5Z | Renal tubulo-interstitial diseases, unspecified |
| GC00.Z | Cystitis, unspecified |
| GC02.Z | Urethritis and urethral syndrome, unspecified |
| JB45.Z | Infections of the breast associated with childbirth, unspecified |
| KA60 | Fetal or neonatal sepsis |
| KA65.0 | Conjunctivitis or dacryocystitis of newborn |
| KA65.1 | Omphalitis of newborn |
| KB80 | Gastro-esophageal reflux disease in newborns |
| KB81.0 | Eosinophilic esophagitis in newborns |
| KB8Z | Digestive system disorders of fetus or newborn, unspecified |
| MD31 | Pleurisy |
| NF0A.3 | Posttraumatic wound infection, not elsewhere classified |
| QC05.Z | Prophylactic measures, unspecified |
| XN3BS | Proteus |
| GA0Z | Inflammatory diseases of female genital tract, unspecified |
| XA5WW1 | Cervix uteri |
Dosage Regimen
| The method of application and dosage regimen for a specific drug depend on its form of release and other factors. The optimal dosage regimen is determined by the doctor. It is necessary to strictly adhere to the compliance of the dosage form of a specific drug with the indications for use and dosage regimen. |
Determine the dosage regimen individually based on the patient’s age and the specific clinical indication.
Administer the solution orally on an empty stomach, 1 hour before a meal.
For rectal administration, use the drug in the form of enemas after bowel evacuation.
Apply topically for irrigation, lotions, and tamponage of affected areas and wound cavities.
Introduce into body cavities such as the pleural, articular, and other drained spaces.
Use for instillation into the nose, sinuses, vagina, and uterus.
For oral administration in adults and children over 8 years old, use a single dose of 20-30 ml.
For children aged 3 to 8 years, administer 15-20 ml per dose.
For children from 1 to 3 years old, use 10-15 ml per dose.
For infants 6 to 12 months old, administer 10 ml per dose.
For infants under 6 months old, use 5 ml per dose.
Administer the drug orally twice daily for the treatment of enteral infections and intestinal dysbiosis.
For other indications, administer orally three times daily.
For high rectal administration in adults and children over 8 years old, use a single dose of 40-60 ml.
For children aged 3 to 8 years, administer 30-40 ml per rectal dose.
For children from 1 to 3 years old, use 20-30 ml per rectal dose.
For infants 6 to 12 months old, administer 10-20 ml per rectal dose.
For infants under 6 months old, use 10 ml per rectal dose.
Administer rectally once daily. The standard treatment course is 7 to 10 days based on clinical response.
For purulent-inflammatory diseases with localized lesions, apply the solution topically in addition to oral or rectal administration.
Irrigate, rinse, or apply moistened gauze pads to affected areas 2-3 times daily.
Introduce into drained cavities 10 to 200 ml once daily.
For purulent otitis, instill 2-5 drops into the ear or insert turundas soaked in the solution 1-3 times daily.
For tonsillitis, pharyngitis, or laryngitis, gargle with 10-20 ml of solution 2-3 times daily.
For conjunctivitis, instill 4-5 drops into each eye 2-3 times daily.
For styes, apply a moistened gauze pad to the affected eyelid 2-3 times daily.
For sinusitis or rhinitis, instill 5-10 drops into each nasal passage 2-3 times daily.
For cystitis, pyelonephritis, and urethritis, administer the solution into the bladder or renal pelvis via cystostomy or ureteral catheter, 20-50 ml once daily.
For colpitis and endometritis, administer 5-10 ml intravaginally once daily or use for irrigation with 10-20 ml.
For intestinal dysbiosis, administer orally or rectally for 7 to 10 days.
For prophylactic purposes in treated surgical wounds, apply the solution once daily throughout the risk period.
Adverse Reactions
Not established.
Contraindications
Hypersensitivity to the components of the bacteriophage.
Use in Pregnancy and Lactation
The use of the bacteriophage during pregnancy and breastfeeding is possible in the presence of infections caused by phage-sensitive strains of bacteria (as recommended by a doctor).
Pediatric Use
The drug is approved for use in children and adolescents under 18 years of age.
Special Precautions
An important condition for effective phage therapy is the preliminary determination of the phage sensitivity of the pathogen.
Drug Interactions
The use of the bacteriophage does not exclude the use of other antibacterial drugs.
Storage Conditions
Store at 2°C (36°F) to 8°C (46°F). Keep in original packaging, protected from light. Keep out of reach of children.
Dispensing Status
Over-the-Counter
Important Safety Information
This information is for educational purposes only and does not replace professional medical advice. Always consult your doctor before use. Dosage and side effects may vary. Use only as prescribed.
Medical Disclaimer
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