Synergistic Antibiofilm Effects of Chestnut and Linden Honey with Lavender Essential Oil Against Multidrug-Resistant Otitis Media Pathogens

Background/Objectives: Bacterial resistance to antibiotics is a major problem in healthcare, complicated by the ability of bacteria to form biofilms. Complementary therapy for infectious diseases can rely on natural substances with antibacterial activity, e.g., essential oils and honeys. The aim of...

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Main Authors: Virág D. Ángyán, Viktória L. Balázs, Marianna Kocsis, Béla Kocsis, Györgyi Horváth, Ágnes Farkas, Lilla Nagy-Radványi
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Antibiotics
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Online Access:https://www.mdpi.com/2079-6382/14/2/146
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author Virág D. Ángyán
Viktória L. Balázs
Marianna Kocsis
Béla Kocsis
Györgyi Horváth
Ágnes Farkas
Lilla Nagy-Radványi
author_facet Virág D. Ángyán
Viktória L. Balázs
Marianna Kocsis
Béla Kocsis
Györgyi Horváth
Ágnes Farkas
Lilla Nagy-Radványi
author_sort Virág D. Ángyán
collection DOAJ
description Background/Objectives: Bacterial resistance to antibiotics is a major problem in healthcare, complicated by the ability of bacteria to form biofilms. Complementary therapy for infectious diseases can rely on natural substances with antibacterial activity, e.g., essential oils and honeys. The aim of the study was to investigate the effects of linden and chestnut honeys, lavender essential oil, and their combinations against the multidrug-resistant otitis media pathogens <i>Haemophilus influenzae</i>, <i>H. parainfluenzae</i>, <i>Moraxella catarrhalis</i>, <i>Pseudomonas aeruginosa</i>, and <i>Streptococcus pneumoniae</i>. The efficacy of these natural substances was compared with each other and antibiotics used in clinical practice. Methods: Microscopic pollen analysis and physicochemical traits were used to confirm the botanical origin of honey samples. The antibiotic sensitivity of bacteria was tested with a disk diffusion assay. Minimum inhibitory concentrations were determined using a microdilution assay. A 24 h immature biofilm eradication test was performed with a crystal violet assay. The efficacy of combinations was tested with a checkerboard titration method. The DNA release of damaged bacterial cells was measured using a membrane degradation assay. Results: Lavender essential oil displayed more potent antibacterial activity compared to the honey samples. However, honey–essential oil combinations showed higher inhibition rates for biofilm eradication, with <i>P. aeruginosa</i> being the most resistant bacterium. The combined use of chestnut honey and lavender oil resulted in a higher degree of membrane degradation in a shorter time, and their synergistic effect was proven with checkerboard titration. Conclusions: The combination of linden or chestnut honey with lavender essential oil was shown to be effective in the eradication of a 24 h immature biofilm formed by <i>H. parainfluenzae</i>, <i>M. catarrhalis,</i> and <i>S. pneumoniae</i>.
