Main Article Content
Abstract
Binahong is a plant that contains active compounds and has potential as an anti-oxidant, anti- inflammatory, and anti-bacterial. The active compounds of binahong plants have been widely studied to play a role in the phases of the wound healing process. This study examined the phytochemicals, the potential of the extract as an antibacterial, and the effectiveness of binahong (Anredera cordifolia) gel on the diameter of full-thickness wounds in Rattus norvegicus rats. This type of research is in vitro and in vivo, using a true experimental post- test control design. Bacteria used in the study, Pseudomonas aeruginosa and Staphylococcus aureus, were tested using concentrations of binahong extract at 25%, 50%, 75%, and 100%. The research sample was Rattus norvegicus rats, which were divided into 5 treatment groups: negative control, positive control, and binahong gel doses of 10%, 20%, and 30%. The parameters used for the antibacterial test were the zone of inhibition and wound healing parameters seen from the measurement of wound diameter carried out on day 14. Statistical tests used descriptive analysis and one-way ANOVA test. The phytochemical screening test of binahong (Anredera cordifolia) extract contains alkaloid, flavonoid, triterpenoid, steroid, saponin, and tannin compounds. Binahong extract effectively inhibits Pseudomonas aeruginosa and Staphylococcus aureus bacteria. There is a clear zone, which is the zone of inhibition. The most effective concentration of binahong extract in inhibiting Pseudomonas aeruginosa bacteria was obtained at a concentration of 75% and Staphylococcus aureus at a concentration of 25%. The results of the one-way anova test showed that there was a significant difference in the mean wound diameter between treatment groups (p<0.05). Games Howell's post hoc test found that the dose of binahong gel that is effective in wound healing is found in the 10% dose of binahong gel. Binahong contains active compounds of alkaloids, flavonoids, triterpenoids, steroids, saponins, and tannins that have the potential to be antibacterial and proven in wound healing, as seen from the decrease in wound diameter.
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References
- Anggraeni, D., Airin, C. M., & Raharjo, S. (2018). the Effectiveness of Ethanol Extract of Binahong Leaves on Diabetic Wound Healing. Jurnal Kedokteran Hewan - Indonesian Journal of Veterinary Sciences, 11(4), 146–152. https://doi.org/10.21157/j.ked.hewan.v11i4.6562
- Betriksia, D., Hamid, I. S., & Hermanu, L. S. (2018). Uji Potensi Ekstrak Daun Binahong (Anredera cordifolia (Ten.) Steenis) Terhadap Peningkatan Ketebalan Jaringan Granulasi dan Waktu Penyembuhan Luka Bakar Tikus. Jurnal Farmasi Sains Dan Terapan, 5(1), 11–17. https://doi.org/10.33508/JFST.V5I1.2050
- Carvalho, M. T. B., Araújo-Filho, H. G., Barreto, A. S., Quintans-Júnior, L. J., Quintans, J. S. S., & Barreto, R. S. S. (2021). Wound healing properties of flavonoids: A systematic review highlighting the mechanisms of action. Phytomedicine, 90(February). https://doi.org/10.1016/j.phymed.2021.153636
- Esimone CO, Ibezim EC, C. K. (2006). The wound healing effect of herbal ointments formulated with Napoleona imperialis. Journal of Pharmaceutical and Allied Sciencesences. 3(21), 284–292
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- Fang, Y., Shen, J., Yao, M., Beagley, K. W., Hambly, B. D., & Bao, S. (2010). Granulocyte-macrophage colony-stimulating factor enhances wound healing in diabetes via upregulation of proinflammatory cytokines. The British Journal of Dermatology, 162(3), 478–486.https://doi.org/10.1111/J.1365- 2133.2009.09528.X
- Harish Rao, A. (2012). A comparative study between collagen dressings and conventional dressings in wound healing. International Journal of Collaborative Research on Internal Medicine & Public Health, 4(5), 625–637.
- Hasanoglu, A., Ara, C., Ozen, S., Kali, K., Senol, M., & Ertas, E. (2001). Efficacy of Micronized Flavonoid Fraction in Healing of Clean and Infected Wounds. International Journal of Angiology, 10(1), 41–44. https://doi.org/10.1007/s005470000126
- Hidayat, S., R, N. M., Astuti, P., & Ponirah. (2021). Literature Review Efektivitas Modern Dressing Hydrocolloid Terhadap Penyembuhan Luka Pada Pasien Diabetes Mellitus STIKes Bani Saleh, Jawa Barat, Indonesia. Jurnal Keperawatan Merdeka, 1(perawatan luka), 81–92. https://jurnal.poltekkespalembang.ac.id/index.php/jkm/article/download/987/413/
- Hutagalung, M. B. Z., Eljatin, D. S., Awalita, Sarie, V. P., Gaby, Sianturi, D. A., & Santika, G. F. (2019). Diabetic Foot Infection (Infeksi Kaki Diabetik). Jurnal CDK, 46(6), 414–418.
