Index

Abstract

In Ethiopia, different parts of Croton macrostachyus (C. macrostachyus) are used as a traditional medicine to take care of infectious diseases such as typhoid and measles, but there is no documented report on the antibacterial activity of stem bark of this plant in Ethiopia. C. macrostachyus stem bark was extracted using chloroform, methanol, and water extraction solvents and tested for their antibacterial activities against Escherichia coli (E. coli), clinical isolates and standard, and Staphylococcus aureus (S. aureus), clinical isolates and standard, using agar well diffusion and broth dilution methods. The positive control was Chloramphenicol, while dimethyl sulfoxide (DMSO) was served as negative control. The present study showed the potent antibacterial activity of the C. macrostachyus stem bark extract against all tested bacterial pathogens. The methanol extract of C. macrostachyus stem bark showed the highest zone of inhibition (17+1mm) against S. aureus (standard) and the lowest zone of inhibition (12+1) against E. coli (clinical isolate). In this study, the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) values of 500 & 500 mg/ml, 62.5 & 125 mg/ml and 250 & 500mg/ml were obtained for water, methanol, and chloroform extracts of C. macrostachyus stem bark against clinically isolated E. coli respectively. C. macrostachyus stem bark extracts have confirmed antibacterial effects, mainly on E. coli and S. aureus. Thus, C. macrostachyus stem bark could be effective for prevention of bacterial infections and may be considered as an option to antibiotic regimens. But further studies should be conducted with different extraction solvents and toxicity and phytochemical analysis must be performed on these plants to use as sources and templates for the synthesis of drugs.

Keywords: Antibacterial, activity, Croton, macrostachyus, extracts, MBC, and, MIC.

Received: 6 February 2018 / Revised: 29 March 2018 / Accepted: 2 April 2018 / Published: 4 April 2018

Contribution/ Originality

This study contributes in the existing literature by providing basic information for other researchers regarding the antibacterial potential of Ethiopian C. macrostachyus stem bark so that C. macrostachyus stem bark may be considered as an option to antibiotic regimens.


1. INTRODUCTION

Microbial diseases continue to be major threats to the world regardless of hard work and advancement in developing modern medicine. There are numerous reports on the isolation of bacteria that are known to be sensitive but became multi-resistant to routinely used drugs and other medications available on the market (Nascimento et al., 2000). This is due to bacteria possess the genetic ability to acquire and transmit resistance traits against currently available antibacterial (Nega and Tigist, 2015).

The impact of bacterial diseases is especially important in developing countries such as Ethiopia where there is inadequate access to modern drugs and prices are mostly unaffordable when the latter are available. Extensive use of antibiotics often resulted in the development of resistant strains and these create a problem in the management of infectious diseases. Furthermore, side effects associated with antibiotics are often fewer when using medicinal plants (Nega and Tigist, 2015)

Medicinal plants have some prize over antibiotics such that there is superior patient tolerance, relatively less costly, agreement due to a long history of use and are renewable in nature (Vermani and Garg, 2002). Currently, the ever-increasing risk from drug-resistant bacteria calls for a universal effort to search for novel solutions that can also be based on the natural products from plants that are selected on the basis of documented ethnomedicinal use (Lulekal et al., 2014). Medicine from herbs is readily obtained in our widely varied vegetation, inexpensive and all plant parts carry the potential for introducing new templates into modern medicine (Jackie et al., 2016). Natural plant sources are usually the raw material for the most pharmaceutical company (Amin et al., 2016).

Croton macrostachyus is a deciduous tree belonging to the family Euphorbiaceae. The leaves are large and green, turning to orange before falling. It is also characterized by creamy to yellow-white colored flowers with green (when young) to grey (at maturity) fruits. C. macrostachyus is commonly named as ‘Bisana’ in Amharic, Ethiopia and it is an important medicinal plant in East Africa including Ethiopia (Abraham et al., 2016). It is traditionally used for the treatment of wounds (Teklehaymanot and Giday, 2007; Giday et al., 2009; Abraham et al., 2016) malaria, rabies, and gonorrhea (Giday et al., 2007) Tineaversi color, diarrhea, hepatitis, jaundice, and scabies (Teklehaymanot and Giday, 2007).

