Kishore Chandab,
M. Ishaque Abro*b,
Umair Aftabb,
Ahmer Hussain Shahc,
Muhammad Nazim Lakhana,
Dianxue Cao*a,
Ghazanfar Mehdid and
Abdalla Mohamed Ali Mohameda
aKey Laboratory of Superlight Material and Surface Technology, Ministry of Education, Harbin Engineering University, 150001, China. E-mail: caodianxue@hrbeu.edu.cn
bDepartment of Metallurgy & Materials Engineering, Mehran University of Engineering & Technology, Jamshoro, 76062, Pakistan
cDepartment of Textile Engineering, Baluchistan University of Information Technology, Engineering and Management Sciences, Quetta, 87300, Pakistan
dCollege of Energy and Power Engineering, Harbin Engineering University, 150001, China
First published on 30th May 2019
Recently, it has been shown that silver nanoparticles (AgNPs) exhibit great potential for different applications, including food storage, cosmetic products, electronic components, biosensor materials, cryogenics, dental materials and especially for drug-delivery activities. In this study, we synthesized AgNPs with neem extract (NE) alone and mixed plant extracts of neem, onion and tomato (NOT) as a combined reducing and stabilizing agent by a green synthesis method at different pHs. The synthesized products were characterized by ultraviolet-visible spectroscopy (UV-vis), X-ray diffraction (XRD), dynamic light scattering (DLS), atomic force microscopy (AFM), scanning electron microscopy (SEM) and transmission electron microscopy (TEM). The antibacterial effects of the synthesized products were studied by the Kirby disk diffusion method. It was confirmed that the AgNPs work effectively as a drug material against Gram-positive bacteria Staphylococcus aureus in nutrient agar. In addition, it was seen that the reducing and stabilizing agent NOT could work effectively with six medicines with a different nature at the maximum addition of 15 μg. However, the synthesized product with NE alone only worked for four of the medicines. Therefore, it was evident that the AgNPs synthesized with NOT extract were more susceptible to the Gram-positive bacteria Staphylococcus aureus. We believe that this new route for synthesizing AgNPs with NOT extract could be more beneficial in comparison to NE alone for improved antibacterial properties in drug-delivery applications.
The antibacterial activity of metal nanoparticles is most promising in the field of drug delivery, where they are considered the most interesting materials in clinical research due to the increasing microbial resistance to metal ions, antibiotics and the resistance development of various strains.2 Silver nanoparticles (AgNPs) are quite substantial because of their large surface area relative to their volume. Due to their outstanding antibacterial properties, AgNPs have been applied in various different applications, such as antibacterial applications, fibre-reinforced composites, food storage, drug delivery, cosmetic products, gas sensors, superconducting materials, cryogenic electronic components, coatings and other environmental applications.3,4
Neem belongs to the Meliaceae family and has been known for more than 200 years as one of the most popular medicinal plants, having a broad spectrum of biological activity. Each and every part of neem is used as a traditional medicine for various diseases.8–10
The major advantages of using extracts of neem leaves are that it is a commonly available medicinal plant and the antimicrobial activity in the green synthesis of AgNPs may be enhanced by capping with neem leave extracts.5–7 The use of mixed plant extracts of neem, onion and tomato (NOT) is a very new field, for which no one has reported results before. It is also very important because the mixture of three plants and also the combination of different compounds play a vital role in synthesizing silver nanoparticles that perform with better antibacterial results because of the way the different compounds react with each other. It may be also used in dye degradation and many other applications.
In order to synthesize and stabilize AgNPs, numerous approaches have been used, including mechanical milling, sol–gel techniques, precipitation, hydrothermal, microwave heating, electrochemical and biological synthesis. All these approaches can prepare particles with a distinct surface area, shape, size and size distribution, but green synthesis is the most popular emerging field because of it being typically low cost and less time consuming and eco-friendly.11,12 Another advantage includes that a variety of shapes can be synthesized by varying the proportions of the extracts.13 Table 1 shows some literature date for the extracts used to date for the synthesis along with the specific size, shape obtained and applications.
