|J Edward Jayaprakash and D Leena Lavanya*|
|Corresponding Author: D Leena Lavanya, Department of Botany, Avinashilingam University, Coimbatore, Tamil Nadu, India|
|Received: June 24, 2019; Accepted: June 25, 2019; Published: October 14, 2019;|
|Citation: Jayaprakash JE & Lavanya DL. (2019) Antifungal Activity of Pongamia pinnata on Candida albicans Isolated from Antenatal Women. J Microbiol Microb Infect, 1(1): 35-38.|
|Copyrights: ©2019 Jayaprakash JE & Lavanya DL. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Traditional system of medicine in India had herbal plant parts for curing many diseases. In traditional system of medicines, such as ayurveda and Unani, the Pongamia pinnata plant is used for anti-inflammatory, anti-plasmodial, anti-ulcer, CNS depressant activity and antioxidant activity. A preliminary study was carried out to study the antifungal activity of Candida albicans in vagina among antenatal women. Isolation and characterization of Candida albicans from the vaginal samples of 50 antenatal women were done. Aqueous and ethanolic extracts of Pongamia pinnata seeds were used to find out the efficacy of the in vitro susceptibility against standard strain and Clinical isolate. Prevalence of Candidiasis among the antenatal women in age, diabetic and semester wise was also carried out. The observed results indicated that the crude aqueous extracts exhibited an appreciable antifungal activity. This has to be confirmed in further analysis using more number of isolates.
Keywords: Antifungal activity, Antenatal women, Pongamia pinnata, Candida albicans
Candida albicans is one of the causative organisms for the common fungal infection vaginal candidiasis. It is the most common vaginal infection in women during reproductive age group, also affecting pregnant women (Horowitz , Cassone  and Dolatabadi ). It occurs in 1-14% of all women of reproductive age throughout the world and its prevalence in India is estimated to be 30% Thulkar . Prenatal clinical check-up is of prime importance in the prevention of the disease of both the mother and fetus and for the prevention of abortion as certain species of Candida (Candida tropicalis) results in abortion prenatally. Herbal medicines are good alternative for synthetic medicine as the latter have various side effects.
Vaginal Swab samples were collected from 50 volunteers of Antenatal women in triplicates. The age wise distribution among the 50 women was 21-25, 26-30 and 31-32 with the number of antenatal cases of 13, 31 and 6, respectively. Clinical history of the volunteers was also recorded in a Performa sheet. Collected swabs were grown on SDA (Sabouraud Dextrose Agar) media plates at 37°C and confirmed by germ tube test.
Dried seeds of Pongamia pinnata were collected and surface sterilization was done. Seeds and water are mixed (1:5) and ground and filtered using Seitz filter (pore size – 0.2 µm) with a pH of 6.2.
The fungal strain Candida albicans (ATCC 90029) used was obtained from Hi MEDIA laboratory and clinical isolates were obtained from a gynecological hospital. Clinical isolates from individuals were plated onto Sabouraud Dextrose Agar plates and incubated for 48 h at 25°C. Colonies were streaked and identified by standard methods Warren and Shadomy  Standard antifungal drugs used in this study are Ampotericin-B and Clotrimazole.
Antifungal susceptibility test methods
Each isolate was tested by reference microdilution methods following NCCLS guidelines for inoculums preparation, media formulation and incubation (NCCLS ). Plant extracts used were lyophilized aqueous extracts and ethanolic extracts of Pongamia pinnata seeds. It is used to find out the efficacy of the in vitro susceptibility against standard strain and clinical isolates using microdilution and disc diffusion method. The experiment was done three times and the mean values are presented.
RESULTS AND DISCUSSION
In present study samples (vaginal swabs) were being collected from 50 volunteers prenatal women attending a private gynecological clinic located at Chetpet, Chennai.
From the study carried among the 50 volunteers within the age group of 21-32 those which showed positive and negative results for Candidiasis were listed in the Table 1. It was found that large number of positivity to vaginal Candidiasis was in the age group 26-30.