In case of medicinal value, C. macrostachyus has many uses. Leaf extract is applied to the itchy scalp. A decoction of the leafy twigs mixed with Justicia schimperiana is taken to treat jaundice and smallpox. The traditional preparation can be taken with pepper, butter, and milk. The mixture of the leafy branches and roots is used as a mouthwash to treat a toothache. The leaves or young shoots of C. macrostachyus are eaten to treat fever and oedema and mashed leaves are used for hemorrhoids. C. macrostachyus stem bark maceration is drunk as an abortifacient and uterotonic, to expel a retained placenta. In addition to this stem bark is chewed to treat a toothache (Tesemma, 2007).

Several hydroalcoholic C. macrostachyus stem bark extracts against a clinical strain of Neisseria gonorrhoeae was reported by  Mesfin (2007) with the MIC value of 125–250 mg/ml. There are negative as well as positive reports on the antibacterial activity of methanol extracts from C. macrostachyus leaves (Matu and Van Staden, 2003; Wagate et al., 2010; Jackie et al., 2016).

Contrasting results could be attributed to the locality of plant species, parts used, time of collection, storage conditions, and methods of analysis (Suffredini et al., 2006; Jackie et al., 2016). Even though the majority of the Ethiopian population uses C. macrostachyus to treat different diseases traditionally, a single study was conducted regarding the antibacterial effect of C. macrostachyus leaf but there is no study conducted on the other parts of this plant in Ethiopia.Therefore, the objective of this study was to assess the antibacterial activity of chloroform, methanol and water extracts from C. macrostachyus stem bark against clinical and standard strains of E. coli and S. aureus.

2. MATERIALS AND METHODS

2.1. The Study Area

The study area is found in Gondar town which is located in the North-Western part of Ethiopia mainly in the Amhara Region. It is placed about 738 Km from Addis Ababa, the capital city of Ethiopia. Geographically Gondar has located 120 35’ 07’’ North latitude and 370 26’ 08’’ East longitudes and altitude range from 2000‒2200m above sea level (David, 2011).

2.2. Collection of Croton Macrostachyus Stem Bark

Croton macrostachyus stem bark was collected from behind Tewodros campus student cafe, University of Gondar, Ethiopia. The plant material was transported to the Microbiology Laboratory of Biotechnology Department, the University of Gondar to assess the antibacterial activity of the chloroform, methanol, and water extracts of C. macrostachyus stem bark against the clinical and standard strains of E. coli and S. aureus.

2.3. Preparation of Croton Macrostachyus Stem Bark Extracts

This was carried out as previous demonstrated, with slight modifications, by Predrag et al. (2005). The freshly collected stem bark was cut into pieces and shade dried at room temperature for 10 days and milled using an electric blender. The powder was stored in the closed containers. Each of the C. macrostachyus powder was extracted with chloroform, methanol, and water. Twenty-five gram of powdered sample was mixed in a conical flask with 100ml of solvents of chloroform, methanol, and water separately for 48 Hrs, until absolute extraction of the bioactive component of the plant. After 48 Hrs, each of the extracts was filtered through gauge and then by Whatman no1 filter paper. The filtrates were then located in a rotary evaporator in order to remove the extraction solvents and collected in a sterile container for extra use. Extracts were kept at 4o C to keep the antibacterial property before they were used for agar well diffusion and broth dilution assay.
Each plant extract was then suspended in DMSO (Oxoid) to the concentration of 500 mg/ml to obtain the zones of inhibition. For the minimum inhibitory concentration measurements the stock solution (500 mg/ml) was serially diluted to provide the concentrations of 250 mg/ml, 125 mg/ml, 62.5 mg/ml, 31.25 mg/ml, 15.63 mg/ml, 7.81 mg/ml, 3.90 mg/ml, and 1.95 mg/ml.

2.4. Determination of Antibacterial Activity

Antibacterial activity of the extracts was analyzed using agar well diffusion assay according to the technique illustrated by Taye et al. (2011). Several Mueller-Hinton agar plates were made and labeled according to the extract and by the name of the bacteria, including a negative control (DMSO) and positive control (Chloramphenicol). A bacterial suspension was prepared in sterile normal saline with reference to the 0.5 McFarland Standards. The turbidity of the bacterial suspension was compared with 0.5 McFarland standard solutions, followed by culture of 100 µl of the bacterial suspension on Mueller-Hinton agar plates using a sterile glass rod spreader and allowed to remain in the incubator for 15 minutes to remove excess moisture. On each plate, equidistant wells were made with a 6 mm diameter sterilized cork borer, 2 mm from the end of the plate. One hundred microliters from each plant extract (500 mg/ml) were aseptically placed into a respective agar well. This was followed by incubation at 37o C for 24-48 Hrs. The inhibition zone around each well was recorded in millimeters (mm) and the assay was carried out three times for each extract to obtain consecutive results.