Plant extract | Nanoparticles | Results | References |
---|---|---|---|
Aloe vera | Ag/Au, spherical, 5–50 nm | Highly active against Gram-positive S Aureus and Gram-negative E. coli | 22 |
Safeda leaves | Ag/Au, 50–150 nm | Good antimicrobial activity against waterborne pathogens like E. coli and Vibrio cholerae | 23 |
Garcinia mangostana | Ag, 35 nm | Excellent bactericidal activity in Gram-negative and Gram-positive bacteria | 24 |
Pyrus sp. (pear fruit extract) | Au, hexagonal triangular, 200–500 nm | Particles could be internalized through endocytosis by MCF-7 breast cancer cells | 25 |
Nelumbo Nucifera (Lotus) | Ag, Au, triangular, spherical, 25–80 nm | These nanoparticles are active against E. coli | 26 |
Ocimum sanctum leaves | Ag, spherical, 4–30 nm | High antimicrobial action against Gram-positives Streptococcus aureus and Gram-negative (E. coli) | 27 |
Mentha piperita (peppermint) | Ag, spherical, 5–150 nm | Adulticidal and larvicidal against the hematophagous fly Hippobosca maculate and the sheep louse Bovicolaovi | 28 |
Jambul seeds | Ag/Au, spherical, 29–92 nm | The antimicrobial activity of these nanoparticles was shown to prevent positive and negative bacteria | 25 |
Banana peels | Ag, spherical, 20 nm | These nanoparticles displayed antifungal activity against the yeasts C. albicans and Candida and antibacterial activity against E. coli, and Enterobacter aerogenes | 29 |
Neem extract, lemon juice | Ag/Au, spherical, 29–92 nm | NPs are very effective against Gram-negative and Gram-positive bacteria | 7 |
Neem gum | Ag, spherical, 30–60 nm Au, spherical, 50–250 nm | Gold and silver nanoparticles have a wide range of antimicrobial activity against animal and human pathogens | 30 |
Heliotropiumcrispum | Ag, spherical, 42–120 nm | AgNPs showed good bacterial strain destruction against Gram-negative Pseudomonas aeruginosa (PA) and Acinetobacter baumanii (AB) and against Gram-positive multiple drug resistant Staphylococcus aureus (MRSA) | 31 |
Diospyros paniculata | Ag, spherical, 17 nm | Nanoparticles showed excellent performance against Gram-negative and Gram-positive bacteria | 32 |
Anethum graveolens | Ag, spherical 35 nm | These AgNPs could be effective as nano-drug carriers in a special category without having an effect on the parasites or host cells, but with an unknown mechanism for enhancing drug availability | 33 |
Sapindus emarginatus pericarp | Ag, spherical, 5–20 nm | Silver nanoparticles have remarkable antibacterial activity against many species, such as Staphylococcus aureus, Escherichia coli, Bacillus, subtilis and Proteus mirabilis | 34 |
Trachyspermumammi (Ajwain) | Ag, 12.74 nm | Show highest catalytic activity for the conversion of p-nitrophenol to p-aminophenol in an excess of NaBH4 | 35 |
Madhuca longifolia flower | Ag, spherical, 30–50 nm | Silver nanoparticles were used in therapeutics (medical applications) | 15 |
Psidiumguajava L. leaf | Ag, spherical, 25–35 nm | Nanoparticles were used for medical and cosmetic applications | 6 |
Berberis vulgaris leaf and root aqueous extracts | Ag, spherical, 30–70 nm | Compared to others, these nanoparticles have more antibacterial activities and were also tested against Staphylococcus aureus and Escherichia coli | 36 |
Ampelocissus latifolia root | Ag, spherical, 35–45 nm | NPs showed much better antibacterial activity towards Gram-negative and Gram-positive bacteria | 37 |
Enicostemma axillar (Lam.) leaf | Ag, spherical, 15–20 nm | Nanoparticles prepared from the plant have more applications in the biomedical field and also have many benefits, such as effectiveness, compatibility for biomedical and pharmaceutical applications, like antifungal and antibacterial, as well as good for large-scale marketable production | 38 |
Fritillaria flower | Ag, spherical, 5–10 nm | These nanoparticles were used in medical applications | 39 |
Fenugreek seeds | Ag, spherical, 17 nm | NPs were used as an antibacterial agent for Staphylococcus aureus and E. coli | 40 |
Melissa officinalis leaf | Ag, spherical, 12 nm | Silver nanoparticles prepared from Melissa officinalis leaf extract provided an efficient and functional methodology to obtain well-dispersed and antimicrobial NPs that provided better results against E. coli and S. aureus bacteria | 41 |
Saffron (Crocus sativus L.) | Ag, spherical, 12–20 nm | The silver nanoparticles showed inhibiting activity against Pseudomonas aeruginosa, Klebsiella pneumonia, Escherichia coli and Bacillus subtilis | 42 |
