The Broth Dilution Method and the Variability of Its Factors
Broth dilution method: brief description and variability of the inherent factors
The 2 basic methods used to determine the antimicrobial activity of natural products are the diffusion and the dilution method. The first one is not described in this paper because we believe that this method is not appropriate for the complex volatile hydrophobic nature of the essential oils [11], [13]. The low water solubility coefficient of the essential oil in the agar makes the inhibition zone incomparable with the results obtained by the dilution method [9], [13]. For example, Ghabraie et al. [14] used the 2 methods to test the antibacterial activity of several essential oils, and the activities against the same strain of S. aureus were different with each method. With the diffusion method (4 µl applied in a 6-mm diameter cellulose test disc), ajowan was the most active (twice the inhibition zone of Chinese
cinnamon), while in the dilution method, the Chinese cinnamon (MIC = 470 ppm) showed antibacterial activity at an MIC lower than the ajowan (MIC = 3750 ppm). This is why we decided to focus on the dilution method, in which we always used a cosolvent (usually DMSO or Tween) to ensure the complete dissolution of the compounds contained in the essential oils. The importance of this cosolvent will be discussed later on.
The Clinical & Laboratory Standards Institute (CLSI) provides universal guidelines to test products against different pathogens [15]. Briefly, for bacteria that grow aerobically such as S. aureus, the broth dilution method consists of a serial dilution of the essential oil on microplates (microdilution) or in tubes (macrodilution). The inoculum is then added, and, after an incubation period, the minimal inhibitory concentration (MIC) is determined. The MIC is determined by the naked eye and corresponds to the lowest well or tube where the bacteria growth is totally inhibited [16]. At this point, 3 factors can already be a source of variability: the medium, the inoculum, or the incubation period. Nevertheless, the CLSI standards precisely state the optimal procedure that they use for pure compounds: Mueller Hinton broth is the reference medium; the inoculum should be done by the suspension method with
colonies less than 18 – 24 h old and with a final density of 5 × 105 CFU/mL; the tubes or the plates should be incubated at 35 °C ± 2 °C for 16 – 20 h [15]. The same parameters are also recommended by the European Committee on Antimicrobial Susceptibility Testing (EUCAST), which includes references to the International Standards Organization (ISO) recommendations [17]. These 3 parameters should not be open to variability, and the authors should be aware of these standards and apply them. The standardization of these parameters will not be discussed further in this paper.
Three major factors will be discussed in this paper: the chemical composition of the essential oil, the selected strains, and the controls to perform when testing essential oils by the broth dilution method. [Table 1] reviews all the variable components discussed above for L. stoechas L. and Trachyspermum ammi (L.) Sprague.
Table 1 Factors inherent to the plant (extraction or commercial, the organ, the geographical origin, and the chemical composition), the strain (clinical or reference), the methodology (dilution method, solvent, and controls), and the antibacterial activity results obtained from Trachyspermum ammi and Lavandula stoechas against Staphylococcus aureus strains.
