Previous studies have been carried out in different parts of the globe to extract plant products for screening antibacterial activity [
23]. Plants produce highly bioactive molecules that allow them to interact with other organisms in their environnement. Many of these substances are important in the defense against herbivores and contribute to the resistance to diseases [
24]. Many investigators have evaluated the bioactivity of plant extracts and the isolated constituents against the serious infectious organisms [
25].
In Africa, for the treatment of several infections, indigenous medicinal plants are often the only means [
26]. Infectious due to multidrug-resistant microorganisms, pose an important clinical problem. Many of bacterial strains are resistant to the standard antibiotic (Co-trimozaxol) comparatively to the polyphenol-rich fractions. One could say that, the metabolites have been shown to be responsible for therapeutic activity of plants [
27]. According to a recent study, aqueous acetone extract of
Sida alba L. contains saponosides, coumarins, steroids, polyphenol compounds and alkaloids [
10]. The natural products were found to possess promising antimicrobial activities when applied alone or in combination with conventional antimicrobial drugs and the metabolites have been shown to be responsible for therapeutic activity of plants [
28]. This aspect is effectively checked by our different results.
The data analysis indicates that the tested polyphenol extract showed the significant results when compared with the Co-trimoxazol. Indeed, the antibacterial activity profile of the isolated constituents (polyphenols) when compared with antibiotic effects shows that the activity depends on the pure form of the constituents. This may be due to the fact that the bioactive constituents such as polyphenol compounds were responsible for the antimicrobial activity. In effect, some previous studies showed that polyphenolic compounds cause inhibition of a wide range of microorganisms. Phenol is well known as a chemical antiseptic [
29]. In addition, Phenolic and terpenic antimicrobial activities are well documented [
15]. Polyphenols, such as tannins and flavonoids, are important antibacterial activity [
26]. The antimicrobial activity of flavonoids is due to their ability to complex with extracellular and soluble protein and to complex with bacterial cell wall while that of tannins may be related to their ability to inactivate microbial adhesions, enzymes and cell envelop proteins [
24]. We noticed that our extracts or in combination showed relatively the best inhibitory activity against
Enterococcus faecalis a Gram-positive bacterium followed by
Proteus mirabilis a Gram-negative bacterium. The highest sensitivity of
Enterococcus faecalis may be due to its cell wall structure and outer membrane [
30]. Gram-positive bacteria are generally more sensitive in the extracts than Gram-negative bacteria [
31]. A possible explanation for these observations may lie in the significant differences in the outer layers of Gram-positive bacteria. The permeability of the cell wall of the Gram-negative organism is generally less efficient than Gram-positive ones probably because of the presence of the high level of phospholipids in the cell wall compared with Gram-positive bacteria [
32].
Gram-negative bacteria however, possess an outer membrane and unique periplasme space not found in Gram-positive bacteria [
32]. The resistance of Gram-negative bacteria towards antibacterial substances is related to the hydrophilic surface of their outer membrane which is rich in lipopolysaccharide molecules, presenting a barrier to the penetration of numerous antibiotic molecules and is also associated with the enzymes in periplasme space, which are capable of breaking down the molecules introduced from outside [
33]. The resistances of the bacteria to the current antibiotics necessitate the further studies on the isolated constituents to find out their safety and efficacy profile. This highlights the continuous interest in laboratory screening of medicinal plants, not only to determine the scientific rationale for their usage, but also to discover new active principles. African medicinal plants have been focused on phenolic compounds, terpenoids or essential oils [
34]. The plants have been found to exert good
in vitro antimicrobial activities and some active principles have been isolated.