Azadirachtaindica aqueous leaf | Ag, spherical, 34 nm | The silver nanoparticles showed antibacterial activities against both Gram-positive and Gram-negative microorganisms | 43 |
Givotiamoluccana leaf | Ag, crystalline nature, 30–40 nm | Nanoparticles played an active role in antimicrobial activity against pathogenic bacteria; also used for commercial appliances and other medical and electronic applications as well as cancer treatment, drug delivery, and sensors | 44 |
Turmeric | Ag, triangular, ellipsoidal, decahedral, 5–35 nm | Nanoparticles synthesized with turmeric extract showed extraordinary and proficient antimicrobial activities against two food-borne pathogens (Listeria monocytogenes and Escherichia coli) | 45 |
Green tea | Ag, 2.17 nm, crystalline | PEG-AgNPs and AgNPs and showed powerful antibacterial effects against several pathogenic Gram-negative and Gram-positive bacteria | 46 |
M. balbisiana, A. indica and O. tenuiflorm | Ag, 14.5–9.10 and 11.0 nm | AgNPs were used against K. pneumoniae, S. aureus, E. coli, and B. subtlis and also could be used in different fields, like medical, food and cosmetics | 47 |
Market vegetable waste | Ag, triangular, spherical, 10–90 nm | Nanoparticles showed a positive effect against Gram-positive bacteria (Staphylococcus sp.) and Gram-negative (Klebsiella sp.) | 48 |
The emergence of antibiotic-resistant strains of Staphylococcus aureus (SA), such as Methicillin-resistant; is a worldwide problem in clinical medicine. The main diseases and effects of SA include skin problems, infertility in women, bone and joint infections, urinary tract infections and many other diseases. A lot of research and development has already been performed on it, but still there is a need for developing a more powerful drug against SA.14,15 In medicinal applications, AgNPs have prime importance as they are considered a candidate drug-delivery substance. The principle mechanism is based on the penetration of AgNPs in the cell wall and distresses the cell respiration. AgNPs also enter into the cell wall of bacteria or microorganism and destruct the cell by the combined action of sulfur and phosphorus compounds, such as proteins and deoxyribonucleic acid. The antibacterial potential of AgNPs are due to the clemency of Ag+ ions from nanoparticles.16–18 The bactericidal activity of AgNPs depends not only on their size but also on the pH, salt concentration and the medium in which it is diffused.19 Nano-silver's unique physical and chemical properties make it highly bioactive such that it can react with cells, micro-organisms and macro-organisms.14,20,21
The present work is based on a green synthesis of AgNPs using extracts of neem leaves (NE) alone and a mixture of neem, onion and tomato (NOT) at different pHs: pH 5, pH 7 and pH 9. The synthesized AgNPs were characterized by different techniques, such as UV-vis, XRD, Zetasizer, AFM, SEM and TEM. Furthermore, the antimicrobial activity of the synthesized AgNPs against SA for seven different classes of antibiotics also fell under the scope of this study. According to the best of the knowledge of the authors, this is the first study to report the green synthesis and antimicrobial activity of AgNPs conducted using extracts of several mixtures at different pH levels.
X-ray diffraction (XRD) measurements were conducted on a Philips PW 1830 instrument diffractometer for investigation of the structure and other impurities. The tests were carried out at room temperature and between 20° to 80° of 2θ. In addition, the particle sizes were analyzed using the Scherrer equation (eqn (1)).50 The samples were produced by spreading the powder uniformly on to a quartz sample holder.
(1) |
The surface characteristics and morphology were investigated using scanning electron microscopy (SEM) on a Phillips model CM 200 at 20 kV. The SEM test samples were carefully collected and screened in glass bottles. The SEM copper plate was covered by conductive resin tape and the particles were distributed on the tape and gold coated.
Atomic force microscopy AFM (Asylum MFP-3D-USA) was used for evaluating the particle size of the synthesized AgNPs. Sample preparation for AFM involved dilution of the sample in distilled water (ratio of 1:9). Two drops of the dilution were laid on the sample holder and allowed to dry in air.
The particle size and size distribution were obtained using a Malvern Zetasizer nano series instrument, UK, by dispersing them at a temperature of 25 °C in aqueous media.
