The in vitro antibacterial effect of permethrin and formaldehyde on Staphylococcus aureus

Philip Nikolic1, Poonam Mudgil1, John Whitehall1

  • 1School of Medicine, Western Sydney University, Campbelltown, NSW, Australia.

Microbiologyopen
|May 9, 2020
PubMed

Insights

Permethrin does not inhibit methicillin-resistant Staphylococcus aureus (MRSA) growth. Formaldehyde, an antiseptic in permethrin cream, was responsible for the observed antibacterial effects against MRSA.

Area of Science:

  • Microbiology
  • Bacteriology
  • Dermatology

Background:

  • Antibiotic-resistant bacteria, like methicillin-resistant Staphylococcus aureus (MRSA), pose significant health risks.
  • Effective treatments against MRSA are urgently needed.
  • Previous observations suggested a decrease in scabies-associated bacterial infections after permethrin cream use.

Purpose of the Study:

  • To investigate the antibacterial efficacy of the insecticide permethrin against Staphylococcus aureus.
  • To determine if permethrin or another component in permethrin cream inhibited bacterial growth.
  • To identify the specific agent responsible for antibacterial effects in permethrin cream.

Main Methods:

  • Ten strains of Staphylococcus aureus were cultured with permethrin and formaldehyde, alone and combined.
  • Bacterial inhibition was quantified using viable counts and time-kill assays.
  • Scanning electron microscopy examined Staphylococcus aureus morphology after exposure to permethrin.

Main Results:

  • Permethrin exhibited limited bacterial inhibition (0%–41%), while formaldehyde demonstrated 100% inhibition.
  • Time-kill assays showed permethrin-exposed cells behaved similarly to controls; formaldehyde and combination exposures resulted in complete inhibition.
  • Scanning electron microscopy revealed no cell damage in permethrin-exposed Staphylococcus aureus.

Conclusions:

  • Permethrin lacks sufficient bactericidal activity against Staphylococcus aureus.
  • Formaldehyde, a known antiseptic, is the component responsible for the antibacterial effects observed with permethrin cream.
  • This study clarifies that permethrin itself is not the antibacterial agent in the cream.