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对抗多重耐药菌株的斗争:抗菌精油作为对抗医院获得性感染的一支有前途力量的复兴。

The battle against multi-resistant strains: Renaissance of antimicrobial essential oils as a promising force to fight hospital-acquired infections.

作者信息

Warnke Patrick H, Becker Stephan T, Podschun Rainer, Sivananthan Sureshan, Springer Ingo N, Russo Paul A J, Wiltfang Joerg, Fickenscher Helmut, Sherry Eugene

机构信息

Department of Oral and Maxillofacial Surgery, University of Kiel, Germany.

出版信息

J Craniomaxillofac Surg. 2009 Oct;37(7):392-7. doi: 10.1016/j.jcms.2009.03.017. Epub 2009 May 26.

Abstract

Hospital-acquired infections and antibiotic-resistant bacteria continue to be major health concerns worldwide. Particularly problematic is methicillin-resistant Staphylococcus aureus (MRSA) and its ability to cause severe soft tissue, bone or implant infections. First used by the Australian Aborigines, Tea tree oil and Eucalyptus oil (and several other essential oils) have each demonstrated promising efficacy against several bacteria and have been used clinically against multi-resistant strains. Several common and hospital-acquired bacterial and yeast isolates (6 Staphylococcus strains including MRSA, 4 Streptococcus strains and 3 Candida strains including Candida krusei) were tested for their susceptibility for Eucalyptus, Tea tree, Thyme white, Lavender, Lemon, Lemongrass, Cinnamon, Grapefruit, Clove Bud, Sandalwood, Peppermint, Kunzea and Sage oil with the agar diffusion test. Olive oil, Paraffin oil, Ethanol (70%), Povidone iodine, Chlorhexidine and hydrogen peroxide (H(2)O(2)) served as controls. Large prevailing effective zones of inhibition were observed for Thyme white, Lemon, Lemongrass and Cinnamon oil. The other oils also showed considerable efficacy. Remarkably, almost all tested oils demonstrated efficacy against hospital-acquired isolates and reference strains, whereas Olive and Paraffin oil from the control group produced no inhibition. As proven in vitro, essential oils represent a cheap and effective antiseptic topical treatment option even for antibiotic-resistant strains as MRSA and antimycotic-resistant Candida species.

摘要

医院获得性感染和抗生素耐药菌仍然是全球主要的健康问题。特别成问题的是耐甲氧西林金黄色葡萄球菌(MRSA)及其引发严重软组织、骨骼或植入物感染的能力。茶树油和桉叶油(以及其他几种精油)最初由澳大利亚原住民使用,已各自证明对多种细菌具有可观的疗效,并已在临床上用于对抗多重耐药菌株。使用琼脂扩散试验测试了几种常见的和医院获得性细菌及酵母菌分离株(6株葡萄球菌菌株,包括MRSA,4株链球菌菌株和3株念珠菌菌株,包括克鲁斯念珠菌)对桉叶油、茶树油、百里香白油、薰衣草油、柠檬油、柠檬草油、肉桂油、葡萄柚油、丁香芽油、檀香油、薄荷油、昆士亚油和鼠尾草油的敏感性。橄榄油、石蜡油、乙醇(70%)、聚维酮碘、氯己定和过氧化氢(H₂O₂)用作对照。观察到百里香白油、柠檬油、柠檬草油和肉桂油有较大的有效抑菌圈。其他油也显示出相当的疗效。值得注意的是,几乎所有测试的油都对医院获得性分离株和参考菌株显示出疗效,而对照组的橄榄油和石蜡油没有抑菌作用。正如体外试验所证明的,精油即使对于MRSA等抗生素耐药菌株和抗真菌耐药念珠菌属也是一种廉价且有效的局部抗菌治疗选择。

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