Antimicrobial activity, toxicity and retrospective clinical effectiveness of Kantinka BA and Kantinka Herbaltics, two multi-component-herbal products used in the management of infectious diseases in Ghana


Submitted: 21 February 2024
Accepted: 23 May 2024
Published: 25 September 2024
Abstract Views: 18
PDF: 13
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Authors

There is an upsurge in the incidence of persons living with infectious diseases and their associated symptoms. Also, there is increased resistance and high cost of available synthetic antimicrobial therapeutic agents. This calls for screening candidate herbal products to examine the risk-to-benefit ratio for users. Moreover, there are inadequate proven scientific studies to assess the quality, effectiveness, and toxicity of herbal products that traditional medicine practitioners in Ghana commonly use for the management of infectious diseases such as those caused by Neisseria gonorrhoeae, Candida albicans and the symptomatic management of symptoms associated with infections like cough, skin infections among others and gastritis. Kantinka BA and Kantinka Herbaltics, two multicomponent herbal products, have been used to manage the above-mentioned disease conditions.

The study aims to evaluate the in vitro antibacterial activity, assess the retrospective clinical effectiveness (clinical responses; the disappearance of presenting signs and symptoms associated with infections, gastritis), and the quality and toxicity of Kantinka BA and Kantinka Herbaltics. The products are registered by the Food and Drugs Authority (FDA).

Data on 200 patients who were diagnosed with infectious diseases such as Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS) and associated symptoms from January 2018 to June 2018 was obtained from the Adom Herbal Clinic, and the Tafo Government Herbal Medicine Records Unit was assessed. The antibacterial activity of the products was evaluated using the HT-SPOTi method. Phytochemical screening, microbial load, and pH were carried out according to standard procedures. Acute toxicity was carried out according to the Organization for Economic Cooperation and Development (OECD) guideline 425. Phytochemical screening, pH, and microbial load have been established for both products.

Binding toxicity studies revealed that the products are non-toxic at a 2000 mg/kg dose. The two products exhibited antimicrobial activities against the test organisms with Minimum Inhibitory Concentration (MIC) and Minimum Lethal Concentration (MLC) determined for Kantinka BA and Kantinka Herbaltics as 5% and 10% and <80, respectively, against C. albicans and N. gonorrhoeae - the signs and symptoms associated with infections disappeared during the management period.

The products are safe and may effectively manage some infectious diseases and associated symptoms.


Aboelsoud NH. Herbal medicine in ancient Egypt. Journal of Medicinal Plants Research. 2010;4:82-6.

Fabricant DS, Farnsworth NR. The value of plants used in traditional medicine for drug discovery. Environmental Health Perspectives. 2001;109:69-75.

Shi QW, Li LG, Huo CH, et al. Study on natural medicinal chemistry and new drug development. Chinese Traditional and Herbal Drugs. 2010;41:1583-9.

Liu J. The use of herbal medicines in early drug development for the treatment of HIV infections and AIDS. Expert Opinion on Investigational Drugs. 2007;16:1355-64.

Abbasi AM, Khan MA, Ahmad M, et al. Ethnopharmacological application of medicinal plants to cure skin diseases and in folk cosmetics among the tribal communities of North-West Frontier Province, Pakistan. Journal of Ethnopharmacology. 2010;128:322-35.

World Health Organization (WHO). World Health Statistics. 2022. Available from: https://www.who.int/news/item/20-05-2022-world-health-statistics-2022

Davies J, Davies D. Origins and evolution of antibiotic resistance. Microbiol Mol Biol Rev. 2010;74:417e33.

Prestinaci F, Pezzotti P, Pantosti A. Antimicrobial resistance: a global multifaceted phenomenon. Pathog Glob Health. 2015;109:309-18.

Gupta PD, Birdi TJ. Development of botanicals to combat antibiotic resistance. J Ayurveda Integr Med. 2017;8:266-75.

Dadgostar, P. Antimicrobial resistance: implications and costs. Infection and Drug Resistance. 2019;12:3903-10.

Ahmad A, Ghosh A, Schal C, Zurek L. Insects in confined swine operations carry a large antibiotic resistant and potentially virulent enterococcal community. BMC Microbiology. 2011;11:23.

Wielinga PR, Jorgen S. Combating the risk of antimicrobial resistance in animals for the benefit of human health in Denmark. 2012. Available from: https://irgc.org/wp-content/uploads/2018/09/J.-Schlundt_Public-Sector_-IRGC_sep12.pdf

Richet HM, Mohammed J, McDonald LC, Jarvis WR. Building communication networks: international network for the study and prevention of emerging antimicrobial resistance. Emerging Infectious Diseases. 2001;7:319-22.

