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Abstract

Background: Natural antiseptics can be alternatives to reduce the adverse effects of alcohol. An antiseptic is classified as effective if it has an inhibitory ability and a phenol coefficient value ≥ 1. Betel plants (Piper betle L.) and kaffir lime (Citrus hystrix DC.) contain a variety of antibacterial compounds and have the potential to act as an antiseptic.
Objective: To analyze the in vitro effectiveness of a combined leaf infusion preparation of betel (PB) and kaffir lime (CH) as potential antiseptic candidates.
Methods: This quasi-experimental research employed a post-test-only control group design. We utilized diffusion (measuring inhibition zone) and dilution (determining phenol coefficients) methods. The treatments, performed in triplicate, included PB+CH infusion at concentrations 6.25%, 12.5%, 25%, 50%, 75%, and 100%, with 70% alcohol and 5% phenol as control. They were tested against five types of ATCC standard bacterial isolates.
Results: Phytochemical screening of the tested infusion revealed the presence of phenolic compounds, flavonoids, alkaloids, tannins, saponins, and terpenoids. The inhibition zone area increased with concentration, with PB+CH 100% producing the most significant effect. ANOVA and post-hoc Duncan test analysis (p < 0.05) showed significant differences between treatment groups. PB+CH infusion at 75-100% produced antibacterial effects exceeding the control for all bacteria tested, except S. typhi. Phenol coefficient tests (dilution 1:20-1:250) showed the effectiveness of PB+CH infusion as a potential antiseptic. The infusion had a phenol equivalent coefficient of 5% against S. aureus, S. epidermidis, E. coli, and P. aeruginosa but only 0.99 ± 0.07 for S. typhi. The 70% alcohol coefficient value was < 1.
Conclusion: The combined infusion of betel leaves and kaffir lime demonstrates significant antibacterial activity and shows a potential candidate as an effective natural antiseptic.

Keywords

antiseptic candidate, combination infusion, inhibition zone, betel, kaffir lime, phenol coefficient

Article Details

Author Biographies

Lia Yulia Budiarti, Department of Microbiology and Parasitology, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarmasin, Indonesia

Department of Microbiology and Parasitology

Gusti Nadya Nurzahida, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarmasin, Indonesia.

Undergraduate Medical Study Program

Ellanda Permata Derlin, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarmasin, Indonesia

Undergraduate Medical Study Program

Yafi Fahmi, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarmasin, Indonesia

Undergraduate Medical Study Program

Fahdyanoor, Faculty of Medicine and Health Sciences, Universitas Lambung Mangkurat, Banjarmasin, Indonesia

Undergraduate Medical Study Program

How to Cite
Budiarti, L. Y., Isnaini, Nurzahida, G. N. ., Derlin, E. P., Fahmi, Y., & Fahdyanoor. (2024). Effectiveness of betel and kaffir lime combination form of leaf infusion as an in-vitro antiseptic candidate. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 15(3), 346–356. https://doi.org/10.20885/JKKI.Vol15.Iss3.art9