1. Microbial contamination in herbal medicines: a serious health hazard to elderly consumers
- Author
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Carolina Miranda de Sousa Lima, Bruno de Paula Lima, Francisco Fábio Oliveira de Sousa, Jocivânia Oliveira da Silva, Patricia de Carvalho Mastroianni, Mayara Amoras Teles Fujishima, Univ Fed Amapa, and Universidade Estadual Paulista (Unesp)
- Subjects
Male ,0301 basic medicine ,Salmonella ,Population ,Primary health care ,Microbial contamination ,medicine.disease_cause ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Health hazard ,law ,Herbal medicines ,Humans ,Medicine ,030212 general & internal medicine ,education ,Aged ,Aged, 80 and over ,education.field_of_study ,Plants, Medicinal ,030109 nutrition & dietetics ,Bacteria ,Traditional medicine ,business.industry ,Fungi ,Pathogenic bacteria ,lcsh:Other systems of medicine ,Middle Aged ,Standard methods ,lcsh:RZ201-999 ,Cross-Sectional Studies ,Complementary and alternative medicine ,Elderly individuals ,Female ,Plant Preparations ,Pharmacopoeia ,Drug Contamination ,business ,Research Article - Abstract
Made available in DSpace on 2020-12-10T17:37:24Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-01-23 Introduction: The use of herbal medicine is on the rise worldwide, and safety issues associated with herbal medicines may have an exacerbated impact in elderly because this population has an increased susceptibility and sensitivity to health complications due to the aging process. Methods: This cross-sectional study was carried out at a primary health care unit in the city of Macapa, Brazil. The herbal medicines used and the sociodemographic characteristic of 123 voluntarily consenting participants were collected using a structured questionnaire. A total of 132 herbal medicines with oral or topical administration were donated by the elderly for microbial analysis before consumption, and 18 water samples used in the preparation of homemade herbal medicines were collected. Bacterial and fungal counts and identification of bacterial pathogens (Escherichia coli, Salmonella spp., Pseudomonas aeruginosa and Staphylococcus aureus) were performed according to the regulations of the Brazilian Pharmacopoeia and World Health Organization. Water analysis for the detection of coliforms and E. coli was carried out using Colilert (R) according to the manufacturer's instructions and the techniques established by Standard Methods. Results: Of the study participants, 78.8% were women. Bacterial growth was observed in samples from 51.5% of study and 35.6% had fungal growth. A total of 31.8% of the herbal medicine samples exceeded the safety limits (CFU/g
- Published
- 2020
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