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November 2017 -
Volume 15, Issue 9

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From the Editor



Original contribution/Clinical Investigation
Diabetes Mellitus - Knowledge, Management and Complications: Survey report from Faisalabad-Pakistan
Ijaz Anwer, Ahmad Shahzad, Kashmira Nanji, Farah Haider, Muhammad Masood Ahmad

Alanine aminotransferase indicates excess weight and dyslipidemia
Mehmet Rami Helvaci, Orhan Ayyildiz* Mustafa Cem Algin, Yusuf Aydin, Abdulrazak Abyad, Lesley Pocock

Comparative Analysis of Antimicrobial Peptides Gene Expression in Susceptible/Resistant Mice Macrophages to Leishmania major Infection

Hamid Daneshvar, Iraj Sharifi, Alireza Kyhani, Amir Tavakoli Kareshk, Arash Asadi

Does socio-economic status of the patients have effect on clinical outcomes after coronary artery bypass grafting surgery?
Forough Razmjooei, Afshin Mansourian, Saeed Kouhpyma

Comparison of the uterine artery Doppler indices during pregnancy between gestational diabetes and diabetes mellitus and healthy pregnant women
Nazanin Farshchian, Farhad Naleini, Amir Masoud Jaafarnejhad,
Parisa Bahrami Kamangar

Survey single dose Gentamicin in treatment of UTI in children with range of 1 month to 13 years old in Jahrom during 2015
Ehsan Rahmanian, Farideh Mogharab,
Vahid Mogharab

Evaluation of control of bleeding by electro cauterization of bleeding points of amplatz sheath tract after percutaneous nephrolithotomy (PCNL) in Jahrom Peymanieh hospital during year 2015-2016
Ali Reza Yousefi , Reza Inaloo

Comparison of the three-finger tracheal palpation technique with triple ID formula to determine endotracheal tube depth in children 2-8 years in 2016-2017
Anahid Maleki, Alireza Ebrahim Soltani, Alireza Takzare, Ebrahim Espahbodi,
Mehrdad Goodarzi , Roya Noori

Effect of Sevoflurane and Propofol on pulmonary arterial pressure during cardiac catheterization in children with congenital heart diseases
Faranak Behnaz, Mahshid Ghasemi , Gholamreza Mohseni, Azim Zaraki
Population and Community Studies

Prevalence and risk factors of obesity in children aged 2-12 years in the Abu Dhabi Islands
Eideh Al-Shehhi, Hessa Al-Dhefairi, Kholoud Abuasi, Noora Al Ali, Mona Al Tunaiji, Ebtihal Darwish

Study and comparison of psychological disorders in normal students and students with multiple sclerosis in Shahrekord
Neda Ardestani-Samani, Mohammad Rabiei, Mohammad Ghasemi-Pirbalooti, Asghar Bayati, Saeid Heidari-Soureshjani

Comparative study of self-concept, physical self-concept, and time perspective between the students with multiple sclerosis and healthy students in Shahrekord
Neda Ardestani-Samani, Mohammad Rabiei, Mohammad Ghasemi-Pirbalooti, Asghar Bayati, Saeid Heidari-Soureshjani

Relationship between Coping Styles and Religious Orientation with Mental Health in the Students of the Nursing-Midwifery Faculty of Zabol
Nasim Dastras, Mohsen Heidari Mokarrar, Majid Dastras, Shirzad Arianmehr

Tuberculosis in Abadan, Iran (2012-2016): An Epidemiological Study
Ali-Asghar ValiPour, Azimeh Karimyan, Mahmood Banarimehr, Marzieh Ghassemi, Maryam Robeyhavi, Rahil Hojjati,
Parvin Gholizadeh

Family Stability and Conflict of Spiritual Beliefs and Superstitions among Yazdi People in Iran: A Qualitative Study
Zahra Pourmovahed , Seyed Saied Mazloomy Mahmoodabad ; Hassan Zareei Mahmoodabadi ; Hossein Tavangar ; Seyed Mojtaba Yassini Ardekani ; Ali Akbar Vaezi

