The aim of this study was to evaluate the efficacy of some native plants, alone and in combination with some antibiotics, in the treatment of brucellosis. Methods: The present experimental in vitro study was carried out to evaluate the anti-brucella activities of essential oils of Rosmarinus officinalis L., Origanum syriacum, Thymus syriacus, Salvia palaestina Benth, Mentha piperia, and Lavandula stoechas L., alone
and in combination with some antibiotics. The activity against 16 tetracycline-resistant B. melitensis isolates was determined by disc diffusion method incorporating a Inhibitors,research,lifescience,medical concentration of 5%. Antibiotic discs were also used as a control. Microdilution brucella broth susceptibility assay was used in order to determine the MICs of essential oils and five antibiotics. Results: Among all the herbs evaluated, only the essential oils of O. syriacum and T. syriacus
plants demonstrated most effective anti-brucella activity, and were then chosen for MIC study. The minimal inhibitory concentrations (MIC50) Inhibitors,research,lifescience,medical of essential Inhibitors,research,lifescience,medical oils of O. syriacum and T. syriacus against tetracycline-resistant B. melitensis were 3.125 µl/ml and 6.25 µl/ml, respectively. Conclusion: Among the essential oils studied, those of O. syriacum and T. syriacus were most effective. Since a combination of levofloxacin and Thymus syriacus essential oil increased the efficacy of this antibiotic, O. syriacum and T. syriacus are recommended to be used as Inhibitors,research,lifescience,medical bactericidal agents against B. melitensis. Key Words: Brucellosis, Antibiotic resistance, Brucella melitensis, Origanum Introduction Brucellosis is an endemic zoonosis in Syria, affecting large numbers of animals and an increasing number of cases in humans. It is considered as the most important public TGF-beta pathway Health problem due to its high morbidity. The severity of disease in humans Inhibitors,research,lifescience,medical correlates with its severity in animals, especially in domestic ruminants.1 Furthermore, brucellosis continues to have great
economic importance considering decreased milk production, infertility, abortions, and weight loss.2 Brucella melitensis remains the major cause of human disease worldwide, followed by B. abortus and B. suis. Rare cases of human infections caused by B. canis and pathogenic brucella of marine mammals have also been reported.3,4 Despite existing brucellosis worldwide, it is considered as an endemic disease in Mediterranean basin, Middle East, Western Asia, Africa, and see more Latin America.5 In spite of the development of new antibiotics as well as new treatment strategies, only few modifications have been applied to brucellosis treatment since its introduction half a century ago.6-8 Treatment of human brucellosis is still based on the World Health Organization (WHO) recommendations applied in 1986,9 suggesting the use of doxycycline, 100 mg twice daily for six weeks combined with either rifampicin, 600–900 mg daily for six weeks, or streptomycin, 1 g daily for 2–3 weeks.
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