Synergistic combination of colistin with imipenem,amikacine or ciprofloxacin against <i>Acinetobacter baumannii</i> and <i>Pseudomonas aeruginosa</i> carbapenem-resistant isolated in Annaba hospital Algeria

Objective: The aim of this study is to detect in vitro the synergetic activity of colistin in combination with imipenem, amikacin or ciprofloxacin, at sub-inhibitory concentrations, against carbapenems-resistant (CR) Acinetobacter baumannii and Pseudomonas aeruginosa strains isolated from various wards in Annaba teaching hospital in eastern Algeria.
Materials and Methods: The minimal inhibitory concentrations (MIC) were determined by broth macrodilution (BMD). Carbapenemase encoding genes were screened using polymerase chain reaction (PCR). The activity of colistin in combination with second antibiotic was evaluated by the Checkerboard Technique.
Results: 39 CR P. aeruginosa and 21 CR A. baumanni strains where collected. The MIC values ranging from (0.25 to 4 µg/ml) to colistin, ≥16 µg/ml for imipenem, ≥4 µg/ml to amikacin and ≥8 µg/ml ciprofloxacin. The PCR reveals the presence of the genes bla_OXA23 (n = 12), blaOXA24 (n = 6), blaNDM1 (n = 3) in A. baumannii and blaVIM2 (n = 12) in P. aeruginosa. The combination of colistin with imipenem showed synergistic effect on 57.14% and 46.15% of A. baumannii and P. aeruginosa isolates, respectively. For colistin and amikacin, the synergistic effect is detected in 28.6% of A. baumannii and 30.8% of P. aeruginosa. While colistin and ciprofloxacin showed synergy on 14.29% and 15.38% of A. baumannii and P. aeruginosa isolates, respectively.
Conclusion: CR A. baumannii and P. aeruginosa remain the most prevalent infection agents in patients from high-risk wards at Annaba Hospital. Colistin associated with imipenem or with amikacin at sub-inhibitory concentrations gives very encouraging results allowing better management of infections caused by this type of bacteria.     

BIOCHEMICAL CHARACTERIZATION OF BORAGE (BORAGO OFFICINALIS L.) SEEDS

Gas chromatography–mass spectrometry analysis of seed Borago officinalis essential oil (EO) revealed the presence of 16 volatile components. β-Caryophyllene (26%) and p-cymene-8-ol (19.7%) represented the major components, while nonadecane (0.7%) and hexanol (0.7%) were the minor ones. The EO composition was characterized by higher abundance of oxygenated monoterpenes (27.7%), followed by sesquiterpenes (26%). Fatty acid composition showed the predominance of linoleic (35.4%), oleic (24.2%) and γ-linolenic (20.4%) acids. Polyphenols were analyzed by reversed-phase high-performance liquid chromatography after acid hydrolysis of phenolic acid esters. Six phenolic acids were identified in seed extract and rosmarinic acid was the predominant one with 1.65 mg/g dry matter weight equivalent to 33% of total phenolic acids.

PRACTICAL APPLICATIONS

Borage ( Borago officinalis L.) is of great interest because of its medicinal and nutritional properties. In fact, thanks to its characteristic composition in fatty acids, particularly high levels of gamma-linolenic acid in its seed oil, borage has gained importance. The potent consumers of this medicinal plant are hypertensive and hypercholesterolemic people. Borage consumption is also recommended for people suffering from rheumatism and eczema.
Unfortunately, the knowledge about antioxidative/antiradical properties of borage is very scanty. So, recently, an extensive investigation was focused on the antioxidant properties of borage extracts. These extracts showed excellent antioxidant properties and their effects were attributed to their phenolic constituents. These antioxidants can be concentrated, either as crude extracts or individual phenolic compounds, to be used in highly unsaturated oils such as marine oils. Furthermore, borage consumption has been reported as a possible gastric cancer protective factor.