Synergistic Interaction of Ethyl Acetate Fraction of Melastoma malabathricum L. Leaves Combined with Ciprofloxacin and Gentamicin Against Eschericia coli Isolate for Diabetic Foot Ulcer Patients
Liza Pratiwi(1*), Rafika Sari(2), Pratiwi Apridamayanti(3)
(1) Pharmaceutical Technology Departement, Medical Faculty, Tanjungpura University
(2) Pharmacy Biology Departement, Medical Faculty, Tanjungpura University
(3) Pharmacy Chemistry Departement, Medical Faculty, Tanjungpura University
(*) Corresponding Author
Abstract
Melastoma malabathricum leaves have active compounds that are thought to have the potential as antibacterial namely flavonoids, phenols and terpenoids. The objective of this study was to find effective drugs formulated from Melastoma malabathricum leaves combined with antibiotics as diabetic foot ulcer therapy to prevent further complications and risk of disability in diabetes mellitus patients. Ciprofloxacin and gentamicin were proven to be resistant antibiotics. In this study, the fraction of Melastoma malabathricum leaves was combined with both types of antibiotics namely ciprofloxacin and gentamicin. The minimum inhibitory concentration (MIC) has been determined against bacterial strains. The determination of MIC (Minimum Inhibitory Concentration) value was done using the Kirby-Bauer disk diffusion method. The interaction of antibiotics with gentamicin and ciprofloxacin was studied in vitro by calculating fractional inhibitory concentration index (FICI). The synergistic effects of the combination Melastoma malabathricum fraction and antibiotics were observed. The results showed that the combination of Melastoma malabathricum fraction with ciprofloxacin and the combination of Melastoma malabathricum fraction with gentamicin against Escherichia coli had a synergistic effect with FICI value of 0,5. The combination of Melastoma malabathricum fraction with ciprofloxacin and the combination of Melastoma malabathricum fraction with gentamicin have the synergistic effect inhibiting the Escherichia coli.
Keywords
Full Text:
PDFReferences
Abidin, K.R., Suriadi & Adiningsih B.S., 2013, ‘Inhibiting Factors of Diabetic Foot Ulcer Wound Proliferation Process in Type II Diabetes Mellitus Patients at Pontianak Kitamura Clinic’, UNTAN Journal. 1-7.
Akiyama, H., Fuji, K., Yamasaki, O., oono, T. & Iwatsuki, T., 2001, ‘Antibacterial action of several tannins againts Staphylococcus aureus’, J Antimicrob Chemother. 48, 487-491.
Bazzaz, B.S., Sarabandi, S., Khameneh, B. & Hosseinzadeh, H. 2016, ‘Effect of Catechins, Green tea Extract and Methylxanthines in Combination with Gentamicin Against Staphylococcus aureus and Pseudomonas aeruginosa- Combination therapy against resistant bacteria’, Journal of Pharmacopuncture.19 (4), 312-318.
Bazzaz, F., Khameneh, B., Ostad, Z. & Hosseinzadeh, H., 2018, ‘in vitro evaluation of antibacterial activity of verbascoside, lemon verbena extract and caffeine in combination with gentamicin against drug resistent Staphylococcus aureus and Eschericia coli clinical isolates’, Avicenna J Phytomed. 3, 246-253.
Bazzaz, B.S., Fakori, M., Khameneh, B., & Hosseinzadeh, H., 2019, ‘Effect of Omeprazole and caffein alone and in combination with gentamicin and ciprofoxacin against antibiotic resistant Staphylococcus Aureus and Eschericia coli Strains’, Journal of Pharmacopuncture. 22 (1), 049-054.
Cahyopoetro, A.J., 2014, Identification of Germicidal Patterns and Antibiotic Resistance Tests on Patients with Decubitus Ulcers in Wahidin Sudirohusodo Hospital, Makassar: Hasanuddin University.
Chusnie, T.P. & Lamb, A.J., 2011, ‘Review antimicrobial activity of Melastoma malabatricum L. Assam University Journal of Science and Technology’, Biological and Enviromental Science. 7 (1), 76-78.
Cowman, M.M., 1999, ‘Plant products as antimicrobial agents’, American Society for Microbiology. 12 (4), 564-582.
Davis, W.W. & Stout, T.R., 1971, Disc plate methods of microbiological antibiotic assay microbiology. 22, 659-665.
Izzati, U.Z., 2015, ‘The effectiveness of healing ointment burns ethanol extract of senggani leaves (Melastoma malibatricum, L) in male wistar strain rats’, Pharmacy Student Journal of the Medicine faculty Untan. 3 (1).
