Green tea extract-mediated augmentation of imipenem antibacterial activity against Enterobacter cloacae clinical isolates

The emergence of pathogenic bacteria with β-lactam antibiotics-resistant profile has threatened the continued use of such antibiotics in the future. This research was conducted to investigate the antimicrobial activity of green tea ethanol extract (GTE) and its ability to improve the antibacterial a...

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Main Authors: Rezky Yanuarti, Firzan Nainu, Sartini Sartini
Format: Article
Language:English
Published: Universitas Ahmad Dahlan 2021-03-01
Series:Pharmaciana
Subjects:
Online Access:http://journal.uad.ac.id/index.php/PHARMACIANA/article/view/16874/pdf_186
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author Rezky Yanuarti
Firzan Nainu
Sartini Sartini
author_facet Rezky Yanuarti
Firzan Nainu
Sartini Sartini
author_sort Rezky Yanuarti
collection DOAJ
description The emergence of pathogenic bacteria with β-lactam antibiotics-resistant profile has threatened the continued use of such antibiotics in the future. This research was conducted to investigate the antimicrobial activity of green tea ethanol extract (GTE) and its ability to improve the antibacterial action of several β-lactam antibiotics against Enterobacter cloacae clinical isolates. The simplicia of green tea was extracted by sonication for 30 minutes using 50% ethanol solvent, and the total phenolic content of the GTE was subsequently determined. Next, the GTE used in testing against two clinical isolates of E. cloacae was obtained from the Pathology Laboratory of Wahidin Sudiro Husodo Hospital in Makassar. The sensitivity of bacteria to GTE was confirmed using the agar diffusion method, the Vitek® rapid method, and the double-disk synergistic test. Antibacterial activity of antibiotics, GTE, and combination of antibiotics with GTE were then tested against clinical isolates of E. cloacae using the checkerboard microdilution assay. The results showed that GTE contained 51.64 ± 0.21 % measured as gallic acid equivalent and 37.95 + 5.17 % Epigallocatechin gallate (EGCG). The confirmatory test results indicated that one clinical isolate of E. cloacae (code 13/04) was resistant to amoxicillin-clavulanate but did not produce an extended-spectrum β-lactamase (ESBL). Another clinical E. cloacae isolate (code 275B/06) was indicated to produce ESBL and demonstrated to yield resistance to amoxicillin-clavulanate and cefotaxime. The minimum inhibitory concentration of GTE against the two clinical isolates of E. cloacae was >8000 ppm (8 mg/ml). In conclusion, GTE could not increase the antibacterial activity of amoxicillin and cefotaxime, but it was sufficient to improve the activity of imipenem against the tested isolates of E. cloacae.
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spelling doaj.art-8b0e6b9daab14d32863c62d612516e9d2022-12-21T20:15:54ZengUniversitas Ahmad DahlanPharmaciana2088-45592477-02562021-03-0111113314210.12928/pharmaciana.v11i1.16874Green tea extract-mediated augmentation of imipenem antibacterial activity against Enterobacter cloacae clinical isolatesRezky Yanuarti0 Firzan Nainu1Sartini Sartini2Magister Program Faculty of Pharmacy, Hasanuddin University; Sekolah Tinggi Ilmu Farmasi PaluFaculty of Pharmacy, Hasanuddin University Faculty of Pharmacy, Hasanuddin University The emergence of pathogenic bacteria with β-lactam antibiotics-resistant profile has threatened the continued use of such antibiotics in the future. This research was conducted to investigate the antimicrobial activity of green tea ethanol extract (GTE) and its ability to improve the antibacterial action of several β-lactam antibiotics against Enterobacter cloacae clinical isolates. The simplicia of green tea was extracted by sonication for 30 minutes using 50% ethanol solvent, and the total phenolic content of the GTE was subsequently determined. Next, the GTE used in testing against two clinical isolates of E. cloacae was obtained from the Pathology Laboratory of Wahidin Sudiro Husodo Hospital in Makassar. The sensitivity of bacteria to GTE was confirmed using the agar diffusion method, the Vitek® rapid method, and the double-disk synergistic test. Antibacterial activity of antibiotics, GTE, and combination of antibiotics with GTE were then tested against clinical isolates of E. cloacae using the checkerboard microdilution assay. The results showed that GTE contained 51.64 ± 0.21 % measured as gallic acid equivalent and 37.95 + 5.17 % Epigallocatechin gallate (EGCG). The confirmatory test results indicated that one clinical isolate of E. cloacae (code 13/04) was resistant to amoxicillin-clavulanate but did not produce an extended-spectrum β-lactamase (ESBL). Another clinical E. cloacae isolate (code 275B/06) was indicated to produce ESBL and demonstrated to yield resistance to amoxicillin-clavulanate and cefotaxime. The minimum inhibitory concentration of GTE against the two clinical isolates of E. cloacae was >8000 ppm (8 mg/ml). In conclusion, GTE could not increase the antibacterial activity of amoxicillin and cefotaxime, but it was sufficient to improve the activity of imipenem against the tested isolates of E. cloacae.http://journal.uad.ac.id/index.php/PHARMACIANA/article/view/16874/pdf_186β-lactam antibioticscamellia sinensis l.antibacterial modulatione. cloacae
spellingShingle Rezky Yanuarti
Firzan Nainu
Sartini Sartini
Green tea extract-mediated augmentation of imipenem antibacterial activity against Enterobacter cloacae clinical isolates
Pharmaciana
β-lactam antibiotics
camellia sinensis l.
antibacterial modulation
e. cloacae
title Green tea extract-mediated augmentation of imipenem antibacterial activity against Enterobacter cloacae clinical isolates
title_full Green tea extract-mediated augmentation of imipenem antibacterial activity against Enterobacter cloacae clinical isolates
title_fullStr Green tea extract-mediated augmentation of imipenem antibacterial activity against Enterobacter cloacae clinical isolates
title_full_unstemmed Green tea extract-mediated augmentation of imipenem antibacterial activity against Enterobacter cloacae clinical isolates
title_short Green tea extract-mediated augmentation of imipenem antibacterial activity against Enterobacter cloacae clinical isolates
title_sort green tea extract mediated augmentation of imipenem antibacterial activity against enterobacter cloacae clinical isolates
topic β-lactam antibiotics
camellia sinensis l.
antibacterial modulation
e. cloacae
url http://journal.uad.ac.id/index.php/PHARMACIANA/article/view/16874/pdf_186
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AT firzannainu greenteaextractmediatedaugmentationofimipenemantibacterialactivityagainstenterobactercloacaeclinicalisolates
AT sartinisartini greenteaextractmediatedaugmentationofimipenemantibacterialactivityagainstenterobactercloacaeclinicalisolates