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Sarcoptes scabiei paraziti üzerine sirkenin etkisi: in vitro öldürücü aktivitesi

Year 2025, Volume: 50 Issue: 3, 930 - 936, 30.09.2025
https://doi.org/10.17826/cumj.1766908

Abstract

Amaç: Bu çalışmanın amacı, %100, %50 ve %25 konsantrasyonlarındaki sirkenin Sarcoptes scabiei’ye karşı in vitro skabisidal etkilerini araştırmak ve etkinliğini %5 permetrin ile karşılaştırarak alternatif bir tedavi seçeneği olma potansiyelini değerlendirmektir.
Gereç ve Yöntem: Toplam 50 sağlam ve hareketli Sarcoptes scabiei akarı çalışmaya dahil edildi. Akarlar, dermoskopi eşliğinde 22G iğne kullanılarak hastaların tünellerinden çıkarıldı ve yalnızca bütünlüğü bozulmamış ve aktif hareket eden bireyler seçildi. Beş grup değerlendirildi: Grup I (%100 sirke), Grup II (%50 sirke), Grup III (%25 sirke), Grup IV (%5 permetrin; pozitif kontrol) ve Grup V (yağ immersiyonu; negatif kontrol). Yaşam süresi, akarın çözeltiye maruz kalma anından hareketinin tamamen durmasına kadar geçen süre olarak tanımlandı ve bu süreç dijital mikroskopla gerçek zamanlı olarak izlendi. Her grupta 10 akar incelendi.
Bulgular: Grup I’de (%100 sirke; 0,6 ± 0,1 dk), Grup II’de (%50 sirke; 11,8 ± 1,4 dk) ve Grup IV’te (%5 permetrin; 336 ± 37,2 dk) maruziyetten sonraki ilk sekiz saat içinde tüm Sarcoptes scabiei akarlarının ölümü gerçekleşti. Buna karşılık, Grup III’te (%25 sirke; 1782 ± 87,9 dk) ve Grup V’te (yağ immersiyonu; 1836 ± 82,3 dk) akarlar sekizinci saatte canlılığını korudu. Hem seyretilmemiş hem de %50 oranında seyreltilmiş sirke, diğer gruplara kıyasla belirgin derecede daha yüksek skabisidal aktivite gösterdi.
Sonuç: Seyretilmemiş sirke irritan kontakt dermatit riski taşımaktadır. Bununla birlikte, %50 oranında seyreltilmiş üzüm sirkesi belirgin skabisidal etkinliğini korumakta, %5 permetrinden anlamlı derecede yüksek öldürücü etki göstermekte ve aynı zamanda cilt iritasyonu riskini azaltarak daha güvenli bir alternatif oluşturma potansiyeli taşımaktadır.

