Influence of silver-containing filler on antibacterial properties of experimental resin composites against Enterococcus faecalis

2021 ◽  
Vol 109 (2) ◽  
pp. 59-67
Author(s):  
Sanadra Adeeb ◽  
Saja Adeeb ◽  
G. Chladek ◽  
W. Pakieła ◽  
A. Mertas
Keyword(s):  
Enterococcus Faecalis ◽  
Test Performance ◽  
Antibacterial Properties ◽  
Antimicrobial Properties ◽  
Positive Control ◽  
Control Material ◽  
In Vivo Test ◽  
Laboratory Test Results ◽  
The Impact

Purpose: The aim of the presented work was to investigate the impact of the S-P introduction into resin-based composites on their effectiveness against Enterococcus faecalis (E. faecalis). Design/methodology/approach: Seven experimental composites based on typical matrix were developed. Six of them contained a filler with antimicrobial properties (silver sodium hydrogen zirconium phosphate, S-P), while the control material contained only common reinforcement fillers. The materials were characterized in terms of the dispersion of the extender in the matrix and then subjected to microbiological tests. The efficiency in the reduction of E. faecalis in the microenvironment was tested. Findings: The composites show a satisfactory distribution of fillers and a high initial reduction of bacteria colonies for the tested strain of E. faecalis. The reduction in bacteria colonies achieved for S-P concentrations from 7% to 13% was similar (median value from 99.8 to 99.9%, when for control material and compound with 1% S-P the number of colonies increased compared to positive control. Research limitations/implications: Laboratory test results may differ from in vivo test performance. In addition, there are many models for conducting laboratory antimicrobial efficacy studies, the results of which are also varied. The cytotoxic tests, long-term investigations and in vivo experiments need to be performed in future experiments. Practical implications: E. faecalis is a Gram-positive bacterium that is commonly detected in persistent endodontic infections and may enter the root canal through the coronal part. Development of composites with antimicrobial properties against this bacterium is as important as obtaining efficacy against cariogenic bacteria. Originality/value: The antimicrobial effectiveness against E. faecalis of experimental composites with submicrometer-sized particles of S-P was not investigated until now.

scholarly journals Antibacterial properties of thioridazine

2019 ◽  
pp. 96-104
Author(s):  
N. Hrynchuk ◽  
N. Vrynchanu
Keyword(s):  
Antibacterial Activity ◽  
Ex Vivo ◽  
Antibacterial Properties ◽  
Antimicrobial Properties ◽  
Antibiotic Resistant ◽  
In Vivo Experiments ◽  
Antistaphylococcal Activity ◽  
The Impact

The emergence and spread of antibiotic-resistant strains of microorganisms reduces the effectiveness of antibiotic therapy and requires finding solutions to problems, one of which is the study of antimicrobial properties in drugs of various pharmacological groups. The purpose of the work was to summarize the data on the antibacterial activity of thioridazine and its derivatives to determine the feasibility and prospects of creating new antibacterial drugs on their basis. The paper presents literature data on the effects of thioridazine on the causative agent of tuberculosis, antistaphylococcal activity, susceptibility of plasmodium and trypanosoma. The antibacterial activity of the drug was established within in vitro studies with the determination of MIC towards gram-positive and gram-negative microorganisms, ex vivo using macrophage lines, as well as within in vivo experiments on mice. It is established that the neuroleptic thioridazine is characterized by pronounced anti-tuberculosis activity, the mechanism of action is associated with the impact on the cell membrane of M. tuberculosis, inactivation by calmodulin and inhibition of specific NADH-dehydrogenase type II. The literature data indicate that thioridazine is able to increase the activity of isoniazid against the strains of mycobacteria that are susceptible and resistant to its action. It has been established that resistance to thioridazine in antibiotic-resistant M. tuberculosis strains is not formed. The drug is characterized by its ability to inhibit the growth and reproduction of both methicylin-sensitive (MSSA) and methicilin-resistant (MRSA) strains of Staphylococcus aureus, which has been proven within in vitro experiments. The effectiveness of thioridazine has been proven within in vivo experiments in case of skin infection and sepsis caused by S. aureus. Antimicrobial effect of the drug is also observed towards to plasmodium (P. falciparum) and trypanosomes (Trypanosoma spp.). Currently, the synthesis of thioridazine derivatives is carried out to identify compounds with a pronounced antibacterial effect. Some of the first synthesized compounds are not inferior or superior to thioridazine by the inhibitory effect. Thus, these data suggest that drugs of different pharmacological groups, including drugs that affect the nervous system - thioridazine and its derivatives, can be a source of replenishment of the arsenal of antimicrobial drugs to control such threatening infections as tuberculosis and diseases caused by polyresistant strains of microorganisms.

