Effectiveness of topical green tea against multidrug-resistant in cases of primary pyoderma: An open controlled trial.

Background: Antimicrobial activity of green tea against Staphylococcus aureus both in vitro and in vivo has been reported recently. Studies on clinical efficacy and safety of green tea as antibacterial agent against S. aureus in human cases are rare.Objectives: To evaluate the clinical effectiveness...

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Publicado en:Indian Journal of Dermatology, Venereology & Leprology Vol. 84; no. 2; pp. 163 - 169
Autores principales: Umashankar, Nagaraju, Pemmanda, Belliappa, Gopkumar, P, Hemalatha, A, Sundar, Priya, Prashanth, H, Hemalatha, A J, Sundar, Priya K, Prashanth, H V
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Scientific Scholar LLC Mar/Apr2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar/Apr2018
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      pub: Scientific Scholar LLC
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        10.4103/ijdvl.IJDVL_207_16
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        atl: Effectiveness of topical green tea against multidrug-resistant in cases of primary pyoderma: An open controlled trial.
      aug:
        au:
          Umashankar, Nagaraju
          Pemmanda, Belliappa
          Gopkumar, P
          Hemalatha, A
          Sundar, Priya
          Prashanth, H
          Hemalatha, A J
          Sundar, Priya K
          Prashanth, H V
        affil: Department of Dermatology, Rajarajeswari Medical College and Hospital, Bengaluru
      sug:
        subj:
          Plant Extracts Administration and Dosage
          Staphylococcus Aureus Drug Effects
          Drug Resistance, Microbial Drug Effects
          Staphylococcal Infections Drug Therapy
          Pyoderma Drug Therapy
          Tea
          Adolescence
          Staphylococcus Aureus Physiology
          Pyoderma Diagnosis
          Prospective Studies
          Staphylococcus Aureus
          Male
          Female
          Treatment Outcomes
          Cross Sectional Studies
          Administration, Topical
          Child
          Drug Resistance, Microbial Physiology
          Staphylococcal Infections Diagnosis
          Human
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Randomized Controlled Trials
          Adolescent: 13-18 years
          Child: 6-12 years
          Male
          Female
      ab: Background: Antimicrobial activity of green tea against Staphylococcus aureus both in vitro and in vivo has been reported recently. Studies on clinical efficacy and safety of green tea as antibacterial agent against S. aureus in human cases are rare.Objectives: To evaluate the clinical effectiveness and safety of topical green tea on primary pyoderma caused by S. aureus. We also attempted to determine the minimum inhibitory concentration of green tea against S. aureus and methicillin-resistant S. aureus.Methods: Open label, prospective, placebo-controlled study included community-acquired primary pyoderma cases caused by S. aureus. Severity grading was done on a scale of 1-5. Green tea ointment 3% and placebo ointment were used. Cure was defined on the basis of negative culture and assessment of clinical improvement. Minimum inhibitory concentration was determined by agar dilution method. Data were analyzed using Statistical Package for Social Sciences (SPSS) software version 16.Results: Of the 372 patients, 250 received green tea and 122 received placebo. Multidrug-resistant S. aureus was isolated in 89.1% in green tea group and 81.1% in placebo group, respectively. Methicillin-resistant S. aureus was isolated in 24 patients. Cure was seen in 86% in green tea group and 6.6% in placebo group which was statistically very significant. The number of days for comprehensive cure in green tea group was 9.2 ± 6.4 days. All patients with methicillin-resistant S. aureus infection in the green tea group were cured. Minimum inhibitory concentration of green tea against S. aureus was 0.0265 ± 0.008 μg/ml and against methicillin-resistant S. aureus was 0.0205 ± 0.003 μg/ml.Limitations Of the Study: Comparative trial was not conducted in the same patient with different lesions; children less than seven years were not considered as the school authorities did not permit for younger children to be included in the study and true randomization and blinding of investigators were not done.Conclusions: Green tea has a significant antibacterial effect against multidrug-resistant S. aureus. Minimum inhibitory concentration of green tea is established and is promising in methicillin-resistant S. aureus infections.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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