# Patent

## Title
Formulation for prevention and treatment of bacterial infections and preparation thereof

## Abstract

The invention provides a formulation for the prevention and treatment of bacterial infections by administering an effective amount of the formulation comprising an extract of at least one plant selected from Allium sativum, Acorus calamus, Alstonia scholaris, Carissa spinarum, Cissampelos pareria, Chenopodium ambrosioides, Moringa olifera, Paederia foetida, Shorea robusta, Piper nigrum, Pueraria tuberosa, Ocimum sanctum, Terminalia bellirica, Tinospora cordifolia and Zingiber officinale, and a combination thereof. The invention also provides a process for preparing and method of using the same.

## Background
REFERENCE TO RELATED APPLICATIONS
This application claims priority to and the benefit of U.S. Provisional Application No. 61/370,607, filed on Aug. 4, 2010, the entire contents of which are incorporated by reference.


FIELD OF THE INVENTION
The present invention relates to a formulation used for the prevention and treatment of bacterial infections. More particularly, it relates to an herbal formulation for the prevention and treatment of intestinal diseases such as typhoid, diarrhoea and dysentery and preparation thereof.
BACKGROUND OF THE INVENTION
Typhoid is potentially fatal infectious disease caused by bacterium Salmonella typhi (S. typhi). It is also commonly known as “Miyadi bukhar” in India.
Typhoid is a serious health problem in the developing countries; especially the parts of South East Asia and Africa, due to uncleanness and poverty.
It is evident that each year more than 600,000 deaths occur due to typhoid and similarly 16 millions suffered from the same in around the world (WHO estimation).
Common worldwide, typhoid is transmitted by the ingestion of food or water contaminated with feces from an infected person. The bacteria then perforate through the intestinal wall of healthy person and phagocytosed by macrophages. Salmonella typhi then alters its structure to resist destruction and allow itself to exist within the macrophage. This renders them resistant to damage by human immune system. The organism then spreads via the lymphatics while inside the macrophages. This gives them access to the reticuloendothelial system and then to the different organs throughout the body viz. liver (gall bladder), spleen, etc.
Symptoms usually develop one to three weeks after exposure, and may be mild or severe. They include high fever, malaise, headache, constipation or diarrhoea, rose-colored spots on the chest, and enlarged spleen and liver. Healthy carrier state may follow acute illness. Typhoid is also associated with various diseases such as hepatitis A, diarrhoea, dysentery, septicemia and encephalitis.
Typhoid fever can be treated with antibiotics. The following antimicrobials such as Ampicillin, chloramphenicol, trimethoprim-sulfamethoxazole, Amoxicillin and ciprofloxacin, have been commonly used to treat typhoid in developed countries.
A preventive measure to cure typhoid includes vaccination and many vaccines have been prepared using Vi antigen of Salmonella typhi alone or with carrier molecules.
Mainly two vaccines are currently recommended by the World Health Organization for the prevention and treatment of typhoid such as oral Ty21, a vaccine (sold as Vivotif Berna) and the injectable Typhoid polysaccharide vaccine (sold as Typhim Vi by Sanofi Pasteur and Typherix by GlaxoSmithKline). Both are between 50 to 80% protective. There exists an older Heat-killed phenol whole-cell vaccine that is still used in countries where the newer preparations are not available, but this vaccine is no longer recommended for use, because it has a higher rate of side effects mainly pain and inflammation at the site of the injection.
Several chemically synthesized or chemical based products used for the prevention and treatment of bacterial infection such as typhoid, are well known in art. However due to their chemical reactive nature, they do not find ready acceptable with living objects/organism. As opposed to a chemically reactive mixture, it may be preferable to have an environmentally safe herbal formulation derived primarily from plants and plant extracts. Hence there is a need for an herbal based formulation without any significant side effects or adverse interactions with existing medication.
Many prior-art literatures reveal the use of vaccines and antibiotics for the prevention and treatment of typhoid and other bacterial infections. For example Chinese patent CN 1,011,996,37 (A) discloses a chinese medicine decoction used for treating typhoid comprising Atractylis ovata, Herba schizonepetae, Hurricane lamp, Kudzuvineroot, Pueraria lobata, Angelica, dried orange peel, Cassia twig, Notopterygium root, rhizoma Ligustici wallichii, Asarum and Angelica dahurica. 