Agbovie T, Amponsah K, Crentsil OR, et al. Conservation and sustainable use of medicinal plants in Ghana: ethnobotanical survey. 2002. Available from: https://uodiyala.edu.iq/uploads/PDF%20ELIBRARY%20UODIYALA/EL34/Conservation%20and%20Sustainable%20Use%20of%20Medicinal%20Plants%20in%20Ghana.pdf

Ghana Ministry of Health. Recommended List of Herbal Medicines Essential for Primary Healthcare Services. 2008. Available from: https://library.angutech.edu.gh/bib/729

Ribeiro RV, Bieski IGC, Balogun SO, de Oliveira Martins DT. Ethnobotanical study of medicinal plants used by ribeirinhos in the North Araguaia microregion, Mato Grosso, Brazil J. Ethnopharmacol. 2017;205:69-102.

da Silva IF, de Oliveira RG, Mendes Soares I, et al. Evaluation of acute toxicity, antibacterial activity, and mode of action of the hydroethanolic extract of Piper umbellatum LJ. Ethnopharmacol. 2014;151:137-43.

Burkill HM. The useful plants of west tropical Africa. Vernonia conferta Benth. 1985. Available from: https://plants.jstor.org/stable/10.5555/al.ap.upwta.1_1015

Burkill HM. The useful plants of west tropical Africa. Sporobolus pyramidalis P. Beauv. 1985. Available from: https://plants.jstor.org/stable/10.5555/al.ap.upwta.2_769

Wagh AS, Butle SR. Plant profile, phytochemistry and pharmacology of Spathodea Campanulata P. Beauvais (African tulip tree): a review. 2018. Available from: https://journals.innovareacademics.in/index.php/ijpps/article/view/24096/14506.

Tugume P, Nyakoojo C. Ethno-pharmacological survey of herbal remedies used in the treatment of paediatric diseases in Buhunga parish, Rukungiri District, Uganda. BMC Complement Altern Med. 2019;19:353

Moore LM. Mango (Mangifera Indica L.). Available from: https://plants.usda.gov/DocumentLibrary/plantguide/pdf/cs_main3.pdf.

Adomi PO. Antibacterial activity of aqueous and ethanol extracts of the stembark of Alstonia boonei and Morinda lucida. Scientific Research and Essays. 2006;1:50-3.

Evans WC. Trease and Evans’ Pharmacognosy. Saunders Ltd; Philadelphia, USA; 2009. 600 pp.

Khandelwal KR. Practical pharmacognosy - techniques and experiments. Nirali Prakashan; Pune, India; 2008.

British Pharmacopoeia Commission. British Pharmacopoeia. The Stationary Office; London, UK; 2018. 6576 pp.

Kilkenny C, Browne WJ, Cuthill IC, et al. Improving bioscience research reporting: the ARRIVE guidelines for reporting animal research. PLoS Biol. 2010;8:e1000412.

Organization for Economic Cooperation and Development (OECD). Acute oral toxicity – Up-and-Down-Procedure (UDP). OECD Guidelines for the Testing of Chemicals. 2008;425:1-27.

Özçelik B, Kartal M, Orhan I. Cytotoxicity, antiviral and antimicrobial activities of alkaloids, flavonoids, and phenolic acids. Pharmaceutical Biology. 2011;49:396-402.

Balogun FO, Tshabalala NT, Ashafa AOT. Antidiabetic medicinal plants used by the Basotho tribe of Eastern Free State: a review. Journal of Diabetes Research. 2016;2016:4602820.

Feng P, Weagant S, Grant M, Burkhardt W. Bacteriological analytical manual : enumeration of Escherichia coli and the coliform bacteria. Bacteriological Analytical Manual. 2002;6:1-13.

de Azevedo Pribitkin E. Herbal medicine and surgery. Seminars in Integrative Medicine. 2005;3:17-23.

Komlaga G, Forkuo AD, Suleman N, et al. Antimalarial property and acute toxicity of the leaves of Theobroma cacao L. Evidence-Based Complementary and Alternative Medicine. 2021;2021:2852442.

Mailoa MN, Mahendradatta M, Laga A, Djide N. Antimicrobial activities of tannins extract from guava leaves (Psidium guajava L) on pathogens microbial. International Journal of Scientific & Technology Research. 2014;3:236-41.

Shohayeb M, Abdel-Hameed E, Bazaid, S. Antimicrobial activity of tannins and extracts of different parts of Conocarpus erectus L. International Journal of Pharmac y and Biological Sciences. 2013;3:544-53.

