Antimicrobial activities of widely consumed herbal tea’s alone or in combination with antibiotics: An in vitro study

Department of Pharmaceutical Microbiology, Istanbul University, Istanbul, Turkey
DOI
10.7287/peerj.preprints.2029v1
Subject Areas
Food Science and Technology, Microbiology, Nutrition
Keywords
checkerboard, combination, Herbal tea, time kill curve, antimicrobial activity
Copyright
© 2016 Tuysuz et al.
Licence
This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ Preprints) and either DOI or URL of the article must be cited.
Cite this article
Tuysuz M, Dosler S, Birteksoz Tan AS, Otuk G. 2016. Antimicrobial activities of widely consumed herbal tea’s alone or in combination with antibiotics: An in vitro study. PeerJ Preprints 4:e2029v1

Abstract

Background: Because of increasing antibiotic resistance, herbal teas are the most popular natural alternatives, which are gaining even more importance. We examined the antimicrobial activities of 31 herbal teas both alone and in combination with antibiotics or antifungals against the standard and clinical isolates of Pseudomonas aeruginosa, Acinetobacter baumannii, Escherichia coli, Klebsiella pneumoniae, Enterococcus faecalis, methicillin susceptible/resistant Staphylococcus aureus and Candida albicans. Methods: The antimicrobial activities of the teas were determined by using the disk diffusion and microbroth dilution methods, and the combination studies were examined by using the microbroth checkerboard and time killing curve methods. Results: Rosehip, rosehip bag, pomegranate blossom, thyme, wormwood, mint, echinacea bag, cinnamon, black, and green teas were active against most of the studied microorganisms. In the combination studies, we characterized all the expected effects (synergistic, additive, and antagonistic) between the teas and the antimicrobials. While synergy was observed more frequently between ampicillin, ampicillin-sulbactam, or nystatine, and the various tea combinations, most of the effects between the ciprofloxacin, erythromycin, cefuroxime, or amikacin and various tea combinations, particularly rosehip, rosehip bag, and pomegranate blossom teas, were antagonistic. The results of the time kill curve analyses showed that none of the herbal teas were bactericidal in their usage concentrations; however, in combination they were. Discussion: Some herbal teas, particularly rosehip and pomegranate blossom should be avoided because of antagonistic interactions during the course of antibiotic treatment or should be consumed alone.

Author Comment

This is a submission to PeerJ for review.

Supplemental Information

Teas showing antimicrobial activity with disk diffusion assays

DOI: 10.7287/peerj.preprints.2029v1/supp-1

Average colony counts of herbal tea + antibiotic combinations as log cfu/ml against bacterial strains

DOI: 10.7287/peerj.preprints.2029v1/supp-2