Chinese patent CN1,011,125,36 (A) discloses a traditional Chinese medicine composition for treating typhoid fever and headache by internal administration. The active ingredients of the traditional Chinese medicine composition includes: 8 g of Chinese Angelica, 5 g of fine leaf Shizonepeta herb, 5 g of Divaricate saposhnikovia root, 5 g of incised Notopterygium rhizome, 5 g of Szechuan lovage rhizome, 3 g of manchurian wildginger, 8 g of dahurian angelica root, 5 g of tall gastrodia tuber, 4 g of Chinese ligusticum rhizome, 5 g of prepared common monkshood mother root and 4 g of liquoric root. Its advantages include low cost, high efficacy, short treatment course and durable efficacy, and the clinical verification proves that the effective rate can achieve more than 91 percent.
Chinese patent CN 1,915,411 (A) discloses Chinese medicine for treating the diseases in digestive tract, typhoid; which is prepared from liquor and twenty three Chinese-medicinal materials including cinnamon twig, white peony root, Astragalus root, Coptis root, etc.
Chinese patent CN 1,895,580 (A) discloses Chinese medicine for treating cold diseases, acyesis, menoxenia, morbid leucorrhoea, menalgia, etc and is prepared from wheat bran, broom cypress fruit, dove excrement, white cloves and black alum.
Similarly Patent No. CN 1,569,168 (A) discloses Chinese medicinal composition for treating typhoid, which is prepared from twenty eight herbs including baikal skullcap root, cork tree bark, giant knotweed rhizome, capsule of weeping forsythia, bark of peony root, radical lobelia, mulberry leaf, reed rhizome, kudzu vine root, earthworm, anemarrhena rhizome, matrimony vine, Ligustrum japonicum, Ophiopogon root, Asparagus root, Poria cocos, haw, dried orange peel, licorice root.
Another Chinese patent no. CN 1,350,870 (A) discloses Chinese medicine in the form of decoction, tablet or encapsule for treating typhoid is prepared from 25 Chinese-medicinal materials including Ledebouriella root, Schizonepeta, mint, Notopterygium root, Chuan-xiong rhizome, dehurian angelica root, etc. Its advantages are high effective rate up to more than 90%, and high cure rate up to more than 85%.
Chinese patent no. CN 1,325,702 (A) disclose Chinese medicine in the form of powder or pill for treating typhoid is prepared from nine Chinese-medicinal materials including American ginseng, Stemona root, dried ginger, Hippophae rhamnoides, etc. Its advantages include simple prescription and preparing process, high curative effect and short course of treatment (3-5 days).
All the available typhoid medicines and vaccines as mentioned have various side effects particularly to over aged people and Neonatal children.
Therefore to overcome these problems, there is a need of substances originating from herbal essences, in mixture or combination, with other substances constitutes, having properties of full and effective prevention of and treatment of various infectious diseases such as typhoid, while being safe for the environment and the organism (human or animal). There is a further need of a process for the preparation of such formulation.
BRIEF DESCRIPTION OF THE INVENTION
The present invention meets the aforementioned and other needs by providing formulations usable for prevention and treatment of bacterial infections. The formulation comprises an extract of at least one plant selected from Allium sativum, Acorus calamus, Alstonia scholaris, Carissa spinarum, Cissampelos pareria, Chenopodium ambrosioides, Moringa olifera, Paederia foetida, Shorea robusta, Piper nigrum, Pueraria tuberosa, Ocimum sanctum, Terminalia bellirica, Tinospora cordifolia and Zingiber officinale, and a combination thereof.
The invention also provides a process for preparing a formulation for prevention and treatment of bacterial infections. The process can include the steps of: (a) preparing an extract of at least one plant selected from Allium sativum, Acorus calamus, Alstonia scholaris, Carissa spinarum, Cissampelos pareria, Chenopodium ambrosioides, Moringa olifera, Paederia foetida, Shorea robusta, Piper nigrum, Pueraria tuberosa, Ocimum sanctum, Terminalia bellirica, Tinospora cordifolia and Zingiber officinale, and a combination thereof; (b) optionally, adding to the extract, at least one of a solvent, a stabilizer, an emulsifier, a buffer, a preservator, an enhancer, a thickener, and a combination thereof; and (c) mixing the constituents to provide the formulation.
In some embodiments, the extract is at least one of a shoot extract, a rhizome extract, a leaf extract, a seed extract, a bud extract, a tender shoot extract, a root extract, a flower extract, a fruit extract, plant bark and a combination thereof.
In some embodiments, the extract is selected from at least one of a leaf, a bud, a tender shoot, and a combination thereof.
In some embodiments, the formulation comprises at least one of a solvent, a stabilizer, an emulsifier, a buffer, a preservator, an enhancer, a thickener, and a combination thereof.
OBJECT OF THE INVENTION
Therefore, one object of the present invention is to provide a plant based herbal formulation usable for prevention and treatment of bacterial infections.
Another object of this invention is to provide a process for the preparation of the aforementioned plant based formulation usable for prevention and treatment of bacterial infections.


