Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2024

Open Access 01-12-2024 | Pseudomonas | Research

Microbial and heavy metal contamination in herbal medicine: a prospective study in the central region of Saudi Arabia

Authors: Sarah F. Alharbi, Ameerah I. Althbah, Amal H. Mohammed, Mishaal A. Alrasheed, Mukhtar Ismail, Khaled S. Allemailem, Abdullah M Alnuqaydan, Ahmed Mohammed Baabdullah, Azzam Alkhalifah

Published in: BMC Complementary Medicine and Therapies | Issue 1/2024

Login to get access

Abstract

Introduction

Herbal medicine is a medical system based on the utilization of plants or plant extracts for therapy. The continual increase in global consumption and the trade of herbal medicine has raised safety concerns in many regions. These concerns are mainly linked to microbial contamination, which could spread infections with multi-resistant bacteria in the community, and heavy metal contamination that may lead to cancers or internal organs’ toxicity.

Methods

This study was performed using an experimental design. A total of 47 samples, herbal medicine products sold in local stores in Qassim region, were used in the experiments. They were tested for bacterial contamination, alongside 32 samples for heavy metal analysis. Bacterial contamination was determined by the streak plate method and further processed to determine their antimicrobial susceptibility patterns using MicroScan WalkAway96 pulse; heavy metals were determined using a spectrometer instrument.

Results

A total of 58 microorganisms were isolated. All samples were found to be contaminated with at least one organism except three samples. The majority of the isolated bacterial species were gram negative bacteria, such as Klebsiella spp., Pseudomonas spp. and E. coli., which could be of fecal origin and may lead to pneumonia, skin, or internal infections. Furthermore, most of the gram-positive bacteria were found to be multi-drug resistant. Moreover, for heavy metals, all samples had levels exceeding the regulatory limits.

