Antimicrobial Activity of Native Thai Plant Extracts against Methicillin-Resistant Staphylococcus aureus (MRSA) Keerati Joyjamras1,*, Patamaporn Sukplang2, Acharawan Thongmee2,# 1 Biomedical Sciences Graduate Program, Rangsit University, Thailand 2 Microbiology Unit, Department of Medical Sciences, Faculty of Science, Rangsit University, Thailand *e-mail: j_keerati@hotmail.com, #e-mail: acharawan@rsu.ac.th Abstract Methicillin-resistant S.aureus (MRSA) is one of S.aureus strains that resists to a variety of antibiotics, especially penicillin antibiotics. Its resistance to many available antibiotics makes the treatment of MRSA infection more difficult because very few antibiotics are effective against MRSA. In order to combat MRSA infections, enormous efforts are being made to develop new compounds which can be used as potential antimicrobial agents. An interesting alternatives include the use of natural products. Therefore, the objectives of this research were to search for a potential antimicrobial agent from native Thai plant extracts and to study the synergism between these extracts and antibiotics against MRSA. Eleven native Thai plants, i.e., Acanthus ebracteatus Vahl., Cissus quadrangularis Lin, Kaempferia parviflora, Barleria lupulina Lindl, Orthosiphon aristatus (Blume) Miq, Glycyrrhiza glabra L., Stevia rebaudiana Bertoni, Clitoria ternatea Linn., Curcuma longa L.,Curcuma zedoaria (Berg.) Rosc. and Zingiber cassumunar Roxb were extracted with water and 95% ethanol. These extracts were determined for antimicrobial activities against S.aureus by agar diffusion method. Minimal inhibitory concentration (MIC) was also determined using microdilution method. The results of this study showed that Kaempferia parviflora ethanol extract possessed antibacterial activity against only MRSA with inhibition zones of 15+3 mm. The MIC and MBC of Kaempferia parviflora ethanol extract against MRSA was 46.87 g/mL and 96.75 g/mL, respectively. Study of synergism between plant extracts and antibiotics revealed that when Kaempferia parviflora ethanol extract was combined with cefoxitin, the MIC and MBC of cefoxitin against MRSA reduced from 23.44 g/mL to 1.46 g/mL and from 93.75 g/mL to 2.93 g/mL, respectively. Moreover, this combination reduced the MIC of Kaempferia parviflora against MRSA from 46.87 g/mL to 23.44 g/mL. The results indicated that the combination of Kaempferia parviflora and cefoxitin could be synergistic in antibacterial effect against MRSA. Keywords: MRSA, antibacterial activity, synergistic activity, native Thai plant extract References 1. 2. 3. 4. 5. Gillespie SH, Hawkey PM. Principles and Practice of Clinical Bacteriology. 2 nd ed. England: John Wiley & Sons Ltd; 2006. Vardi M, Kochavi T, Denekamp Y, Bitterman H. 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