2.5. Determination of Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC)

The MICs of plant extracts was determined using a broth dilution method as described by Bauer et al. (1966). The extract stock solution (500 mg/ml) was serially diluted in a broth to provide the concentrations of 250 mg/ml, 125 mg/ml, 62.5 mg/ml, 31.25 mg/ml, 15.63 mg/ml, 7.81 mg/ml, 3.90 mg/ml, and 1.95 mg/ml. One hundred microliters of inoculums (1.5×106 CFU/ml) were then inoculated into each tube. The growths inhibition was observed after 24 Hrs of incubation at 37o C. The presence of growth was evaluated by comparing turbidity of culture containing test tubes with the negative control. The lowest concentration, at which there was no turbidity, was regarded as MIC value of the extract.

The MBC was determined by sub-culturing samples from the wells with concentrations above the MIC value on new Mueller Hinton agar plates. The MBC was regarded as the lowest concentration of the extract related to no bacterial culture. Each assay was carried out in triplicate.

2.6. Data analysis

The data was analyzed using Statistical Package for Social Sciences Software (SPSS) version 20. The inhibition zones of the extracts on the pathogens were compared using one way ANOVA.

3. RESULT

3.1. Antibacterial Activity of Croton Macrostachyus Stem Bark Extract

The antibacterial effects of C. macrostachyus stem bark extracts showed antibacterial activity against all the tested bacterial strains. The diameter of the zone of inhibition was wide-ranging ranging from (7.7+0.6 mm) to (17+1.0 mm) diameter (Table 1). All the water, chloroform, and methanol extracts of C. macrostachyus stem bark caused 7.7+0.6 mm to 17+1 mm inhibition zones. The bacteria, which were inhibited with a zone diameter of 17+1 mm, were S. aureus (standard) (with methanol extracts) and the lowest inhibition zone (7.7+0.6 mm) was found against E. coli (clinical) which is extracted by methanol. The antibiotic Chloramphenicol (positive controls) was regularly high. DMSO, which was the negative control, did not show inhibitory activity.

Table-1. Antibacterial activity of the chloroform, methanol and water extracts of Croton. macrostachyus stem bark against clinical and standard strains of S. aureus and E. coli.

Diameter of inhibition (mm)
Antibacterial
Extraction
E. coli 
S. aureus
Solvent
clinical
standard
clinical
standard
C. macrostachyus
Chloroform
12+1.0a
13.0 +1.0ab
11.0+1.1a
16.0+3.6b
Methanol
12+1.0a
15.0+1.5b
12.7+1.0a
17+1.0b
Water
7.7+ 0.6a
10+1.0a
8.67+0.6a
10+1.0a
Chloramphenicol
39+1.0
42+1.0
42+1.0
39+1.0
Values are means of triplicate determinations; Values within the same column followed by different superscripts are significantly different at (P< 0.05).

3.2. Determination of Minimum Inhibitory Concentration and Minimum Bactericidal Concentration

The MIC value of  C. macrostachyus stem bark extracts against the tested bacteria showed variety from 62.5 mg/ml (Methanol extract of  C. macrostachyus  both on clinical and standard strains of  E. coli) to 500 mg/ml (water extract on the same bacteria). The methanol extract of C. macrostachyus stem bark demonstrated least MIC value 62.5 mg/ml against E. coli (both on clinical and standard strains) whereas water extract showed 500 mg/ml against E. coli (clinical). S. aureus (clinical and standard) and E. coli (standard) showed comparatively efficient MIC value 125 mg/ml in chloroform and methanol extracts (Table 2).

The MBC values, which were determined by sub-culturing the samples having dilution values of greater or equal to MIC values, were illustrated in Table 2. The MBC values of the extracts varied from 125 mg/ml (Methanol extract against E. coli, both clinical and standard) to 500.00 mg/ml (water extract against the growth of E. coli (standard and clinical) and chloroform extract against E. coli and S. aureus (clinical).