|
Ext./CM
|
Organ
|
Origin
|
Chemical composition
|
Clinical
|
Reference
|
Method
|
Solvent
|
Controls
|
Results
|
IF (year)
|
REF
|
AMP: ampicillin; ASC: ascorbic acid; C+: positive control; C−: negative control; CHL: chloramphenicol; CIP: ciprofloxacin; CM: commercial; EO: essential oil; ext: extraction; GC: growth control; GEN: gentamicin; HD: hydrodistillation; MacroD: macrodilution; MicroD: microdilution; MRSA: methicillin resistant Staphylococcus aureus; MSSA: methicillin sensitive S. aureus; na: not available in JCR [57], nd: not defined in the article; nt: not tested in the article; NGC: nongrowth control; OXA: oxacillin; REF: reference; SC: solvent control; STR: streptomycin
|
Trachyspermum ammi
|
HD
|
seeds
|
Iran
|
1st: thymol (74%) 2nd: p-cymene (16%) 3rd: γ-terpinene (7%)
|
n = 15 (burn wound infections)
|
ATCC 29 213
|
MicroD
|
nd
|
C+: thymol
|
< 0.02% v/v
|
1.161 (2016)
|
[28]
|
CM
|
seeds
|
India
|
1st: γ-terpinene (36.4%) 2nd: thymol (32.35%) 3rd: p-cymene (24.72%)
|
nt
|
ATCC 29 213
|
MicroD
|
Tween (5%) and water (92.5%)
|
C+: GC C-: NGC SC
|
3750 ppm
|
na (2016)
|
[14]
|
HD
|
seeds
|
Iran
|
1st: γ-terpinene (48.07%) 2nd: p-cymene (33.73%) 3rd: thymol (17.41%)
|
nt
|
ATCC 25 923 (a), 29 213 (b), and 700 698 (c)
|
MicroD
|
nd
|
NGC GC
|
(a): 1 µL/mL (b): 0.5 µL/mL (c): 2 µL/mL
|
na (2015)
|
[51]
|
HD
|
seeds
|
Iran
|
1st: thymol (36.7%) 2nd: γ-terpinene (36.5%) 3rd: p-cymene (21.1%)
|
nt
|
ATCC 29 213
|
MacroD
|
Tween 80 (0.002% v/v)
|
GC
|
0.031% (v/v)
|
na (2011)
|
[48]
|
HD
|
nd
|
Iran ecotype (ECT) A and B
|
ECT A: 1st: γ-terpinene (48.07%); 2nd: p-cymene (33.73%); 3rd: thymol (17.41%) ECT B: 1st: γ-terpinene (50.22%); 2nd: p-cymene (31.90%)
|
n = 6 MRSA n = 6 MSSA
|
ATCC 25 923 and 700 698
|
MicroD
|
nd
|
NGC GC
|
MRSA ECT A: 1 – 8 µL/mL ECT B: 2 – 8 µL/mL MSSA ECT A: 1 – 8 µL/mL ECT B: 2 – 16 µL/mL
|
0.436 (2011)
|
[52]
|
HD
|
nd
|
Iran
|
1st: thymol (36.7%) 2nd: γ-terpinene (36.5%) 3rd: p-cymene (21.1%)
|
nt
|
ATCC 25 923 (a), 29 213 (b), and 700 698 (c)
|
MicroD
|
nd
|
NGC GC
|
(a): 0.5 µL/mL (b): 1 µL/mL (c): 1 µL/mL
|
na (2015)
|
[53]
|
HD
|
fruits
|
Iran
|
1st: thymol (67.4%) 2nd: p-cymene (17.9%) 3rd: γ-terpinene (11.3%)
|
nt
|
ATCC 25 923
|
MicroD
|
DMSO (1 : 3 v/v)
|
C+: CIP
|
EO: 500 µg/mL CIP: 0.25 µg/mL
|
4.553 (2016)
|
[30]
|
HD
|
fruits
|
Iran
|
1st: thymol (41.7%) 2nd: γ-terpinene (30.2%) 3rd: p-cymene (19%)
|
nt
|
PTCC 1112
|
MicroD
|
DMSO (10%)
|
GC: DMSO NGC
|
0.312 ± 0.09 µL/mL
|
0.871 (2015)
|
[31]
|
HD
|
seeds
|
Iran
|
1st: thymol (63.42%) 2nd: p-cymene (19%) 3rd: γ-terpinene (16.89%)
|
nt
|
ATCC 6538
|
MicroD
|
DMSO (10%)
|
C+: DMSO C−: NGC
|
500 ppm
|
1.159 (2014)
|
[29]
|
HD
|
seeds
|
Iran
|
1st: thymol (23.14%) 2nd: sabinene (17.51%) 3rd: borneol (10.14%)