scholarly journals Effectiveness of Lentinus edodes Mushroom Extract on Eradication of Enterococcus faecalis Biofilm Eradication of Enterococcus faecalis Biofilm

2020 ◽  
Vol 27 (2) ◽  
Author(s):  
Putri Lestari Anggiarini ◽  
◽  
Meiny F Amin ◽  
Juanita A Gunawan ◽  
Armelia Sari Widyarman ◽  
...  
Keyword(s):  
Enterococcus Faecalis ◽  
Antibacterial Properties ◽  
Brain Heart Infusion ◽  
Positive Control ◽  
Negative Control ◽  
Antibiofilm Activity ◽  
Lentinus Edodes ◽  
Mushroom Extract ◽  
Level Of Significance

Sodium hypochlorite is a commonly used irrigation solution in endodontic procedures, but it irritates tissues and has toxic effects. Lentinus edodes is a mushroom that has antibacterial properties. Enterococcus faecalis is an anaerobic bacterium that can cause root canal treatment failure. Objective: This study aimed to determine the effect of L. edodes extract on the eradication of E. faecalis biofilms. Methods: Phytochemical tests of L. edodes were performed to analyze alkaloids, steroids, triterpenoids, phenolics, tannins, flavonoids, and glycosides from this extract qualitatively. E. faecalis ATCC 29212 was cultured in brain heart infusion broth for 24 h at 37°C in an anaerobic atmosphere. Biofilm assay was performed to analyze the eradication of E. faecalis biofilm after treatment with L. edodes extract. The application times were 5, 15, and 30, and 10%, 20%, 40%, and 80% concentrations were used. Distilled water was used as a negative control, and NaOCl was used as a positive control. Data were statistically analyzed via one-way analysis of variance, where p < 0.05 was set as the level of significance. Results: L. edodes mushroom extract was effective in eradicating E. faecalis biofilms in all concentrations and incubation times compared with the control (p < 0.05). Significant differences were found between the application times of 5 and 15 min compared with 30 min (p < 0.05). The most effective concentration in eradicating E faecalis biofilms was 40% with an application time of 30 min. Conclusion: L. edodes mushroom extract proves its antibiofilm activity against E. faecalis biofilm. Further study is necessary to determine which substances are have the most influence on the effectiveness of L. edodes extract in eradicating E. faecalis biofilm in vivo.

scholarly journals Enterococcus faecalisCRISPR-Cas is a robust barrier to conjugative antibiotic resistance dissemination in the murine intestine

2018 ◽  
Author(s):  
Valerie J. Price ◽  
Sara W. McBride ◽  
Karthik Hullahalli ◽  
Anushila Chatterjee ◽  
Breck A. Duerkop ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Enterococcus Faecalis ◽  
Resistance Genes ◽  
Antibiotic Resistance Genes ◽  
Conjugative Plasmids ◽  
Resistance Plasmids ◽  
The Impact ◽  
Mammalian Intestine

