In vitro inhibitory potentials of crude plant extracts on multidrug resistant bacterial species from infected human wounds
DOI:
https://doi.org/10.22377/ijgp.v7i2.314Abstract
Background: Scientific data on usage of plants to promote wound healing is exclusively scare in Nigeria. AIM: The aim of thisstudy was to determine in vitro inhibitory potentials of crude extracts of garlic (Allium sativum) and ginger (Zingiber officinale)
on multiple antibiotic resistant bacteria isolated from deep and superficial human wounds. Materials and Methods: Using agar
disc‑ and modified agar well‑diffusion methods, 87 wound‑borne bacterial strains, Staphylococcus aureus, Proteus mirabilis and
Pseudomonas aeruginosa were screened for in vitro susceptibility to 15 commonly‑available antibiotic discs, 18 antibiotic drugs
and three plant extracts. Results: Staph. aureus strains exhibited 52.5‑97.4% resistance to antibiotic (discs), with multiple antibiotic resistance (MAR) of 25.0 ‑100%. Between 39.1 and 95.7% of Proteus mirabilis strains resisted the antibiotics (discs), while MAR was 37.5‑100%. Resistance rates displayed by Ps. aeruginosa strains were 61.5‑100% with MAR of 50.0‑100%. Overall antibiotic resistance patterns of respective bacterial species recorded for the antibiotic drugs were Staph. aureus (11.1‑83.3%), Pr. mirabilis (16.7‑77.8%) and Ps. aeruginosa (16.7‑50.0%) and the most‑resisted antibiotic drugs were axacef (55.3‑82.6%), septrin (84.2‑92.3%), primpex (78.3‑84.6%),
mediphenicol (63.2‑73.1%) and augmentin 1 (43.2‑76.9%). All the multidrug resistant wound‑borne bacterial strains exhibited minimal to moderate susceptibility towards crude extracts of garlic (17.4‑34.6%) and ginger (57.7‑60.8%). Conclusion: Human wound‑borne bacterial strains, which were multi‑resistant to commonly available antibiotics (discs/drugs) were minimally or moderately susceptible to crude extracts of garlic (Allium sativum) and ginger (Zingiber officinale), which can be of clinical importance as herbal therapy in wound dressings or other forms of wound treatments.
Key words: Antibiotic resistance, herbal wound treatment, skin wounds, wound care, wound dressing
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References
Gupta N, Jain UK. Prominent wound healing properties of
indigenous medicines. J Nat Pharm 2010;1:2‑13.
Forrest RD. Early history of wound treatment. J R Soc Med
:75:198‑205.
Rodgers KG. The rational use of antimicrobial agents in simple
wounds. Emerg Med Clin North Am 1992;10:753‑66.
Moran GJ, Talan DA, Abrahamian FM. Antimicrobial prophylaxis
for wounds and procedures in the emergency department. Infect
Dis Clin North Am 2008;22:117‑43.
Nagoba BS, Deshmukh SR, Wadher BJ, Pathan AB. Bacteriological
analysis of burn sepsis. Indian J Med Sci 1999;53:216‑9.
Valencia I, Kirsner R, Kerdel FA. Microbiologic evaluation of
skin wounds: Alarming trend toward antibiotic resistance in an
inpatient dermatology service during a 10‑year period. J Am Acad
Dermatol 2004;50:845‑9.
Zmudzińska M, Czarnecka‑Operacz M, Silny W. Analysis of
antibiotic susceptibility and resistance of leg ulcer bacterial flora
in patients hospitalized at Dermatology Department, Poznań
University Hospital. Acta Dermatovenerol Croat 2005;13:173‑6.
Emanuel C, Hill KE, Malic S, Howell‑Jones R, Williams DW,
Thomas D. Antimicrobial resistance and bacterial succession in
non‑healing skin wounds. Joint Scientific Meeting of BDSR and
NOF. (3rd‑5th April 2007). Abstr. 0082. Available from: http://iadr.
confex.com/iadr/bsdr07/techprogram/abstract_95081.htm. [Last
accessed on 2011 Dec 26].
Landis SJ. Chronic wound infection and antimicrobial use. Adv
Skin Wound Care 2008;21:531‑40.
Lipsky BA, Hoey C. Topical antimicrobial therapy for treating
chronic wounds. Clin Infect Dis 2009;49:1541‑9.
McHugh SM, Collins CJ, Corrigan MA, Hill AD, Humphreys H.
The role of topical antibiotics used as prophylaxis in surgical site
infection prevention. J Antimicrob Chemother 2011;66:693‑701.
Ogunshe AA. Microbiological and clinical mismanagement of
non‑healing diabetic leg ulcers? Int Wound J 2011;8:542‑4.
Russell AD. Biocide use and antibiotic resistance: The relevance
of laboratory findings to clinical and environmental situations.
Lancet Infect Dis 2003;3:794‑803.
Bauer AW, Kirby WM, Sherris JC, Turck M. Antibiotic susceptibility
testing by a standardized single disk method. Am J Clin Pathol
;45:493‑6.
National Committee for Clinical Laboratory Standards.
Performance standards for antimicrobial disk susceptibility tests.
NCCLS Document M2A8. 8th ed. USA: Wayne PA; 2003.
Tagg JR, Dajani AS. Wannamaker LW. Bacteriocins of Gram‑positive
bacteria. Bacteriol Rev 1976;40:722‑56.