- Kintoko, A. D. (2015). The effectivity of ethanolic extract of binahong leaves (Anredera cordifolia (tenore) steen) gel in the management of diabetic wound healing in aloxan-induced rat models. Jurnal Kedokteran Dan Kesehatan Indonesia, 7(2), 52–58.
- Kintoko, & Desmayanti. (2016). Efektivitas Gel Ekstrak Etanolik Daun Binahong (Anredera cordifolia (tenore) steen) dalam Pengelolaan Penyembuhan Luka DIabetik pada Tikus Model yang Diinduksi Aloksan. JKKI, 227– 236.
- Kusumastuty, H., & Dewi, N. S. (2020). Penggunaan Terapi Komplementer dalam Modern Wound Dressing pada Pasien dengan Luka Diabetes : Literature Review. 3(2), 81–91.
- Liu, E., Gao, H., Zhao, Y. J., Pang, Y., Yao, Y., Yang, Z., Zhang, X., Wang, Y. J., Yang, S., Ma, X., Zeng, J., & Guo, J. (2022). The potential application of natural products in cutaneous wound healing: A review of preclinical evidence. Frontiers in Pharmacology, 13(July), 1–18. https://doi.org/10.3389/fphar.2022.900439
- Luh Titi Handayani. (2016). Studi Meta Analisis Perawatan Luka Kaki Diabetes Dengan Modern Dressing. 6(2), 149–159.
- Nisa, A. N., Artemisia, E. G. A., & Haryadi, W. (2012). (Anredera cordifolia (Tenore) Steen.) Hasil Pemisahan Kromatografi Lapis Tipis Preparatif ; Identification of Flavonoid Compounds from Binahong Leaves (Anredera cordifolia (Tenore)Steen.) Separated using Preparative Thin Layer. 6.
- Nisa Hanifah, Anindiya Kartika Sari, Adhika Ilham Gemilang, J. R. N. (2019). No Title. Efektivitas Gel Ekstrak Daun Binahong (Anredera cordifolia) Terhadap Kontraksi Luka Pada Penderita Reccurent Apthous Stomatitis (RAS), 31(3). https://doi.org/https://doi.org/10.24198/jkg.v31i3.21880
- Nontji, W., Hariati, S., & Arafat, R. (2015). Modern and Convensional Wound Dressing to Interleukin 1 and Interleukin 6 in Diabetic wound. Jurnal NERS, 10(1), 133. https://doi.org/10.20473/jn.v10i12015.133-137
- Nury, D. F., Widjaja, T., & Kurniawan, F. (2019). The Effect of Binahong (Anredera cordifolia (Ten.) Steenis) Medicinal Plant Extract Addition on Glucose Detection. Jurnal Sains Dan Seni ITS, 8(2). https://doi.org/10.12962/j23373520.v8i2.49944
- Patel, S., Srivastava, S., Singh, M. R., & Singh, D. (2019). Mechanistic insight into diabetic wounds: Pathogenesis, molecular targets and treatment strategies to pace wound healing. Biomedicine and Pharmacotherapy, 112(October 2018), 108615. https://doi.org/10.1016/j.biopha.2019.108615
- Refiani, E., Maliza, R., Fitri, H., & Lestari, P. (2021). Therapeutic Effects of medicinal Plants on Diabetic Foot Ulcers: https://doi.org/10.19184/ams.v7i3.24244
- Rizqiyah, H., Soleha, T. U., Hanriko, R., & Apriliana, E. (2020). Pola bakteri ulkus diabetikum pada penderita diabetes melitus di RSUD Dr. H. Abdul Moeloek. Majority, 9, 128–135.
- Rohani, S. (2021). Isolation and Characterization of Wound Healing Compounds from Chloroform Extract of Binahong Leaves (Anredera cordifolia (Ten.) Steenis). MAGNA MEDICA Berkala Ilmiah Kedokteran Dan Kesehatan, 8(1), 40. https://doi.org/10.26714/magnamed.8.1.2021.40-59
- Salim, A., Kristanto, D. F., Subianto, F., Sundah, J. E., & Avanny, P. (2021). Phytochemical Screening and Therapeutic Effects of Binahong (Anredera cordifolia (Ten.)Steenis) Leaves. 03(02).
