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Updated: Apr 23, 2026

Live/Dead Staining for Quantifying Viable but Not Culturable Cells in Manuka Honey-Treated Wound-Causing Bacteria
Published on: April 25, 2025
Antibacterial potential of Manuka honey against three oral bacteria in vitro
PatrickSchmidlin R Schmidlin1, Helen English, Warwick Duncan
1Clinic of Preventive Dentistry, Periodontology and Cariology, Center of Dental Medicine, University of Zurich, Switzerland.
Abstract:
Honey is an ancient natural remedy for the treatment of infected wounds. It has regained attention in the medical profession, as it has recently been reported to have a broad-spectrum inhibitory effect against bacteria. Data concerning Manuka honey of New Zealand origin, which is claimed to provide additional non-peroxide antimicrobial activity (so-called standard NPA) against oral pathogens, is still scarce. Therefore, this study aimed to screen for the antibacterial efficacy of different Manuka honey products against S. mutans (OMZ 918), P. gingivalis (OMZ 925) and A. actinomycetemcomitans (OMZ 299). Chlorhexidine and saline served as positive and negative controls, respectively, whereas a Swiss multifloral honey served as control honey without intrinsic non-peroxide activity. Chlorhexidine showed the highest inhibiting potential against all specimens tested. Manuka honey below an NPA value of 15 showed the least bacterial growth-inhibiting potential, even less although not significantly so than multifloral Swiss honey. Manuka honey above an NPA value of 15 showed a significantly higher antibacterial effect compared to the other honeys tested. All Manuka honey preparations were more effective in inhibiting the growth of P. gingivalis and A. actinomycetemcomitans, rather than S. mutans. In conclusion, the study showed an NPA dose-dependent antibacterial efficacy of Manuka honey. Further investigations of this natural product are now open for scrutiny.
Insights
Manuka honey with a non-peroxide activity (NPA) value above 15 demonstrated significant antibacterial effects against oral pathogens. Lower NPA values showed less efficacy than multifloral honey, indicating a dose-dependent response.
Area of Science:
- Microbiology
- Natural Products Chemistry
- Oral Health
Background:
- Honey possesses historical use as a wound treatment and exhibits broad-spectrum antibacterial properties.
- Manuka honey from New Zealand is purported to have additional non-peroxide antimicrobial activity (NPA) against oral pathogens.
- Limited data exists on the specific antibacterial efficacy of various Manuka honey products against key oral bacteria.
Purpose of the Study:
- To evaluate the antibacterial efficacy of different Manuka honey products against specific oral pathogens.
- To compare the efficacy of Manuka honey with varying NPA values against standard antibacterial agents and control honey.
- To investigate the dose-dependent relationship between Manuka honey's NPA and its antibacterial activity.
Main Methods:
- Screening of antibacterial efficacy of Manuka honey products against *S. mutans*, *P. gingivalis*, and *A. actinomycetemcomitans*.
- Use of Chlorhexidine as a positive control, saline as a negative control, and Swiss multifloral honey as a control honey.
- Comparison of Manuka honey with different non-peroxide activity (NPA) values.
Main Results:
- Chlorhexidine exhibited the highest antibacterial potential against all tested bacteria.
- Manuka honey with NPA values below 15 showed minimal bacterial growth inhibition, comparable to or less than multifloral Swiss honey.
- Manuka honey with NPA values above 15 demonstrated significantly enhanced antibacterial effects.
- Manuka honey preparations were more effective against *P. gingivalis* and *A. actinomycetemcomitans* than *S. mutans*.
Conclusions:
- The antibacterial efficacy of Manuka honey is dependent on its non-peroxide activity (NPA) level.
- Manuka honey with higher NPA values (≥15) shows significant potential for controlling oral pathogens.
- Further research into Manuka honey as a natural antibacterial agent for oral health is warranted.
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