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Arch Iran Med. 2021;24(9): 684-688.
doi: 10.34172/aim.2021.98

Scopus ID: 85117359829
  Abstract View: 2046
  PDF Download: 963

Original Article

Novel Synergistic Activity of Quercus infectoria Gall Extract with Ceftazidime Against Standard and Multiple Drug Resistant Pseudomonas aeruginosa and Escherichia coli Isolates

Elham Isaei 1 ORCID logo, Shahla Mansouri 2,3* ORCID logo, Maryam Rahmani 4, Fariba Sharififar 5, Atefeh Salary 1

1 Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran
2 Medical Mycology and Bacteriology Research Center, Kerman University of Medical Sciences, Kerman, Iran
3 Department of Medical Microbiology (Bacteriology & Virology), Afzalipour Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
4 Research Center of Tropical and Infectious Diseases, Kerman University of Medical Sciences, Kerman, Iran
5 Herbal and Traditional Medicines Research Center, Kerman University of Medical Sciences, Kerman, Iran
*Corresponding Author: *Corresponding Author: Shahla Mansouri, MD; Medical Mycology and Bacteriology Research Center, Kerman University of Medical Sciences, Kerman, Iran. Tel: +98-34-33257665; Email: , Email: smansouri@kmu.ac.ir

Abstract

Background: Multidrug resistance pathogens are important heath challenges. In this study, the antibacterial activity of 20 plant extracts was tested against standard as well as 20 multidrug-resistant (MDR) strains of Pseudomonas aeruginosa and Escherichia coli. The most active plant extract (Quercus infectoria) was selected for the synergistic activity assay.

Methods: Plant extracts were prepared by maceration using water, methanol and ethanol. The antibacterial activity of extracts was determined by both broth and agar dilution methods. The synergistic activity of QIG with ceftazidime (CAZ) was evaluated by checker board assay. Antioxidant activity was determined by colorimetric Ferric reducing antioxidant power (FRAP) assay.

Results: Only the methanol extract of QIG inhibited the growth of all the bacterial strains at a concentration of 1000 µg/mL. Other active extracts were Myrtus communis and Eucalyptus globulus inhibiting the growth of most bacterial strains tested at 2000 µg/ mL. In checker board assay, the minimum inhibitory concentration (MIC) to both QIG extract and CAZ was reduced. The MIC of CAZ was reduced from 64-4096 µg/mL to 4 µg/mL for P. aeruginosa and to 16 µg/mL for E. coli isolates.

Conclusion: The QIG extract exhibited potent antioxidant activity determined by FRAP assay. The result of this study showed a strong synergistic activity between QIC and CAZ on P. aeruginosa and E. coli. The activity within ethyl acetate-methanol (7:3) fraction indicates that the active components of the plant have a semi-polar nature and further work with this fraction may lead to understanding the mechanism of this synergistic activity.



Cite this article as: Isaei E, Mansouri S, Rahmani M, Sharififar F, Salary A. Novel synergistic activity of Quercus infectoria gall extract with ceftazidime against standard and multiple drug resistant Pseudomonas aeruginosa and Escherichia coli isolates. Arch Iran Med. 2021;24(9):684-688. doi: 10.34172/aim.2021.98
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Submitted: 04 Sep 2020
Revision: 30 Mar 2021
Accepted: 21 Apr 2021
ePublished: 01 Sep 2021
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