Comparison of the antimicrobial activity of Manuka honey and native honey against methicillin resistant staphylococci from asymptomatic healthcare workers.

Authors

  • SK. Jasmine Shahina Dept of Microbiology DR ALM PG IBMS, University of Madras, Taramani, Chennai-113. 2. Dept of Microbiology, JBAS College for Women, Chennai- 18. India.
  • Padma Krishnan Dept of Microbiology DR ALM PG IBMS, University of Madras, Taramani, Chennai-113. India.

Keywords:

Methicillin resistant staphylococci, Healthcare workers, Nasal carriage, Manuka honey, MRSA, MRCoNS

Abstract

Asymptomatically colonized healthcare workers are the major source of Methicillin-Resistant Staphylococcus aureus (MRSA) in the hospital environment and serve as links in the transmission of MRSA among patients. Honey is known for antimicrobial properties due to various factors including phytochemical components eg: methyl glyoxal (MGO). Hence, the present study was designed to compare the antimicrobial activity of Manuka honey with native honey against methicillin resistant staphylococci from asymptomatic health care workers. Nasal swabs were collected from anterior nares of 100 healthcare workers from the hospital set up and a total of 36 isolates of staphylococci (36%) were obtained. The study has shown 7% carriage rate of MRSA and 9% MRCoNS among the healthcare workers. Initial screening with agar well diffusion method with Manuka honey showed higher inhibitory activity against all the methicillin resistant staphylococcal isolates giving a zone size of ≥ 30 mm at 50%( v/v) compared to native honey which gave zone size of 12 mm for 50% (v/v). Lower MIC of methicillin resistant staphylococci was seen for Manuka honey (6.3% to 12.5%), while the MIC of the native honey was found to be 50% in our study. The present study shows higher efficacy of Manuka honey compared to native honey against both MRSA and MRCoNS. Manuka honey shows promise as an antibacterial agent for methicillin resistant staphylococcus.

References

Fey PD, Said-Salim B, Rupp ME, Hinrichs SH, Boxrud DJ, Davis CC, Kreiswirth BN. and Schlievert PM. Comparative molecular analysis of community- or hospital-acquired methicillin-resistant Staphylococcus aureus. Antimicrob Agents Chemother. 2003; 47(1):196-203. http://www.ncbi.nlm.nih.gov/pubmed/12499191

Enright MC, Robinson DA, Randle G, Feil EJ, Grundmann H, Spratt BG. The evolutionary history of methicillin-resistant Staphylococcus aureus (MRSA). Proc. Natl. Acad. Sci. 2002; USA 99:7687-7692. http://opus.bath.ac.uk/4230/

Grundmann H, Aires-de-Sousa M, Boyce J, Tiemersma E. Emergence and resurgence of methicillin-resistant Staphylococcus aureus as a public-health threat. Lancet. 2006; 368:874-885. http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(06)68853-3/fulltext

Diep BA, Sensabaugh GF, Somboonna N, Carleton HA, Perdreau-Remington F. Widespread skin and soft-tissue infections due to two methicillin-resistant Staphylococcus aureus strains harboring the genes for Panton-Valentine leucocidin.” J Clin Microbiol. 2004;42: 2080-2084. http://www.ncbi.nlm.nih.gov/pubmed/15131173

Zaoutis TE, Toltzis P, Chu J, Abrams T, Dul M, Kim J. McGowan KL, Coffin SE. Clinical and molecular epidemiology of community-acquired methicillin-resistant Staphylococcus aureus infections among children with risk factors for health care-associated infection: 2001-2003. Pediatr Infect Dis J. 2006; 25:343-348. http://www.ncbi.nlm.nih.gov/pubmed/16567987

Von Eiff C, Becker K, Machka K, Stammer H, Peters G. Nasal carriage as a source of Staphylococcus aureus bacteremia. Study Group. N Engl J Med. 2001; 344 :11-16. http://www.ncbi.nlm.nih.gov/pubmed/11136954

Luzar MA, Coles GA, Faller B, Slingeneyer A, Dah GD, Briat C, Wone C, Knefati Y, Kessler M, Peluso F. Staphylococcus aureus nasal carriage and infection in patients on continuous ambulatory peritoneal dialysis. N. Engl. J. Med. 1990; 322 : 505-509. http://www.ncbi.nlm.nih.gov/pubmed/2300122

Saderi H, Owlia P, Habibi M. Mupirocin resistance among Iranian isolates of Staphylococcus aureus. Med Sci Monit. 2008; 14:210-213.