AbstractCRISPR-Cas systems are barriers to horizontal gene transfer (HGT) in bacteria. Little is known about CRISPR-Cas interactions with conjugative plasmids, and studies investigating CRISPR-Cas/plasmid interactions inin vivomodels relevant to infectious disease are lacking. These are significant gaps in knowledge because conjugative plasmids disseminate antibiotic resistance genes among pathogensin vivo, and it is essential to identify strategies to reduce the spread of these elements. We use enterococci as models to understand the interactions of CRISPR-Cas with conjugative plasmids.Enterococcus faecalisis a native colonizer of the mammalian intestine and harbors pheromone-responsive plasmids (PRPs). PRPs mediate inter- and intraspecies transfer of antibiotic resistance genes. We assessedE. faecalisCRISPR-Cas anti-PRP activity in the mouse intestine and under varyingin vitroconditions. We observed striking differences in CRISPR-Cas efficiencyin vitroversusin vivo. With few exceptions, CRISPR-Cas blocked intestinal PRP dissemination, whilein vitro, the PRP frequently escaped CRISPR-Cas defense. Our results further the understanding of CRISPR-Cas biology by demonstrating that standardin vitroexperiments do not adequately model thein vivoanti-plasmid activity of CRISPR-Cas. Additionally, our work identifies several variables that impact the apparentin vitroanti-plasmid activity of CRISPR-Cas, including planktonic versus biofilm settings, different donor/recipient ratios, production of a plasmid-encoded bacteriocin, and the time point at which matings are sampled. Our results are clinically significant because they demonstrate that barriers to HGT encoded by normal human microbiota can have significant impacts onin vivoantibiotic resistance dissemination.ImportanceCRISPR-Cas is a type of immune system encoded by bacteria that is hypothesized to be a natural impediment to the spread of antibiotic resistance genes. In this study, we directly assessed the impact of CRISPR-Cas on antibiotic resistance dissemination in the mammalian intestine and under varyingin vitroconditions. We observed a robust effect of CRISPR-Cas onin vivobut notin vitrodissemination of antibiotic resistance plasmids in the native mammalian intestinal colonizerEnterococcus faecalis. We conclude that standard laboratory experiments currently do not appropriately model thein vivoconditions where antibiotic resistance dissemination occurs betweenE. faecalisstrains. Moreover, our results demonstrate that CRISPR-Cas encoded by native members of the mammalian intestinal microbiota can block the spread of antibiotic resistance plasmids.

scholarly journals Antimicrobial properties of various solvents combinations for phytochemical fraction derived from Uncaria gambier extract against Enterococcus faecalis ATCC 29212

2021 ◽  
Vol 33 (1) ◽  
pp. 31
Author(s):  
Gita Dwi Jiwanda Sovira ◽  
Mieke Hemiawati Satari ◽  
Marry Siti Mariam
Keyword(s):  
Ethyl Acetate ◽  
Enterococcus Faecalis ◽  
Root Canal ◽  
Antibacterial Properties ◽  
Density Measurement ◽  
Antimicrobial Properties ◽  
Root Canal Treatment ◽  
Water Fraction ◽  
Root Canal Irrigation ◽  
Mic Value

Introduction: Enterococcus faecalis is often found in root canal infections and can cause failure in root canal treatment. Uncaria gambier is an herbal medicine that is known to be rich in polyphenol compounds that have antibacterial properties. Because of the polyphenol content and antibacterial properties of Uncaria gambier, it can be an alternative as an antibacterial solution for root canal treatment. The purpose of this study is to analyze the antimicrobial of various solvents combinations for phytochemical fraction derived from Uncaria gambier extract against Enterococcus faecalis (ATCC 29212). Methods: This study is descriptive explorative research Uncaria gambier was extracted using a combination of three different fractions, ethyl acetate-water, hexane-water and hexane-ethyl acetate. We determine the Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC) against Enterococcus faecalis  (ATCC 29212) using the serial microdilution method and by add test samples to the Mueller Hinton agar medium from each fraction Results: Combination ethyl acetate-water has MIC value at 0.195 mg/ml, combination hexane-water at 0.049 mg/ml and combination hexane-ethyl acetate have the MIC value at 1.563 mg/ml. The MBC value in combination ethyl acetate-water at 25 mg/ml, combination hexane-ethyl acetate and hexane-water MBC value at 50 mg/ml and 100 mg/ml. Based on optical density measurement using ELISA reader and bacterial growth on the media used, the fraction combinations increase the antibacterial effect of Uncaria gambier against E. faecalis ATCC 29212. Conclusion: The combination of various Uncaria gambier solvents has been shown to inhibit and kill E. faecalis (ATCC 29212). The combination of ethyl acetate-water fraction is the best combination to against E. faecalis (ATCC 29212). It means that the combination of various Uncaria gambier solvents can be developed as alternative root canal irrigation.