DETAILED DESCRIPTION OF THE INVENTION
In the following description, like reference characters designate like or corresponding parts throughout the several illustrations shown in figures/examples. It is also understood that the terms “a”, “an”, “the” and like are words for the sake of convenience and are not to be construct as limiting terms. Moreover, it will be understood that the illustrations are for the purpose of describing a particular exemplary embodiment of the invention and are not limit the invention thereto.
Embodiments of the present invention address the aforementioned and other needs by providing a formulation and a process for preparing the disclosed formulation.
In one embodiment, the present invention provides a formulation for prevention and treatment of bacterial infections, generally an herbal formulation. The herbal formulation of present invention comprises an extract of at least one plant selected from Allium sativum, Acorus calamus, Alstonia scholaris, Carissa spinarum, Cissampelos pareria, Chenopodium ambrosioides, Moringa olifera, Paederia foetida, Shorea robusta, Piper nigrum, Pueraria tuberosa, Ocimum sanctum, Terminalia bellirica, Tinospora cordifolia and Zingiber officinale, and a combination thereof.
In one embodiment, the present invention discloses a process for preparing the formulation. The process comprises an extract of at least one plant selected from Allium sativum, Acorus calamus, Alstonia scholaris, Carissa spinarum, Cissampelos pareria, Chenopodium ambrosioides, Moringa olifera, Paederia foetida, Shorea robusta, Piper nigrum, Pueraria tuberosa, Ocimum sanctum, Terminalia bellirica, Tinospora cordifolia and Zingiber officinale, and a combination thereof;
In one embodiment, the present invention provides a formulation comprises plant parts, preparing a solution, by optionally extracting with a solvent/water and then adding at least one of a solvent, a stabilizer, a binder, a lubricant, a thickener and a combination thereof, followed by mixing to provide the formulation of the present invention.
In one embodiment of the present invention, the extract of the tender shoot is prepared in a tablet form. In another embodiment it is prepared as a powder. The effectiveness of both forms is about the same and the choice of one over the other is only a matter of personal preferences and processing convenience. Mostly over aged people and infant prefer the powder based medicinal formulations, easy to administer.
In another embodiment, the present invention provides a formulation comprising plant extract, wherein the composition is administered atleast one of the mode of administration such as a liquid, a dry powder, a tablet, a capsule, a parenteral.
To prepare a solution based formulation, plant extracts dissolve in at least one of a solvent selected from polar, non-polar or moderately solvent. The used of solvent depend on the nature and type of active drug/molecules.
Mainly solid dosage formulation is prepare by optionally extracting with a solvent or water and then adding at least one of a solvent, a stabilizer, binder, lubricant, disintegrant, a thickener and a combination thereof, followed by mixing to provide the formulation of the present invention, wherein the extract is at least one of a shoot extract, a rhizome extract, a leaf extract, a seed extract, a bud extract, a tender shoot extract, a root extract, a flower extract, a fruit extract, and a combination thereof. Generally the extract is of tender shoot.
As stated in the preceding section of the specification, the plant extract of the present invention is typically an extract of at least one plant selected from Allium sativum, Acorus calamus, Alstonia scholaris, Carissa spinarum, Cissampelos pareria, Chenopodium ambrosioides, Moringa olifera, Paederia foetida, Shorea robusta, Piper nigrum, Pueraria tuberosa, Ocimum sanctum, Terminalia bellirica, Tinospora cordifolia and Zingiber officinale, and a combination thereof; wherein the extract is at least one of a shoot extract, a rhizome extract, a leaf extract, a seed extract, a bud extract, a tender shoot extract, a root extract, a flower extract, a fruit extract, and a combination thereof.
In one embodiment of the present invention, the extract of tender shoot is prepared in a tablet form. In another embodiment it is prepared as a powder. The effectiveness of both forms is about the same and the choice of one over the other is only a matter of preferences and processing convenience.
The same purpose may be served by optionally extracting with a solvent/water. In the solution add at least one of a solvent, a stabilizer, a thickener and a combination thereof. The solution/mixture is filtered to get final product or similar processes known to be one of the reasonable skilled in the art.
