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姜黄素-美罗培南组合对从烧伤创面感染中分离出的广泛耐药(XDR)细菌的抗菌活性。

antibacterial activity of curcumin-meropenem combination against extensively drug-resistant (XDR) bacteria isolated from burn wound infections.

作者信息

Yasbolaghi Sharahi Javad, Aliakbar Ahovan Zahra, Taghizadeh Maleki Donya, Riahi Rad Zahra, Riahi Rad Zohreh, Goudarzi Mehdi, Shariati Aref, Bostanghadiri Narjess, Abbasi Elham, Hashemi Ali

机构信息

Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Microbiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Avicenna J Phytomed. 2020 Jan-Feb;10(1):3-10.

Abstract

OBJECTIVE

Burn wound infection is a severe complication of thermal injury. Patients with severe burn injuries need urgent care to diminish complications after severe burns. Wound infections are commonly considered one of the most serious burn complications, particularly those that are caused by extensively drug-resistant (XDR) bacteria with few therapeutic choices. The objective of this study was to determine activity of meropenem and curcumin, alone and in combination, against antibiotic-susceptible Gram-positive, and antibiotic-resistant and antibiotic susceptible gram-negative bacteria isolated from burn wound infections.

MATERIALS AND METHODS

The antimicrobial activity of meropenem and curcumin was investigated alone and in combination, against antibiotic-susceptible and antibiotic-resistant bacterial (XDR) strains isolated from burn patients. In addition, the cytotoxic effect of curcumin on human's epithelial cell lines, was determined.

RESULTS

In this study, minimum inhibitory concentrations of meropenem decreased considerably in the presence of curcumin (2- to 16-fold reductions), with synergy observed. Curcumin exerted no cytotoxic effect at concentrations 256-512 µg/ml on human epithelial cell lines.

CONCLUSION

We suggest that curcumin-antibiotic combinations may provide an alternative approach for treating infections with MDR) and extensively drug-resistant (XDR) bacteria.

摘要

目的

烧伤创面感染是热损伤的一种严重并发症。重度烧伤患者需要紧急护理以减少严重烧伤后的并发症。创面感染通常被认为是最严重的烧伤并发症之一,尤其是由治疗选择有限的广泛耐药(XDR)细菌引起的感染。本研究的目的是确定美罗培南和姜黄素单独及联合使用对从烧伤创面感染中分离出的抗生素敏感革兰氏阳性菌、耐药革兰氏阴性菌和敏感革兰氏阴性菌的活性。

材料与方法

研究了美罗培南和姜黄素单独及联合使用对从烧伤患者中分离出的抗生素敏感菌和耐药菌(XDR)菌株的抗菌活性。此外,还测定了姜黄素对人上皮细胞系的细胞毒性作用。

结果

在本研究中,在姜黄素存在的情况下,美罗培南的最低抑菌浓度显著降低(降低2至16倍),观察到协同作用。姜黄素在浓度为256 - 512μg/ml时对人上皮细胞系无细胞毒性作用。

结论

我们认为姜黄素 - 抗生素联合使用可能为治疗多重耐药(MDR)和广泛耐药(XDR)细菌感染提供一种替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f6/6941687/bf333a4847db/AJP-10-003-g001.jpg

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