Table-2. MIC and MBC (mg/ml) of the chloroform, methanol and water extracts of C. macrostachyus stem bark extracts against clinical and standard strains of S. aureus and E. coli.

Methanol
Chloroform
Water
Bacteria
MIC  
MBC
MIC
MBC
MIC
MBC
E. coli (clinical)
62.5
125
250
500
500
500
E. coli (standard)
62.5
125
125
250
250
500
S. aureus(clinical)
125
250
250
500
125
250
S. aureus(standard)
125
250
125
250
250
250

MIC = minimum inhibitory concentration; MBC = minimum bactericidal concentration;

4. DISCUSSION

The antibacterial effect of C. macrostachyus stem bark was tested using the agar well diffusion and broth dilution methods. Each of the extracts tested in the present study displayed antibacterial activity on all bacterial strains tested. Though, differences were observed between antibacterial activities of the extracts. These differences could be due to the variations in the chemical composition of these extracts.

In the present study, chloroform, methanol, and water extracts of C. macrostachyus stem bark were evaluated for their antibacterial activity against Gram-negative (E. coli) and Gram-positive (S. aureus) bacteria, which are the major important human pathogenic microorganisms. Antibacterial activity of each plant extract was tested by agar well diffusion and broth dilution (MIC) methods. The extracts from C. macrostachyus stem bark persuaded growth inhibition against all the studied bacterial pathogens. Our results illustrated that between the bacterial strains there was variation in susceptibility to extracts. This may be due to the antibacterial effect of the extract depends on the bacterial strain and the extraction solvent used to extract the phytochemicals which contain antibacterial effect from the medicinal plant.

\In this study, C. macrostachyus stem bark extracted by methanol has shown the highest inhibition zone (17+1) against S. aureus (standard) and the lowest zone of inhibition were recorded in E. coli (clinical). It is reported that Gram-positive bacteria are more susceptible to antibiotics since they have only an outer peptidoglycan layer which, is an ineffective barrier (Karou et al., 2005; Lulekal et al., 2014). But Gram-negative bacteria have an outer phospholipidic membrane that makes the cell wall impermeable to lipophilic solutes, whereas the porines contain a selective barrier to hydrophilic solutes with an elimination limit of about 600 Da (Karou et al., 2005).  In addition to this periplasmic space of Gram-negative bacteria contains enzymes, which are able to break strange molecules and become to be less susceptible to plant extracts than the Gram-positive ones. Several research findings supported this justification, therefore extracts from some medicinal plants were found to be more effective against Gram-positive bacteria than Gram-negatives (Kelmanson et al., 2000; Masika and Afolayane, 2002). The lowest inhibition zone was recorded against E. coli which is the clinical isolate; this may be due to development of resistance in the clinical isolate.

Chloroform extract of the C. macrostachyus stem bark was the second strong extract for its antibacterial activity and this is in agreement with Taye et al. (2011). But C. macrostachyus water extract had lower activity against all bacteria tested. This indicates, in comparison to water, the active ingredient which inhibits the growth of bacteria may dissolve better in methanol. However, Sendeku et al. (2015) reported chloroform extract from C. macrostachyus leaves exhibiting significant antimicrobial activity. Furthermore, water extract from leaves of P. acerifolium had been reported to have tough antimicrobial activity against various gram positive and gram negative human pathogenic bacteria (Thatoi et al., 2008) and as stated by Dabur et al. (2007) the water extracts of A. nilotica, J. zeylanica, L. camera and S. asoca, were found to be the most active against different bacteria as well as fungal pathogens. It is clear that the effectiveness of the extracts largely depends on the type of solvent used to extract the phenolic compound from plants. The organic extracts provided more powerful antimicrobial activity as compared to the water extracts. This observation clearly points out the survival of non-polar residue in the extracts which have higher bactericidal and bacteriostatic abilities. Thatoi et al. (2008) mentioned that most of the antibiotic compounds already identified in plants are reportedly aromatic or saturated organic molecules which can easily solubilized in organic solvents. Similar results showing that the alcoholic extract having the best antimicrobial activity is also reported by Antarasen and AmlaBatra (2012) in Melia azedarach leaf extracts

The antimicrobial analysis using the MIC value is been used by many researchers. In the present study, the MIC value of the active C. macrostachyus stem bark extracts obtained was lower than the MBC values suggesting that the extracts were bacteriostatic at lower concentration but bactericidal at higher concentration (Maji et al., 2010; Antarasen and AmlaBatra, 2012). Minimum inhibitory concentration values of 62.5–500 mg/ml was found in C. macrostachyus stem bark extracts in this study. However, Jackie et al. (2016) reported MIC value range from 125-500mg/m of C. macrostachyus ethanol extract against selected human pathogens.When testing methanol extracts of C. macrostachyus leaves and roots Wagate and colleagues found MICs from 15.6  to 250 mg/ml against three bacteria, E. coli, Bacillus cereus, and Pseudomonas aeruginosa (Wagate et al., 2010).