The formulation of present invention is a composition for treating intestinal infection wherein said intestinal infection is at least one of a vectorial infection, a bacterial infection, a fungal infection, a protozoan infection, a viral infection, and a combination thereof. Particularly said composition used for the treatment and prevention of bacterial infection.
Exemplary illustrations of the operation of the present invention, the practice of its formulation and the rendering of the disclosed process are described in the following examples/charts. In addition to the preferred modes of operation, a practitioner of sufficient skill in the art will appreciate that the metes and bounds of the present invention are not limited by the specific instances described herein, rather are defined by the equivalents provided by the claims of the present invention.
EXAMPLE 1
The process of preparing the formulation of the present invention generally comprises the following:
The washed and dried (at room temperature) young tender shoots of Allium sativum, Acorus calamus, Alstonia scholaris, Carissa spinarum, Cissampelos pareria, Chenopodium ambrosioides, Moringa olifera, Paederia foetida, Shorea robusta, Piper nigrum, Pueraria tuberosa, Ocimum sanctum, Terminalia bellirica, Tinospora cordifolia and Zingiber officinale, were separately grounded into fine powder. 30 gm of each powder was extracted separately at room temperature with water in about the ratio of 1:3 w/v for 24-48 hours. All the extracts thus obtained were mixed together to form a concoction and filtered using bacterial filter (0.22 mμ). From the resultant filtrate the solvent was evaporated under reduced pressure in an Eyela Centrifugal Evaporator (Japan) at 45° C. to get a semi-solid extract. Similarly a semisolid extract was obtained using methanol. Both the semisolid extracts were dried further and kept at a vacuum dessicator at 40° C. for future use. The percentage yield of both the extracts was determined and used for further experiment after suspending in suitable solution.
The aforementioned formulation appears to demonstrate very effective results ex-situ and in-situ. In the trials conducted by the inventor, by taking about 10-15 grams young tender shoots (fresh or dried) is ground along with a cup of water and filtered. The extract is given orally to the bacterial infected patient.
The said formulation used on several bacterial infected peoples and result was positive. The same formulation has been tested by Indian Council Medical Research against the causal organisms showing positive result.
In Vitro Antibacterial Activity
Initially, a total of forty fully characterised human isolates (obtained from different clinical and epidemiological studies of National Institute for Cholera and Enteric Diseases) of Salmonella enterica serovar Typhi, and strains of other enteric bacteria like Vibrio cholerae (25), Shigella dysenteriae (10), Shigella flexneri (10), Escherichia coli (20), along with two standard strains E. coli ATCC 25922 (American Type of Culture Collection, US) and Salmonella typhi MTCC 734 (Microbial type of Culture Collection, Chandigarh).
Media: Peptone water (PW; Oxoid brand, UK.), nutrient broth (NB; Oxoid), Mac conkey Agar (Mac; Difco, Detroit, USA), Triple sugar iron Agar (TSI, Difco, Detroit, USA) and Mueller Hinton broth (MHB; Difco, Detroit, USA) and other necessary media purchased from respective manufacturers, and peptone agar (PA), nutrient agar (NA), and Mueller Hinton agar (MHA) was prepared by adding agar to the respective liquid media, according to National Committee for Clinical Laboratory Standards guidelines (NCCLS, 2003), and used for determining minimum inhibitory concentration (MIC) of the extract.
Determination of MIC of the extracts: Both broth and agar dilution methods was used to determine the MIC of the extract with respect to different test bacteria (Chattopadhyay et al., 1998; British Society for Antimicrobial Chemotherapy. A guide to sensitivity testing, 1991). For these methods, extracts was added to each tube or plate at doubling dilutions [concentrations of 0 (control) and concentrations ranging from about 50-3000 μg/ml]. Since one solid agar medium containing the extract could be used for inoculation of a large number of bacteria at a time, this was done at least three times for every test bacterium (NCCLS protocol, 2003; Chattopadhyay et al. 1998, 2002). Further depending upon the range giving maximum activity the concentrations were narrowed down.
The preliminary In vitro antibacterial study revealed that, the both aqueous and methanolic extract of aforesaid formulation has shown considerable antibacterial activity on S. typhi, V. cholerae and Shigella flexneri and Shigella dysenteriae with MIC90<1000 μg/ml.
EXAMPLE 2







