Rasool Bazigha Kadhim et al / IJRAP 2011, 2 (6) 1811-1813 ISSN 2229-3566 Research Article www.ijrap.net FORMULATION AND EVALUATION OF HERBAL HAND WASH FROM MATRICARIA CHAMOMILLA FLOWERS EXTRACTS Ali Heyam Saad1, Shehab Naglaa Gamil2, Rasool Bazigha Kadhim1* and Rana Samour1 1 Department of Pharmaceutics and Pharmacy Practice, Dubai Pharmacy College, Dubai, UAE 2 Department of Pharmacognosy, Faculty of Pharmacy, Cairo University, Egypt Received on: 19/10/11 Revised on: 04/11/11 Accepted on: 20/04/11 *Corresponding author Bazigha K. Abdul Rasool, PhD, Associate Prof. ,Department of Pharmaceutics and Pharmacy Practice, Dubai Pharmacy College, Dubai, UAE Email: bazigha_rasool@hotmail.com, bazigharasool@yahoo.com ABSTRACT Nasocomial infection has emerged as a critical issue in hospital care outcome, resulting in substantial morbidity and mortality. The hands of health care workers are the primary routes of transmission of infection to patients. Hence, it brings up the use of antiseptic for hand washing purposes. Many of the antiseptic available in market are alcohol based sanitizers which have some shortcomings or adverse effects. Their frequent use can lead to skin irritation. Chamomile is one of the most widely used and well-documented medicinal plants in the world. This study aimed to formulate effective herbal hand wash using Matricaria chamomilla (German chamomile) flowers with emphasis on safety and efficacy and to avoid the risk posed by synthetic antimicrobials. Evaluation of the antimicrobial activity against skin pathogens of the prepared herbal hand wash was performed using disc diffusion method. Its efficacy was checked and compared with the commercial ones. Results revealed that chamomile soap formulation was more efficient in reducing the number of organisms from hands than the commercial antiseptic soaps thus it can be used as an antiseptic soap with less or no side effects. Keywords: Herbal hand wash, Formulation, Evaluation, Chamomile Extracts, Skin pathogens, Staphylococcus aureus, Pseudomonas aeruginosa. INTRODUCTION Skin being the most exposed part of our body requires protection from skin pathogens. Nasocomial infection has emerged as a critical issue in hospital care outcome, resulting in extended hospitalization and substantial morbidity and mortality1. The hands of Health Care Workers (HCWs) are the primary routes of transmission of multidrug resistant pathogens and infection to patients. Hence, it brings up the use of antiseptic for hand washing purposes2. Many of the chemicals antiseptic are now available in market as alcohol based sanitizers, cholorohexidine products, etc. These soaps or solutions help reduce health care associated transmission of contagious disease more effectively3 but they have some shortcomings or adverse effects. Their frequent use can lead to skin irritation and also resistance among pathogens4. Organisms such as Staphylococcus aureus and Pseudomonas aeruginosa are some of the causative agents of skin infections5. Some studies been conducted had showed that resistance to chemical antiseptic have led to outbreaks6, 7. Historically, plants have provided a good source of antiinfective agents. Plant based antimicrobials represent a vast untapped source for medicines. They are effective in the treatment of infectious diseases while simultaneously mitigating many of the side effects that are often associated with synthetic antimicrobials. Plants containing flavonoids and polypeptides used in traditional medicine have been found to be active against a wide variety of microorganisms8. Matricaria chamomilla (German chamomile) is from the Asteraceae family and is the major source of blue oil and flavonoids9, 10. It has been widely used in folk and traditional medicines for its multi-therapeutic, cosmetic and nutritional values11, 12 . Chamomile flowers contain essential oil 0.4-2% v/w13 which has antibacterial and fungicidal action14, 15. In addition to that, flowers contain more than 120 chemical constituents and have been identified as secondary metabolites16 including 28 terpenoids, 36 flavonoids, and 52 additional compounds with potential pharmacological activity17. Components, such as α-bisabolol and cyclic ethers are fungistatic, whereas chamazulene and α-bisabolol are antiseptics18. Chamazulene, α -bisabolol, flavonoids and umbelliferone displayed antifungal properties against trichophyton mentagrophytes and Candida albicans, all of them have the strongest activity against Gram-positive and Gram-negative bacteria19. Despite its widespread use as health care remedy and its in