|
nt
|
ATCC 25 923
|
MicroD
|
nd
|
C+: AMP
|
EO: 10 µg/mL (± 0.02) AMP: 20 µg/mL (± 0.12)
|
1.2 (2015)
|
[24]
|
HD
|
seeds
|
Iran
|
nt
|
n = 12 (urinary tract)
|
nt
|
MicroD
|
Tween 80 (0.5% v/v)
|
nd
|
50 à 100 ppm
|
na (2014)
|
[49]
|
HD
|
fruits
|
India
|
1st: thymol (49.64%) 2nd: β-cymene (16.33%)
|
nt
|
ATCC 6538 (a), KCTC 1916 (b)
|
MicroD
|
methanol (1 : 5 w/v)
|
nd
|
(a): 162.5 µg/mL (b): 175 µg/mL
|
2.656 (2011)
|
[25]
|
HD
|
seeds
|
nd
|
1st: thymol (48.4%) 2nd: p-cymene (21.8%) 3rd: γ-terpinene (21.3%)
|
nt
|
ATCC 25 923
|
MicroD
|
DMSO (5.0% v/v)
|
GC: DMSO NGC: DMSO + oil C+: CHL and ASC
|
EO: 0.06 mg/mL CHL: 0.09 mg/mL ASC: 1 mg/mL
|
3.458 (2010)
|
[21]
|
HD
|
fruits
|
Iran
|
1st: thymol (72.3%) 2nd: terpinolene (13.12%) 3rd: p-cymene (11.97%)
|
nt
|
PTCC 1337
|
MicroD
|
Tween 80 (4 : 6)
|
GC C+: GEN
|
0.00025% (v/v)
|
3.268 (2011)
|
[50]
|
Lavandula stoechas
|
HD
|
flowers
|
Iran
|
camphor (60.53%) and 1,8-cineol (11.48%)
|
nt
|
col
|
MicroD
|
Arabic gum
|
C+: GEN C−: Arabic gom
|
1.51 µL/mL
|
na (2016)
|
[47]
|
HD
|
aerial parts
|
Morocco
|
nt
|
n = 1 (hospital)
|
nt
|
MacroD
|
Tween 80 (50/50 v/v)
|
GC
|
0.17 mg/mL
|
na (2016)
|
[36]
|
nd
|
nd
|
India
|
nt
|
nd
|
nd
|
MicroD
|
Triton × 100
|
C+: STR
|
EO: 50 µg/mL STR: 6.25 µg/mL
|
na (2013)
|
[37]
|
HD
|
flowers
|
Lebanon
|
α-fenchone (36.2%) and camphor (18%)
|
nt
|
ATCC 29 213
|
MicroD
|
DMSO
|
C+: OXA
|
EO: 128 µg/mL OXA: 0.5 µg/mL
|
1.74 (2016)
|
[22]
|
HD
|
nd
|
Algeria
|
fenchone (48%) and camphor (21.1%)
|
n = 1 (S19) (pus)
|
ATCC 43 300 (MRSA) and 25 922 (MSSA)
|
MacroD
|
Tween 80 (0.5% v/v)
|
GC: Tween 80
|
S19: 0.3 µL/mL 43 300: 4.7 µL/mL 25 922: 1.2 µL/mL
|
0.972 (2016)
|
[41]
|
HD
|
aerial parts
|
Morocco
|
camphor (36.14%), 1,8-cineole (25.16%), camphene (11.44%), and fenchone (9.08%)
|
n = 2 (food samples)
|
nt
|
MacroD
|
DMSO (5%)
|
GC SC
|
2.5 µL/mL
|
na (2016)
|
[46]
|
HD
|
nd
|
Morocco
|
nt
|
n = 1 (urinary sample)
|
nt
|
MicroD
|
DMSO
|
C+: GC C−: DMSO
|
0.25% v/v
|
na (2016)
|
[38]
|
HD
|
aerial parts
|
Morocco
|
10 s,11 s-himachala-3(12),4-diene (23.62%) and cubenol (16.35%)
|
nt
|
STCC 976
|
MicroD
|
Tween 80 (0.5% v/v)
|
nd
|
2 µL/mL
|
3.273 (2014)
|
[40]
|
HD
|
aerial parts
|
Morocco
|
fenchone (31.81%), camphor (29.60%), terpineol (13.1%), menthone (8.96%), and eucalyptol (5.88%)
|
MBLA
|
CECT 976 and 994
|
MicroD
|
agar (0.15% v⁄ v)
|
GC
|
MBLA: 0.5% v/v 976: 2% v/v 994: 1% v/v
|
na (2017)
|
[39]
|
HD
|
leaves (L) and flowers (F)
|
Turkey
|
L: α-fenchone (41.9%), 1,8-cineole (15.6%), and camphor (12.1%) F: α-fenchone (39.2%), myrtenyl acetate (9.5%), and camphor (5.9%)
|
n = 1 MRSA (hospital)
|
nt
|
MicroD
|
DMSO (20%)
|
GC C+: CHL and AMP
|
