In vitro Study of Moringa oleifera Lam. Leaf Extract Fractions against Multidrug-resistant Pseudomonas aeruginosa Strains from Surgical Wound Infections
Eremwanarue Aibuedefe Osagie *
Department of Plant Biology and Biotechnology, University of Benin, PMB, Ugbowo-1090, Benin City, Nigeria and Lahor Research and Molecular Diagnostic Laboratories, Old Benin-Agbor Road-121, Benin City, Nigeria.
Egbon-Mike Nosa Imuentinyan
Lahor Research and Molecular Diagnostic Laboratories, Old Benin-Agbor Road-121, Benin City, Nigeria.
Izevbuwa Osazee Ekundayo
Department of Medical Laboratory Science, College of Health Sciences, Igbinedion University, Okada, Edo State, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Pseudomonas aeruginosa is an opportunistic pathogen that can cause serious surgical site infections and remains a major dilemma, especially in developing country like Nigeria. This issue has led to investigation of the antibacterial activity of Moringa oleifera leaf extract against multidrug-resistant (MDR) Pseudomonas aeruginosa strains. Pseudomonas aeruginosa strains were isolated from postoperative wounds at the two sites used in the study (Central Hospital, Benin and University of Benin Teaching Hospital) and antibiotic susceptibility testing was performed to identify MDR isolates. A qualitative phytochemical screening of leaves was performed using standard methods, followed by antibacterial testing of various M. oleifera leaf extracts against selected multidrug-resistant isolates. Results showed that 99 (35%) of the patients examined had wound infections, out of a total of 284 specimens collected. Thirty-four (54.8%) P. aeruginosa strains showed multidrug-resistance capacity from both learning sites. Qualitative analysis of phytochemicals revealed the presence of flavonoids, phenols, saponins, steroids, tannins and terpenoids. In vitro results of antibacterial tests showed that ethyl acetate extract from leaves of Moringa oleifera had the highest antibacterial activity against Pseudomonas aeruginosa strain Iraq.PA-9, followed by dichloromethane at a concentration of 100 mg/ml. The different effects may be attributed to secondary plant substances contained in different leaf extracts of Moringa oleifera. The results of this study demonstrated the potential of Moringa oleifera leaf extract as an antibacterial agent by inhibiting the growth of test organisms isolated from postoperative wound infections.
Keywords: Multiple drug resistance, Moringa oleifera, leaf fraction, surgical wound infection