Lina, E.P. & Sholihatul, M., 2016, ‘Risk factors for chronic complications (diabetic foot) in Type 2 Diabetes Mellitus’, The Indonesian Journal of Health Science. 7 (1), 26-39.
Manisha, J., Mitesh, P.H., Nidhi, S.K., Modi, D.J., & Vegad, M.M., 2012, ‘Spectrum of microbial flora in diabetic foot ulcer and antibiotic sensitivity pattern in tertiary care hospital in Ahmedabad, Gujarat’, Journal of Medical Research. 3,354-357.
Morgan, A.E., 2014, ‘The effect of gentamicin and ceftazidime against Pseudomonas fluorescens’, Bioscience Horizons: The international journal of student research. 7: 1-8.
Noor, S., 2016, ‘Synergistic effect of the methanol extract of lemongrass and some antibiotics to treat urinary tract bacteria’, Journal of Biosciences and Medicines. 4, 48-58.
Noventi, W. & Carolina, N. 2016, ‘The potential of green betel leaf extract (Piper betle L.) as an alternative therapy for Acne Vulgaris’, Majority. 5 (1), 140-145.
Nurdiana, S. & Marziana, N. 2013, ‘Wound healing activities of Melastoma malibatricum, L leaves extract in Spragaue dawley rats’, International Journal of Pharmaceutical Sciences Review and Research. 20 (2), 20-23.
Piatek Jacek et al., 2020, In Vitro Growth Inhibition of Bacterial Pathogens by probiotics and a synbiotic: Product Composition matters, International Journal of Enviromental Research and Public Health, 17, 3332.
Pratiwi, L., Sari, R., & Apridamayanti, P., 2017, ‘Self-nanoemulsifying drug delivery system (SNEDDS) with enhanched solubilization of ethanol extract from mangosteen peels (Garcinia mangostana L.,) for treatment of topical gangrene foot: design and optimization’, International journal of Drug Delivery Technology. 7 (4), 314-319.
Rifani, A., Sari, R., & Robiyanto, 2017, ‘Determination of FICI Value Combination of Aloe Vera (Aloe Vera (L) Burm.f) Bark Ethanol Extract and Gentamicin Sulfate Against Staphylococcus aureus Bacteria’, Journal Traditional Medicine. 22 (3), 175-181.
Robinson, T., 1995, ‘High Organic Organic Content’, Bandung: ITB Publisher.
Sari, R. & Apridamayanti, P., 2015, ‘Identification of ESBL-producing bacteria in patients with third-degree and IV diabetic ulcers Wagner’, DIPA Research Report. Pontianak: Tanjungpura University.
Setyaningsih, D., Nurmillah, O,Y., & Windarwati, S., 2009, ‘Study of Antioxidant and Antimicrobial Activities of Seed Extracts, Fruit peels, Stems and Leaves of Jatropha (Jatropha curcas L.)’, Plants. 1-7.
Sumampouw, Oksfriani, J, 2018, ‘Antibiotic sensitivity test for Escherichia coli bacteria caused toddler diarrhea in Manado city’, JCPS. 2 (1), 106.
Suryaningsih, A.E., Mulyani, S., & Retnaningtyas, E,N., 2010, ‘Antibacterial Activity of Active Compound Senggani Leaf (Melastoma candidum D.Don) against Bacillus Licheniformis’, National Seminar on Biology Education FKIPUNS. 129-136.
Tjay, R., 2002, ‘Important medications, efficacy, use and side effects’. 5rd ed, Jakarta: PT. Elex Media Komputindo Gramedia Group.
Wang, J., Singh, R., Benoit, M., Keyhan, M., Sylvester, M., Hsieh, M., et al., 2014, ‘Sigma S-Dependent Antioxidant defense protects stationary-phase Escherichia coli against the bacterial antibiotic gentamicin’, Antimicrobial Agents and Chemotherapy.; 10, 5964-5975.
Wattimena, J.R., Nelly, C.S., Mathilda, B.W., Elin, Y.S., Andreanus, A.S., & Anna, R.S., 1991, Pharmacodynamics and Antibiotic Therapy, Gadjah Mada University Press: Yogyakarta.
DOI: https://doi.org/10.22146/mot.57399
Article Metrics
Abstract views : 1682 | views : 1993Refbacks
- There are currently no refbacks.
Copyright (c) 2021 Majalah Obat Tradisional
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Faculty of Pharmacy
Universitas Gadjah Mada