ArticleOral and maxillofacial surgery2026
Antibacterial effect of banana leaf extract-coated sutures against oral pathogens and MRSA: an in vitro study.
Article in Oral and maxillofacial surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThis study aimed to evaluate the efficacy of banana leaf extract as a novel antimicrobial coating for surgical sutures, with the primary goal of combating biofilm formation on suture surfaces—the key initiator of Surgical Site Infections (SSIs)—while inhibiting bacterial adhesion and colonization to reduce SSIs and enhance wound healing outcomes. MATERIAL AND
methodFresh banana leaves were processed using Soxhlet extraction to isolate bioactive compounds. Sterile non-absorbable sutures were coated with the extract at varying concentrations and tested against Staphylococcus aureus, Streptococcus mutans, Escherichia coli, Enterococcus faecalis and methicillin-resistant Staphylococcus aureus (MRSA) using agar diffusion and bacterial adhesion assays.
resultThe banana leaf extract-coated sutures demonstrated significant antibacterial activity against all strains, with zones of inhibition averaging 6.4 ± 1.2 mm (S. aureus), 7.1 ± 1.1 mm (MRSA), 15.8 ± 1.5 mm (S. mutans), 13.6 ± 1.0 mm (E. coli), and 14.3 ± 1.3 mm (E. faecalis) (p < 0.05 vs. controls by ANOVA/Tukey’s test); S. mutans showed the highest susceptibility. Bacterial adhesion and biofilm formation were significantly reduced on coated sutures compared to uncoated controls (p < 0.05).
conclusionThis study concludes that banana leaf extract-coated sutures exhibit broad-spectrum antimicrobial properties, effectively reducing bacterial growth and biofilm formation. This natural coating offers a promising alternative to synthetic antimicrobial agents, addressing concerns over antibiotic resistance and environmental impact.
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