TABLE 1







(Minimum Inhibitory Concentration) of formulation


extracts against Salmonella typhi serovar typhi













Antibiograms




Formulation
(antibiotics to












Strain
Aqueous
Methanolic
which the strain


Organisms
number
μg/ml.
μg/ml.
is resistant)





Salmonella typhi
A-102
350
512
—


serovar typhi
A-118
350
450
—



A-1014
350
450
Cr Ar SXTr Nar



A-1672
350
450
Cr Ar SXTr Nar



A-2467
350
450
—



B-111
450
512
—



B-1868
450
512
Cr Ar SXTr NAr






Tr



B-3235
350
512
Cr Ar SXTr Nar



B-3274
350
450
Cr Ar SXTr Nar



B-3385
250
450
Cr Ar SXTr Nar



B-7273
350
512
—



C-145
350
450
—



C-294
450
512
—



C-2114
350
450
SXTr NAr CIPr






OFXr



C-2115
350
256
SXTr NAr CIPr



C-2633
350
550
Cr Ar SXTr NAr






Tr



C-3482
350
450
Cr Ar SXTr Nar



C-3495
450
550
Cr Ar SXTr Nar



C-3634
350
512
—



C-3891
250
550
—



C-4401
350
450
—



C-4903
350
512
—



C-4932
350
450
—



C-5685
450
450
—



C-7087
350
512
—



D-878 
450
450
—



D-1604
350
450
Cr Ar SXTr Nar



D-1716
350
550
Cr Ar SXTr Nar



D-2190
350
450
Cr Ar SXTr Nar



D-7372
350
512
—



D-7652
350
512
—



D-7672
450
450
—



E-856 
350
450
Cr Ar SXTr Nar



E-860 
350
512
Cr Ar SXTr Nar



E-1349
350
512
—



E-1590
250
450
Cr Ar SXTr Nar



E-2990
350
450
—



E-3316
350
450
—



E-3404
350
450
—



G-1846
450
512
—


S. typhi
MTCC734
350
550
—









Ar—ampicillin resistant; Cr—chloramphenicol resistant; Tr—tetracycline resistant; Qr—cotrimoxazole resistant; NAr—nalidixic Acid resistant; NORr—norfloxacin resistant; SXTr—sulphamethoxazole and trimethoprim resistant; CIPr—ciprofloxacin resistant; OFXr—, ofloxacin resistant; Amcr—amoxicillin with clavulanic acid resistant; CTXr—cefotaxime resistant; NORr—norfloxacin resistant.
EXAMPLE 3







TABLE 2







Minimum inhibitory concentrations (MIC) of


formulation extracts against Vibrio cholerae













Antibiograms




Formulation
(antibiotics to which












Strain
Aqueous
Methanolic
the strain is


Organisms
number
μg/ml.
μg/ml.
resistant)