The morphology of the prepared nanoparticles was investigated by TEM (JEM-2100, JEOL with an accelerating voltage of 200 kV, USA). Samples for the TEM analysis were produced by dispersion in ethanol solution through ultrasonication for 60 min and then centrifuged at 10000 rpm for 10 min. After that, a few drops of the AgNPs were dropped on carbon-coated copper grids, then left to dry naturally.
FTIR spectrum analysis was performed to study the chemical constituents responsible for the reduction and capping agents of silver nanoparticles. A small amount of solid nanoparticles synthesized by NE and NOT extracts were mixed with KBr and a film was prepared and tested on a PerkinElmer spectrum 100 spectroscopy system (Waltham, MA, USA). The results were recorded in the range of 4000–500 cm−1.
S. no. | Name of antibiotic | Resistant (Mm) | Intermediate (Mm) | Susceptible (Mm) |
---|---|---|---|---|
1 | Amikacin | ≤14 | 15–16 | ≥17 |
2 | Amoxillian | ≤13 | 14–17 | ≥18 |
3 | Cefoaclor | ≤14 | 15–17 | ≥18 |
4 | Cefonicid | ≤14 | 15–17 | ≥18 |
5 | Clindamycin | ≤14 | 15–17 | ≥18 |
6 | Fosfomycin | ≤12 | 13–15 | ≥16 |
7 | Levofloxacin | ≤13 | 14–16 | ≥17 |
8 | Piperacillin | ≤17 | 18–20 | ≥21 |
Response | Definition |
---|---|
Resistant | If bacteria are unaffected by an antibiotic with or without nanoparticles. In this situation, the inhibition zone diameter will be smaller. This means bacteria are not completely inhibited |
Susceptible | If bacteria are positively affected by a specific antibiotic with or without silver nanoparticles. In this case, the inhibition zone diameter will be larger. This means the bacteria are completely inhibited |
Intermediate | If bacteria are poorly affected by a specific antibiotic with or without silver nanoparticles. In this case, the inhibition zone diameter will be intermediate, since the growth of microorganisms is stopped to some extent by the medicine |
Theoretically, the variation in the bands corresponds to the variation of the colour, whilst the colour variation relates to the difference in the size of nanoparticles.53,54 The development of the bands indicates that silver ions present in the silver nitrate solution were successfully reduced to silver nanoparticles when exposed to the NE and NOT extracts. It is worth mentioning here that the absorption peaks of the AgNPs lie in the range of 360 to 396 nm, in accordance with the absorption peaks reported in the literature.55–57 These observations also confirmed that synthesized AgNPs of different particle sizes were formed with the different extracts.
The particle size of the synthesized AgNPs was calculated using β, deduced from the XRD patterns using Scherrer's equation (eqn (1)). The results are summarized in Table 4, and indicate that using NE, particles of 6.28, 7.44 and 8.36 nm were produced; whereas in the case of NOT extract, particles of 26.22, 33.3 and 28.27 nm were developed at pH 5, 7 and 9, respectively. From this, it was noted that NOT extract produced coarser AgNPs as compared to NE.
Sample name | pH | XRD | AFM | DLS | TEM | |||
---|---|---|---|---|---|---|---|---|
FWHM (Deg) | 2θ (Deg.) | Particle size (nm) | Size (nm) | Size range (nm) | PDI | Size range (nm) | ||
NE | 5 | 0.662 | 38.15 | 6.28 | 9 | 6–28 | 0.289 | 6 |
7 | 0.562 | 37.95 | 7.44 | 2 | 3–28 | 0.389 | 7.66 | |
9 | 0.496 | 38.305 | 8.36 | 2 | 3–10 | 0.486 | 16.8 | |
NOT | 5 | 0.159 | 38.1 | 26.22 | 25 | 15–500 | 0.244 | 13 |
7 | 0.125 | 38.15 | 33.30 | 30 | 15–600 | 0.812 | 17.4 | |
9 | 0.148 | 37.95 | 28.27 | 20 | 10–800 | 1.00 | 36 |
The effect of the pH of all the extracts also suggested that the particle size values were lower for an acidic medium and higher for a basic medium. It is always the case that size distribution evaluated through DLS is better than from UV-vis spectroscopy.60
Fig. 8 SEM images of AgNPs using NE pH 5 (A), pH 7 (B), pH 9 (C) and NOT pH 5 (D), pH 7 (E), pH 9 (F). |
Plant extracts play a dual nature role: as a reducing agent and stabilizing agent. Furthermore, the presence of many functional groups was confirmed by FTIR analysis. The reduction of silver nanoparticles was accomplished due to the phenolics, terpenoids, polysaccharides and flavones compounds present in the extract.65 Flavonoid and terpenoid compounds present in the extract were claimed to be responsible for the stabilization of nanoparticles.7 Possible chemical constituents of the plant extracts are responsible for the bioreduction of metal ions.65,66
Fig. 10 shows that as the pH increased from 5 to 7, the average particle sizes also increased. The AgNPs synthesized with neem extracts at pH 5, 7, and 9 showed average particle sizes of 6, 7.66 and 16.8 nm, respectively (Fig. 10A–C). Similarly, the corresponding average particle sizes for the AgNPs synthesized with NOT extracts were recorded as 13, 17.4 and 36 nm, respectively (Fig. 10D–F). The average size range of AgNPs deduced from the TEM images is also given in Table 4. A previous study was conducted by Verma et al. and reported that the particle size of AgNPs could be controlled by varying the pH of solution.9 These results are in a good agreement with the aforementioned UV-vis, XRD, DLS and AFM results.
