BACTERIOLOGICAL CHARACTERISTICS OF DIABETIC FOOT INFECTION AND SUSCEPTIBILITY OF MULTIRESISTANT ISOLATES TO HYDRAULIC EXTRACTS FROM ALLIUM SATIVA, ALLIUM CEPA AND CANNABIS SATIVA

Jacky Njiki Bikoï; Esther Del Florence Moni Ndedi; Mesmin Yefou Dehayem; Sharonne Ladiff Koko-Ta; Elsa Nguiffo Makue; Alexandra Emmanuelle Membangbi; Donatien Serge Mbaga; Chris André Mbongue Mikangue; Justin Olivier Essindi; Aicha Ngoutane; Arnaud Franck Elang; Sabine Aimée Touangnou-Chamda; Carole Stéphanie Sake; Sara Honorine Riwom Essama

doi:10.22270/ujpr.v7i2.748

Jacky Njiki Bikoï Department of Microbiology, Faculty of Science, The University of Yaoundé I, Cameroon.
Esther Del Florence Moni Ndedi Department of Microbiology, Faculty of Science, The University of Yaoundé I, Cameroon.
Mesmin Yefou Dehayem National Obesity Center, Yaoundé Central Hospital, Cameroon. Internal Medicine Department, Faculty of Medicine and Biomedical Sciences, The University of Yaoundé I, Cameroon.
Sharonne Ladiff Koko-Ta Department of Microbiology, Faculty of Science, The University of Yaoundé I, Cameroon.
Elsa Nguiffo Makue Department of Microbiology, Faculty of Science, The University of Yaoundé I, Cameroon.
Alexandra Emmanuelle Membangbi Department of Microbiology, Faculty of Science, The University of Yaoundé I, Cameroon.
Donatien Serge Mbaga Department of Microbiology, Faculty of Science, The University of Yaoundé I, Cameroon.
Chris André Mbongue Mikangue Department of Microbiology, Faculty of Science, The University of Yaoundé I, Cameroon.
Justin Olivier Essindi Department of Microbiology, Faculty of Science, The University of Yaoundé I, Cameroon.
Aicha Ngoutane Department of Microbiology, Faculty of Science, The University of Yaoundé I, Cameroon. Institute of Medical Research and Medicinal Plant Study (IMPM), Yaoundé, Cameroon.
Arnaud Franck Elang Department of Microbiology, Faculty of Science, The University of Yaoundé I, Cameroon.
Sabine Aimée Touangnou-Chamda Department of Microbiology, Faculty of Science, The University of Yaoundé I, Cameroon.
Carole Stéphanie Sake Department of Microbiology, Faculty of Science, The University of Yaoundé I, Cameroon.
Sara Honorine Riwom Essama Department of Microbiology, Faculty of Science, The University of Yaoundé I, Cameroon.

10.22270/ujpr.v7i2.748

Keywords:

Allium cepa, Allium sativum, Antibacterial resistance, diabetic foot infection, Cannabis sativa, plant extracts

Abstract

Background and objective : Diabetic foot infection is one of the most serious complications of diabetes and its persistence is the result of the ineffectiveness of antibiotic therapy due to the exponentially increasing of antibiotic resistant bacteria. The study aimed at investigating the antibacterial effect of the aqueous extract of some plants on the antibiotic resistant bacteria isolated from diabetic foot wound infections.

Methods : A 6-months cross-sectional study from July 2021 to January 2022 at the Yaoundé Central Hospital, was undertaken with diabetic foot wound patients. All samples were appraised to determine presence of infectious agents using standard methods for isolation and identification of bacteria. Subsequently, Antibiotic resistance was done using Kirby-Bauer disc diffusion methods. Finally, extracts of Cannabis sativa leaves, Allium cepa and Allium sativum bulbs were obtained with water and their antibacterial activities were evaluated by the microdillution method on liquid medium.

Results : 20 patients whom 14 men were included, with a sex ratio of 2.33, and their mean age was 52.5±9.6 years. 60% of these patients presented wounds in grade III and were of several types : purulent (48.57%), moist (31.43%) and dry (20%). 35 strains were isolated. The predominant GPB were S. aureus (34.29%) followed by Coagulase-negative Staphylococcus (14.29%), and Bacillus Spp (2.86%). Among the GNB, Pseudomonas aeruginosa (11.46%), Serratia Spp. (8.56%), Escherichia coli (8.56%), Enterobacter Spp. (5.71%), Proteus Spp. (5.71%), Klebsiella Spp., Yersinia Spp. and Salmonella Spp. in proportions of 2.86% each. A high rate of antibiotic resistance was recorded for Oxacillin (100%), Vancomycin (83.34%) and Augmentin (55.56%). Sensitivity tests on liquid medium showed that MIC ranged between 3.12-25.00 mg/mL, 6.25-25.00 mg/mL and 1.86-25.00 mg/mL respectivelly for A. sativa, A. cepa and C. sativa. Alliums were much more active on GNB. Although these results are low, they could be an alternative for the diabetic foot infection treatment.

Conclusion : Alliums were much more active on GNB Although these results are low, they could be an alternative for the diabetic foot infection treatment.