vitro antibacterial and antifungal effectiveness against Staphylococcus and Candida, no trial has been documented about its use as liquid hand wash soap. In the present context, Matricaria chamomilla had been selected in preparing herbal hand wash. Chamomile flowers were extracted with alcohol to assure maximum taking out of all the phytochemicals which act on skin pathogens and ensure maximum antimicrobial efficiency. Chamomile extract hand wash soap was then prepared, screened against skin pathogens and checked for its efficacy. MATERIALS AND METHODS Plant collection Samples of Matricaria chamomilla flowers were collected during March-April (2011) from plants cultivated in Haj Saed Campus garden, Muhaisnah-1, Dubai, United Arab Emirates and verified in the Department of Pharmacognosy at Dubai Pharmacy College, UAE. Preparation of plant extracts Fresh flowers of the investigated plant (200 g) were mixed and homogenized with ethanol 70%in a mixer, followed by exhaustive maceration at room temperature with the 70% alcohol (2 liters x2) then filtered. The combined alcoholic extract was evaporated under reduced pressure. The residue free solvent (12.5 g) was suspended in distilled water (40 ml) to be used for further study. Preparation of chamomile hand wash soap The herbal hand wash was prepared by adding 4ml of the suspended water extract (1.25g /4 ml w/v) to 3 g of sodium lauryl sulphate (SLS)20. The solution was made homogenous under room temperature and used for the antibacterial screening. Blank soap was prepared as per the previous procedure without herbal extract. The candidate formula was compared to standard soaps commercially available in UAE pharma market including: Savlon® (Novartis, UK) and Huiji® (Huiji Biotechnology, China). The commercial herbal soap contains green tea, aloe, wild chryeanthemum and lemon. Antimicrobial assay The pathogens were recovered from the hands of HCWs. Amongst the isolated pathogens Staphylococcus aureus and Pseudomonas aeruginosa were selected and identified and used for this study. The International Journal of Research in Ayurveda & Pharmacy Rasool Bazigha Kadhim et al / IJRAP 2011, 2 (6) 1811-1813 anti-microbial activity of the hand wash soaps was investigated by the spillage from the gastrointestinal tract (GIT) onto the skin the disc diffusion method21. Tested culture organisms used were around the anal and genital regions as well as on soles of the feet 26. S.aureus, Ps.aeruginosa, Bacillus subtilis, Escherikia coli and Table 3 and Fig.1 (a-d) represents growth reduction in bacterial flora Candida albicans. Nutrient agar was used as a culture medium. obtained after the use of chamomile herbal soap formulation, The herbal hand wash soap was vigorously shaken for homogeneity. Savlon, commercial herbal soap and blank soap. Highest reduction One mL portion of the soap solution was added to 20 mL of sterile was observed by chamomile herbal soap followed by commercial molten culture media in Petri-dishes and allowed to set. Then a 0.1 herbal soap, Savlon and blank soap. The % of reduction shown by ml of standard inoculum of each test organism was streaked on the chamomile herbal soap was 80.57%, while it was found to be to be plates which were then incubated under the standard conditions. least in case of control blank soap (67.74%). The commercial herbal Following incubation, plates were observed for the presence or antiseptic soaps showed more reduction than Savlon (68.29%). A absence of microbial growth. In similar ways, discs of commercial percentage reduction in bacterial flora was calculated using the antiseptic soaps and blank soap were prepared. formula. In vivo efficacy study % Reduction= Control (cfu/ml) – Test (cfu/ml) X 100 ……. (eq. 1) Experimental design Control (cfu/ml) Four volunteer groups (n=4) were involved for in vivo efficacy study of four different soaps (chamomile hand soap formulation, blank soap, commercial standard soap, commercial herbal soap). The significant (p<0.05) antimicrobial activity of the prepared in the water Volunteers with damaged skin and those who were on antimicrobial formula can be attributed to the presence of tannins 27 extract. Tannins are water soluble polyphenols and have been therapy were excluded. Study was done after approval of ethical reported to be bacteriostatic or bactericidal against Staphylococcus committee of the College. The protocol had been explained and the aureus by acting on the membranes of the organisms28. The results informed consents were obtained from the volunteers. clearly showed that the natural antimicrobials