The TEM images in Fig. 10 show that all of the synthesized AgNPs made with both neem and NOT extracts were in the nanometric size (up to 100 nm) with spherical, irregular morphologies and a polydispersed character. In addition, the findings showed that the AgNPs synthesized with NOT extracts were larger compared to the neem extracts, due to the flavonoid and terpenoid compounds presents in the NOT extracts.
Fig. 11 Antimicrobial tests for SA microorganism by AgNPs in a culture using Kirby disc diffusion. NE (A–C) and NOT (D–F). |
Fig. 12 Antimicrobial activity zone/region of inhibition of AgNPs for different classes of medicines, using NE (A) and NOT (B). |
S. no. | Name of antibiotic | pH 5 | pH 7 | pH 9 | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0 μg | 5 μg | 10 μg | 15 μg | 5 μg | 10 μg | 15 μg | 5 μg | 10 μg | 15 μg | ||||||||||||
1 | Amikacin | 16 | I | 16 | I | 18 | S | 19 | S | 16 | I | 19 | S | 20 | S | 16 | I | 19 | S | 20 | S |
2 | Amoxillian | 13 | R | 13 | R | 19 | S | 19 | S | 14 | I | 18 | S | 18 | S | 14 | I | 18 | S | 18 | S |
3 | Cefoaclor | 17 | I | 17 | I | 20 | S | 21 | S | 17 | I | 18 | S | 18 | S | 17 | I | 19 | S | 19 | S |
4 | Cefonicid | 14 | R | 15 | R | 16 | I | 18 | S | 15 | R | 18 | S | 19 | S | 15 | I | 18 | S | 18 | S |
5 | Clindamycin | 10 | R | 10 | R | 10 | R | 10 | R | 10 | R | 10 | R | 10 | R | 10 | R | 10 | R | 10 | R |
6 | Fosfomycin | 12 | R | 12 | R | 12 | R | 13 | I | 12 | R | 12 | R | 13 | I | 13 | R | 13 | R | 14 | I |
7 | Lecofloxin | 12 | R | 12 | R | 12 | R | 12 | R | 12 | R | 12 | R | 12 | R | 12 | R | 12 | R | 12 | R |
8 | Piperacillin | 10 | R | 12 | R | 14 | R | 14 | R | 12 | R | 13 | R | 14 | R | 12 | R | 12 | R | 13 | R |
Total | Resistive | 6 | 6 | 3 | 3 | 5 | 4 | 3 | 4 | 4 | 3 | ||||||||||
Intermediate | 2 | 2 | 1 | 1 | 3 | 0 | 1 | 4 | 0 | 1 | |||||||||||
Susceptible | 0 | 0 | 4 | 4 | 0 | 4 | 4 | 0 | 4 | 4 |
S. no. | Name of antibiotic | pH 5 | pH 7 | pH 9 | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0 μg | 5 μg | 10 μg | 15 μg | 5 μg | 10 μg | 15 μg | 5 μg | 10 μg | 15 μg | |||||||||||||
1 | Amikacin | 16 | I | 16 | I | 18 | S | 19 | S | 16 | I | 18 | S | 19 | S | 16 | I | 18 | S | 18 | S | |
2 | Amoxillian | 13 | R | 13 | R | 17 | I | 19 | S | 14 | R | 16 | S | 19 | S | 13 | R | 16 | I | 19 | S | |
3 | Cefoaclor | 17 | I | 17 | I | 17 | I | 18 | S | 17 | I | 17 | I | 18 | S | 17 | I | 18 | S | 20 | S | |
4 | Cefonicid | 14 | R | 13 | R | 18 | S | 22 | S | 14 | R | 19 | S | 20 | S | 14 | R | 18 | S | 21 | S | |
5 | Clindamycin | 10 | R | 11 | R | 14 | R | 12 | R | 11 | R | 12 | R | 13 | R | 12 | R | 12 | R | 13 | R | |
6 | Fosfomycin | 12 | R | 15 | I | 17 | S | 25 | S | 15 | I | 24 | S | 25 | S | 16 | I | 25 | S | 25 | S | |
7 | Lecofloxin | 12 | R | 13 | R | 13 | R | 14 | R | 13 | R | 0 | R | 13 | R | 12 | R | 13 | R | 13 | R | |
8 | Piperacillin | 10 | R | 13 | R | 17 | I | 22 | S | 13 | R | 18 | I | 20 | S | 12 | R | 19 | I | 23 | S | |
Total | Resistive | 6 | 5 | 2 | 2 | 5 | 2 | 2 | 5 | 2 | 2 | |||||||||||
Intermediate | 2 | 3 | 3 | 0 | 3 | 2 | 0 | 3 | 2 | 0 | ||||||||||||
Susceptible | 0 | 0 | 3 | 6 | 0 | 4 | 6 | 0 | 4 | 6 |
