Skip to main navigation menu Skip to main content Skip to site footer

Clinical Research

Vol 9 No 2 (2024): December

Honey Enhances Antibiotic Effectiveness Against Urinary Tract Infections
Madu Meningkatkan Efektivitas Antibiotik Terhadap Infeksi Saluran Kemih



(*) Corresponding Author
DOI
https://doi.org/10.21070/acopen.9.2024.9870
Published
August 23, 2024

Abstract

Background: Urinary tract infections (UTIs) are prevalent across all ages and genders and pose significant treatment challenges, often requiring alternative therapeutic approaches due to increasing antibiotic resistance. Specific Background: The study examines the impact of antibiotics and honey on bacterial UTIs, revealing 17 cases, primarily caused by Staphylococcus aureus and Klebsiella pneumoniae. Knowledge Gap: The study evaluates the effectiveness of honey in combining antibiotics with anise and spring flower honey, focusing on its potential to enhance antimicrobial effects in UTIs. Results: Biochemical analysis and VITEK diagnostics revealed significant bacterial growth. Antibiotic susceptibility tests showed varied effectiveness, with spring flower honey enhancing the activity of nitrofurantoin (35%), trimethoprim (17.6%), trimethoprim-sulfamethoxazole (23.5%), tetracycline, and norfloxacin (35.2%). Anise honey also demonstrated notable synergistic effects, particularly with norfloxacin (47%) and tetracycline (41%). Novelty: This study highlights the potential of combining honey with antibiotics to combat UTIs, offering new insights into alternative treatment strategies and demonstrating significant synergy with specific antibiotics. Implications: The findings suggest that incorporating honey into UTI treatments could improve therapeutic outcomes and help mitigate the growing issue of antibiotic resistance. Further research is needed to identify active compounds in honey and optimize their use with antibiotics.

Highlights:

 

  1. Enhanced Efficacy: Honey boosts antibiotic effectiveness against UTIs.
  2. Resistance Solution: Combines honey to counteract antibiotic resistance.
  3. Honey Variability: Different honeys show varied synergistic effects.

 

Keywords: Urinary Tract Infection, Antibiotics, Honey, Synergistic Effect, Antibiotic Resistance

References

  1. . C. W. Tan and M. P. Chlebicki, "Urinary Tract Infections in Adults," Singapore Medical Journal, vol. 57, no. 9, pp. 485-490, 2016.
  2. . K. Gibson and J. Toscano, "Urinary Tract Infection Update," American Journal of Clinical Medicine, vol. 9, no. 2, 2012.
  3. . I. Eriksson, "Urinary Tract Infection: Serious Health Problem in Older Women," Umea University Medical Dissertations New Series No. 1410, 2011.
  4. . N. Grude, Y. Tveten, and B. E. Kristiansen, "Urinary Tract Infection in Norway: Bacterial Etiology and Susceptibility—A Retrospective Study of Clinical Isolates," Clinical Microbiology and Infection, vol. 7, no. 10, pp. 543-547, 2001.
  5. . A. Mansour, M. Mehdinejad, and Z. Pourdanchi, "Study of Bacteria Isolated from Urinary Tract Infections and Determination of Their Susceptibility to Antibiotics," Jundishapur Journal of Microbiology, vol. 2, no. 3, pp. 118-123, 2009.
  6. . U.S. Department of Health and Human Services, "Antibiotic Resistance Threats in the United States, 2013," 2013.
  7. . M. Y. Liu, N. N. Cokcetin, J. Lu, L. Turnbull, D. A. Carter, C. B. Whitchurch, and E. J. Harry, "Rifampicin-Manuka Honey Combinations Are Superior to Other Antibiotic-Manuka Honey Combinations in Eradicating Staphylococcus aureus Biofilms," Frontiers in Microbiology, vol. 8, article 2653, 2018.
  8. . M. Bhushanam, H. R. Bhargava, and S. Reddy, "Antibiotic Activity of Various Types of Honey of Apis Species," World Journal of Agricultural Sciences, vol. 9, no. 4, pp. 309-315, 2013.
  9. . Clinical and Laboratory Standards Institute, Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Fourth Informational Supplement, 2017.
  10. . M. S. L. Brasil, A. L. Filgueiras, M. B. Campos, M. S. L. Neves, M. S. L. Neves, M. Eugênio, L. A. Sena, C. B. Sant'Anna, V. L. da Silva, C. G. Diniz, and A. C. Sant'An, "Synergism in the Antibacterial Action of Ternary Mixtures Involving Silver Nanoparticles, Chitosan and Antibiotics," Journal of the Brazilian Chemical Society, vol. 29, no. 10, pp. 2026-2033, 2018.
  11. . L. Fajir, "Study the Synergism Effect Between Silver Nanoparticles and Antibiotics Against Acinetobacter baumannii Isolates Isolated from Patients with Skin Infection," Master's Thesis, Al-Mustansiriyah University, 2017.
  12. . World Health Organization, Antimicrobial Resistance Global Report on Surveillance, ISBN 978 92 4 156474 8, 2014.
  13. . P. Szweda, "Antimicrobial Activity of Honey," Antimicrobial Activity of Honey, 2017. [Online]. Available: http://dx.doi.org/10.5772/67117.
  14. . S. Almasaudi, "The Antibacterial Activities of Honey," Saudi Journal of Biological Sciences, vol. 28, pp. 2188-2196, 2021.
  15. . R. Jadimurthy, S. B. Mayegowda, S. C. Nayak, C. D. Mohan, and K. S. Rangappa, "Escaping Mechanisms of ESKAPE Pathogens from Antibiotics and Their Targeting by Natural Compounds," Biotechnology Reports, vol. 34, pp. 1-15, 2022.
  16. . D. G. Joakim Larsson and C.-F. Flach, "Antibiotic Resistance in the Environment," Nature Reviews, vol. 20, pp. 257-269, 2022.
  17. . M. L. Hossain, L. Y. Lim, K. Hammer, D. Hettiarachchi, and C. Locher, "A Review of Commonly Used Methodologies for Assessing the Antibacterial Activity of Honey and Honey Products," Antibiotics, vol. 11, article 975, 2022. [Online]. Available: https://doi.org/10.3390/antibiotics11070975.
  18. . T. M. Uddin, A. J. Chakraborty, A. Khusro, B. M. R. M. Zidan, S. Mitra, T. Bin Emran, K. Dhama, M. K. Hossain, M. Gajdács, M. U. K. Sahibzada, M. J. Hossain, and N. Koirala, "Antibiotic Resistance in Microbes: History, Mechanisms, Therapeutic Strategies and Prospects," Journal of Infection and Public Health, 2021. [Online]. Available: https://doi.org/10.1016/j.jiph.2021.10.020.
  19. . F. Al-Saedi, "Strategies in Anti-Adhesion Therapy," Al Mustansiriyah Journal of Pharmaceutical Sciences, vol. 21, no. 1, pp. 34-40, 2021.
  20. . Y. F. Muhsin, S. M. Alwan, and A. K. Khan, "Design, Molecular Docking, Synthesis of Aromatic Amino Acids Linked to Cephalexin," Al Mustansiriyah Journal of Pharmaceutical Sciences, vol. 21, no. 3, pp. 25-34, 2020.

Downloads

Download data is not yet available.