L: 125 µg/mL F: 31.25 µg/mL CHL: 31.25 µg/mL AMP: 250 µg/mL
|
0.745 (2009)
|
[42]
|
Variabilities on the chemical composition of essential oils
Many parameters can influence the variability of the chemical composition of essential oils, such as the genotype, the climate, seasonal variations, the soil composition, the plant organ, or the harvesting period [18]. Since 1968, the term chemotype has been used to characterize individuals morphologically identical but with a variation in the secondary metabolism. Due to all the abiotic and biotic factors that can influence the chemical profile of an essential oil, it is very difficult to identify and clearly describe a chemotype. Among the essential oils, despite the high chemical variability, not all of them are assigned by defined chemotypes [19], [20].
Three conditions having a major impact on the chemical composition of essential oils are the geographical plant origin, the organ, and the extractive method used. A good research practice would be to always report at least these 3 parameters in all papers. In the first case, it is usual to record the country of origin, but some authors forget to indicate this information [21]. However, some authors, such as Khoury et al. [22], described perfectly the conditions of the harvested plant (region, district, GPS location, altitude, collection date, and voucher number). In their paper, the authors analyzed the antimicrobial activity of 11 Lamiaceae species harvested in Lebanon and looked at the chemical composition of the essential oil while also comparing it to other papers. Even when commercial extracts are used, the geographical origin and the used part should be mentioned. Ghabraie et al. [14] tested 32 commercial essential oils for their antibacterial activity, and they specified the origin, the distilled part, and the chemical composition. The correct botanical identification of the organ is also important. In the case of the ajowan, the fruit and the seed refers to the same organ, which is actually generalized as the fruit of T. ammi. In [Table 1], the term used by the authors were maintained. Regarding the extraction method, an essential oil is defined by the European pharmacopeia as “Odorous product, usually of complex composition, obtained from a botanically defined plant raw material by steam distillation, dry distillation, or a suitable mechanical process without heating. Essential oils are usually separated from the aqueous phase by a physical process that does not significantly affect their composition” [23]. Then, the 3 methods are briefly described. As the extraction
method can significantly change the chemical composition, it should always be done according to the European Pharmacopeia.
