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Asparagus as Antimicrobial Agent in Oral Cancer Infections

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HARYANA, India—According to Indian researchers, treated oral cancer patients are neutropenic and prone to secondary infection of microbes, and medicinal plants such as asparagus may serve as effective antimicrobial agents to check the secondary infections in treated oral cancer patients (Ann Clin Microbiol Antimicrob. 2011;10:21).

Suppression of immune system in treated cancer patients may lead to secondary infections that obviate the need of antibiotics. In the present study, an attempt was made to understand the occurrence of secondary infections in immunosuppressed patients along with herbal control of these infections with the following objectives to: (a) isolate the microbial species from the treated oral cancer patients along with the estimation of absolute neutrophile counts of patients (b) assess the in vitro antimicrobial activity medicinal plants against the above clinical isolates.

Blood and oral swab cultures were taken from 40 oral cancer patients undergoing treatment in the radiotherapy unit of Regional Cancer Institute, Pt. B.D.S. Health University,Rohtak, Haryana. Clinical isolates were identified by following general microbiological, staining and biochemical methods. The absolute neutrophile counts were done by following the standard methods. The medicinal plants selected for antimicrobial activity analysis were Asphodelus tenuifolius Cav., Asparagus racemosus Willd., Balanites aegyptiaca L., Cestrum diurnum L., Cordia dichotoma G. Forst, Eclipta alba L., Murraya koenigii (L.) Spreng. , Pedalium murex L., Ricinus communis L. and Trigonella foenum graecum L.

Prevalent bacterial pathogens isolated were Staphylococcus aureus (23.2 percent), Escherichia coli (15.62 percent), Staphylococcus epidermidis (12.5 percent), Pseudomonas aeruginosa (9.37 percent), Klebsiella pneumonia (7.81 percent), Proteus mirabilis (3.6 percent), Proteus vulgaris (4.2 percent) and the fungal pathogens were Candida albicans (14.6 percent), Aspergillus fumigatus (9.37 percent). Out of 40 cases, 35 (87.5 percent) were observed as neutropenic. Eight medicinal plants (A. tenuifolius, A. racemosus, B. aegyptiaca, E. alba, M. koenigii, P. murex R. communis and T. foenum graecum) showed significant antimicrobial activity (P<0.05) against most of the isolates. The MIC and MFC values ranged from 31 to 500 &#956;g/ml. P. aeruginosa was observed highest susceptible bacteria (46.6 percent ) on the basis of susceptible index.

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