- Sihotang, T. F., Jayawardhita, A. A. G., & Berata, I. K. (2019). Efektivitas Pemberian Gel Ekstrak Daun Binahong Terhadap Kepadatan Kolagen Pada Penyembuhan Luka Insisi Mencit Diabetes. Indonesia Medicus Veterinus, 8(Vol 8 (4) 2019), 456–463. https://doi.org/10.19087/imv.2019.8.4.456
- Suparwati, Sukarni, & Fradianto, I. (2022). Identifikasi Bakteri Pada Luka Kaki Diabetes Yang Mengalami Infeksi : Kajian Literatur Identification of Bacteria in Infected Diabetic Foot Ulcer : Literature Review. Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia, 10(1), 27–35..
- Smith, J., 1998. The book, The publishing company. London, 2nd edition.
References
Anggraeni, D., Airin, C. M., & Raharjo, S. (2018). the Effectiveness of Ethanol Extract of Binahong Leaves on Diabetic Wound Healing. Jurnal Kedokteran Hewan - Indonesian Journal of Veterinary Sciences, 11(4), 146–152. https://doi.org/10.21157/j.ked.hewan.v11i4.6562
Betriksia, D., Hamid, I. S., & Hermanu, L. S. (2018). Uji Potensi Ekstrak Daun Binahong (Anredera cordifolia (Ten.) Steenis) Terhadap Peningkatan Ketebalan Jaringan Granulasi dan Waktu Penyembuhan Luka Bakar Tikus. Jurnal Farmasi Sains Dan Terapan, 5(1), 11–17. https://doi.org/10.33508/JFST.V5I1.2050
Carvalho, M. T. B., Araújo-Filho, H. G., Barreto, A. S., Quintans-Júnior, L. J., Quintans, J. S. S., & Barreto, R. S. S. (2021). Wound healing properties of flavonoids: A systematic review highlighting the mechanisms of action. Phytomedicine, 90(February). https://doi.org/10.1016/j.phymed.2021.153636
Esimone CO, Ibezim EC, C. K. (2006). The wound healing effect of herbal ointments formulated with Napoleona imperialis. Journal of Pharmaceutical and Allied Sciencesences. 3(21), 284–292
.
Fang, Y., Shen, J., Yao, M., Beagley, K. W., Hambly, B. D., & Bao, S. (2010). Granulocyte-macrophage colony-stimulating factor enhances wound healing in diabetes via upregulation of proinflammatory cytokines. The British Journal of Dermatology, 162(3), 478–486.https://doi.org/10.1111/J.1365- 2133.2009.09528.X
Harish Rao, A. (2012). A comparative study between collagen dressings and conventional dressings in wound healing. International Journal of Collaborative Research on Internal Medicine & Public Health, 4(5), 625–637.
Hasanoglu, A., Ara, C., Ozen, S., Kali, K., Senol, M., & Ertas, E. (2001). Efficacy of Micronized Flavonoid Fraction in Healing of Clean and Infected Wounds. International Journal of Angiology, 10(1), 41–44. https://doi.org/10.1007/s005470000126
Hidayat, S., R, N. M., Astuti, P., & Ponirah. (2021). Literature Review Efektivitas Modern Dressing Hydrocolloid Terhadap Penyembuhan Luka Pada Pasien Diabetes Mellitus STIKes Bani Saleh, Jawa Barat, Indonesia. Jurnal Keperawatan Merdeka, 1(perawatan luka), 81–92. https://jurnal.poltekkespalembang.ac.id/index.php/jkm/article/download/987/413/
Hutagalung, M. B. Z., Eljatin, D. S., Awalita, Sarie, V. P., Gaby, Sianturi, D. A., & Santika, G. F. (2019). Diabetic Foot Infection (Infeksi Kaki Diabetik). Jurnal CDK, 46(6), 414–418.
Kintoko, A. D. (2015). The effectivity of ethanolic extract of binahong leaves (Anredera cordifolia (tenore) steen) gel in the management of diabetic wound healing in aloxan-induced rat models. Jurnal Kedokteran Dan Kesehatan Indonesia, 7(2), 52–58.
Kintoko, & Desmayanti. (2016). Efektivitas Gel Ekstrak Etanolik Daun Binahong (Anredera cordifolia (tenore) steen) dalam Pengelolaan Penyembuhan Luka DIabetik pada Tikus Model yang Diinduksi Aloksan. JKKI, 227– 236.