in the prepared herbal Procedure A rinse wash method was adopted for this study. Total 40 palm soap were far more active than the synthetic antimicrobials used in washes were taken for a single volunteer for a single soap. Control commercial antiseptic soap. palm washes were taken by use of sterile water only. Rinse palm for CONCLUSION 10 seconds with small amount of tap water. Palm is completely In the present study, natural active constituents in chamomile extract lathered with the desired soap for a specified time (1 min). Hand manifested superior inhibition against skin pathogens than synthetic wash samples were collected in the sterile beakers under sterile antimicrobials present in the commercially available antiseptic conditions. Temperature of sterile water was near to 40 °C for 30 soaps. Therefore, these compounds were extracted and incorporated seconds and 75 mL water was used for a single hand wash. Further in soap bases in order to prepare superior antiseptic soap with less or enumeration of bacterial flora is carried out by serially diluting and no side effects. Hence, a new way can be found to combat antibiotic resistance of pathogenic organisms and provide safe and healthier plating on media plates and incubating them at 37 °C for 18-24 hr22. living through germfree hands, although the removal is not 100%, Bacteriological study 23 Point inoculation method as mentioned by Miles and Mishra , was but a major number can be reduced with natural economic and safe chamomile soap. used for viable count of different bacterial flora. ACKNOWLEDGMENT RESULTS AND DISCUSSION Authors are grateful for and would like to express gratitude to the Preliminary antimicrobial sensitivity screening tests findings shown Dean of Dubai Pharmacy College and Dubai Pharmacy College in Table 1. Chamomile soap formulation proved to be beneficial and undergraduate students, Hamda J. Obaid and Nourhan A. Baroud for had an excellent activity against all the tested organisms. A their support in lab work. significant (p<0.05) result was obtained against S. aureus. Hence it REFERENCES was encouraging to be used in the preparation of herbal hand wash. 1. Boyce JM and Pittet D. Guideline for Hand Hygiene in Health-Care Settings. Many of these organisms are natural flora of the skin and mucous Morbidity and Mortality Weekly Report 2002; 51:1-45. 2. Pittet D and Boyce JM. Hand hygiene and patient care: pursuing the semmelweis membranes infections of man24. legacy. Lancet Infect Dis 2001; 1: 9-20. Data for in vitro antimicrobial evaluation of chamomile soap is 3. Luby SP, Agboatwalla M, Feikin DR, Painter J, Billhimer W, Altaf A, et al. presented in Table 2. Chamomile soap formulation had greater Effect of hand washing on child health: A randomized controlled trial. Lancet antimicrobial activity against the test organisms than the 2005; 366: 225-233. commercially available hand soaps. No significant effect obtained 4. Pittet D. Clean hands reduce the burden of disease. Lancet 2005; 366: 185-187. by the blank soap which indicates that the antibacterial activity of 5. Bischoff WE, Reynolds TM, Sessler CN, Edmond MB and Wenzel RP. Hand washing compliance by health care workers: the impact of introducing an herbal hand wash is solely due to the activity of active components. accessible, alcohol-based hand antiseptic. Arch Intern Med 2000; 160: 1017The activity against Staphylococcus aureus was of significant 1021. interest (p<0.05). The skin carries large numbers of bacteria flora, 6. Maury E, Alzieu M, Baudel JL, Haram N, Barbut F, Guidet B, et al. Availability of an alcohol solution can improve hand disinfection compliance in an intensive mainly Gram-positive picked up from the various objects with which care unit. Am J Respir Crit Care Med 2000; 162: 324-327. it comes in contact. Staphylococcus aureus is one of these natural 7. Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S and flora commonly found on the hands, face and in deep layers of the Perneger TV. Effectiveness of a hospital-wide programme. to improve compliance with hand hygiene. Lancet 2000; 356: 1307-1312. skin. Staphylococcus aureus is ubiquitous and is not easily eliminated by routine washing and scrubbing even with some 8. Abbiw DK. Useful plants of Ghana – West African use of wild and cultivated plants. Intermediate Technology Publications and the Royal Botanic Gardens antiseptic soap26. Thus, the potency of the chamomile herbal soap Kew; 1990. against Staphylococcus aureus was very remarkable. Similar results 9. Mahran, GE, Glombitza KW, Mirhom YW, Hartmann R and Michel CG. Novel saponins from Zizyphus spina-christi growing in Egypt. Planta Medica 1996; 2: were reported by Fuerst using ethanol extract against 163-165. Staphylococcus aureus isolates from boils, carbuncles, breast 10. Singh O, Khanam Z, Misra N, Srivastava MK. Chamomile (Matricaria 25 abscess, and infantile-impetigo . Chamomilla L.): An overview. Phcog J 2011; 5: 82-95. The herbal soap was not tested against Gram-negative bacteria, since 11. Issac O. Recent progress in chamomile research- medicines of plant origin in modern therapy. 