A-5345
850
500
—



A-5351
850
500
—


V. cholerae
A-5361
850
550
—



A-5363
850
500
—



A-5382
850
500
—



B-10079
850
500
—



C-11360
850
500
—



C-11374
850
500
—



C-11386
900
500
—



F-3004
850
500
—



F-3010 
850
500
—



F-3017 
900
500
—



F-3020 
850
550
—



F-3025 
850
500
—



F-3044 
850
550
—



F-3071 
850
500
—



F-3080 
850
500
—



F-3093 
850
550
—



F-3120 
850
500
—



F-3449 
850
500
—



F-3462 
900
500
—



F-3463 
850
500
—



G-3248 
850
500
—



G-3289 
850
500
—



K-1510 
850
500
—


E. coli ATCC
25922
850
550
—
















TABLE 3







Minimum inhibitory concentration of


formulation extracts against Shigella Sp.












Formulation
Antibiograms












Strain
Aqueous
Methanolic
(antibiotics to which


Organisms
number
μg/ml.
μg/ml.
the strain is resistant)





S. flexneri 2a
 7061
150
150
Ar Cr Tr Qr NAr NORr






CIPr OFXr Amcr



 7062
150
200
Ar Cr Tr Qr NAr NORr






CIPr OFXr Amcr



 7103
150
150
Ar Cr Tr Qr NAr NORr






CIPr OFXr Amcr



 7146
150
200
Ar Cr Tr Qr NAr NORr






CIPr OFXr Amcr



 7151
200
200
Ar Cr Tr Qr NAr NORr






CIPr OFXr Amcr



 7160
150
150
Ar Cr Tr Qr NAr NORr






CIPr OFXr Amcr



 7163
150
150
Ar Cr Tr NAr NORr






CIPr OFXr Amcr



 7171
150
150
Ar Cr Tr Qr NAr NORr






CIPr OFXr Amcr



 7179
150
150
Ar Cr Tr NAr NORr






CIPr OFXr Amcr



 7217
200
150
Ar Cr Tr Qr NAr NORr






CIPr OFXr Amcr



 7244
150
150
Ar Cr Tr Qr NAr CIPr






OFXr Amcr


S. dysenteriae1
 4446
550
700
Ar Cr Tr Qr NAr NORr






CIPr Amx*



 4717
550
700
Ar Cr T* Qr NAr






NORr CIPr



 4834
600
800
Ar Cr Tr Qr NAr CIPr






Amxr



 4906
550
700
Ar Cr TrQr NAr NORr






CIPr Amxr



 4957
550
800
Ar Cr Tr Qr NAr NORr






CIPr Amx*



 5168
550
700
Ar Cr Tr Qr NAr NORr






CIPr Amx*



 5235
550
700
Ar Cr Tr Qr NAr NORr






CIPr Amxr



 5282
600
800
Ar Cr Tr Qr NAr NORr






CIPr Amx*



 5287
550
700
Ar Cr Tr Qr NAr NORr






CIPr Amxr CTX*


E. coli ATCC
25922
800
800
—









Ar—ampicillin resistant; Cr—chloramphenicol resistant; Tr—tetracycline resistant; Qr—cotrimoxazole resistant; NAr—nalidixic Acid resistant; NORr—norfloxacin resistant; SXTr—sulphamethoxazole and trimethoprim resistant; CIPr—ciprofloxacin resistant; OFXr—ofloxacin resistant; Amcr—amoxicillin with clavulanic acid resistant; NAr—nalidixic acid resistant; CTXr—cefotaxime resistant; NORr—norfloxacin resistant; *—intermediate; T*—tetracycline intermediate resistant; CTX*—cefotaxime intermediate resistant; Amxr—amoxicillin resistant; Amx*—amoxicillin intermediate resistant







TABLE 4







Minimum inhibitory concentration


of formulation extracts against E. coli.












formulation
Antibiograms












Strain 
Aqueous
Methanolic
(antibiotics to which


Organisms
number
μg/ml.
μg/ml.
the strain is resistant)