From the positivity of neonatal women to vaginal candidiasis was found to be 71.4% in the 2nd semester of age group 21-25 followed by 67% and 50 % in 2nd and 3rd semester of age groups 26-30 and 31-32, respectively (Table 2).
It was also found that prenatal women with diabetics to be high positivity than non-diabetic (Table 3). The results coincide with other investigators who have suggested th
at vulvovaginal candidiasis occurs more frequently in diabetics , Zdolsek  and Bohannon .
Out of the 50 clinical samples 26 showed positivity to isolation by In vitro cultivation on SDA plates. Subsequent characterization by Gram staining, Germ tube formation and its morphology was observed and all the 26 isolates were proved to be positive for Candida albicans.
The 26 isolates were subjected to in vitro susceptibility test to 6 antifungal drugs (Amphotericin, Clotrimazole, Itraconazole, Fluconazole, Ketoconazole and Nystatin) (Table 4). Standard strain (ATCC) and the 26 isolates were not susceptible to Amphotericin B and Clotrimazole. This study also focuses for the prevalence of Multi Drug Resistance among Candida albicans isolates from vaginal Candidiasis this has been supported by observation in in vitro susceptibility test by Micro Dilution Assay in which turbidity is seen for the resistance reported through Disc Diffusion Assay. Study done by Srinivasan et al.  revealed that Sertaconazole was more effective than Clotrimazole. The alarming increase in infections with multidrug resistant bacteria is due to overuse of a broad spectrum antimicrobials, which leads to over growth of Candida spp., thus, enhancing its opportunity to cause the disease .
Among the aqueous and ethanolic seed extracts of Pongamia pinnata used along with the drugs aqueous extracts exhibited appreciable antifungal activity which has to be verified by further studies with increased number of clinical isolates (Table 5).
1. Horowitz BJ, Giaquinta D, Ito S (1992) Evolving pathogens in vulvovaginal candidiasis: Implications for patients care. J Clin Pharmacol 32: 248-255.
2. Cassone A (2015) Vulvovaginal Candida albicans infections: Pathogenesis, immunity and vaccine prospects. BJOG 122: 785-794.
3. Dolatabadi S, Salari Z, Mahboubi M (2019) Antifungal effects of Ziziphora tenuior, Lavandula angustifolia, Cuminum cyminum essential oils against clinical isolates of Candida albicans from women suffering from vulvovaginal candidiasis. Revista Infect 23: 222-226.
4. Thulkar J, Kriplani A, Agarwal N, Vishnubhatla S (2010) Aetiology and risk factors of recurrent vaginitis and its association with various contraceptive methods. Indian J Med Res 131: 83-87.
5. Warren NG, Shadomy HJ (1991) Yeasts of medical importance. In. Balows A, Hausler Jr WJ, Herrmann KL, Isenberg HD and Shadomy HJ (ed.), Manual of Clinical Microbiology 5th Edn. American Society for Microbiology, Washington, D.C., pp: 617-629.
6. National Committee for Clinical Laboratory Standards (1992) Reference method for both dilution antifungal susceptibility testing for yeasts. Proposed standard M27-P. National Committee for Clinical Laboratory Standards, Villanova, Pa.
7. Reed BD (1992) Risk factors for Candida vulvoginitis. Obstet Gynecol Surv 47: 551-560.
8. Zdolsek B, Hellberg D, Froman G, Nilsson S, Mardh PA (1995) Microbiological flora and sexually transmitted diseases in women with recurrent or current vulvovaginal candidiasis. Infection 23: 81-84.
9. Bohannon NJV (1998) Treatment of vulvovaginal candidiasis in patients with diabetes. Diabetes Care 21: 451-456.
10. Srinivasan SU, Reddy H, Shivaraju P (2018) Evaluation of clinical efficacy of single dose of vaginal pessary sertaconazole versus clotrimazole in treatment of uncomplicated vaginal candidiasis. J Evol Med Dent Sci 7: 4973-4977.
11. Bhattacharjee P (2016) Epidemiology and antifungal susceptibility of Candida species in a Tertiary Care Hospital, Kolkata, India. Curr Med Mycol 2: 20-27.
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