Kusumastuty, H., & Dewi, N. S. (2020). Penggunaan Terapi Komplementer dalam Modern Wound Dressing pada Pasien dengan Luka Diabetes : Literature Review. 3(2), 81–91.
Liu, E., Gao, H., Zhao, Y. J., Pang, Y., Yao, Y., Yang, Z., Zhang, X., Wang, Y. J., Yang, S., Ma, X., Zeng, J., & Guo, J. (2022). The potential application of natural products in cutaneous wound healing: A review of preclinical evidence. Frontiers in Pharmacology, 13(July), 1–18. https://doi.org/10.3389/fphar.2022.900439
Luh Titi Handayani. (2016). Studi Meta Analisis Perawatan Luka Kaki Diabetes Dengan Modern Dressing. 6(2), 149–159.
Nisa, A. N., Artemisia, E. G. A., & Haryadi, W. (2012). (Anredera cordifolia (Tenore) Steen.) Hasil Pemisahan Kromatografi Lapis Tipis Preparatif ; Identification of Flavonoid Compounds from Binahong Leaves (Anredera cordifolia (Tenore)Steen.) Separated using Preparative Thin Layer. 6.
Nisa Hanifah, Anindiya Kartika Sari, Adhika Ilham Gemilang, J. R. N. (2019). No Title. Efektivitas Gel Ekstrak Daun Binahong (Anredera cordifolia) Terhadap Kontraksi Luka Pada Penderita Reccurent Apthous Stomatitis (RAS), 31(3). https://doi.org/https://doi.org/10.24198/jkg.v31i3.21880
Nontji, W., Hariati, S., & Arafat, R. (2015). Modern and Convensional Wound Dressing to Interleukin 1 and Interleukin 6 in Diabetic wound. Jurnal NERS, 10(1), 133. https://doi.org/10.20473/jn.v10i12015.133-137
Nury, D. F., Widjaja, T., & Kurniawan, F. (2019). The Effect of Binahong (Anredera cordifolia (Ten.) Steenis) Medicinal Plant Extract Addition on Glucose Detection. Jurnal Sains Dan Seni ITS, 8(2). https://doi.org/10.12962/j23373520.v8i2.49944
Patel, S., Srivastava, S., Singh, M. R., & Singh, D. (2019). Mechanistic insight into diabetic wounds: Pathogenesis, molecular targets and treatment strategies to pace wound healing. Biomedicine and Pharmacotherapy, 112(October 2018), 108615. https://doi.org/10.1016/j.biopha.2019.108615
Refiani, E., Maliza, R., Fitri, H., & Lestari, P. (2021). Therapeutic Effects of medicinal Plants on Diabetic Foot Ulcers: https://doi.org/10.19184/ams.v7i3.24244
Rizqiyah, H., Soleha, T. U., Hanriko, R., & Apriliana, E. (2020). Pola bakteri ulkus diabetikum pada penderita diabetes melitus di RSUD Dr. H. Abdul Moeloek. Majority, 9, 128–135.
Rohani, S. (2021). Isolation and Characterization of Wound Healing Compounds from Chloroform Extract of Binahong Leaves (Anredera cordifolia (Ten.) Steenis). MAGNA MEDICA Berkala Ilmiah Kedokteran Dan Kesehatan, 8(1), 40. https://doi.org/10.26714/magnamed.8.1.2021.40-59
Salim, A., Kristanto, D. F., Subianto, F., Sundah, J. E., & Avanny, P. (2021). Phytochemical Screening and Therapeutic Effects of Binahong (Anredera cordifolia (Ten.)Steenis) Leaves. 03(02).
Sihotang, T. F., Jayawardhita, A. A. G., & Berata, I. K. (2019). Efektivitas Pemberian Gel Ekstrak Daun Binahong Terhadap Kepadatan Kolagen Pada Penyembuhan Luka Insisi Mencit Diabetes. Indonesia Medicus Veterinus, 8(Vol 8 (4) 2019), 456–463. https://doi.org/10.19087/imv.2019.8.4.456
Suparwati, Sukarni, & Fradianto, I. (2022). Identifikasi Bakteri Pada Luka Kaki Diabetes Yang Mengalami Infeksi : Kajian Literatur Identification of Bacteria in Infected Diabetic Foot Ulcer : Literature Review. Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia, 10(1), 27–35..
Smith, J., 1998. The book, The publishing company. London, 2nd edition.