Main Article Content
Abstract
Purpose: This study aimed to evaluate the antibacterial activity of the ethyl acetate fraction combination of Strobilanthes crispa and Anredera cordifolia leaves against Gram-positive and Gram-negative bacteria causing diabetic ulcers, namely Staphylococcus aureus, Klebsiella pneumoniae, and Pseudomonas aeruginosa. It was hypothesized that the 1:1 combination at 75% concentration would inhibit bacterial growth due to its secondary metabolite content.
Research Method: This true experimental study used a one-factor Completely Randomized Design. Antibacterial testing was conducted in vitro using the Kirby-Bauer disc diffusion method on Mueller-Hinton Agar with a 1:1 combination at 75% concentration, Ciprofloxacin 5 μg as a positive control, and sterile aquadest as a negative control. Data were analyzed using Shapiro-Wilk, One-way ANOVA, and Duncan Multiple Range Test. Phytochemical screening was also performed.
Results and Discussion: The combination extract showed mean inhibition zones of 10.7 mm against S. aureus, 8.8 mm against K. pneumoniae, and 8.1 mm against P. aeruginosa. The inhibition response was strong against S. aureus and moderate against the two Gram-negative bacteria. Phytochemical screening identified flavonoids, steroids, and tannins in the combination extract.
Implications: The findings indicate that the extract combination has potential as a natural antibacterial candidate against diabetic ulcer pathogens, although its effectiveness remains below that of Ciprofloxacin. Further in vivo toxicity studies and quantitative phytochemical analyses are needed.
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References
- Abidin, Z., Istiqomah, I. N., Azizah, L. N., Mashuri, & Pebriyanti, D. O. (2022). Processing of binahong (Anredera cordifolia) as an herbal product in an effort to heal wounds. Jember: KSU Mulia Husada (KMH).
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- Goldufsky, et al. (2015). Pseudomonas aeruginosa Uses T3SS to Inhibit Diabetic Wound Healing. Wound Repair and Regeneration, 23(4), 557-564.
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- M. Guli, M., Priyandini, N., Lambui, O., Ardiputra, Muh. A., & Toemon, A. I. (2024). Antibacterial Effectiveness Test of Blackwood Leaf Extract (Diospyros celebica Bakh.) Against Staphylococcus aureus and Salmonella typhi bacteria. Journal of Medicine, University of Palangka Raya, 12(1) 39-46.
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- Santoso, U., Utari, M., & Marpaung, M.P. (2020). Antibacterial and Antifungal Activity of Yellow Root Stem Extract (Fibraurea chloroleuca Miers) Against Escherichia coli, Staphylococcus aureus and Candida albicans. Journal of Health Bakti Tunas Husada, 20(2), 194–208.
- Sholihah, K, E., Santoso, J. (2024). Test of Antibacterial Activity of Celery Plant Extract (Apium graveolens) Against Staphylococcus aureus and Pseudomonas aeruginosa Bacteria. Journal of Health of the Republic of Indonesia, 1(8) 112 118.
- Saptowo, A., Supriningrum, R., & Supomo. (2022). Antibacterial Activity Test of Sekilang Bark Extract (Embeliaborneensis scheff) against Propionibacterium acnes and Staphylococcus epidermidis Bacteria. Al Ulum Science and Technology, 7(2), 93–97.
- Tika, N., Tarina, I., & Kusuma, A. F. (2017). Detection of Klebsiella pneumonia bacteria. Pharmacy, 15(2), 119–126.
- Umarudin, et al. (2023). Bacteriology 2 (H. Akbar, Ed.; Weed Flowers). Bandung: Media Sains Indonesia.
- Zuliana, N. M., Suliati, S., & Endarini, L. H. (2023a). Identification of Bacteria in Ulcer Wounds of Patients with Diabetes Mellitus. Palembang Health Polytechnic Health Journal, 18(2), 205–211.
References
Abidin, Z., Istiqomah, I. N., Azizah, L. N., Mashuri, & Pebriyanti, D. O. (2022). Processing of binahong (Anredera cordifolia) as an herbal product in an effort to heal wounds. Jember: KSU Mulia Husada (KMH).
East Kalimantan Health Office. (2021). Health Profile in 2021. In the East Kalimantan Provincial Health Office. Retrieved August 11, 2024, https://sidata.kaltimprov.go.id/
East Kalimantan Health Office. (2022). Health Profile in 2022. In the East Kalimantan Provincial Health Office. Retrieved August 11, 2024, from https://data.kaltimprov.go.id/dataset/?q= diabetes&sort=score+desc%2C+metadat a_modified+desc.
Goldufsky, et al. (2015). Pseudomonas aeruginosa Uses T3SS to Inhibit Diabetic Wound Healing. Wound Repair and Regeneration, 23(4), 557-564.
International Diabetes Federation. (2021). IDF Diabetes Atlas (10th ed.). Brussels: International Diabetes Federation.
Khasanah, R, H., Eka Nugraheni, D. (2021). Antimicrobial Activity Test of Ethanol Extract of Kebiul Seeds (Caesalpinia bondus (L.) Roxb) Against the Growth of Staphylococcus aureus Bacteria. Avicenna Scientific Journal, 16(1), 8–15.
M. Guli, M., Priyandini, N., Lambui, O., Ardiputra, Muh. A., & Toemon, A. I. (2024). Antibacterial Effectiveness Test of Blackwood Leaf Extract (Diospyros celebica Bakh.) Against Staphylococcus aureus and Salmonella typhi bacteria. Journal of Medicine, University of Palangka Raya, 12(1) 39-46.
Milita, F., Handayani, S., Setiaji, B. (2018). Incidence of Type II Diabetes Mellitus in the Elderly in Indonesia. Journal of Medicine and Health, 17(1) 9-20.
Santoso, U., Utari, M., & Marpaung, M.P. (2020). Antibacterial and Antifungal Activity of Yellow Root Stem Extract (Fibraurea chloroleuca Miers) Against Escherichia coli, Staphylococcus aureus and Candida albicans. Journal of Health Bakti Tunas Husada, 20(2), 194–208.
Sholihah, K, E., Santoso, J. (2024). Test of Antibacterial Activity of Celery Plant Extract (Apium graveolens) Against Staphylococcus aureus and Pseudomonas aeruginosa Bacteria. Journal of Health of the Republic of Indonesia, 1(8) 112 118.
Saptowo, A., Supriningrum, R., & Supomo. (2022). Antibacterial Activity Test of Sekilang Bark Extract (Embeliaborneensis scheff) against Propionibacterium acnes and Staphylococcus epidermidis Bacteria. Al Ulum Science and Technology, 7(2), 93–97.
Tika, N., Tarina, I., & Kusuma, A. F. (2017). Detection of Klebsiella pneumonia bacteria. Pharmacy, 15(2), 119–126.
Umarudin, et al. (2023). Bacteriology 2 (H. Akbar, Ed.; Weed Flowers). Bandung: Media Sains Indonesia.
Zuliana, N. M., Suliati, S., & Endarini, L. H. (2023a). Identification of Bacteria in Ulcer Wounds of Patients with Diabetes Mellitus. Palembang Health Polytechnic Health Journal, 18(2), 205–211.