scholarly journals Multi-Omics Analysis of Oral Bacterial Biofilm on Titanium Oxide Nanostructure Modified Implant Surface: in Vivo Sequencing-Based Pilot Study in Beagle Dogs

2021 ◽  
Author(s):  
Hanyu Sun ◽  
Yuki Chan ◽  
Xuan Li ◽  
Ruogu Xu ◽  
Zhengchuan Zhang ◽  
...  
Keyword(s):  
Calcium Phosphate ◽  
Antimicrobial Properties ◽  
Surface Modifications ◽  
Titanium Implants ◽  
Bacterial Biofilm ◽  
Bacterial Invasion ◽  
Oral Microbiota ◽  
Minimal Impact ◽  
The Impact

Abstract Background and aimsSurface modifications of titanium implants play essential role in facilitating osteointegration and enhancing their antimicrobial properties, while the latter is critical for preventing infectious diseases caused by the biofilm. However, it remains unknown about how the surface modifications could affect the composition and functional gene expression of oral microbiota deposited on the titanium implants. In this study, we aimed to investigate the impact of different nanostructured surfaces on the biofilm in vivo.ResultsNanophase calcium phosphate were successfully deposited into or between the TiO2 nanotubes with a diameter of 70–90 nm. NT and NTN surfaces showed increased roughness than the MP surface. XPS spectra showed that the O 1s was mainly divided into two bands in MP and NT samples, including Ti-O and -OH, while the surface modification of TiO2 nanotube in NT accounted for the increased intensity of Ti-O with the reference to that in MP samples. After the deposition of calcium phosphate, two new elemental peaks of Ca and P can be identified from the XPS survey spectrum of NTN. Moreover, the O 1s of NTN sample could be differentiated into three peaks, while the new one represented the -PO band. The 16S rDNA sequencing results showed that NT and NTN had minimal impact on the diversity and community structure of oral microbiota. Metatranscriptomic sequencing revealed that differentially expressed genes (DEGs) mostly differed in the terms of the biological process and cellular component on different surfaces. Gene Ontology (GO) terms enrichment indicated that NTN down-regulate the genes associated in localization and locomotion. Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis revealed that the DEGs were associated with microbial metabolism, protein synthesis and bacterial invasion of epithelial cells.ConclusionTiO2 nanotube and calcium phosphate-coated TiO2 nanotube despite improving the antimicrobial properties of implant surfaces, had unexpectedly minimal impact on the microbiome composition and diversity. Notably, nanostructured titanium surfaces could inhibit the bacterial migration and colonization, down-regulate the pathogen invasion pathways, and further destruct bacterial cellular membrane, all in all, conferred the bactericidal properties.

scholarly journals Mechanisms Mediating Bactericidal Properties and Conditions That Enhance the Potency of a Broad-Spectrum Oligo-Acyl-Lysyl

2010 ◽  
Vol 55 (2) ◽  
pp. 688-695 ◽  
Author(s):  
Hadar Sarig ◽  
Yair Goldfeder ◽  
Shahar Rotem ◽  
Amram Mor
Keyword(s):  
Membrane Damage ◽  
Antibacterial Properties ◽  
Antimicrobial Properties ◽  
Bactericidal Effect ◽  
Cell Membrane Permeability ◽  
Permeability Barrier ◽  
Host Defense Peptides ◽  
Bactericidal Properties ◽  
Time Kill