A comparative study of the self-actualization in psychology and Islam
Simin Afrasibi, Zakieh Fattahi

The effectiveness of cognitive - behavioral therapy in reducing the post-traumatic stress symptoms in male students survivors of earthquake in the central district of Varzeghan
Sakineh Salamat, Dr.Ahad Ahangar, Robab Farajzadeh


Effects and mechanisms of medicinal plants on stress hormone (cortisol): A systematic review
Kamal Solati, Saeid Heidari-Soureshjani, Lesley Pocock

Comparing Traditional and medical treatments for constipation : A Review Article
Mohammad Yaqub Rajput

A review of anti-measles and anti-rubella antibodies in 15- 25 year old women in Jahrom City in 2011
Ehsan Rahmania , Farideh Mogharab, Vahid Mogharab

Review of percutaneous nephrolithotomy in children below 12 years old in Jahrom hospital, during 2010-2014
Ali Reza Yousefi , Reza Inaloo

Physical and mental health in Islam
Bahador Mehraki, Abdollah Gholami

International Health Affairs

The Challenges of Implementation of Professional Ethics Standards in Clinical Care from the viewpoint of Nursing Students and Nurses
Saeedeh Elhami, Kambiz Saberi, Maryam Ban, Sajedeh Mousaviasl, Nasim Hatefi Moadab, Marzieh Ghassemi

Cognitive Determinants of Physical Activity Intention among Iranian Nurses: An Application of Integrative Model of Behavior Prediction
Arsalan Ghaderi, Firoozeh Mostafavi, Behzad Mahaki, Abdorrahim Afkhamzadeh,
Yadolah Zarezadeh , Erfan Sadeghi

Effect of resilience-based intervention on occupational stress among nurses
Hossein Jafarizadeh, Ebrahim Zhiyani, Nader Aghakhani, Vahid Alinejad, Yaser Moradi

Education and Training

Calculation of Salaries and Benefits of Faculty Members in the Ministry of Health and Medical Education of Iran
Abdolreza Gilavand

The effect of education on self-care behaviors of gastrointestinal side effects on patients undergoing chemotherapy
Shokoh Varaei, Ehsan Abadi Pishe, Shadan Pedram Razie, Lila Nezam Abadi Farahani

Creating and Validating the Faith Inventory for Students at Islamic Azad University of Ahvaz
Solmaz Choheili, Reza Pasha, Gholam Hossein Maktabi, Ehsan Moheb

Creating and Validating the Adjustment Inventory for the Students of Islamic Azad University of Ahvaz
Homa Choheili, Reza Pasha, Gholam Hossein Maktabi, Ehsan Moheb

Evaluating the Quality of Educational Services from the Viewpoints of Radiology Students of Ahvaz Jundishapur University of Medical Sciences
Abdolreza Gilavand, Jafar Fatahiasl

An Investigation of Psychosocial aspect of Iranian Nursing Students' Clinical Setting
Mahsa Boozaripour , Zanyar Karimi, Sima Zohari Anbohi, Amir Almasi-Hashiani, Fariba Borhani

Clinical Research and Methods

Comparison of the Antibacterial Effects of Chlorhexidine Mouth washes with Jaftex Mouth wash on Some Common Oral Microorganisms (An in Vitro Study)
Ebrahim Babadi, Zahra Bamzadeh, Fatemeh Babadi

Study of the effect of plasma jet on Fusarium isolates with ability to produce DON toxins
Elham Galin Abbasian, Mansour Bayat, Arash chaichi Nosrati, Seyed Jamal Hashemi, Mahmood Ghoranneviss

The comparison of anti-inflammatory effect in two methods of topical dexamethasone injection and topical application of ginger alcoholic extract after removing mandibular wisdom teeth
Sahar Zandi, Seyyed Muhammadreza Alavi, Kamran Mirzaie, Ramin Seyedian, Narges Aria, Saman Jokar

The effect of curcumin on growth and adherence of major microorganisms causing tooth decay
Leila Helalat, Ahmad Zarejavid, Alireza Ekrami, Mohammd Hosein Haghighizadeh, Mehdi Shiri Nasab

