Evaluation of Punica granatum Peel Against Diabetic Wound Infection
Abstract
Background: Foot infections are a common and serious problem in diabetic patients.
Objectives: To investigate the antibacterial activity of some medicinal plants used by traditional healers for diabetic wounds and to examine in-vivo wound healing activity of active extracts.
Materials and Methods: An experimental study in which fifteen plant extracts subjected to preliminary antibacterial screening against six standard organisms (Bacillus subtilis, Escherichia coli, Klebsiella pneumoniae, Proteus vulgaris, Pseudomonas aeruginosa and Staphylococcus aureus) using cup-plate agar diffusion method and the result was compared with activity of commonly used antibiotics. The minimum inhibitory concentration (MIC) was determined for active extracts using agar plate dilution method. The two extracts was screened against 180 clinical isolates obtained from diabetic wound infection. In this study the wound healing effect of methanolic extracts of Punicagranatum peels was tested on open skin wound model on Swiss Wistar Albino rats.
Results: Fourteen extracts (93.3%) exhibited inhibitory activity against one or more of the six organisms. The MICs of the methanolic and aqueous extracts of Punica granatum were very low against all organisms. 180 clinical isolates were obtained from diabetic wound infection, the results of identification showed that 30 were Escherichia coli, 15 Klebsiella pneumoniae, 45 Proteus spp, 15 Pseudomonas aeruginosa, 60 Staphylococcus aureus and 15 Staphylococcus epidermidis. The methanolic extract of Punica granatum peels had inhibitory effect against 99.4% of the isolates at concentration 100mg/ml. The aqueous extract has inhibitory effect against 91.7% of the isolates. Results were obtained by measuring the wound healing percentage. In the first group, healing was completed in 15 days. In the second group and third group, 13 days were required for the completion of healing.
Conclusion: The results of this study indicated that the methanolic extract of Punica granatum had high antibacterial activity and have wound healing activity.
References
2. Lipsky BA and Berendt AR.Principles and practice of antibiotic therapy of diabetic foot infections.Diabetes Metab Res Rev. 2000; 16 (1):S42-6.
3. HailuTadega, EndrisMohammedb, KaleabAsresc and TsigeGebre-Mariam. Antimicrobial activities of some selected
4. Jasim SAA, Najii MA. Novel antiviral agents a medicinal plant perspective. Journal of Applied microbiology 2003; 95 (3): 412-427.
5. Laure B. KouitcheuMabeku, V. PenlapBeng, J. Kouam, OyonoEssame and F.X. Etoa. Toxicological evaluation of ethyl acetate extract of Cylicodiscusgabunensis stem barks (Mimosaceae). Journal of Ethnopharmacology 2007; 111 (3): 598- 606.
6. Kavanagh, F. Analytical Microbiology, F. Kavanagh (Ed.) vol 11, Academic Press, New York & London, 1972; pp 11.
7. Arzi, A, Hemmati, A.A., Amin, M. Stimulation of wound healing by Licorice in Rabbits.SaudiPharmaceutical Journal 2003; 11 (1- 2): 57-60.
8. Abdrabo AN, Omer MEA, El-Nima El, Shayoub MAA and AlMagboul AZ. Wound Healing Activity of Methanolic Extract of Solenostemmaargel in Polyethylene Glycol Ointment. Omdurman Journal of Pharmaceutical Sciences 2005; 1(1): 43-54.
9. Armstrong David G and Lipsky Benjamin A. . Foot infections: stepwise medical and surgical management. Intrnational Wound Journal Diabetic 2004; 1 (2): 123-32.
10. Kengne AP, Choukem SP, Dehayem YM, Simo NL, Fezeu LL, Mbanya JC. Diabetic foot ulcers in Cameroon: can microflora prevalence inform probabilistic antibiotic treatment. J Wound Care. 2006; 15 (8): 363-366.
11. Khan JA and Hanee S. Antibacterial properties of Punicagranatumpeels. International Journal of Applied Biology and pharmaceutical technology. 2011; 15(3): 23-27.
12. Prashanth RD, Asha MK and AmilA . Antibacterial activity of Punicagranatum. Fitoterapia 2001; 72 (2): 171-173.
13. Negi PS and Jayaprakasha GK. Antioxidant and antibacterial activities of Punicagranatum peel extracts. Journal of food science 2003; 68 (4): 1473-1477.
14. Murthy KN, Reddy VK, Veigas JM, Murthy UD. Study on wound healing activity of Punicagranatumstudypeel. J Med Food 2004; 7(2):256-259.
15. Nema N, Arjarya S, Bairagi SM, Megha JHA and Kharya MD. In Vivo Topical Wound Healing Activity of Punica Granatum Peel Extract on Rats. American Journal of Phytomedicine and Clinical Therapeutics 2013; 1(2):195-200.
16. Ravindrasingh R, Sagar VS, Shalini A, Ramyasudha. Effect of Punica granatum Peel Extract on Burn Wound Healing in Albino Wistar Rats. International Journal of Applied Biology and pharmaceutical technology 2011; 2: (I): 353-57.