References

  • Sunderkötter C, Aebischer A, Neufeld M, Löser C, Kreuter A, Bialek R, et al. Increase of scabies in Germany and development of resistant mites? Evidence and consequences. J Dtsch Dermatol Ges. 2019;17:15-23.
  • Uzun S, Durdu M, Yürekli A, Mülayim MK, Akyol M, Velipaşaoğlu S, et al. Clinical practice guidelines for the diagnosis and treatment of scabies. Int J Dermatol. 2024;63:1642-56.
  • Meyersburg D, Kaiser A, Bauer JW. Loss of efficacy of topical 5% permethrin for treating scabies: an Austrian single-center study. J Dermatolog Treat. 2022;33:774-77.
  • Morris G, Haddow L, Sashidharan PN, Savary-Trathen A, Soni S, Bigland C et al. British Association for Sexual Health and HIV national guideline on the management of scabies in adults 2025. Int J STD AIDS. 2025;36:516-32.
  • Elhage KG, St Claire K, Daveluy S. Acetic acid and the skin: a review of vinegar in dermatology. Int J Dermatol. 2022;61:804-11.
  • Beyhan YE, Yilmaz H, Hokelek M. Effects of acetic acid on the viability of Ascaris lumbricoides eggs: is vinegar reliable enough to clean the vegetables? Saudi Med J. 2016;37:288-92.
  • Costa AO, Thomaz-Soccol V, Paulino RC, Alcântara de Castro E. Effect of vinegar on the viability of Giardia duodenalis cysts. Int J Food Microbiol. 2009;128:510-12.
  • Budak NH, Aykin E, Seydim AC, Greene AK, Guzel-Seydim ZB. Functional properties of vinegar. J Food Sci. 2014;79:757-64.
  • Giudici P, Gullo M, Solieri L, Falcone PM. Technological and microbiological aspects of traditional balsamic vinegar and their influence on quality and sensorial properties. Adv Food Nutr Res. 2009;58:137-82.
  • Ryssel H, Kloeters O, Germann G, Schäfer T, Wiedemann G, Oehlbauer M. The antimicrobial effect of acetic acid—an alternative to common local antiseptics? Burns. 2009;35:695-700.
  • Yürekli A, Botsali A, Akoğlu G, Çalışkan E, Tunca M, Ünal İH, et al. How to get a better sample from the scabies tunnel: sampling under Wood’s light. J Am Acad Dermatol. 2025;93:e1-e2.
  • Yürekli A. Is there really resistance to scabies treatment with permethrin? In vitro killing activity of permethrin on Sarcoptes scabiei from patients with resistant scabies. Dermatol Ther. 2022;35:e15260.
  • Mounsey KE, Walton SF, Innes A, Cash-Deans S, McCarthy JS. In vitro efficacy of moxidectin versus ivermectin against Sarcoptes scabiei. Antimicrob Agents Chemother. 2017;61:e00381-17
  • Sengun IY, Kilic G, Ozturk B. Screening physicochemical, microbiological and bioactive properties of fruit vinegars produced from various raw materials. Food Sci Biotechnol. 2020;29:401-408.
  • Baldas B, Altuner EM. The antimicrobial activity of apple cider vinegar and grape vinegar, which are used as a traditional surface disinfectant for fruits and vegetables. Communications Faculty of Sciences University of Ankara Series C Biology. 2018;27:1-10.

The effect of vinegar on the Sarcoptes scabiei parasite: in vitro killing activity

Year 2025, Volume: 50 Issue: 3, 930 - 936, 30.09.2025
https://doi.org/10.17826/cumj.1766908

Abstract

Purpose: The aim of this study was to evaluate the in vitro scabicidal activity of vinegar at concentrations of 100%, 50%, and 25%, and to compare its efficacy with 5% permethrin to determine its potential as an alternative therapeutic option
Materials and Methods: A total of 50 intact and motile Sarcoptes scabiei mites were included. The mites were extracted from patients’ burrows under dermoscopic guidance using a 22G needle, and only intact, actively moving specimens were selected. Five groups were tested: Group I (100% vinegar), Group II (50% vinegar), Group III (25% vinegar), Group IV (5% permethrin; positive control), and Group V (oil immersion; negative control). Survival time was defined as the interval from exposure to the test solution until the complete cessation of mite movement, and this was monitored in real time using a digital microscope. Ten mites were evaluated in each group.
Results: In Group I (100% vinegar; 0.6 ± 0.1 min), Group II (50% vinegar; 11.8 ± 1.4 min), and Group IV (5% permethrin; 336 ± 37.2 min), complete mortality of Sarcoptes scabiei was achieved within the first eight hours of exposure. In contrast, mites in Group III (25% vinegar; 1782 ± 87.9 min) and Group V (oil immersion; 1836 ± 82.3 min) remained viable at the 8-hour evaluation. Both undiluted and 50% vinegar exhibited markedly greater scabicidal activity compared with the other groups.
Conclusion: Although undiluted vinegar carries a risk of irritant contact dermatitis, 50% diluted grape vinegar retains substantial scabicidal efficacy. It exhibited a significantly greater killing effect compared with 5% permethrin while simultaneously reducing the risk of skin irritation, thereby representing a potentially safer alternative.