Middle East Quality Improvement Program

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE


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Lesley Pocock
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November 2017 - Volume 15, Issue 9

Comparison of the Antibacterial Effects of Chlorhexidine Mouth washes with Jaftex Mouth wash on Some Common Oral Microorganisms (An in Vitro Study)

Ebrahim Babadi (1)
Zahra Bamzadeh
Fatemeh Babadi

(1) Department of Microbiology, Faculty of Basic Sciences, Shahrekord Branch, Islamic Azad University, Sharekord, Iran.
(2) Department of Microbiology, Faculty of Basic Sciences, Shahrekord Branch, Islamic Azad University, Sharekord, Iran.
(3) Assistant Professor, Department of Oral and Maxillofacial Medicine, Faculty of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Corresponding author:
Dr Fatemeh Babadi,
Assistant Professor, Department of Oral and Maxillofacial medicine,
Faculty of Dentistry, Ahvaz Jundishapur University of Medical Sciences,
Ahvaz, Iran



Background and Objectives:
Mouth washes with anti-inflammatory and anti-plaque properties are recommended to maintain good oral hygiene. Thus the aim of this study was to compare the antibacterial effects of chlorhexidine mouth wash (CHX) with Jaftex mouth wash.

Materials and Methods: In this in vitro study‚ the disc diffusion method was used to measure inhibition zone on tested mouth washes on streptococus mutans‚ s.sanguis‚ s. salivarius and lactobacillus casei. The tube dilution method was used for determining the minimum inhibitory concentrations (MIC) and minimum bactericidal concentrations (MBC). Results were analyzed by using ANOVA test. (P < 0/05 was considered significant).

Results: The CHX mouth wash significantly exhibited greater inhibition zone than Jaftex. The MICs for CHX and Jaftex were 2 and 20 micrograms/ml for S. mutans ‚ respectively. The MBCs for the mentioned mouth washes were 20 and 200 micrograms/ml for S.mutans, respectively.

Discussion and Conclusion: Jaftex mouth wash was less potent than the CHX in inhibiting growth on oral microorganisms and it is recommended to be used for plaque inhibition.

Key words: Chlorhexidine; Jaftex; Mouth wash; Oral Microorganisms


Medicine in Iran has a history of thousands of years (1). Dentistry is one of the most favorite fields of study in Iran (2-3). There are about 500 species of bacteria in the mouth, some of which cause mouth infectious diseases. (4-6). The mouth is a perfect environment for colonization and growth of a wide range of microorganisms especially bacteria (7). The bacterial plaque is a predisposing factor in destruction of the teeth and periodontal tissue (8). Mouth rinses will reduce bacterial plaque. Chlorhexidine (CHX) has been known as a gold standard for controlling plaque (9-11). Long-term use of (CHX) causing complications such as dental stain, changes in taste and dry mouth (12). The use of herbal medicines in recent years due to antibacterial and antifungal effects and less side effects for oral health has been common (4,9,12). Herbal mouth washes, due to having natural compounds in terms of compatibility with the body’s physiology and less poisoning, has a better condition than CHX and is recommended for people who do not have the possibility of using chemical mouth rinses (13-14). Persian oak is one of the medicinal plants and its many treatment effects are listed (15). Antimicrobial properties of various species of Persian oak in various studies have been mentioned (16). A thin membrane that covers the oak is called jaft. Jaft has a great effect in the treatment of bacterial and viral diseases such as oral aphthous lesions (15). Jaftex is a new herbal mouth wash that has been prepared in the pharmaceutical research center of Ahvaz Jundishapur University of medical sciences. Jaftex is a combination of extract of oak Jaft (Oak Fruit) as a basis, extracts of Zataria Multifiu and Saturej Bachtiarica.


This study aimed to compare the antibacterial effects of Cholorhexidine mouth wash and Jaftex on some common oral microorganisms.