ABSTRACTPrevious studies have established the potential of the oligo-acyl-lysyl (OAK) concept in generating simple chemical mimics of host defense peptides (HDPs) with improved antimicrobial properties. We investigated the antibacterial properties of such an OAK, C16(ω7)-KK-C12-Kamide, to obtain a better understanding of the complex mode(s) of action of cationic antibacterial peptides. The average MIC, determined against a multispecies panel of 50 strains, was 6 ± 5 μg/ml. However, although the OAK exerted an essentially dose-dependent bactericidal effect (time-kill curves typically exhibited 99% death within 2 h), marked differences in the killing rates occurred among inter- and intraspecies strains. Mechanistic comparison between equally sensitive and related strains revealed death of one strain to stem from the OAK's capacity to breach the cell membrane permeability barrier, whereas the death of the related strain resulted from the OAK's direct interference with DNA functionsin vivo, without detectable membrane damage. These findings therefore support the notion that the antibacterial mechanism of action of a single HDP can vary among inter- and intraspecies strains. In addition, we present data illustrating the differential effects of environmental conditions (pH, ionic strength and temperature), on the OAK's antibacterial properties, and ultimately demonstrate potency enhancement (by orders of magnitude) through selection of optimal incubation conditions. Such attributes might be useful in a variety of antibacterial applications.

scholarly journals Integrated endotoxin-adsorption and antibacterial properties of platelet-membrane-coated copper silicate hollow microspheres for wound healing

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Zaihui Peng ◽  
Xiaochun Zhang ◽  
Long Yuan ◽  
Ting Li ◽  
Yajie Chen ◽  
...  
Keyword(s):  
Wound Healing ◽  
Bacterial Infections ◽  
Antibacterial Properties ◽  
Platelet Membrane ◽  
Gram Negative Bacteria ◽  
Gram Negative ◽  
The Impact ◽  
Copper Silicate

AbstractSerious infection caused by drug-resistant gram-negative bacteria and their secreted toxins (e.g., lipopolysaccharide) is a serious threat to human health. Thus, treatment strategies that efficiently kill bacteria and reducing the impact of their toxins simultaneously are urgently required. Herein, a novel antibacterial platform composed of a mesoporous copper silicate microsphere (CSO) core and a platelet membrane (PM) shell was prepared (CSO@PM). CSO@PM specifically targets bacteria owing to formyl peptide receptors on the PM and, combined with photothermal therapy (PTT), exhibits highly effective bacter icidal activity. Importantly, CSO@PM can adsorb lipopolysaccharide secreted by gram-negative bacteria, resulting in inflammation reduction. Thus, CSO@PM stimulates re-epithelialization and granulation-tissue formation, promoting wound healing. Moreover, this antibacterial platform exhibits no obvious toxicity at all the test concentrations in vitro and in vivo. Thus, CSO@PM exhibits a robust antibacterial effect and a strong toxin-adsorption capacity, facilitating the clinical treatment of many bacterial infections and the development of next-generation antibacterial nanoagents. Graphical Abstract

scholarly journals Evaluation of Key Antimicrobial Properties of Moringa oleifera in Relation to Its Use as a Hand-Washing Product

Water ◽  
2018 ◽  
Vol 10 (9) ◽  
pp. 1154
Author(s):  
Jasmine Clark ◽  
Monica Jimenez ◽  
Enrique Raso ◽  
Loretta Antwi ◽  
Lawrence Ofosu-Appiah ◽  
...  
Keyword(s):  
Pathogenic Bacteria ◽  
Moringa Oleifera ◽  
Antibacterial Properties ◽  
Antimicrobial Properties ◽  
Hand Washing ◽  
Minimally Processed ◽  
Resource Limited ◽  
Set Up ◽  
Water Scarce

