Biofilm formation of Clostridium difficile and
susceptibility to Manuka Honey
BMC Complement Altern Med. 2014 Sep 3;14(1):329
BACKGROUND:
Biofilm bacteria are relatively more resistant to
antibiotics. The escalating trend of antibiotic resistance higlights the need
for evaluating alternative potential therapeutic agents with antibacterial
properties. The use of honey for treating microbial infections dates back to
ancient times, though antimicrobial properties of Manuka honey was discovered
recently. The aim of this study was to demonstrate biofilm formation of
specific Clostridium difficile strains and evaluate susceptibility of the
biofilm to Manuka honey.
METHODS:
Three C. difficile strains were used in the study including
the ATCC 9689 strain, a ribotype 027 strain and a ribotype 106 strain. Each
test strain was grown in sterile microtitre plates and incubated at 37[degree
sign]C for 24 and 48 hours in an anaerobic cabinet to allow formation of
adherent growth (biofilm) on the walls of the wells. The effect of Manuka honey
on the biofilms formed was investigated at varying concentrations of 1-50%
(v/v) of Manuka honey.
RESULTS:
The three C. difficile strains tested formed biofilms after
24 hours with the ribotype 027 strain producing the most extensive growth.
There was no significant difference (p > 0.05) found between the amount of
biofilms formed after 24 and 48 hours of incubation for each of the three C.
difficile strains. A dose-response relationship between concentration of Manuka
honey and biofilm formation was observed for all the test strains, and the
optimum Manuka honey activity occurred at 40-50% (v/v).
CONCLUSION:
Manuka honey has antibacterial properties capable of
inhibiting in vitro biofilm formed by C. difficile.
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