This study is an in vitro study. The mouth wash of CHX 2/0% (Iran Nazhvan) was used in this study. To prepare Jaftex aqueous extracts of oak, Zataria Multifiu and Saturej Bachtiarica were taken and after combining the extracts 9 grams of sodium chloride were added and with distilled water reached to one m/l. To prepare bacterial suspensions, bacterial vials were purchased from collection of fungi and bacteria Iran (Pasteur) which included: Streptococcus mutans (PTCC 1683), S. sanguinis (PTCC 1449), S. salivarius (PTCC 1448) and Lactobacillus casei (PTCC 1608). According to the manufacturer’s instructions they were dissolved in sterile saline. Following that bacterial suspension was cultured on solid medium (blood agar, Merck Germany) and incubated at 37 ° C for 24 - 48 hours. A colony was isolated from fresh cultures of bacteria and was dissolved in saline until approximate concentration of 1.5 × 10^8 cfu (equal to n: 05 Mcfarland Standrd) was obtained. Suspension of any bacteria was cultured on medium (MHA). Using dilute method, 2 ml of each mouth wash was dissolved in 2 ml of distilled water until the first concentration reached 1 mg per ml. To obtain the second concentration (5.0 mg per ml), the amount of 1 cc of this solution was dissolved with 2 ml of distilled water, and so the next concentrations (0.25-0.125 - 0.0625) for both chlorhexidine mouth wash and Jaftex were obtained, respectively. The blank disks on each medium were placed in a row and mouth washes were cultured on the disks from the highest to the lowest concentration and were incubated at 37 ° C for 24 hours. After disks of bacteria Streptococcus mutans, Streptococcus sanguinis, Streptococcus salivarius and Lactobacillus casei were cultured, for each concentration of chlorhexidine and Jaftex and were evaluated, and inhibition zone was measured using Antibiogram ruler. Then the two mouth washes without dilution and with standardized dilutions (chlorhexidine 0/2% and Jaftex) were cultured on the above microorganisms similar to the above method. Then minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of each mouth washes were determined. so that each tube, 8 ml of medium, 1 ml bacteria and 1 ml of mouth wash were added and then 1 ml removed from the first tube and was added to the second tube and so on until the fourth tube reached concentrations of 200-20-2-0.2) micrograms per milliliter, respectively. Then they were incubated at 37° C for 24 hours, then the transparency of the tubes was checked visually. Tubes without turbidity, indicated the inhibition of bacterial growth. The tube that showed the highest concentration of residual turbid mouth wash was MIC. The respective mouthwashes were transferred to a solid medium (blood agar, Merck Germany) and were evaluated in terms of microbial growth to determine the MBC of mouth washes. The last tube which was negative in terms of culture on solid medium, indicated the MBC of mouth washes. This procedure was performed for all bacterial strains. This test was performed for all four target bacteria. The data were analyzed with ANOVA test using SPSS software version 13.0. P value less than 0.05 was considered significant.


The CHX mouth wash significantly exhibited greater inhibition zone than the Jaftex mouth wash (P = 0/010). CHX mouth wash at all dilutions showed antibacterial effects. But Jaftex mouth wash in concentrations of 0/0625 and 0/125 didn’t have antibacterial effects on S.Salivarius and for Jaftex in 0/0625 dilution, its inhibition zone on L.casei was zero. The MICs of CHX and Jaftex for S.mutans were 2 and 20 micrograms/ ml, respectively (Tables 1 and 2). The differences between mouth washes were significant (P value = 0.005). The MBCs of CHX and Jaftex for S. mutans, were 20 and 200 micrograms /ml, respectively (Tables 1 and 2). The differences between mouth wash were significant (P value = 0.005). The MICs and MBCs against the other bacterial microorganisms are shown in (Table 1 and 2). The lowest level of MICs for all bacteria was related to CHX. Among the above microorganisms, S. mutans showed the highest resistance to CHX and Jaftex mouth wash. The MICs and MBCs of Jaftex for L.casei were zero (Table 2).

Table 1: Comparison of the Levels of MIC and MBC (micrograms per ml) of Chlorhexidine on Oral Microorganisms

Table 2: Comparison of the Levels of MIC and MBC (micrograms per ml) of Jaftex on Oral Microorganisms