Moringa oleifera (M. oleifera) is a fast-growing, drought-resistant plant found throughout tropical and subtropical regions. A previous study found dry M. oleifera leaf powder to be similarly efficacious to non-medicated soap when used as a hand-wash, even without the use of water. These characteristics suggest that M. oleifera could serve as a potential hand-washing product in water and resource-limited contexts, such as humanitarian and emergency settings. The purpose of this study was to assess the efficacy of minimally processed M. oleifera sourced locally in Ghana as a hand-washing and antimicrobial product by assessing whether: (1) different preparations of M. oleifera have antibacterial properties against potential diarrheal pathogens through set-up of die-off studies; (2) M. oleifera is an effective hand-washing product by conducting an in-vivo trial with healthy volunteers; and (3) M. oleifera has antimicrobial properties in potentially reusable aqueous solutions, such as rinse water used for hand-washing. M. oleifera was found to be significantly less effective than non-medicated soap when tested as a hand-washing product and promoted the growth of bacteria in aqueous solution. Moreover, the Moringa used in the study was found to be host to pathogenic bacteria, reinforcing the idea that it is unsuitable to use as a hand-washing product. Accordingly, in its minimally processed form, M. oleifera appears to be an ineffective antimicrobial agent and its use as a hand-washing product in water-scarce and resource-limited settings is not recommended.

scholarly journals Impact of surface topography and coating on osteogenesis and bacterial attachment on titanium implants

2018 ◽  
Vol 9 ◽  
pp. 204173141879069 ◽  
Author(s):  
Laila Damiati ◽  
Marcus G Eales ◽  
Angela H Nobbs ◽  
Bo Su ◽  
Penelope M Tsimbouri ◽  
...  
Keyword(s):  
Surface Topography ◽  
Dental Implants ◽  
Antimicrobial Properties ◽  
Bacterial Attachment ◽  
Titanium Implants ◽  
Premature Failure ◽  
Biological Environment ◽  
The Impact

Titanium (Ti) plays a predominant role as the material of choice in orthopaedic and dental implants. Despite the majority of Ti implants having long-term success, premature failure due to unsuccessful osseointegration leading to aseptic loosening is still too common. Recently, surface topography modification and biological/non-biological coatings have been integrated into orthopaedic/dental implants in order to mimic the surrounding biological environment as well as reduce the inflammation/infection that may occur. In this review, we summarize the impact of various Ti coatings on cell behaviour both in vivo and in vitro. First, we focus on the Ti surface properties and their effects on osteogenesis and then on bacterial adhesion and viability. We conclude from the current literature that surface modification of Ti implants can be generated that offer both osteoinductive and antimicrobial properties.

scholarly journals Aktivitas antibakteri salep ekstrak etanol daun sirih hijau (Piper betleL.) Terhadap infeksi bakteri Staphylococcus aureus

2018 ◽  
Vol 5 (2) ◽  
pp. 56
Author(s):  
Rissa Laila Vifta ◽  
Muhammad Andri Wansyah ◽  
Anita Kumala Hati
Keyword(s):  
Staphylococcus Aureus ◽  
Leaf Extract ◽  
Ethanol Extract ◽  
Positive Control ◽  
Piper Betle ◽  
In Vitro Test ◽  
In Vivo Test ◽  
Betel Leaf