Avato P, Bucci R, Tava A, et al. Antimicrobial activity of saponins from Medicago sp.: Structure-activity relationship. Phytotherapy Research. 2006;20:454-7.

Soetan KO, Oyekunle MA, Aiyelaagbe OO, Fafunso MA. Evaluation of the antimicrobial activity of saponins extract of Sorghum Bicolor L. Moench. African Journal of Biotechnology. 2006;5:2405-7.

Othman L, Sleiman A, Abdel-Massih RM. Antimicrobial activity of polyphenols and alkaloids in middle eastern plants. Frontiers in Microbiology. 2019;10:911.

Cushnie TPT, Lamb AJ. Antimicrobial activity of flavonoids. International Journal of Antimicrobial Agents. 2005;26:343-56.

Górniak I, Bartoszewski R, Króliczewski J. Comprehensive review of antimicrobial activities of plant flavonoids. Phytochemistry Reviews. 2019;18:241-72.

Kawase M, Varu B, Shah A, et al. Antimicrobial activity of new coumarin derivatives. Arzneimittel-Forschung/Drug Research. 2001;51:67-71.

Smyth T, Ramachandran VN, Smyth WF. A study of the antimicrobial activity of selected naturally occurring and synthetic coumarins. International Journal of Antimicrobial Agents. 2009;33:421-6.

Jain SC, Singh B, Jain R. Antimicrobial activity of triterpenoids from Heliotropium ellipticum. Fitoterapia. 2001;72:666-8.

Singh B, Sahu PM, Sharma MK. Anti-inflammatory and antimicrobial activities of triterpenoids from Strobilanthes callosus Nees. Phytomedicine. 2002;9:355-9.

Camper A, Flemming HC, Hambsch B. Microbial growth in drinking-water supplies: problems, causes, control and research needs. IWA Publishing; London, UK; 2014. 453 pp.

Mtewa AGK. Antibacterial potency stability, pH and phytochemistry of some Malawian ready-to-serve aqueous herbal formulations used against enteric diseases. International Journal of Herbal Medicine. 2017;5:1-5.

Da Silva IF, De Oliveira RG, Mendes Soares I, et al. Evaluation of acute toxicity, antibacterial activity, and mode of action of the hydroethanolic extract of Piper umbellatum L. Journal of Ethnopharmacology. 2014;151:137-43.

Ozela ICM, Mbopi PY, Bayaga HN, et al. Evaluation of the antibacterial activity on strains responsible for diarrhoea; antioxidant and cytotoxic activities in vitro of the leaves and trunk bark of Vernonia conferta Benth (Asteraceae). GSC Biological and Pharmaceutical Sciences. 2021;17:41-51.

Gebashe F, Moyo M, Aremu AO, et al. Ethnobotanical survey and antibacterial screening of medicinal grasses in KwaZulu-Natal Province, South Africa. South African Journal of Botany. 2019;122:467-74.

Bbosa GS, Kyegombe DB, Ogwal-Okeng J, et al. Antibacterial activity of Mangifera indica (L.). African Journal of Ecology. 2007;45:13-6.

Ogueke CC, Uwaleke J, Owuamanam CI, Okolue B. Antimicrobial activities of Alstonia boonei stem bark, a Nigerian traditional medicinal plant. Asian Pacific Journal of Tropical Disease. 2014;4:S957-62.

Komlaga G, Agyare C, Dickson RA, et al. Medicinal plants and finished marketed herbal products used in the treatment of malaria in the Ashanti region, Ghana. Journal of Ethnopharmacology. 2015;172:333-46.

Mensah M, Fleischer T, Sarpong K, et al. A case study of an herbal treatment of clinically diagnosed cases of HIV/AIDS at Adom Herbal Clinic, Tema. National HIV/AIDS Research Conference (NHARCON). 2004. Available from: https://www.undp.org/sites/g/files/zskgke326/files/migration/africa/Ghana-HDR-2004-En.pdf

Turkson BK, Mensah MLK, Sam GH, et al. Evaluation of the microbial load and heavy metal content of two polyherbal antimalarial products on the Ghanaian market. Evidence-Based Complementary and Alternative Medicine. 2020;2020:1014273.

Turkson, B. K., Nkrumah, D., Nketia, R. . I., Ofori Agyemang, A., Amponsah, I. K., Tetteh Accam, B., Mensah, M. L., & Boateng, Y. (2024). Antimicrobial activity, toxicity and retrospective clinical effectiveness of Kantinka BA and Kantinka Herbaltics, two multi-component-herbal products used in the management of infectious diseases in Ghana. Infectious Diseases and Herbal Medicine, 5(1). https://doi.org/10.4081/idhm.2024.389

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