Naturally derived efflux pump inhibitor among tetracycline-resistant Acinetobacter baumannii isolates

Abstract Background: The antimicrobial resistance of Acinetobacter baumannii is of major concern. It is one of the commonly distributed nosocomial pathogens, and its strains are frequently reported to demonstrate resistance to the most routinely prescribed antibiotics in varying degrees. Objective:...

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Main Authors: Ruqaya Kareem Abass Al-ammery, Zainab Adil Ghani Chabuck
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Medical Journal of Babylon
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Online Access:https://doi.org/10.4103/MJBL.MJBL_823_23
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author Ruqaya Kareem Abass Al-ammery
Zainab Adil Ghani Chabuck
author_facet Ruqaya Kareem Abass Al-ammery
Zainab Adil Ghani Chabuck
author_sort Ruqaya Kareem Abass Al-ammery
collection DOAJ
description Abstract Background: The antimicrobial resistance of Acinetobacter baumannii is of major concern. It is one of the commonly distributed nosocomial pathogens, and its strains are frequently reported to demonstrate resistance to the most routinely prescribed antibiotics in varying degrees. Objective: This study aimed to detect the inhibitory effect of chamomile extract against the efflux pump of A. baumannii. Materials and Methods: Clinical samples (125) were collected from different sites (urine, sputum, wound, and burn swabs), followed by A. baumannii isolation and identification, and detection of tetracycline susceptibility test by disk-diffusion. Later on bacterial efflux pump activity was detected by ethidium bromide cartwheel assay and water extract of chamomile was used as an inhibitor of efflux pump A. baumannii. Results: The percentage of A. baumannii isolation 23/125 (18.4%) that distributed as 25% isolates were obtained from sputum, 17.9% isolates from burns, whereas 16% and 12.5% isolates from urine and wounds respectively. It showed various resistances against different members of the three generations of tetracyclines, with the highest resistance against minocycline 47.8% followed by resistance to tetracycline and doxycycline as 43.5% and 39%, respectively. Efflux pump was detected in all cases, water extract of chamomile showed a significant inhibitory effect especially at 80 mg/mL concentration. Conclusion: Efflux pump is an important mechanism for tetracycline resistance among A. baumannii isolates, and the watery extract of chamomile can be considered a prompt inhibitor for this pump.
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spelling doaj-art-bbd671db1a364514aca5d1b8375883e12025-01-25T10:14:50ZengWolters Kluwer Medknow PublicationsMedical Journal of Babylon1812-156X2312-67602024-01-01211576410.4103/MJBL.MJBL_823_23Naturally derived efflux pump inhibitor among tetracycline-resistant Acinetobacter baumannii isolatesRuqaya Kareem Abass Al-ammeryZainab Adil Ghani ChabuckAbstract Background: The antimicrobial resistance of Acinetobacter baumannii is of major concern. It is one of the commonly distributed nosocomial pathogens, and its strains are frequently reported to demonstrate resistance to the most routinely prescribed antibiotics in varying degrees. Objective: This study aimed to detect the inhibitory effect of chamomile extract against the efflux pump of A. baumannii. Materials and Methods: Clinical samples (125) were collected from different sites (urine, sputum, wound, and burn swabs), followed by A. baumannii isolation and identification, and detection of tetracycline susceptibility test by disk-diffusion. Later on bacterial efflux pump activity was detected by ethidium bromide cartwheel assay and water extract of chamomile was used as an inhibitor of efflux pump A. baumannii. Results: The percentage of A. baumannii isolation 23/125 (18.4%) that distributed as 25% isolates were obtained from sputum, 17.9% isolates from burns, whereas 16% and 12.5% isolates from urine and wounds respectively. It showed various resistances against different members of the three generations of tetracyclines, with the highest resistance against minocycline 47.8% followed by resistance to tetracycline and doxycycline as 43.5% and 39%, respectively. Efflux pump was detected in all cases, water extract of chamomile showed a significant inhibitory effect especially at 80 mg/mL concentration. Conclusion: Efflux pump is an important mechanism for tetracycline resistance among A. baumannii isolates, and the watery extract of chamomile can be considered a prompt inhibitor for this pump.https://doi.org/10.4103/MJBL.MJBL_823_23acinetobacter baumanniichamomileefflux pumptetracycline resistance
spellingShingle Ruqaya Kareem Abass Al-ammery
Zainab Adil Ghani Chabuck
Naturally derived efflux pump inhibitor among tetracycline-resistant Acinetobacter baumannii isolates
Medical Journal of Babylon
acinetobacter baumannii
chamomile
efflux pump
tetracycline resistance
title Naturally derived efflux pump inhibitor among tetracycline-resistant Acinetobacter baumannii isolates
title_full Naturally derived efflux pump inhibitor among tetracycline-resistant Acinetobacter baumannii isolates
title_fullStr Naturally derived efflux pump inhibitor among tetracycline-resistant Acinetobacter baumannii isolates
title_full_unstemmed Naturally derived efflux pump inhibitor among tetracycline-resistant Acinetobacter baumannii isolates
title_short Naturally derived efflux pump inhibitor among tetracycline-resistant Acinetobacter baumannii isolates
title_sort naturally derived efflux pump inhibitor among tetracycline resistant acinetobacter baumannii isolates
topic acinetobacter baumannii
chamomile
efflux pump
tetracycline resistance
url https://doi.org/10.4103/MJBL.MJBL_823_23
work_keys_str_mv AT ruqayakareemabassalammery naturallyderivedeffluxpumpinhibitoramongtetracyclineresistantacinetobacterbaumanniiisolates
AT zainabadilghanichabuck naturallyderivedeffluxpumpinhibitoramongtetracyclineresistantacinetobacterbaumanniiisolates