Plenary Lecture
The Ideal Protoscolicidals: Herbal or Synthetic?
Professor Seyed Mahmoud Sadjjadi
Department of Parasitology and Mycology, School of
Medicine
Shiraz University of Medical Sciences, Shiraz, Iran
E-mail:
smsadjjadi@sums.ac.ir
Abstract:
Hydatidosis is one of the most
important parasitic zoonoses in
the world and the Middle East. The
parasite produces cysts in the
liver, lungs, CNS and many other
organs in human. Treatment of
hydatid disease is mainly
surgical, with medical treatment
being reserved as coadjuvant
treatment. One of the major
problems in hydatid cyst surgery
is the rupture of the cyst leading
to the formation of other
secondary hydatid cysts in the
abdominal cavity leading to
recurrence of the disease. So, in
treatment attempts, surgeons
utilize several protoscolicidal
agents such as cetrimide, silver
nitrate, hypertonic saline,
povidone iodine and dextrose
solutions. In spite of the use of
protoscolicidal agents during
surgery, a notable rate of the
recurrence of the disease in
post-operation patients is still
observed. Dissemination of
protoscoleces during
surgery from ruptured cysts cause
secondary infection in the host
and using protoscolecidal agents
before surgery might induce
sclerosing cholangitis.
Regarding the above statements
different attempts has been made
for finding reliable and safe
protoscolicidal agents. In this
regards, we have used several
chemical and herbal extracts both
in vitro and in vivo studies on
protoscoleces of hydatid cysts.
Special attention was focused on
garlic(Allium sativum), which has
been used in herbal medicine for
thousands of years for different
medical purposes. In our
experiments, we compared the in
vitro efficacy of different
extracts of garlic on
protoscoleces according to the
exposure time and concentration of
the extracts. Different types of
garlic extracts including: aqueous
extract, chloroformic extract and
hydro-alcoholic extract along with
cetrimide and silver nitrate
solutions as positive control, and
normal saline as negative control,
were used in our studies. The
results showed that chloroformic
extract of garlic had the highest
protoscolecidal activity. In my
plenary Speech, I'll summarize the
advantages and disadvantage of the
use of herbal and synthetic
protoscolicidals as well as I'll
report my laboratory experiences.
Brief Biography of the Speaker:
Seyed Mahmoud Sadjjadi is a
Professor of Parasitology at the
Department of Parasitology and
Mycology, School of Medicine,
Shiraz University of Medical
Sciences, Iran. His area of
expertise is parasitic helminthes
especially zoonotic parasites. The
diagnosis and treatment of the
parasitic helminthes is his main
area of research. He authored or
co-authored over 70 scientific
papers published in reviewed
journals and presented more than
120 research works at
international and national
conferences. He has co-authored 3
books and wrote a chapter
entitled: Epidemiology of
echinococcosis in the Middle East
and Arabic North Africa In:
Advances in Hydatid Disease
Diagnosis and Treatment, which is
under publication in Greece. He
had the opportunity to be a
research fellow at Liverpool
School of Tropical Medicine,
Liverpool University and he is
member of editorial board of
different journals including
Iranian Journal of Parasitology.
He has supervised more than 15
Ph.D. and MSc. theses.
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