5. CONCLUSION

From our investigation, it is concluded that the active antibacterials present in the stem bark of C. macrostachyus were methanol and chloroform-soluble. The active ingredients contained in extract of chloroform are quite effective against standard strains of S. aureus and E. coli along with activity against the remaining whereas the activity in methanol extract showed efficacious results against all the tested organisms.Further studies should be conducted with different extraction solvents and toxicity and phytochemical analysis must be performed on these plants to use as sources and templates for the synthesis of drugs to control disease-causing bacteria.

Funding: The authors of this paper are thankful to the office of the vice president for research and community service, University of Gondar for their modest financial assistance.
Competing Interests: The authors have not declared any conflict of interests.  
Contributors/Acknowledgement: All authors contributed equally to the conception and design of the study.

REFFERENCES

Abraham, M., T. Ayele, T. Reta, T. Wondemagegn and E. Tadesse, 2016. Experimental evaluation of wound healing activity of croton macrostachyus in rat. African Journal of Pharmacy and Pharmacology, 10(39): 832-838. View at Google Scholar | View at Publisher

Amin, M., S. Sawhney and J. Manmohan, 2016. Antimicrobial activity of various extracts of taraxacum officinale. Journal of Microbial and Biochemical Technology, 8(3): 210-215. View at Publisher

Antarasen and AmlaBatra, 2012. Evaluation of antimicrobial activity of different solvent extracts of medicinal plant: Meliaazedarach. International Journal of Current Pharmaceutical Research, 4(2): 67-73.View at Google Scholar 

Bauer, W., M. Kirby, C. Sherris and M. Turck, 1966. Antibiotic susceptibility by standardized single disk method. American Journal of Clinical Pathology, 45(4): 493-496. View at Google Scholar | View at Publisher

Dabur, R., A. Gupta, K. Mandal, D. Deepak and G.M. Bajpai, 2007. Antimicrobial activity of some indian medicinal plants. African Journal of Traditional, Complementary and Alternative Medicines, 4(3): 313 – 318. View at Google Scholar 

David, R., 2011. Gondar architecture and urbanism for Italy’s fascist empire. Journal of the Society of Architectural Historians, 70(4): 492–511. View at Google Scholar | View at Publisher

Giday, M., Z. Asfaw and Z. Woldu, 2009. Medicinal plants of the Meinit ethnic group of Ethiopia: An ethnobotanical study. Journal of Ethnopharmacology, 124(3): 513-521. View at Google Scholar | View at Publisher

Giday, M., T. Teklehaymanot, A. Animut and Y. Mekonnen, 2007. Medicinal plants of the Shinasha, Agew-awi and Amhara peoples in Northwest Ethiopia. Journal of Ethnopharmacology, 110(3): 516-525. View at Google Scholar | View at Publisher

jackie, K., K. Jussi, W. Atte, O. Jimmy and K. Carina, 2016. Antimicrobial activity of croton macrostachyus stem bark extracts against several human pathogenic bacteria. Journal of Pathogens, 2016(2016): 1-5. View at Google Scholar | View at Publisher

Karou, D., A. Savadogo, A. Canini, S. Yameogo, C. Montesano, J. Simpore, V. Colizzi and S. Traore, 2005. Antibacterial activity of alkaloids from sidaacuta. African Journal of Biotechnology, 4(12): 1452-1457. View at Google Scholar 

Kelmanson, J., K. Jäger and J. VanStaden, 2000. Zulu medicinal plants with antibacterial activity. Journal of Ethnopharmacology, 69(3): 241-246. View at Google Scholar | View at Publisher

