复方发酵制剂可改善大鼠烧伤模型急性多重耐药铜绿假单胞菌感染创面的严重程度

Subhanil Chakraborty, Subhajit Sen, Ranadhir Chakraborty
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摘要

铜绿假单胞菌是一种革兰氏阴性机会性细菌,已成为局部烧伤创面危及生命的感染的原因。目前通过伤口敷料和全身药物的治疗方法远不能令人满意;病原体显示的多种抗生素耐药性导致治疗失败,导致死亡。本实验采用阿育吠陀发酵多药制剂(AP 01)对多重耐药铜绿假单胞菌(HW01)感染大鼠烧伤创面的疗效进行了实验研究。将AP-01应用于多种耐药铜绿假单胞菌感染大鼠模型人工感染创面,在常规抗生素为阳性对照的情况下,观察创面残留面积百分率、血c反应蛋白含量、活菌菌落存在等方面的愈合效果。在单次干预后两周内,多药制剂使感染的烧伤残余创面面积比初始创面面积减少40.63%;然而,在未治疗的动物和使用对照药物的动物的情况下,烧伤残余创面面积仍然要高得多。多药AP-01治疗组血清c反应蛋白水平恢复正常的时间也早于其他治疗组。使用AP-01成分单独或不同组合的发酵制剂在感染烧伤创面的局部应用方面从未进行过早期试验。结果表明,AP-01在大鼠模型烧伤创面的治愈率和多重耐药铜绿假单胞菌感染控制方面具有较好的效果。
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Fermented polyherbal formulation ameliorates the severity of acute multiple - antibiotics - resistant Pseudomonas aeruginosa infected burn wound in rat burn model
Pseudomonas aeruginosa, a Gram-negative opportunistic bacterium has emerged as a cause of life-threatening infections in topical burn wounds. Current therapeutic approaches through wound dressings and systemic medicines are far from satisfactory; multiple-antibiotic-resistance shown by pathogens contribute to failures of therapy causing mortality. This animal study was conducted to check efficacy of one Ayurveda based fermented polyherbal preparation (AP 01) against multiple antibiotic resistant Pseudomonas aeruginosa HW01 infected rat burn wounds. AP-01 was applied on artificially inflected burn wound on rat model infected with Multiple Antibiotics Resistant Pseudomonas aeruginosa to register the healing effects in terms of reduction in residual wound area percentage, presence of C-reactive protein in blood, presence of viable bacteria colony while keeping conventional antibiotics as positive control.The polyherbal preparation had reduced the infected residual burn wound area at 40.63% from the initial burn wound area within two weeks after a single intervention; whereas residual burn wound area remained much higher in case of animals left untreated and in case of the animals treated with control drug. Restoration to normalcy of serum C-reactive protein level were also achieved earlier in case of polyherbal AP-01 treated groups than other groups. Fermented formulation using components of AP-01 singly or in different combinations were never been tested earlier for topical application in infected burn-wound. The formulation AP-01 was found superior in terms of rate of healing and control of infection by multiple-antibiotic-resistant P. aeruginosa strains in burn wounds in rat model.
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