Based on previously demonstrated high in vitro antimicrobial activity of Carlina acanthifolia All. root essential oil [1], we tested in vivo antifungal activity of formulated hydrophilic cream (o/w cream) with 2% of this oil.
The essential oil was isolated from the air-dried C. acanthifolia root by hydrodistillation. The yield of the oil was 1.0% (w/w). Content of carlina
oxide in isolated oil was 91.5%. The creams, formulated with 0.5%, 1% and 2% essential
oil, were tested by Patch-test and their good tolerance, according to Reitschel et
al. [2], was confirmed. Positive results in clinical treatment of slight and mild
skin and nail fungal infections applying the cream with 2% essential oil were achieved
[3]. The performed investigation was in accordance with City Institute for skin and
venereaus diseases Ethics Committees' role. In the group of 11 patients with fungal
skin infections after 14 days of treatment, progress was clearly recognized. By defined
protocol already described by Schäfer-Korting, M. et al. [4], decrease of mean indices
for erythema was 42.1%, for vesiculas and crustea 85.7% and 68.8%, respectively and
for itching 65.0%. In the 8 patients with fungal nail infections, after 12 weeks treatment
with the same preparation significant improvement was observed. Progressive growth
of healthy nail surface and reduction or loss of skin erythema in the surroundings
of infected nail was observed. Obtained results confirmed traditional application
of C. acanthifoliae root and present scientific base for further investigations in the course of C. acanthifolia essential oil rational therapeutic application.
Acknowledgements: The authors wish to thank Serbian Ministry of Science for financial
support
References: 1. Djordjevic, S. et al. (2007)J Ethnopharmacol 109:458–63. 2. Reitschel,
RL., Fowler, JJF. (1995) Fisher's Contact Dermatitis. Williams & Wilkins. USA.
3. Karadaglic, Dj. (2000) Dermatology. Versalpress. Belgrade. 4. Schäfer-Korting,
M. (1992) In: Braun-Folco, O. et al. (Ed.): Liposome Dermatics, Springer-Verlag, Berlin.