Lulekal, E., J. Rondevaldov, E. Bernaskov, J. Cepkova, Z. Asfaw, E. Kelbessa and P. Van, 2014. Antimicrobial activity of traditional medicinal plants from Ankober District, North Shewa Zone, Amhara Region, Ethiopia. Informa. Healthcare USA, Inc. Pharmaceutical Biology, 52(5): 614–620.View at Google Scholar | View at Publisher

Maji, S., P. Dandapat, D. Ojha, C. Maity, S. Halder, P. Das, T. Mohapatra, K. Pathak, B. Pati, A. Samanta and K. Mondal, 2010. In vitro antimicrobial potentialities of different solvent extracts of ethnomedicinal plants against clinically isolated human pathogens. Journal of Phytology, 2(4): 57–64. View at Google Scholar 

Masika, P. and A. Afolayane, 2002. Antimicrobial activity of some plants used for the treatment of livestock diseases in Eastern Cape, South Africa. Journal of Ethnopharmacology, 83(1): 129-134. View at Google Scholar | View at Publisher

Matu, E. and J. Van Staden, 2003. Antibacterial and anti-inflammatory activities of some plants used for medicinal purposes in Kenya. Journal of Ethnopharmacology, 87(1): 35–41. View at Google Scholar | View at Publisher

Mesfin, T., 2007. Invitro evaluation of albiziagummifera and croton macrostachyus against clinical isolates of Neisseria gonorrhoae. Addis Ababa University Libraries, Electronic Thesis and dissertation [Biology Thesis], AAU-ETD: College of Education, Addis Ababa, Ethiopia.

Nascimento, G., J. Locatelli, P. Freitas and G. Silva, 2000. Antibacterial activity of plant extracts and phytochemicals on antibiotic-resistant bacteria. Brazilian Journal of Microbiology, 31(1): 247-256. View at Google Scholar | View at Publisher

Nega, B. and M. Tigist, 2015. Prevalence of class 1 and ii integrons in multi-drug resistant bacteria isolated from Keha and Shinta Rivers in Gondar town, North West Ethiopia. Biotechnology International, 8(4): 118-131.

Predrag, L., S. Hui, C. Uri, A. Hasswan and B. Arieh, 2005. The effects of aqueous extracts prepared from leaves of pistacialentiscusin experimental liver disease. Journal of Ethnopharmacology, 100(1-2): 198-204. View at Google Scholar | View at Publisher

Sendeku, W., B. Alefew, D. Mengiste, K. Seifu, S. Girma and E. Wondimu, 2015. Antibacterialactivity of croton macrostachyus against some selected pathogenic bacteria. Biotechnology International, 8(1): 11-20. View at Google Scholar 

Suffredini, B., M. Paciencia, D. Nepomuceno, R. Younes and A. Varella, 2006. Antibacterial and cytotoxic activity of Brazilian plant extracts—clusiaceae. Memorias do Instituto Oswaldo Cruz, 101(3): 287–290. View at Google Scholar | View at Publisher

Taye, B., M. Giday, A. Animut and J. Seid, 2011. Antibacterial activities of selected medicinal plants in traditional treatment of human wounds in Ethiopia. Asian Pacific Journal of Tropical Biomedicine, 5(1): 370-375. View at Google Scholar | View at Publisher

Teklehaymanot, T. and M. Giday, 2007. Ethnobotanical study of medicinal plants used by people in Zegie Peninsula, North Western Ethiopia. Journal of Ethnobiology and Ethnomedicine, 3(1): 1-11. View at Google Scholar | View at Publisher

Tesemma, B., 2007. Croton macrostachyus. Plant Use. Retrieved from Uses.plantnet-project.org.:http://uses.plantnetproject.org/e/index.php?title=Croton_macrostachyus_(BekeleTesemma,_2007)&oldid=177435 [Accessed May 26, 2017].

Thatoi, H., S. Panda, S. Rath and S. Dutta, 2008. Antimicrobial activity and ethnomedicinal uses of some medicinal plants from similipal biosphere reserve, Orissa. Asian Journal of Plant Sciences, 7(3): 260-267. View at Google Scholar | View at Publisher

Vermani, K. and H. Garg, 2002. Medicines for sexually transmitted diseases and AIDS. Journal of Ethnopharmacology, 80(1): 49-66. View at Google Scholar 

Wagate, C., J. Mbaria and D. Gakuya, 2010. Screening of some Kenyan medicinal plants, for antibacterial activity. Phytotherapy Research, 24(1): 150-153. View at Google Scholar | View at Publisher