Conclusion

This study demonstrated the presence of bacteria and heavy metals in samples of herbal medicines. Using these contaminated products may spread resistant infections, metal toxicities, or even cancers in the community.
Literature
2.
go back to reference Yuan H, Ma Q, Ye L, Piao G. The Traditional Medicine and Modern Medicine from Natural products. Molecules. 2016;21(5):E559.CrossRef Yuan H, Ma Q, Ye L, Piao G. The Traditional Medicine and Modern Medicine from Natural products. Molecules. 2016;21(5):E559.CrossRef
3.
go back to reference Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report. 2008;(12):1–23. Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report. 2008;(12):1–23.
4.
go back to reference Farooqui M, Alreshidi H, Alkheraiji J, Abdulsalim S, Alshammari MS, Kassem L, et al. A cross-sectional Assessment of complementary and alternative medicine (CAM) use among patients with chronic Diseases (CDs) in Qassim, Saudi Arabia. Healthc (Basel). 2022;10(9):1728. Farooqui M, Alreshidi H, Alkheraiji J, Abdulsalim S, Alshammari MS, Kassem L, et al. A cross-sectional Assessment of complementary and alternative medicine (CAM) use among patients with chronic Diseases (CDs) in Qassim, Saudi Arabia. Healthc (Basel). 2022;10(9):1728.
5.
go back to reference Alkhamaiseh SI, Aljofan M. Prevalence of use and reported side effects of herbal medicine among adults in Saudi Arabia. Complement Ther Med. 2020;48:102255.CrossRefPubMed Alkhamaiseh SI, Aljofan M. Prevalence of use and reported side effects of herbal medicine among adults in Saudi Arabia. Complement Ther Med. 2020;48:102255.CrossRefPubMed
6.
go back to reference de Sousa Lima CM, Fujishima MAT, de Paula Lima B, Mastroianni PC, de Sousa FFO, da Silva JO. Microbial contamination in herbal medicines: a serious health hazard to elderly consumers. BMC Complement Med Ther. 2020;20:17.CrossRefPubMedPubMedCentral de Sousa Lima CM, Fujishima MAT, de Paula Lima B, Mastroianni PC, de Sousa FFO, da Silva JO. Microbial contamination in herbal medicines: a serious health hazard to elderly consumers. BMC Complement Med Ther. 2020;20:17.CrossRefPubMedPubMedCentral
7.
go back to reference Luo L, Wang B, Jiang J, Fitzgerald M, Huang Q, Yu Z, et al. Heavy Metal Contaminations in Herbal Medicines: determination, Comprehensive Risk assessments, and solutions. Front Pharmacol. 2021;11:595335.CrossRefPubMedPubMedCentral Luo L, Wang B, Jiang J, Fitzgerald M, Huang Q, Yu Z, et al. Heavy Metal Contaminations in Herbal Medicines: determination, Comprehensive Risk assessments, and solutions. Front Pharmacol. 2021;11:595335.CrossRefPubMedPubMedCentral
8.
go back to reference Al Akeel MM, Al Ghamdi WM, Al Habib S, Koshm M, Al Otaibi F. Herbal medicines: Saudi population knowledge, attitude, and practice at a glance. J Family Med Prim Care. 2018;7(5):865–75.CrossRefPubMedPubMedCentral Al Akeel MM, Al Ghamdi WM, Al Habib S, Koshm M, Al Otaibi F. Herbal medicines: Saudi population knowledge, attitude, and practice at a glance. J Family Med Prim Care. 2018;7(5):865–75.CrossRefPubMedPubMedCentral
9.
go back to reference Abuelgasim KA, Alsharhan Y, Alenzi T, Alhazzani A, Ali YZ, Jazieh AR. The use of complementary and alternative medicine by patients with cancer: a cross-sectional survey in Saudi Arabia. BMC Complement Altern Med. 2018;18(1):88.CrossRefPubMedPubMedCentral Abuelgasim KA, Alsharhan Y, Alenzi T, Alhazzani A, Ali YZ, Jazieh AR. The use of complementary and alternative medicine by patients with cancer: a cross-sectional survey in Saudi Arabia. BMC Complement Altern Med. 2018;18(1):88.CrossRefPubMedPubMedCentral
10.
go back to reference Alsanad S, Aboushanab T, Khalil M, Alkhamees OA. A descriptive review of the prevalence and usage of traditional and complementary Medicine among Saudi Diabetic patients. Scientifica (Cairo). 2018;2018:6303190.PubMedPubMedCentral Alsanad S, Aboushanab T, Khalil M, Alkhamees OA. A descriptive review of the prevalence and usage of traditional and complementary Medicine among Saudi Diabetic patients. Scientifica (Cairo). 2018;2018:6303190.PubMedPubMedCentral
11.
12.
go back to reference Kalumbi MH, Likongwe MC, Mponda J, Zimba BL, Phiri O, Lipenga T, et al. Bacterial and heavy metal contamination in selected commonly sold herbal medicine in Blantyre, Malawi. Malawi Med J. 2020;32(3):153–9.CrossRefPubMedPubMedCentral Kalumbi MH, Likongwe MC, Mponda J, Zimba BL, Phiri O, Lipenga T, et al. Bacterial and heavy metal contamination in selected commonly sold herbal medicine in Blantyre, Malawi. Malawi Med J. 2020;32(3):153–9.CrossRefPubMedPubMedCentral
13.
go back to reference Kneifel W, Czech E, Kopp B. Microbial contamination of medicinal plants–a review. Planta Med. 2002;68(1):5–15.CrossRefPubMed Kneifel W, Czech E, Kopp B. Microbial contamination of medicinal plants–a review. Planta Med. 2002;68(1):5–15.CrossRefPubMed
