HomePhilippine Scientific Journalvol. 52 no. 1 (2019)

Antimicrobial Activity of Averrhoa bilimbi Fruit Methanolic Extract on Streptococcus pyogenes

Ma. Trisha A. Albesa | Jamie Anne E. Cruz | Mico E. De Leon | Kristal A. Dimalanta | Kim C. Escaro | Camille Ann M. Festin | Carmikhael H. Fontanilla | Rozenlyn D. Godienes | Kimberly D. Macalisang | Amado M. Mendoza Jr. | Lorenzo C. Rasalan | Raphael David D. Sadang | Irene V. Columbano

 

Abstract:

Introduction: Increasing incidence of respiratory tract infections such as acute sinusitis, acute otitis media, pharyngitis, community-acquired pneumonia and acute bronchitis are widespread, and represent a major health concern, particularly in low-resource settings. The most common etiologic agent causing such infections is Streptococcus pyogenes. It is a gram - positive bacteria commonly seen in the human throat and skin. This pathogen remains among the top ten causes of mortality from an infectious disease. Antibiotic resistance to S. pyogenes has been continuously rising in all parts of the world which warrants the need for continuous surveillance of antimicrobial resistance patterns. Averrhoa bilimbi is a medicinal plant belonging to the family Oxalidaceae, known to have high content of oxalic acid and is rich in vitamin C with high levels of antioxidants. Previous studies showed that A. bilimbi has antimicrobial property and has therapeutic uses for several diseases such as Diabetes Mellitus and hypertension. Objective: The study aims to determine the Antimicrobial Activity of Averrhoa bilimbi fruit methanolic extract on Streptococcus pyogenes isolated in pure culture. Methodology: An experimental research design was used in this study. Disk Diffusion technique specifically the Kirby Bauer method was utilized with the use of Penicillin G as the positive control and Dimethyl sulfoxide (DMSO) as the negative control. A. bilimbi fruit extract of 100 uL concentration was incorporated in disk against the test organism, S. pyogenes. Diameter of zone of inhibition was measured. Results: The results exhibited zone of inhibition against Streptococcus pyogenes done in triplicates. The antimicrobial activity of A. bilimbi fruit extract was statistically significant compared to Penicillin G with a p-value of 0.04. Compared to DMSO, the results gave a statistically different result with a p-value of 0.03 signifying that the fruit extract is more effective. Comparison of the zone of inhibition of the fruit extract, Penicillin G and DMSO yielded a significant difference with a p-value of 0.02 using Kruskal Wallis Test. Conclusion: Averrhoa bilimbi extract is more effective than Penicillin G in terms of antimicrobial activity based from the zone of inhibition against Streptococcus pyogenes.



References:

  1. CDC. Antibiotic resistance threats in the United States, 2013. Accessed Apr 17, 2017
  2. Mwambete, K. (2009). The in vitro antimicrobial activity of fruit and leaf crude extracts of Momordica charantia: A Tanzania medicinal plant. Afr Health Sci, 9(1): 34–39.
  3. Mahon, C.R., Lehman, D.C., Manuselis, G. (2014). Textbook of Diagnostic Microbiology (5th ed.). New York: Saunders.
  4. Ralph AP, Carapetis JR. Group A streptococcal diseases and their global burden. Curr Top Microbiol Immunol. 2013;368:1–27.
  5. Williams BG, Gouws E, Boschi-Pinto C, Bryce J, Dye C. Estimates of world-wide distribution of child deaths from acute respiratory infections. Lancet Infect Dis. 2002; 2(1):25–32.
  6. Camara, M., Dieng, A., & Boye, C. (2013). Antibiotic Susceptibility of Streptococcus Pyogenes Isolated from Respiratory Tract Infections in Dakar, Senegal. Microbiology Insights, 71-75.
  7. Alhassan, A., & Ahmed, Q. (2016). Averrhoa bilimbi Linn: A review of its ethnomedicinal uses, phytochemistry, and pharmacology. Journal of Pharmacy and Bioallied Sciences, 265-271.
  8. Quave, C.L. Antibiotics from nature: Traditional medicine as a source of new solutions for combating antimicrobial resistance. AMR Control 2016: Overcoming Global Antimicrobial Resistance. World Alliance Against Antibiotic Resistance.
  9. Mokhtar SI, Aziz NAA (2016) Antimicrobial Properties of Averrhoa bilimbi Extracts at Different Maturity Stages. J Med Microb Diagn 5:233.
  10. Abraham, C. M. (2016). Antibacterial effects of Averrhoa Bilimbi L. Fruit Extracts. International Research Journal of Biological Sciences, 72-74.
  11. Ali, R., Hossain, M., Runa, J., & Hasanuzzaman. (2013). Preliminary cytotoxic activity of different extracts of Averrhoa bilimbi (fruits). International Current Pharmaceutical Journal, 83-84.
  12. Imöhl, M., & van der Linden, M. (2015). Antimicrobial susceptibility of Invasive Streptococcus pyogenes Isolates in Germany during 2003-2013. PLoS ONE10(9): e0137313.
  13. L. Barth Reller, Melvin Weinstein, James H. Jorgensen, Mary Jane Ferraro, Antimicrobial Susceptibility Testing: A Review of General Principles and Contemporary Practices, Clinical Infectious Diseases, Volume 49, Issue 11, 1 December 2009, 1749–1755
  14. Brook I. Penicillin failure in the treatment of streptococcal pharyngo-tonsillitis. Current Infectious Disease Reports. 2013;15(3):232–235.
  15. Muhamad, N., Muhmed, S., Yusoff, M., & Gimbun, J. (2014). Influence of Solvent Polarity and Conditions on Extraction of Antioxidant, Flavonoids and Phenolic Content from Averrhoa bilimbi. Journal of Food Science and Engineering, 255-260.
  16. Roy, A. (2011). Averrhoa bilimbi Linn Nature’s Drug Store- A Pharmacological Review. International Journal of Drug Development and Research, 101-106.
  17. Chinju, A. (2016). Antibacterial effects of Averrhoa Bilimbi L. Fruit Extracts. International Research Journal of Biological Sciences, 72-74.
  18. Somoyah Delfani, et al. (2017). Phytotherapy for Streptococcus pyogenes. Journal of Pharmaceutical Sciences and Research, 513-526.
  19. Ogawa, T., et al. (2011). Biofilm formation or internalization into epithelial cells enable Streptococcus pyogenes to evade antibiotic eradication in patients with pharyngitis. MicrobPathog, 51(1-2):58-68.
  20. Zulhaimi, H., Rosli, I., Kasim, K., Akmal, H., Nuradibah, M., & Sam, S. (2017). A comparative study of Averrhoa bilimbi extraction method. American Institute of Physics.