One of the most analytical techniques used to obtain the chemical content of essential oils is gas chromatography, which most of the time is coupled with a mass spectrometry detector [23]. The use of this analytical technique should be mandatory in all papers and should be correctly performed with a minimum of 3 separate injections. The use of a polar or apolar column should also be mentioned. The best approach would be to use both. Some manufacturers of commercial essential oil actually furnish the chemical analysis and the complete experimental conditions. This is why, even when a commercial essential oil is used, the chemical composition should be mentioned in the paper [14]. The usual major compounds of the essential oils are commonly known, so the best practices would be to test them all if they are commercially available. For example, Kazemi et al. [24] identified only 66.92%
of all the compounds in T. ammi, but p-cymene which is known to be one of the major compounds (content of at least 16%), was surprisingly not in the list of the tested compounds. The accurate writing of the compounds is also important. Paul et al. [25] identified 2 major compounds, thymol and β-cymene, in the essential oil obtained after the hydrodistillation of the fruits of T. ammi harvested in India. According to PubChem [26], β-cymene is a synonym of m-cymene, a non-natural isomer of the p-cymene [27]. In this case, do Paul et al. [25] confuse β-cymene with the p-cymene? In their study, this compound (β-cymene) is present at 16.33%, a concentration similar to the ones reported by several authors for p-cymene in T. ammi
[28], [29], [30], [31]. Regarding the general composition, only Kazemi et al. [24] identified a completely different composition for T. ammi. In their study, the seeds were collected in Iran, and the essential oils were extracted by hydrodistillation according to the European pharmacopeia. In all the other papers, thymol and γ-terpinene were reported mostly as the major compounds (results presented in [Table 1]). A second example is L. stoechas, an essential oil well-known for its variable chemical composition depending on many factors such as the geographic origin, the cultivars, and/or the environmental factors [32], [33], [34], [35]. The data presented by some authors would be more interpretable if
they had added the chemical composition [36], [37], [38].
Variabilities and incomplete information about the strains
In their review, Cos et al. [9] provide a recommended panel of microorganisms to be tested including Gram-positive and Gram-negative. Some authors only test their extracts on a single bacterium, which cannot be considered as a screening. The focus of this review is the comparison of results, and, to allow comparison, a standardized strain should always be tested [13]. How can we manage that when the strain is not issued from a reference collection and/or the number or the origin is not clearly specified? Indeed, some papers do not specify whether the tested S. aureus is a clinical or a reference strain [37], [39], and sometimes the reference number of the strain is unclear. For example, Cherrat et al. [40] tested L. stoechas essential oil against 5 Gram-positive and 4 Gram-negative. Among the Gram-positive, they
mentioned an STCC 976 from the Spanish Collection of Type Cultures. After a quick search, it appears that the correct reference for this strain is CECT 976. Bouyahya et al. [39] also used strains from the STCC to test the antibacterial activity of L. stoechas essential oil, but when checking the reference numbers for this review, it appears that S. aureus CECT 994 refers to Streptococcus uberis and not to an S. aureus strain.
Another problem is that the clinical strains are many times not described or characterized by an antibiogram, and comparison is difficult with such incomplete information. Also, if an antibiogram is performed, it should be mentioned in the paper. For example, before showing the MIC of the essential oil of L. stoechas, Chebaibi et al. [38] presented a table with the sensitivity of all the clinical strains towards a large panel of antibiotics. Hosseinkhani et al. [28] also performed an antibiogram on Mueller Hinton agar with 8 different classes of antibiotics for each clinical strain and classified them as multidrug-resistant when they were resistant to more than 3 different antibiotics classes. However, all the strains, including the reference ATCC strain, showed the same MIC (< 0.02 v/v), which is very odd given the differences observed in the resistances. The authors did not comment on this unusual
result [28]. Even in the case of a reference strain, it could be interesting to check if its resistance is within the ranges observed for a reported sensitive or resistant S. aureus. Sometimes mentioning the resistance of the strains (resistant [MRSA] or sensitive [MSSA] Staphylococcus aureus) without presenting the results could be acceptable. Bekka-Hadji et al. [41] did not present the results of an antibiogram but mentioned that the clinical strain used to test the essential oil of L. stoechas was identified by PCR as an MRSA, and they correctly used 2 reference strains (1 MRSA and 1 MSSA) as controls. Also in a study by Kirmizibekmez et al. [42], a clinical strain was used and defined as an MRSA, and indeed, when checked for this review, the 2 positive controls, chloramphenicol and ampicillin, were in the ranges of resistance according to the EUCAST
breakpoints tables [43].