Kluytmans J. Reduction of surgical site infections in major surgery by elimination of nasal carriage of Staphylococcus aureus. J Hosp Infect. 1998; 40(suppl B): S25-S29. http://www.journalofhospitalinfection.com/article/S0195-6701(98)90201-8/abstract

Mavric E, Wittmann S, Barth G, Henle T. Identification and quantification of methylglyoxal as the dominant antibacterial constituent of Manuka (Leptospermum scoparium) honeys from New Zealand. "Mol Nutr Food Res. 2008; 52: 483-489. http://www.ncbi.nlm.nih.gov/pubmed/18210383

Bauer AW, Kirby WM, Sherris JC, Turck M. Antibiotic susceptibility testing by a standardized single disk method. Am J Clin Pathol. 1966; 45(4): 493-496.

Kondo Y, Ito T, Ma XX, Watanabe S, Kreiswirth BN, Etienne J, Hiramatsu K. Combination of multiplex PCRs for staphylococcal cassette chromosome mec type assignment: rapid identification system for mec, ccr, and major differences in junkyard regions. Antimicrob Agents Chemother. 2007;51:264–274. http://www.ncbi.nlm.nih.gov/pubmed/17043114

Berger-Bachi B, Berberis-Maino L, Strassle A, Kayser FH. femA, a host-mediated factor essential for methicillin resistance in Staphylococcus aureus: molecular cloning and characterization. Mol. Gen. Genet. 1989;219:263-269.

Lina G, Piemont Y, Godail-Gamot F, Bes M, Peter M, Gauduchon V, Vandenesch F, Etienne J. Involvement of Panton-Valentine Leukocidin-producing Staphylococcus aureus in primary skin infections and pneumonia. Clin Infect Dis. 1999;29(5):1128-1132. http://www.ncbi.nlm.nih.gov/pubmed/10524952

Somal N, Coley KE, Molan PC, Hancock BM. Susceptibility of Helicobacter pylori to the antibacterial activity of manuka honey. J R Soc Med. 1994; 87: 9-12. http://www.ncbi.nlm.nih.gov/pubmed/8308841

Orla Sherlock, Anthony, Dolan , Rahma, Athman, Alice Power, Georgina, Gethin, Seamus, Cowman, Hilary, Humphreys. Comparison of the antimicrobial activity of Ulmo honey from Chile and Manuka honey against methicillin-resistant Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa. BMC Complementary and Alternative Medicine. 2010; 10:47. http://www.biomedcentral.com/1472-6882/10/47

Saiman L, O'Keefe M, Graham PL, Wu F, Saïd-Salim B, Kreiswirth B, LaSala A, Schlievert PM, Della-Latta P. Hospital transmission of community-acquired methicillin-resistant Staphylococcus aureus among postpartum women. Clin Infect Dis . 2003;37:1313–19. http://cid.oxfordjournals.org/content/37/10/1313

Naimi TS, LeDell KHK, Como-Sabetti SM, Borchardt DJ, Boxrud J, Etienne SK, Johnson F, Vandenesch S, Fridkin C, O’Boyle, Danila RN, and Lynfield R. Comparison of community- and health care-associated methicillin-resistant Staphylococcus aureus infection. JAMA. 2003;290:2976–2984. http://www.ncbi.nlm.nih.gov/pubmed/14665659

Mandal S, Pal, NK., Chowdhury IH, Deb, Mandal M. Antibacterial activity of ciprofloxacin and trimethoprim, alone and in combination, against Vibrio cholerae O1 biotype El Tor serotype Ogawa isolates. Polish J Microbial. 2009; 58:57-60. http://www.ncbi.nlm.nih.gov/pubmed/19469287

Jenkins R, Burton N, Cooper R. Manuka honey inhibits cell division in methicillin resistant Staphylococcus aureus. Journal of Antimicrobial Chemotherapy. 2011;66 :2536–2542. http://jac.oxfordjournals.org/content/66/11/2536.full

Downloads

Published

30-09-2013

How to Cite

1.
SK. Jasmine Shahina, Padma Krishnan. Comparison of the antimicrobial activity of Manuka honey and native honey against methicillin resistant staphylococci from asymptomatic healthcare workers. ijp [Internet]. 2013 Sep. 30 [cited 2024 Sep. 28];5(3):262-6. Available from: https://ijp.arjournals.org/index.php/ijp/article/view/260

Issue

Section

Short Communication