1st edition Czecho-Slovakia, Prague press: 1989. they are not auchthchonous skin flora. However, they are only encountered when the normal Gram-positive bacteria are depleted 12. Gould L, Reddy CV and Compreht FF. Cardiac effect of chamomile tea. J Clin Pharmacol 1973; 13: 475–9. by antibiotic application, other non-physiological conditions such as International Journal of Research in Ayurveda & Pharmacy Rasool Bazigha Kadhim et al / IJRAP 2011, 2 (6) 1811-1813 13. Das M, Mallavarapu GR and Kumar S. Isolation of a genotype bearing fascinated capitula in chamomile (Chamomilla recutita). J Med Aromat Plant Sci 1999; 21: 17-22. 14. Sharma A, Kumar A and Virmani OP. Cultivations of german chamomile review. Curr Res Med Aromat Plants 1983; 5: 269–78. 15. Mann C and Staba EJ. The chemistry, pharmacology and commercial formulations of chamomile. In: Craker LE, Simon JE, editors. Herbs, spices and medicinal plants recent advances in botany, horticulture and pharmacology. USA: Haworth Press Inc; 2002 pp. 235–80. 16. Gardiner P and Kemper KJ. Herbs in pediatric and adolescent medicine. Pediatrics in Review J 2000; 2: 44 -57. 17. Baghalian K, Abdoshah SH, Khalighi F, Sigarood KF and Paknejad F. Physiological and phytochemical response to drought stress of german chamomile. Plant Physiology and Biochemistry 2011; 49: 201-207. 18. Isenberg HD. Essential Procedures for Clinical Microbiology. Washington: (DC) American Society for Microbiology; 1998 pp. 90-91. 19. Moln M. Antimicrobial action of soap germicide mixtures on skin. J Soc Coswetic Chemists 1969; 20: 103-108. 20. Tilton RC and Howard BJ. Antimicrobial susceptibility Testing, In: Howard BJ et al. editors. Clinical and Pathiogenic Microbiology C.V. Mosby, Mission, USA; 1987 pp.121-156. 21. Hera O, Kiefer M, Farell D, Kamper K. A review of twelve commonly used medicinal herbs. Arch Farm Med 1998; 6: 523-536. 22. Coutenary M, Ramirez L, Cox B, Han I, Jiang X, Dauson P. Effects of various hand hygiene regimens on removal and/or destruction of Escherichia coli on hands. Food service 2005; 5:77-84. 23. Miles AA, Misra SS, Irwin JO. The estimation of the bactericidal power of the blood. The Journal of hygiene 1938; 6:732–49. 24. Fuerst R. Microbiology in Health and Disease.14th edition. Philadelphia (USA): W.B. Saunders Company; 1978. 25. Rosenberg E and Cohen IR. Microbial Biology. New York (USA): HoltSaunders Publishing; 1983. 26. MacKay DL and Blumberg J B. A Review of the bioactivity and potential health benefits of chamomile tea (Matricaria recutita). Phytother Res 2006; 7: 519530. 27. Cinco M, Banfi E and Tubaro A. A microbiological survey on the activity of a hydroalcoholic extract of chamomile. Int J Drug Res 1983; 4: 145-151. 28. Essential Procedures for Clinical Microbiology, by HD Isenberg editors, Washington DC: American Society for Microbiology; 1998, pp. 90-91. Table 1 Preliminary Antimicrobial Activity of Matricaria chamomile Test microorganisms Antimicrobial activity IZD (mm)± SD* Staphylococcus aureus 19.5± 0.55** Pseudomonas aeruginosa Bacillus subtilis Escherikia coli Candida albicans 12.2± 0.33 13.4± 1.00 10.2± 0.23 8.20± 0.66 *: Values calculated as means ± SD (n=3); **: Results are significant (p<0.05) and IZD: Inhibition zone diameter. Table 2: In Vitro Antimicrobial Evaluation of Chamomile Hand Wash Soap Zone of Inhibition (mm) Test organisms Chamomile Blank Standard soap soap soap + + Staphylococcus aureus Pseudomonas + + aeruginosa -: indicates No inhibition zone or less than 7mm; +: presence of microbial growth. Values are means of triplicates. Fig 1: Effect on general transient bacterial microflora after use of: a) chamomile herbal soap; b) blank soap; c) Savlon; d) commercial herbal soap Table 3: Reduction in Hands’ Bacterial Flora Bacterial flora reduction Formulation Control Test Reduction (cfu/ml) (cfu/ml) (%) 28.05Í103 5.35Í103 81 Chamomile soap formulation Blank soap 22.45Í103 7.5Í103 68 Commercial Herbal soap 18.4Í103 5.32Í103 72 Savlon 22.75Í103 7.3Í103 68 International Journal of Research in Ayurveda & Pharmacy