In this study,
Acinetobacter baumannii were resistant to four agents including nalidixic acid (100%), penicillin (100%), amikacin (83.3%), and tetracycline (58.3%). Shah cheraghi et al. observed that
Acinetobacter baumannii was the most and least resistant to the antibiotics cefixime (95 isolates, 100%) and colistin (4 isolates 2/4%), MICs to ceftazidime in 79 (83%) isolates was 64 micrograms per ml and 18 samples (18.9%) were ESBL-producing isolates (
14).
The results of a study by Vafee et al. showed that 100 isolates of
Acinetobacter baumannii were resistant to imipenem (100%), ceftriaxone (95%), amikacin (95%), imipenem (76%), piperacillin-tazobactam (70%), meropenem (69%), gentamicin (63%), tobramycin (56%), and tetracycline (51%) (
15).
Results of a study by Sadeh et al. showed that
Acinetobacter baumannii isolated from surfaces of medical equipment in Tehran were resistant to imipenem (100%), meropenem (100%), ceftazidime (99%), ciprofloxacin (98%), gentamicin (97/85%), tetracycline (2/70%), ampicillin (2/70%), and cefotaxime (4/69%) (
16).
Herbal medicine represents one of the most important fields of traditional medicine all over the world. Medicinal plants are traditionally used for the treatment of pain. The formation of free radicals may play an important role in the origin of life and biological evolution, implying both their beneficial effects on aging of organisms and in cancer promotion (
17).
In a study by Edziri, ethyl acetate, chloroform, butanol, and methanol extracts from the aerial section of
Peganum harmala were tested for antibacterial, antioxidant, and antiviral activities. Results showed that a chloroform extract had the best antibacterial activity against gram-positive and gram-negative bacteria. The methanol extract showed significant antiviral activity against the CoxB-3 virus. The chloroform extract may be a significant fount of antibacterial compounds against gram-positive bacteria (
18).
In a study by Darabpour, the amounts of MIC and MBC for
Peganum harmala on MRSA (methicillin-resistant
Staphylococcus aureus) and for seed extract on
E. coli and Salmonella was similar (0.625 mg/mL) (
19).
In the Hayat study, the chloroformic, ethyl acetate, butanolic, and methanolic extracts of
P. harmala leaves all showed acceptable antifungal activity, with a MIC of 2.5 mg/mL. Chloroformic and methanolic extracts represented significant antibacterial activity on gram-positive bacteria rather than gram-negative bacteria, with MIC values ranging between 0.251 mg/mL and 2.5 mg/mL (
20).
Peganum harmala seed extracts are reported to contain alkaloids, flavonoids, and anthraquinones (
21,
22). The alkaloids in the seed extract have been utilized to control hemosporidian infection in naturally and experimentally infected cattle (
23,
24). An ethanolic
P. harmala extract has been represented to have high an antibacterial role on MRSA (methicillin-resistant
Staphylococcus aureus) (
25) and CRSA (cefixime-resistant
S. aureus) (
22).
Findings of Hassan Ali showed that
Peganum harmala was effective on
Staphylococcus aureus, Acinetobacter calcoaceticus, and Candida albicans. Ampicillin, velosef, sulfamethoxazole, tetracycline and ceftazidime, cefotaxime, and cefixime, which were applied as controls, had MIC ≥ 50 and 1.5 µg/mL, respectively, for organisms sensitive to extracts (
26).
the result show that the ethanol extract of
P. harmala has exhibited antibacterial activity on MRSA (28) and CRSA (29). A study by Nazemi showed a minimum inhibitory concentration (MIC) of
H. Persicum against
Bacillus polymixa,
Baxillus subtilis,
Enterococcus faecalis,
Nocardia, and
Staphylococcus aureus of 50, 100, 500, 200 and 500 mg/mL, respectively (
27).
In another study, phytochemical analysis showed that the main components of the essential oil of Angelica included ethylhexyl Bvtanvat (98/25%), octyl 2-methyl butyrate (37/14%), Penytl cyclopropane (77/12%) and a minimum inhibitory concentration for
Escherichia coli and
Listeria monocytogen as 5 and 5.2 mg/mL, respectively (
28).
A study by Pirbaloutl showed that fruit oil
H. persicum snow against anti-bacterial effect against
Campylobacter coli and
jejuni (
29), and a study by Dadfar showed the antibacterial properties of the essential oil of Angelica extract have a low effect on
Pseudomonas aeruginosa (
30).
In a study by Dehghan Noudeh, the antibacterial activity of
H. persicum was exhibited against
B. subtilis (MIC = 6.25 mg/mL). The other fractions were inactive against tested strains and showed no significant difference (P > 0.05) (
31).
The study of Scheffer, the essential oil from the fruits of
H. persicum was investigated and result show that oil contains about 95% aliphatic esters, 4% aliphatic alcohols, and 1% monoterpenes. In addition, 37 esters and 17 monoterpenes were identified (
32).
Pimpinellin, isopimpinellin, bergapten, isobergapten, and sphondin are furanocoumarins that are found in the roots of
H. persicum. Hexyl butyrate (56.5%), octyl acetate (16.5%), Hexyl 2-methyl butanoate (5.2%), and hexyl isobutyrate (3.4%) were identified as the major constituents of the
Heracleum persicum essential oil (
33).
Finally, reports suggest that H. persicum and P. harmala have potential for newer therapeutic applications in the future.