References

  • Sunderkötter C, Aebischer A, Neufeld M, Löser C, Kreuter A, Bialek R, et al. Increase of scabies in Germany and development of resistant mites? Evidence and consequences. J Dtsch Dermatol Ges. 2019;17:15-23.
  • Uzun S, Durdu M, Yürekli A, Mülayim MK, Akyol M, Velipaşaoğlu S, et al. Clinical practice guidelines for the diagnosis and treatment of scabies. Int J Dermatol. 2024;63:1642-56.
  • Meyersburg D, Kaiser A, Bauer JW. Loss of efficacy of topical 5% permethrin for treating scabies: an Austrian single-center study. J Dermatolog Treat. 2022;33:774-77.
  • Morris G, Haddow L, Sashidharan PN, Savary-Trathen A, Soni S, Bigland C et al. British Association for Sexual Health and HIV national guideline on the management of scabies in adults 2025. Int J STD AIDS. 2025;36:516-32.
  • Elhage KG, St Claire K, Daveluy S. Acetic acid and the skin: a review of vinegar in dermatology. Int J Dermatol. 2022;61:804-11.
  • Beyhan YE, Yilmaz H, Hokelek M. Effects of acetic acid on the viability of Ascaris lumbricoides eggs: is vinegar reliable enough to clean the vegetables? Saudi Med J. 2016;37:288-92.
  • Costa AO, Thomaz-Soccol V, Paulino RC, Alcântara de Castro E. Effect of vinegar on the viability of Giardia duodenalis cysts. Int J Food Microbiol. 2009;128:510-12.
  • Budak NH, Aykin E, Seydim AC, Greene AK, Guzel-Seydim ZB. Functional properties of vinegar. J Food Sci. 2014;79:757-64.
  • Giudici P, Gullo M, Solieri L, Falcone PM. Technological and microbiological aspects of traditional balsamic vinegar and their influence on quality and sensorial properties. Adv Food Nutr Res. 2009;58:137-82.
  • Ryssel H, Kloeters O, Germann G, Schäfer T, Wiedemann G, Oehlbauer M. The antimicrobial effect of acetic acid—an alternative to common local antiseptics? Burns. 2009;35:695-700.
  • Yürekli A, Botsali A, Akoğlu G, Çalışkan E, Tunca M, Ünal İH, et al. How to get a better sample from the scabies tunnel: sampling under Wood’s light. J Am Acad Dermatol. 2025;93:e1-e2.
  • Yürekli A. Is there really resistance to scabies treatment with permethrin? In vitro killing activity of permethrin on Sarcoptes scabiei from patients with resistant scabies. Dermatol Ther. 2022;35:e15260.
  • Mounsey KE, Walton SF, Innes A, Cash-Deans S, McCarthy JS. In vitro efficacy of moxidectin versus ivermectin against Sarcoptes scabiei. Antimicrob Agents Chemother. 2017;61:e00381-17
  • Sengun IY, Kilic G, Ozturk B. Screening physicochemical, microbiological and bioactive properties of fruit vinegars produced from various raw materials. Food Sci Biotechnol. 2020;29:401-408.
  • Baldas B, Altuner EM. The antimicrobial activity of apple cider vinegar and grape vinegar, which are used as a traditional surface disinfectant for fruits and vegetables. Communications Faculty of Sciences University of Ankara Series C Biology. 2018;27:1-10.
There are 15 citations in total.

Details

Primary Language English
Subjects Dermatology
Journal Section Research
Authors

İlkay Can 0000-0002-0115-0321

Aslan Yürekli 0000-0003-2812-2133

Ayşenur Botsali 0000-0001-9431-2125

Ercan Çalışkan 0000-0002-9087-0258

Tuğba Tehci 0000-0002-8588-4292

Publication Date September 30, 2025
Submission Date August 16, 2025
Acceptance Date September 8, 2025
Published in Issue Year 2025 Volume: 50 Issue: 3

Cite

MLA Can, İlkay et al. “The Effect of Vinegar on the Sarcoptes Scabiei Parasite: In Vitro Killing Activity”. Cukurova Medical Journal, vol. 50, no. 3, 2025, pp. 930-6, doi:10.17826/cumj.1766908.