<p align="center"><strong>Abstrak </strong></p><p align="center"><strong> </strong></p><p>Sirih hijau (<em>Piper betle L</em>.) adalah tanaman yang mudah dijumpai di Indonesia. Secara empiris, sirih hijau  digunakan sebagai antibakteri pada luka. Penelitian ini bertujuan untuk mengetahui aktivitas salep ekstrak etanol daun sirih hijau sebagai antibakteri. Pengujian efek antibakteri dilakukan secara <em>in vitro </em>dan <em>in vivo</em>. Ekstrak etanol daun sirih hijau dibuat dengan cara maserasi. Pengujian secara <em>in vitro</em> dilakukan menggunakan metode mikrodilusi terhadap <em>Staphylococcus aureus</em>  untuk mengetahui nilai konsentrasi hambat minimum ekstrak daun sirih hijau pada konsentrasi 3, 4, dan 5%.  Kemudian ekstrak dibuat salep dan diuji secara <em>in vivo</em> menggunakan hewan uji tikus yang terdiri dari kelompok kontrol negatif, kelompok ekstrak (konsentrasi 3,4, dan 5%), serata pembanding kontrol positif gentamisin 0,1%. Hasil uji dianalisis menggunakan <em>Sapiro-Wilk</em> dan dilanjutkan dengan uji ANAVA serta uji LSD untuk mengetahui perbandingan hasil kelima kelompok perlakuan. Hasil uji <em>in vitro</em> menunjukkan bahwa konsentrasi hambat minimum ekstrak daun sirih yang optimal adalah 5%. Hasil uji <em>in vivo</em> menunjukkan lama kesembuhan luka meningkat seiring dengan bertambahnya konsentrasi ekstrak daun sirih hijau. Hasil uji normalitas, Anava, dan uji LSD pada uji <em>in vivo</em> memberikan hasil yang sejalan. Konsentrasi 4 dan 5% merupakan konsentrasi efektif dengan aktivitas waktu kesembuhan luka tidak berbeda bermakna dengan kontrol positif (gentamisin 0,1%) dengan rerata waktu berturut-turut 6,20±0,80 dan 6,00±0,71 hari. Dapat disimpulkan bahwa hasil uji antibakteri pada salep sejalan dengan uji secara <em>in-vitro</em> ekstrak daun Sirih Hijau yang memiliki potensi sebagai antibakteri.</p><p><strong>Kata kunci:</strong>     Daun sirih hijau, Antibakteri, Salep, Luka</p><p> </p><p align="center"><strong><em>Antibacterial activity from ointment contains extract of green betle leaves (Piper betle l.) to Staphylococcus aureus bacterial infection</em></strong></p><p align="center"><strong> </strong></p><p align="center"><strong><em>Abstract </em></strong></p><p align="center"><strong><em> </em></strong></p><p><em>Green betel (Piper betle L.) is a plant that is easy to find in Indonesia. Empirically, green betel is used as an antibacterial to the wound. This study aims to determine the activity of ointment </em><em>of </em><em>ethanol extract of green </em><em>betel</em><em> leaves as antibacterial. Tests of antibacterial effects were performed in vitro and in vivo. Ethanol extract of green betel leaf is made by maceration. In vitro testing was done using micro dilution method to Staphylococcus aureus to determine the minimum inhibitory concentration of green leaf extract at concentrations of 3, 4, and 5%. Then the extract was made ointment and tested in vivo using rat consisting of the negative control group, the extract group (concentrations 3,4, and 5%), the positive control of gentamicin 0.1%. The test results were analyzed using Sapiro-Wilk and continued with ANAVA test and LSD test to find out the comparison of the results of the five treatment groups. The results of in vitro test showed that the minimum inhibit concentration of </em><em>green </em><em>betel leaf extract was 5%. The results of in vivo test showed the duration of wound healing increased with increasing concentration of green betel leaf extract. The result of normality test, Anava, and LSD test on in vivo test give the same result. Concentrations of 4 and 5% were effective concentrations with wound healing time activity were not significantly different with positive control (gentamicin 0.1%) with mean time of 6.20 ± 0.80 and 6.00 ± 0.71 days respectively. It can be concluded that the antibacterial test results in ointment are in line with in vitro test of leaf </em><em>green betel </em><em>extract which has potential as antibacterial.</em><strong><em></em></strong></p><p><strong><em>Key words</em></strong><em>:      Green betel, Antibacterial, Ointment, Wound</em></p>

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