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Escherichia coli is the most common cause of urinary tract infections. The development of antibioticresistance in E. coli is an important problem. Finding alternative antimicrobial agents from plant extractshas received growing interest. Camellia sinensis is a safe, nontoxic, cheap beverage that has been reportedto have antimicrobial effects against various pathogenic bacteria including E. coli. Polyphenolic componentsof green tea (綠茶lǜ cha) have antibacterial activity. Catechins also have synergistic effect withantibiotics such as chloramphenicol, amoxicillin, sulfamethoxazole, azithromycin, levofloxacin, gentamycin,methicillin, naldixic acid, and, especially ciprofloxacin. In this review, all experimental studies thatevaluated the effect of green tea on E. coli were collected. Data from in vitro studies on the antimicrobialeffects of green tea are promising, but human data are currently lacking. In vivo studies on antibacterialeffects of green tea and evaluating the efficacy of its catechins in the treatment of urinary tract infectionare needed.
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