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Moghiseh L, Nobahar M, Ghorbani R, Sirafian S. The impact of Propolis on catheter exit site infection and peritonitis in peritoneal Dialysis patients: a clinical trial. BMC Nephrol 2022; 23:408. [PMID: 36564743 PMCID: PMC9789634 DOI: 10.1186/s12882-022-03036-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Accepted: 12/09/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Peritonitis is one of the major complications of peritoneal dialysis. The most common cause of peritonitis is infection at the catheter exit site. This study aimed to determine the effect of propolis on the incidence of catheter exit site infection and peritonitis in peritoneal dialysis patients. METHOD This study was a double-blind clinical trial (2019-2020) with peritoneal dialysis patients. Ninety peritoneal dialysis patients were allocated to three groups (placebo, control, intervention) using block randomization method. Catheter exit site was washed with 0.9% normal saline and dressing was done every other day after the morning peritoneal dialysis exchange by use of normal saline in placebo, mupirocin in control, and propolis in intervention group, for 6 months. DISCUSSION 10% of the patients in the placebo and 6.7% in the control group developed catheter Exit Site Infection, but none patient in the intervention group developed this infection (P = 0.469). Whereas 6.7% in both the placebo and control groups developed peritonitis, but none patient in the intervention group contracted peritonitis (P = 0.997). No significant differences in the incidence of catheter exit site infection and peritonitis among the three groups were observed. Considering that mupirocin is of chemical origin and may lead to drug resistance whereas propolis is of plant origin and does not produce drug resistance, the use of propolis is recommended. TRIAL REGISTRATION Iranian Registry of Clinical Trials [ IRCT20110427006318N10 ] (17/01/2019).
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Affiliation(s)
- Lila Moghiseh
- grid.486769.20000 0004 0384 8779Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran
| | - Monir Nobahar
- grid.486769.20000 0004 0384 8779Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran ,grid.486769.20000 0004 0384 8779Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran ,grid.486769.20000 0004 0384 8779Department of Nursing, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran ,grid.486769.20000 0004 0384 8779Nursing Care Research Center and Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, 3513138111 Iran
| | - Raheb Ghorbani
- grid.486769.20000 0004 0384 8779Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran ,grid.486769.20000 0004 0384 8779Department of Epidemiology and Biostatistics, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran
| | - Shiva Sirafian
- grid.411036.10000 0001 1498 685XIsfahan Kidney Diseases Research Center, Internal Medicine Department, Isfahan University of Medical Sciences, Isfahan, Iran
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Hulea A, Obiștioiu D, Cocan I, Alexa E, Negrea M, Neacșu AG, Hulea C, Pascu C, Costinar L, Iancu I, Tîrziu E, Herman V. Diversity of Monofloral Honey Based on the Antimicrobial and Antioxidant Potential. Antibiotics (Basel) 2022; 11:antibiotics11050595. [PMID: 35625239 PMCID: PMC9137981 DOI: 10.3390/antibiotics11050595] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 04/26/2022] [Accepted: 04/27/2022] [Indexed: 02/06/2023] Open
Abstract
This study aimed to investigate the antioxidant profile and the antimicrobial activity of four different types of monofloral honey (manuka (MH), brassica rapeseed (BH), acacia (AH), and linden honey (LH)) against some bacterial/fungal ATCC strains and some multidrug-resistant strains isolated from chronic otitis in dogs. For the characterisation of the antioxidant profile of each honey, we extracted the honey samples by hydroalcoholic extraction and analysed them in terms of total polyphenols (TPC), total flavonoids (TFC), and 2,2-diphenyl-1-picrylhydrazyl (DPPH) using the spectrophotometric method. The antimicrobial activity was determined using the microdilution method at concentrations of 10%, 15%, and 20%, with the results expressed in OD (optical density) calculated as BIR% (bacterial inhibition rate)/MIR% (mycelial inhibition rate). The antioxidant characterisation of the analysed honey samples showed the highest antioxidant activity and concentrations of TPC and TFC in MH, followed by LH. MH was proven to be the most effective on most clinical isolates concerning the antimicrobial activity in comparison with BH, AH, and LH. Except for B. cepacia and P. vulgaris, all the clinical isolates were sensitive to the antibacterial activity of honey. Regarding the ATCC strains, MH 10% was the most effective in inhibiting all the strains tested except for P. aeruginosa. In conclusion, the efficacy classification in our study was MH > BH > AH > LH.