E. coli (EAEC)
BCH-104
2300
2800
—



BCH-135
2200
2800
—



BCH-152
2200
2800
—



BCH-157
2200
2900
—



BCH-189
2100
2600
—



BCH-197
2200
2900
—



BCH-220
2200
2800
—



BCH-223
2100
2600
—



BCH-231
2300
2900
—



BCH-233
2200
2800
—


E. coli ATCC
25922
—
—
—
















TABLE 5







Minimum inhibitory concentration (MIC) of


formulation extracts against Salmonella typhi,


S. flexneri 2a, S. dysenteriae1, V. cholerae and E. coli.












Methanolic Extract
Aqueous Extract














Extract
Inhibited
Extract
Inhibited



Plants
conc.
Strain
conc.
Strain


Organisms
Name
(μg/ml)
numbers
(μg/ml)
numbers





Salmonella typhi
formulation
 256
01
 250
03


serovar Typhi

 450
21
 350
29




 512
14
 450
08




 550
04
—
—


S. flexneri 2a
formulation
 150
08
 150
09




 200
03
 200
02


S. dysenteriae
formulation 
 700
06
 550
07




 800
03
 600
02


V. cholerae
formulation
 500
21
 850
22




 550
04
 900
03


E. coli (EAEC)
formulation
2600
02
2100
02




2800
05
2200
06




2900
03
2300
02









Conclusion of Tables:

    
    
        Work was undertaken on 40 strains of S. typhi (Table-1). Out of these 40 strains, 17 were found resistant to minimum 4 modern antibiotics. To all these strains the crude extract showed inhibition at the concentration ranging from 250-450 μg/ml (aqueous extract) and 256-550 μg/ml (Methanolic extract). To antibiotic non-resistant strains also inhibition concentration was ranging from 250-550 μg/ml.
        On a similar pattern the formulation extract was tested against 25 strains of Vibrio chloreae non-resistant strains (Table-2). Interestingly extract was inhibitory to V. chloreae also at 500-900 μg/ml.
        Encouraging results were obtained for all antibiotic resistant strains of Shigella sp. Range of concentration was 150-200 μg/ml for S. flexneri 2a and 550-800 μg/ml for S. dysenteriae (Table-3).
        On further test against E. coli (10strains), extract was effective at slightly higher concentration of 2100-2900 μg/ml.
    
    


Table 5 summarizes the entire experimentation highlighting the potential of the formulation extracts against typhoid and related disease causing bacterial, even in its crude form as compared to the purified form of modern antibiotics.
The amount of formulation used for prevention and treatment of bacterial infections is usually sufficient for usage by individual user or by a number of users. It is generally possible to additively scale up the quantities depending upon need, by proportionately scaling up of the constituents. It would be possible, without undue experimentation, to one of ordinary skill in the art to perform the scale-up of the formulations to nearly a thousand-fold capacity of the formulation, without substantive loss in formulation efficacy.
While the invention may be susceptible to various modifications and alternative forms, specific embodiments have been shown by way of example and have been described in detail herein. However, it should be understood that the invention is not intended to be limited to the particular forms disclosed. Rather, the invention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the invention as defined by the following appended claims.

## Claims

1. A process for preparing a formulation for treatment of bacterial infections, said process comprising the step of:
(a) preparing an extract of each of the following plants: Allium sativum, Acorus calamus, Alstonia scholaris, Carissa spinarum, Cissampelos pareira, Chenopodium ambrosioides, Moringa oleifera, Paederia foetida, Shorea robusta, Piper nigrum, Pueraria tuberosa, Ocimum sanctum, Terminalia bellirica, Tinospora cordifolia and Zingiber officinale; and
(b) mixing the extracts to provide the formulation.

2. The process of claim 1, wherein the extract is at least one of a shoot extract, a rhizome extract, a leaf extract, a seed extract, a bud extract, a tender shoot extract, a root extract, a flower extract, a fruit extract, plant bark extract and a combination thereof.

3. The process of claim 1, wherein the extract is selected from at least one of a leaf, a bud, a tender shoot, and a combination thereof.

4. The process of claim 1, wherein the formulation comprises at least one of a solvent, a stabilizer, an emulsifier, a buffer, a preservative, an enhancer, a thickener, and a combination thereof.

5. The process of claim 1, wherein the bacterial infection is Salmonella typhi.

6. The process of claim 1, wherein the bacterial infection is Vibrio cholerae.

7. The process of claim 1, wherein the bacterial infection is Shigella flexneri.