Article  
Antibacterial Activity of Combination of Betel Leaf Extract and Star Fruit Using  
Hydroextraction Method  
Dara Pranidya Tilarso1* , Afidatul Muadifah2 , Windu Handaru3, Putri Indah Pratiwi4, Mursyidah  
Lathifatul Khusna5, Indra Lasmana Tarigan6  
1,2,3,4,5Department of Pharmacy, STIKES Karya Putra Bangsa, Tulungagung Indonesia  
6Department of Chemistry, Faculty of Science and Technology, Universitas Jambi, Indonesia  
Abstract  
Antibacterial compounds are bioactive substances capable of inhibiting bacterial growth by disrupting the  
metabolism and cellular processes of pathogenic microorganisms. Natural plant-derived compounds have been  
widely explored for their antibacterial properties, with star fruit (Averrhoa bilimbi L.) and betel leaf (Piper betle)  
recognized for their potent antimicrobial effects. This study aimed to evaluate the antibacterial activity of a  
combination of star fruit and betel leaf extracts against Escherichia coli and Staphylococcus aureus, two clinically  
significant bacterial pathogens. The extraction process was performed using hydro-extraction at different  
temperatures (40°C, 50°C, 60°C, and 90°C) to determine the optimal conditions for bioactive compound yield.  
Antibacterial activity was assessed using the disc diffusion method, measuring inhibition zones to indicate of  
bacterial susceptibility. The results demonstrated that the optimal inhibitory effect occurred at 50°C, producing an  
inhibition zone of 19.75 mm for Staphylococcus aureus and 11.75 mm for Escherichia coli. These findings suggest that  
temperature plays a critical role in maximizing the antibacterial potential of plant extracts. The study highlights the  
potential application of star fruit and betel leaf extracts as natural antibacterial agents, particularly against Gram-  
positive and Gram-negative bacteria. Further research is recommended to explore the mechanism of action,  
phytochemical composition, and potential synergy of these extracts in antimicrobial formulations.  
Keywords: Averrhoa bilimbi L; Hydroextraction, Piper betle.  
Graphical Abstract  
Piper betle  
Averrhoa bilimbi L.  
Hydroextraction Method  
*
Corresponding author  
Copyright © 2022 by Authors, Published by Chempublish Journal. This is an open access article under the CC BY License  
168  
Chempublish Journal, 6(4) 2022, 168-176  
Introduction  
Antibacterial substances are compounds that  
hinder bacterial growth by interfering with the  
The combination of extracts allows for synergistic  
activity between compounds.  
The extraction technique is the process of  
transferring a substance or solute from the  
original solution or solid into a certain solvent [9].  
Extraction techniques by maceration, soxhlet,  
and hydrodistillation can produce very effective  
antibacterials but require very expensive  
solvents. Therefore, the hydro extraction method  
was chosen using hot water by boiling and  
steaming because this method is considered  
more economical. Based on this, research is  
needed to compare the antibacterial activity of a  
combination of green betel leaf extract and  
starfruit extract using the hydro-extraction  
technique. The resulting extract is expected to be  
more effective and cost-efficient as an antiseptic  
in inhibiting the growth of Staphylococcus aureus  
and Escherichia coli.  
metabolism  
of  
harmful  
microbes  
[1].  
Antibacterial substances derived from synthetic  
materials can prevent bacterial infections, but  
many have side effects such as irritation. This  
problem encourages the shift in the use of  
antibacterial substances from synthetic materials  
to natural materials. Natural material extracts  
with antibacterial content can be formulated into  
antiseptic preparations through hand sanitizers  
or hand soap. Plants with antibacterial properties  
include starfruit (Averrhoa bilimbi L.) and betel  
leaves (Piper betle). These plants are useful as  
traditional medicines that our ancestors have  
long used. Starfruit is effective in treating various  
conditions,  
diabetes,  
including  
coughs,  
rheumatism, canker sores, mumps, toothaches,  
acne, bleeding gums, diarrhea, and high blood  
pressure [2]. Starfruit contains compounds such  
as saponins, flavonoids, steroids/triterpenoids,  
Material and Methods  
Materials and Instrumentations  
and  
tannins.  
These  
compounds  
exhibit  
antibacterial activity by inhibiting protein  
synthesis [3]. According to a study by Aifianti  
(2014), revealed that starfruit extract displays  
antibacterial activity against Staphylococcus  
aureus and Escherichia coli bacteria at a 10%  
concentration. An extract concentration of 10%  
or the lowest concentration can inhibit bacterial  
growth and produce an inhibition zone diameter  
[4]. Meanwhile, betel leaves are efficacious for  
treating vaginal discharge, eliminating bad  
breath, treating wounds, stopping bleeding  
gums, mouth ulcers, and eliminating body odor  
[5]. The chemical content found in betel plants is  
saponin, flavonoids, polyphenols, and essential  
oils [6]. Saponin compounds exhibit antibacterial  
effects by damaging the cytoplasmic membrane,  
Piper betle and Averrhoa bilimbi extracts, test  
bacteria Staphylococcus aureus and Escherichia  
coli. The test media including Nutrient Agar (NA)  
and Nutrient Broth (NB). Additional materials are  
distilled  
Dragendorff's  
water  
(H2O),  
reagent,  
Mayer's  
reagent,  
concentrated  
hydrochloric acid (HCl P), Iron (III) Chloride (FeCl3),  
ethyl acetate (C4H8O2), anhydrous acetic acid,  
concentrated sulfuric acid (H2SO4), hot water,  
hydrochloric acid (HCl). Other tools are knives,  
trays, cloths, stoves, pans, beaker glasses,  
thermometers, petri dishes, measuring cups,  
droppers, test tubes, test tube racks, analytical  
scales, spirit lamps, dropper plates, erlenmeyer  
flasks  
which  
results  
in  
cell  
death.  