Controls: unheeded and yet so important
The EUCAST advises the use of a growth and nongrowth control as a basis. These controls are important to verify, respectively, if the strain is correctly growing and if the medium is sterile. Other controls are also required to establish a good interpretation of the results and guarantee a good analysis of the antibacterial activity.
Essential oils are highly hydrophobic and viscous. The use of a solubilizing agent is necessary to allow the distribution of all the oil in the medium. The most commonly used are Tween 80 and DMSO. The role of those emulsifying agents in the antibacterial activity of essential oil is not quite clear, especially for the Tweens [10], [44], [45]. Ideally, the solvent used to dilute the essential oils should be tested at the same concentrations alone against all the tested strains. This solvent control is important to check if it possesses any antibacterial activity (bacteriostatic or bactericidal) by itself at the tested concentration. Following this good practice, only some authors specified that the solvent control was performed [14], [46]. Sadani et al. [47] tested their solvent control but used
an unusual one, the Arabic gum. Unfortunately, most of the authors did not check the solvent antibacterial activity [22], [25], [30], [36], [37], [40], [42], [48], [49], [50] or if it was done, it was not mentioned. In other cases, the use of a solvent is not mentioned at all [24], [28], [51], [52], [53].
Another important control that should always be done is a positive control, with either an antibiotic or a compound known to be active against the selected strain. For example, Hosseinkhani et al. [28] used thymol as a positive control, but unfortunately, the results of its MIC against the tested strains are not mentioned. This is also the case of other authors [47], [50]. In our point of view, readers have to be informed of all mentioned data. An antibiotic can also be tested as a positive control. Very few authors performed such positive control and presented the results [21], [22], [24], [30], [37], [42].
Some authors also mix the controls. The growth control is often confused with the solvent control [21], [31], [41] or with the positive control [14], [38]. The nongrowth control should not be called a negative control [14], [29] since, by definition, a negative control is the use of a compound without activity. Chebaibi et al. [38] and Sadani et al. [47] wrongly described the solvent control as a negative control while Gandomi et al. [29] also wrongly described it as a positive control, to our point of view.
Disparity in the results and importance of all the mentioned factors
The numerical data of the results presented in [Table 1] were kept in their original form. However, it would be appropriate to use uniform units of concentration. EUCAST favors the expression of MIC by mg/L or µg/mL [17]. The results of antibiotics breakpoints presented by the CLSI standards are also expressed in µg/mL [54]. Why complicate the comparison of results by expressing them in non-recommended units? As we can see in [Table 1], most of the authors do not follow or are not aware of those recommendation and expressed their results in % v/v [28], [38], [39], [48], [50], ppm [14], [29], [49], µl/mL [31], [40], [41], [46], [47], [51], [52], [53], or less confusing, in mg/mL [21], [36]. In the following discussion, the results were converted to µg/mL to allow comparisons and better comprehension.
Some examples presented in [Table 1], in which the same plant and strain were tested, are key examples of the importance of a correct description and careful use of the factors mentioned before.
Five authors tested the essential oil of T. ammi against the reference strain ATCC 29 213 [14], [28], [48], [51], [53]. This provides a good example of how results are sometimes not comparable. They used the same strain but the observed MIC varied from less than 20 µg/mL up to 3750 µg/mL. What could explain such variability? Hosseinkhani et al. [28] did not mention if a solvent was used, but the fact that an MIC < 20 µg/mL was found can arise from the chemical composition of the essential oil, which is composed of 74% of thymol. This compound is known for its antibacterial activity [55]. Oppositely, Moein et al. [51] tested an essential oil with a very low amount of thymol (17.41%) but high γ-terpinene (48.07%) and observed
an MIC of 500 µg/mL. The least antibacterial activity was found by Ghabraie et al. [14] with an MIC of 3750 µg/mL. However, Goudarzi et al. [48] tested an essential oil with comparable chemical composition as the one tested by Ghabraie et al. [14] and found an MIC of 31 µg/mL. Analyzing all the factors, the differences between the 2 papers are the geographical plant origin and the Tween 80 amount used to dilute the essential oil: India and 5% [14] versus Iran and 0.002% [48], respectively. As mentioned before, the impact of the Tweens is not known, but the minor compounds due to the different geographical origin can impact the antibacterial activity. Different authors mentioned the possible synergy between several compounds in an essential oil, including the minor ones [56]. Cos et al. [9] stipulated that an extract should only be considered active when the concentration is below 100 µg/mL. In this case, only Hosseinkhani et al. [28] and Goudarzi et al. [48] presented exploitable results.
