P. Nenoff et al., ANTIFUNGAL ACTIVITY OF THE ESSENTIAL OIL OF MELALEUCA-ALTERNIFOLIA (TEA TREE OIL) AGAINST PATHOGENIC FUNGI IN-VITRO, Skin pharmacology, 9(6), 1996, pp. 388-394
The in vitro antifungal activity of tea oil, the essential oil of Mela
leuca alternifolia, has been evaluated against 26 strains of various d
ermatophyte species, 54 yeasts, among them 32 strains of Candida albic
ans and other Candida sp. as well as 22 different Malassezia furfur st
rains. Minimum inhibitory concentrations (MIG) of tea tree oil were me
asured by agar dilution technique. Tea tree oil was found to be able t
o inhibit growth of all clinical fungal isolates. For the investigated
dermatophytes MIC values from 1,112.5 to 4,450.0 mu g/ml with a geome
tric mean of 1,431.5 mu g/ml were demonstrated. Both C. albicans strai
ns and the other strains belonging to the genus Candida and Trichospor
on appeared to be slightly less susceptible to tea tree oil in vitro.
However, their MIC values, which varied from 2,225.0 to 4,450.0 mu g/m
l (geometric mean 4,080 mu g/ml), indicated moderate susceptibility to
the essential oil of M. alternifolia. The lipophilic yeast M. furfur
seemed to be most susceptible to tea tree oil. MIC values between 556.
2 and 4,450.0 mu g/ml (geometric mean 1,261.5 mu g/ml) were found agai
nst the tested M. furfur, strains. However, when calculated as percent
age tea tree oil of the agar, the above-mentioned concentrations corre
spond to 0.5-0.44% tea tree oil content. These values are far below th
e usual relatively high therapeutic concentrations of the agent; appro
ximately 5-10% solution or even the concentrated essential oil are use
d for external treatment. In comparison with tea tree oil, in vitro su
sceptibility against miconazole, an established topical antifungal, wa
s tested. As expected, very low MIC values for miconazole were found f
or dermatophytes (geometric mean 0.2 mu g/ml), yeasts (geometric mean
1.0 mu g/ml), and M. furfur (geometric mean 2.34 mu g/ml). It is sugge
sted that the in vivo effect of tea tree oil ointment in the therapy o
f fungal infections of the skin and mucous membranes as well as in the
treatment of dandruff, a mild form of seborrheic dermatitis, may be a
t least partly due to an antifungal activity of tea tree oil.