All the medicines without the addition of AgNPs showed resistance to SA, except Amikacin and Cefoaclor, which showed intermediate antibacterial activity. For the products synthesized at pH 5, the addition of 5 μg of NE product caused no change, while the NOT product changed the resistivity of Fosfomycin to the intermediate level. At a higher concentration of AgNPs addition, different behaviour on different medicines was observed. At 10 μg addition of the NE product AgNPs, the range of Amikacin, Amoxillian and Cefoaclor changed to susceptible, and Cefonicid to intermediate. However, for the same amount of NOT product, the resistivity of Amikacin, Cefonicid and Fosfomycin increased to susceptible and Amoxillian, Cefoaclor and Piperacillin to intermediate. Similar behaviour was also observed for the higher concentration of 15 μg, whereupon the NE product changed Fosfomycin to intermediate and Cefonicid to a susceptible range, while the NOT product changed Amoxillian, Cefoaclor and Piperacillin to susceptible values.
For the products synthesized at pH 7, the 5 μg addition of NE product showed the resistivity of SA for Amoxillian, while the NOT product showed the resistivity of Fosfomycin. The resistivity of both changed to an intermediate level from resistive. At higher concentration, 10 μg of NE product changed Amikacin, Amoxillian and Cefoaclor from intermediate to susceptible and Cefonicid from resistive to susceptible. For the NOT product at the same concentration, Amikacin and Cefoaclor changed behaviour from intermediate to susceptible, while Amoxillian, Cefonicid and Piperacillin changed from resistive to intermediate. A major improvement was observed for Fosfomycin, which changed from resistive to completely susceptible. At 15 μg of AgNPs addition, the NE product showed intermediate activity from resistive, while the NOT product changed Cefoaclor and Piperacillin from intermediate to completely susceptible.
The medicines also showed improvements in antibacterial activity against SA for the products synthesized at pH 9. Here, 5 μg addition of NE product changed Cefonicid and Amoxillian to an intermediate level. However, only Fosfomycin was affected by the NOT product, which also showed an intermediate value. At 10 μg addition of synthesized AgNPs, the NE product increased the antibacterial effect of Amikacin, Amoxillian, Cefoaclor and Cefonicid to susceptible, while the NOT product change Amikacin, Cefoaclor, Cefonicid and Fosfomycin to susceptible and Amoxillian and Piperacillin to intermediate. Upon the further addition of AgNPs, i.e. 15 μg, the NE product only affected Fosfomycin, while the NOT product increased the antimicrobial activity of Amoxillian and Piperacillin from intermediate to completely susceptible.
In the summary of the antimicrobial activity of all the synthesized products, it was observed that AgNPs synthesized with NE and NOT products worked with four and six medicines, respectively, at the amount of 15 μg. In both cases, the addition of 10 μg was found to be sufficient to change the zone to susceptible, which proved that the synthesized AgNPs using NE and NOT worked well for achieving antimicrobial activity against SA microorganisms. However, better results were achieved for the products of NOT. This may be due to the different nature of the functional groups (flavonoids and tripenoids) present in the mixture of NOT.
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