14.
go back to reference Irfan M, Shafeeq A, Siddiq U, Bashir F, Ahmad T, Athar M, et al. A mechanistic approach for toxicity and risk assessment of heavy metals, hydroquinone and microorganisms in cosmetic creams. J Hazard Mater. 2022;433:128806.CrossRefPubMed Irfan M, Shafeeq A, Siddiq U, Bashir F, Ahmad T, Athar M, et al. A mechanistic approach for toxicity and risk assessment of heavy metals, hydroquinone and microorganisms in cosmetic creams. J Hazard Mater. 2022;433:128806.CrossRefPubMed
15.
go back to reference Zagui GS, Moreira NC, Santos DV, Darini ALC, Domingo JL, Segura-Muñoz SI, et al. High occurrence of heavy metal tolerance genes in bacteria isolated from wastewater: a new concern? Environ Res. 2021;196:110352.CrossRefPubMed Zagui GS, Moreira NC, Santos DV, Darini ALC, Domingo JL, Segura-Muñoz SI, et al. High occurrence of heavy metal tolerance genes in bacteria isolated from wastewater: a new concern? Environ Res. 2021;196:110352.CrossRefPubMed
16.
go back to reference Barkat MA, Goyal A, Barkat HA, Salauddin M, Pottoo FH, Anwer ET. Herbal Medicine: Clinical Perspective and Regulatory Status. Comb Chem High Throughput Screen. 2021;24(10):1573–82.CrossRefPubMed Barkat MA, Goyal A, Barkat HA, Salauddin M, Pottoo FH, Anwer ET. Herbal Medicine: Clinical Perspective and Regulatory Status. Comb Chem High Throughput Screen. 2021;24(10):1573–82.CrossRefPubMed
17.
go back to reference Vouga M, Greub G. Emerging bacterial pathogens: the past and beyond. Clin Microbiol Infect. 2016;22(1):12–21.CrossRefPubMed Vouga M, Greub G. Emerging bacterial pathogens: the past and beyond. Clin Microbiol Infect. 2016;22(1):12–21.CrossRefPubMed
18.
go back to reference Walusansa A, Asiimwe S, Kafeero HM, Stanley IJ, Ssenku JE, Nakavuma JL, et al. Prevalence and dynamics of clinically significant bacterial contaminants in herbal medicines sold in East Africa from 2000 to 2020: a systematic review and meta-analysis. Trop Med Health. 2021;49(1):10.CrossRefPubMedPubMedCentral Walusansa A, Asiimwe S, Kafeero HM, Stanley IJ, Ssenku JE, Nakavuma JL, et al. Prevalence and dynamics of clinically significant bacterial contaminants in herbal medicines sold in East Africa from 2000 to 2020: a systematic review and meta-analysis. Trop Med Health. 2021;49(1):10.CrossRefPubMedPubMedCentral
19.
go back to reference Thomas GA, Paradell Gil T, Müller CT, Rogers HJ, Berger CN. From field to plate: how do bacterial enteric pathogens interact with ready-to-eat fruit and vegetables, causing Disease outbreaks? Food Microbiol. 2024;117:104389.CrossRefPubMed Thomas GA, Paradell Gil T, Müller CT, Rogers HJ, Berger CN. From field to plate: how do bacterial enteric pathogens interact with ready-to-eat fruit and vegetables, causing Disease outbreaks? Food Microbiol. 2024;117:104389.CrossRefPubMed
21.
go back to reference Morshed AJM. Quantification of heavy metals in the various Branded Face Wash available in the Bangladeshi markets. Int J Sci Technol Res. 2017;6(10):295–7. Morshed AJM. Quantification of heavy metals in the various Branded Face Wash available in the Bangladeshi markets. Int J Sci Technol Res. 2017;6(10):295–7.
22.
go back to reference Ernst E. Toxic heavy metals and undeclared Drugs in Asian herbal medicines. Trends Pharmacol Sci. 2002;23(3):136–9.CrossRefPubMed Ernst E. Toxic heavy metals and undeclared Drugs in Asian herbal medicines. Trends Pharmacol Sci. 2002;23(3):136–9.CrossRefPubMed
23.
go back to reference Mitra S, Chakraborty AJ, Tareq AM, Emran TB, Nainu F, Khusro A, et al. Impact of heavy metals on the environment and human health: novel therapeutic insights to counter the toxicity. J King Saud Univ - Sci. 2022;34(3):101865.CrossRef Mitra S, Chakraborty AJ, Tareq AM, Emran TB, Nainu F, Khusro A, et al. Impact of heavy metals on the environment and human health: novel therapeutic insights to counter the toxicity. J King Saud Univ - Sci. 2022;34(3):101865.CrossRef
24.
go back to reference Aboushanab T, Baslom S. A new official national regulations for complementary medicine practices in Saudi Arabia. Integr Med Res. 2021;10(2):100472.CrossRefPubMed Aboushanab T, Baslom S. A new official national regulations for complementary medicine practices in Saudi Arabia. Integr Med Res. 2021;10(2):100472.CrossRefPubMed
Metadata
Title
Microbial and heavy metal contamination in herbal medicine: a prospective study in the central region of Saudi Arabia
Authors
Sarah F. Alharbi
Ameerah I. Althbah
Amal H. Mohammed
Mishaal A. Alrasheed
Mukhtar Ismail
Khaled S. Allemailem
Abdullah M Alnuqaydan
Ahmed Mohammed Baabdullah
Azzam Alkhalifah
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2024
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-023-04307-y

Other articles of this Issue 1/2024

BMC Complementary Medicine and Therapies 1/2024 Go to the issue