In 2011, Goudarzi et al. [48] published a study where the seeds of ajowan were described to have a MIC of 31 µg/mL against the strain S. aureus ATCC 29 213. Later on, in 2015, Zomorodian et al. [53] who is also co-author of Goudarzi et al. [48], published results where the same strain was used and with an essential oil of ajowan of the same composition regarding the major compounds. He did not specify the part of the plant or if a cosolvent was used for MIC measurements, but he described a MIC of 1000 µg/mL. The difference in the obtained results can arise from different parameters in the microbiologic methods chosen by the authors: the use of a different cosolvent or/and the different chemical composition due, for example, to inappropriate storage conditions (if the same was used?), etc. At last, we can only make suppositions since Zomorodian et al. [53] did not mention the previous study of Goudarzi et al. [48] and there was no extensive description on the second work.
The chemical composition is highly variable in essential oils, and because L. stoechas does not have defined chemotypes, its variability is indubitable. Just by looking at the results presented in [Table 1], 5 different chemical profiles can be identified: (I) high camphor (60.53%) and no fenchone [47]; (II) camphor and 1,8-cineole as major compounds with low fenchone (9.08%) [46]; (III) the type fenchone-camphor [22], [39], [41]; (IV) fenchone as major compounds with low camphor [42]; (V) and an unusual profile with no camphor and no fenchone [40]. This demonstrates the importance of analyzing the chemical composition. Regarding the results and according to the active threshold mentioned by Cos et al. [9]
all the samples, independent of the chemical profile, are not active. The best MICs were obtained by Khoury et al. [22] with the type fenchone-camphor against a reference strain sensitive to oxacillin (128 µg/ml) and by Kirmizibekmez et al. [42] with the high fenchone and low camphor type against an MRSA clinical strain (125 µg/ml). With other clinical strains, Bekka-Hadji et al. [41] found a MIC of 300 µg/ml, close to the one found by Chebaibi et al. [38] (250 µg/ml). Despite the use of different strains, these comparisons are possible because Khoury et al. [22] correctly specified the number of the reference strain and the other authors presented the results of the characterization of their clinical strains. The same is not possible with the results of Bachiri et al. [36] and Gayatri et al.
[37] who presented neither the chemical composition nor the sensibility of the used strains.
As shown, all the factors to record are important to allow a correct interpretation and perform comparisons of the results between studies. If we want to compare the quality of the articles according to an objective criterion, we can look at the Impact Factor (IF) of the journal at the year of publication. In [Table 1], in the last column, the IF of each article at the published year is indicated (only the IF registered at the Journal of Citations Reports [JCR] [57] were considered). Among the 24 referred articles, only 9 have an IF above 1, and 11 articles have no IF available on the JCR. The highest IF is 4.6 and the lowest is 0.4. Comparing the flaws in the previously mentioned practices and the IF of the articles, there is no evident correlation. Even in journals with an IF above 2, there are mistakes that slipped through the cracks, and, on the contrary, articles that are almost complete can be found in
journals with a low or non-existent IF. At last, it will essentially depend on the authors and reviewers to check if all the parameters are present and good practices have been followed to allow a good interpretation of the data.