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spelling doaj-art-7f83cf3b6256451990c1a13f219d6b392025-08-20T03:11:19ZengMDPI AGAntibiotics2079-63822025-02-0114214610.3390/antibiotics14020146Synergistic Antibiofilm Effects of Chestnut and Linden Honey with Lavender Essential Oil Against Multidrug-Resistant Otitis Media PathogensVirág D. Ángyán0Viktória L. Balázs1Marianna Kocsis2Béla Kocsis3Györgyi Horváth4Ágnes Farkas5Lilla Nagy-Radványi6Department of Pharmacognosy, Faculty of Pharmacy, University of Pécs, 7624 Pécs, HungaryDepartment of Pharmacognosy, Faculty of Pharmacy, University of Pécs, 7624 Pécs, HungaryDepartment of Agricultural Biology, Institute of Biology, University of Pécs, 7624 Pécs, HungaryDepartment of Medical Microbiology and Immunology, Medical School, University of Pécs, 7624 Pécs, HungaryDepartment of Pharmacognosy, Faculty of Pharmacy, University of Pécs, 7624 Pécs, HungaryDepartment of Pharmacognosy, Faculty of Pharmacy, University of Pécs, 7624 Pécs, HungaryDepartment of Pharmacognosy, Faculty of Pharmacy, University of Pécs, 7624 Pécs, HungaryBackground/Objectives: Bacterial resistance to antibiotics is a major problem in healthcare, complicated by the ability of bacteria to form biofilms. Complementary therapy for infectious diseases can rely on natural substances with antibacterial activity, e.g., essential oils and honeys. The aim of the study was to investigate the effects of linden and chestnut honeys, lavender essential oil, and their combinations against the multidrug-resistant otitis media pathogens <i>Haemophilus influenzae</i>, <i>H. parainfluenzae</i>, <i>Moraxella catarrhalis</i>, <i>Pseudomonas aeruginosa</i>, and <i>Streptococcus pneumoniae</i>. The efficacy of these natural substances was compared with each other and antibiotics used in clinical practice. Methods: Microscopic pollen analysis and physicochemical traits were used to confirm the botanical origin of honey samples. The antibiotic sensitivity of bacteria was tested with a disk diffusion assay. Minimum inhibitory concentrations were determined using a microdilution assay. A 24 h immature biofilm eradication test was performed with a crystal violet assay. The efficacy of combinations was tested with a checkerboard titration method. The DNA release of damaged bacterial cells was measured using a membrane degradation assay. Results: Lavender essential oil displayed more potent antibacterial activity compared to the honey samples. However, honey–essential oil combinations showed higher inhibition rates for biofilm eradication, with <i>P. aeruginosa</i> being the most resistant bacterium. The combined use of chestnut honey and lavender oil resulted in a higher degree of membrane degradation in a shorter time, and their synergistic effect was proven with checkerboard titration. Conclusions: The combination of linden or chestnut honey with lavender essential oil was shown to be effective in the eradication of a 24 h immature biofilm formed by <i>H. parainfluenzae</i>, <i>M. catarrhalis,</i> and <i>S. pneumoniae</i>.https://www.mdpi.com/2079-6382/14/2/146chestnut honeylinden honeylavender essential oilantibacterial effectbiofilm eradication
spellingShingle Virág D. Ángyán
Viktória L. Balázs
Marianna Kocsis
Béla Kocsis
Györgyi Horváth
Ágnes Farkas
Lilla Nagy-Radványi
Synergistic Antibiofilm Effects of Chestnut and Linden Honey with Lavender Essential Oil Against Multidrug-Resistant Otitis Media Pathogens
Antibiotics
chestnut honey
linden honey
lavender essential oil
antibacterial effect
biofilm eradication
title Synergistic Antibiofilm Effects of Chestnut and Linden Honey with Lavender Essential Oil Against Multidrug-Resistant Otitis Media Pathogens
title_full Synergistic Antibiofilm Effects of Chestnut and Linden Honey with Lavender Essential Oil Against Multidrug-Resistant Otitis Media Pathogens
title_fullStr Synergistic Antibiofilm Effects of Chestnut and Linden Honey with Lavender Essential Oil Against Multidrug-Resistant Otitis Media Pathogens
title_full_unstemmed Synergistic Antibiofilm Effects of Chestnut and Linden Honey with Lavender Essential Oil Against Multidrug-Resistant Otitis Media Pathogens
title_short Synergistic Antibiofilm Effects of Chestnut and Linden Honey with Lavender Essential Oil Against Multidrug-Resistant Otitis Media Pathogens
title_sort synergistic antibiofilm effects of chestnut and linden honey with lavender essential oil against multidrug resistant otitis media pathogens
topic chestnut honey
linden honey
lavender essential oil
antibacterial effect
biofilm eradication
url https://www.mdpi.com/2079-6382/14/2/146
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