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Affiliation(s)
- Anca Hulea
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
| | - Diana Obiștioiu
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
- Correspondence: (D.O.); (I.C.)
| | - Ileana Cocan
- Faculty of Food Engineering, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (E.A.); (M.N.)
- Correspondence: (D.O.); (I.C.)
| | - Ersilia Alexa
- Faculty of Food Engineering, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (E.A.); (M.N.)
| | - Monica Negrea
- Faculty of Food Engineering, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (E.A.); (M.N.)
| | - Alina-Georgeta Neacșu
- Faculty of Agriculture, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300641 Timisoara, Romania;
| | - Călin Hulea
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
| | - Corina Pascu
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
| | - Luminita Costinar
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
| | - Ionica Iancu
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
| | - Emil Tîrziu
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
| | - Viorel Herman
- Faculty of Veterinary Medicine, Banat University of Agricultural Sciences and Veterinary Medicine “King Michael I of Romania” Timisoara, Calea Aradului No. 119, 300645 Timisoara, Romania; (A.H.); (C.H.); (C.P.); (L.C.); (I.I.); (E.T.); (V.H.)
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El-Senduny FF, Hegazi NM, Abd Elghani GE, Farag MA. Manuka honey, a unique mono-floral honey. A comprehensive review of its bioactives, metabolism, action mechanisms, and therapeutic merits. FOOD BIOSCI 2021. [DOI: 10.1016/j.fbio.2021.101038] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Combarros-Fuertes P, Fresno JM, Estevinho MM, Sousa-Pimenta M, Tornadijo ME, Estevinho LM. Honey: Another Alternative in the Fight against Antibiotic-Resistant Bacteria? Antibiotics (Basel) 2020; 9:antibiotics9110774. [PMID: 33158063 PMCID: PMC7694208 DOI: 10.3390/antibiotics9110774] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Revised: 10/31/2020] [Accepted: 11/02/2020] [Indexed: 02/06/2023] Open
Abstract
Antibacterial resistance has become a challenging situation worldwide. The increasing emergence of multidrug-resistant pathogens stresses the need for developing alternative or complementary antimicrobial strategies, which has led the scientific community to study substances, formulas or active ingredients used before the antibiotic era. Honey has been traditionally used not only as a food, but also with therapeutic purposes, especially for the topical treatment of chronic-infected wounds. The intrinsic characteristics and the complex composition of honey, in which different substances with antimicrobial properties are included, make it an antimicrobial agent with multiple and different target sites in the fight against bacteria. This, together with the difficulty to develop honey-resistance, indicates that it could become an effective alternative in the treatment of antibiotic-resistant bacteria, against which honey has already shown to be effective. Despite all of these assets, honey possesses some limitations, and has to fulfill a number of requirements in order to be used for medical purposes.
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Affiliation(s)
- Patricia Combarros-Fuertes
- Department of Food Hygiene and Technology, Faculty of Veterinary Science, University of León, Campus de Vegazana, 24071 León, Spain; (P.C.-F.); (J.M.F.); (M.E.T.)
| | - José M. Fresno
- Department of Food Hygiene and Technology, Faculty of Veterinary Science, University of León, Campus de Vegazana, 24071 León, Spain; (P.C.-F.); (J.M.F.); (M.E.T.)
| | - Maria Manuela Estevinho
- Department of Biomedicine, Unit of Pharmacology and Therapeutics, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal;
| | - Mário Sousa-Pimenta
- Department of Onco-Hematology, Portuguese Institute of Oncology of Porto (IPO-Porto), 4200-072 Porto, Portugal;
| | - M. Eugenia Tornadijo
- Department of Food Hygiene and Technology, Faculty of Veterinary Science, University of León, Campus de Vegazana, 24071 León, Spain; (P.C.-F.); (J.M.F.); (M.E.T.)
| | - Leticia M. Estevinho
- Centro de Investigação de Montanha (CIMO), Instituto Politécnico de Bragança, 5300-252 Bragança, Portugal
- Correspondence: ; Tel.: +351-273303342
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