Murray MT. The healing power of herbs: The enlightened person’s
guide to the wonders of medicinal plants. 2nd ed. Prima: Rocklin,
Calif, USA; 1995.
Brook I, Frazier EH, Yeager JK. Microbiology of infected atopic
dermatitis. Int J Dermatol 1996;35:791‑3.
Stratton CW, Ratner H, Johnston PE, Schaffner W. Focused
microbiologic surveillance by a specific hospital unit as a sensitive
means of defining antimicrobial resistance problems. Diagn
Microbiol Infect Dis 1992;15 (suppl):11S‑8.
Colsky AS, Kirsner RS, Kerdel FA. Analysis of antibiotic
susceptibilities of skin wound flora in hospitalized dermatology
patients. The crisis of antibiotic resistance has come to the surface.
Arch Dermatol 1998;134:1006‑9.
Al Johani SM, Akhter J, Balkhy H, El‑Saed A, Younan M, Memish Z.
Prevalence of antimicrobial resistance among Gram‑negative
isolates in an adult intensive care unit at a tertiary care center in
Saudi Arabia. Ann Saudi Med 2010;30:364‑9.
Frankel YM, Melendez JH, Wang NY, Price LB, Zenilman JM,
Lazarus GS. Defining wound microbial flora: Molecular
microbiology opening new horizons. Arch Dermatol 2009;145:
‑5.
Bhatty SM, Paul R, Kaur H. Study of microbiological flora and role
of primary bacterial cultures in management of open fractures of
long bones. Seventh Arab Conference for Antimicrobial Agents.
November 6‑8, 11‑ 2009, A‑65, Beirut, Lebanon. Available from: http://
www.arapuaarapua.org/g7.htm. [Last accessed on 2010 Dec 22].
Motta GJ, Milne CT, Corbett LQ. Impact of antimicrobial gauze on
bacterial colonies in wounds that require packing. Ostomy Wound
Manage 2004;50:48‑62.
Murray BE. Can antibiotic resistance be controlled? N Engl J Med
;330:1229‑30.
Gold HS, Moellering RC. Antimicrobial‑drug resistance. N Engl J
Med 1996;335:1445‑53.
Flattau A, Schiffman J, Lowy FD, Brem H. Antibiotic‑resistant
Gram‑negative bacteria in deep tissue cultures. Int Wound J
;5:599‑600.
Cowam MM. Plant products as antimicrobial agents. Clin
Microbiol Rev 1999;12:564‑82.
Raskin I, Ribnicky DM, Komarnytsky S, llic N, Poulev A,
Borisjuk N, et al. Plants and human health in the twenty‑first
century. Trends Biotechnol 2002;20:522‑31.
Chah KF, Eze CA, Emuelosi CE, Esimone CO. Antibacterial and
wound healing properties of methanolic extracts of some Nigerian
medicinal plants. J Ethnopharmacol 2006;104:164‑7.
Gurib‑Fakim A. Review‑medicinal plants: Traditions of yesterday
and drugs of tomorrow. Mol Aspects Med 2006;27:1‑93.
Ayyanar M, Ignacimuthu S. Herbal medicines for wound healing
among tribal people in Southern India: Ethnobotanical and
scientific evidences. Int J Appl Res Nat Prod 2009;2:29‑42.
Singh MK, Sing N. Comparison of antimicrobial activity of herbs
and spices and their phytochemical determination. Int J Green
Pharm 2011;5:229‑35.
Sofowora A. Medical plants and traditional medicine in Africa.
Chinchester: John Wiley; 1982. p. 157‑64.
Dahanukar SA, Kulkarni RA. Pharmacology of medicinal plants
and natural products. Indian J Pharmacol 2000;32:S81‑118.
Simonetti G, Schuler S, editors. Simon and Schuster’s Guide to
Herbs and Spices. New Jersey, U.S.A: Simon and Schuster, Inc;
ISBN 0‑671‑73489‑X.
Koch HP, Lawson LD. Garlic: The science and therapeutic
application of Allium sativum L. and related species. 2nd ed.
Baltimore: Williams and Wilkins, USA; 1996.
Tattelman E. Health effects of garlic. Am Fam Physician
;72:103‑6.
Mascolo N, Jain R, Jain SC, Capasso F. Ethnopharmacologic
investigation of ginger (Zingiber officinale). J Ethnopharmacol
;27:129‑40.
Chrubasik S, Pittler MH, Roufogalis BD. Zingiberis rhizoma:
A comprehensive review on the ginger effect and efficacy profiles.
Phytomedicine 2005;12:684‑701.
Serrentino J. How natural remedies work. Point Robert, W.A.:
Harley and Marks Publishers; 1991. p. 20‑2.
Krishnan P. The scientific study of herbal wound healing therapies:
Current state of play. Curr Anaesth Crit Care 2006;17:21‑7.
Merei JM. Pediatric clean surgical wounds: Is dressing necessary?
J Pediatr Surg 2004;39:1871‑3.
Bhagavathula N, Warner RL, DaSilva M, McClintock SD, Barron A,
Aslam MN, et al. A combination of curcumin and ginger extract
improves abrasion wound healing in corticosteroid‑impaired
hairless rat skin. Wound Repair Regen 2009;17:360‑6.