Flavonoid  
Methods  
compounds, meanwhile, work by causing the  
denaturation of bacterial cell proteins [7]. Betle  
leaf extract at a 40% concentration can inhibit  
Staphylococcus aureus bacteria, producing an  
inhibition zone with a diameter of 17.33 mm [8].  
Based on the content of compounds in the two  
plants that have antibacterial activity, both plants  
have the potential to be used as natural  
antiseptics. The combination of these two  
extracts is anticipated to offer enhanced  
effectiveness in suppressing bacterial growth.  
Sample Preparation and Extraction. The plant  
materials used in this study consisted of green  
betle leaves (Piper betle) and starfruit (Averrhoa  
bilimbi L.), sourced from Bendiljati Wetan Village,  
Tulungagung, and identified at Materia Medica  
Batu, Malang. For extract preparation, several  
fresh yellow starfruits and green betel leaves  
were selected, washed with clean water, and then  
allowed to dry at room temperature. Once dried,  
the samples were cut into small pieces of  
169  
Chempublish Journal, 6(4) 2022, 168-176  
approximately 0.5 cm and weighed a total of 100  
g. The hydro extraction method was employed,  
which involved boiling at temperatures of 40°C,  
50°C, and 60°C, as well as steaming at 90°C [10].  
For the boiling method, 100 ml of water is  
prepared and heated in a water bath, with  
temperature settings of 40°C, 50°C, and 60°C.  
Then, 100 g of the cut samples are added to the  
heated water and left for 30 min. Afterwards, the  
mixture is filtered using plastic gauze for the first  
filtration, followed by a second filtration using  
filter paper. Treatment with the steaming  
method, prepare enough water in a steamer that  
has been perforated on the cover and insert a  
thermometer in the perforated part for  
temperature control, insert 100 g of sample, heat  
on the stove at a temperature of 90ºC, wait  
approximately 30 min until the extract is  
obtained then filtered with filter paper [11].  
Extract  
Analysis  
using  
Liquid  
Chromatography High Resolution Mass  
Spectrometry (LC-HRMS). The combination  
extract of green betel leaf (Piper betle) and  
starfruit (Averrhoa bilimbi L.) was analyzed using  
a Liquid Chromatography system. The solvents  
used were A = 0.1% Formic Acid in Water and B =  
0.1% Formic Acid in Acetonitrile. The analytical  
column employed was Hypersil GOLD aQ, with  
dimensions of 50 x 1 mm and a particle size of 1.9  
µm. The analytical flow rate was set at 40 µL/min,  
and the flow gradient followed the pattern shown  
in Table 1. The operating time was 30 min, with  
the column oven temperature maintained at  
30°C. HRMS analysis was conducted with a full  
scan at a resolution of 70,000, with MS2 data  
captured at a resolution of 17,500. The total  
running time was 30 min, and the analysis was  
performed in both positive and/or negative  
polarity.  
Phytochemical screening. Flavonoids: One gram  
of the sample extract is placed in a test tube,  
followed by the addition of concentrated HCl and  
heating in a water bath for 15 minu. The  
formation of a red or yellow color indicates a  
positive result for flavonoids, including flavones,  
chalcones, and aurones [12]. Tannins: Two grams  
of the extract are dissolved in ethanol until fully  
submerged. Subsequently, 1 mL of the solution is  
transferred into a test tube, and 23 drops of 1%  
FeClsolution are added. The presence of  
tannins is confirmed by the appearance of a  
bluish-black or green color [13]. Alkaloids: The  
Table 1. Gradient Elution  
No Time  
Flow Rate%B  
(µL/min)  
Curve  
1
2
3
4
5
6
7
8
9
0.000  
Equilibration  
5.0  
0.000  
40.000  
5
New Row  
0.000  
Run  
2.000  
40.000  
40.000  
40.000  
40.000  
40.000  
40.000  
5.0  
5
5
5
5
5
5
15.000  
22.000  
25.000  
25.100  
60.0  
95.0  
95.0  
5.0  
identification  
conducted  
of  
using  
alkaloid  
Mayer's  
compounds  
reagent  
is  
and  
Dragendorff's reagent. Terpenoids: Two grams of  
the sample extract are introduced into a test  
tube, followed by the addition of 2 mL of ethyl  
acetate, then shaken. The ethyl acetate layer is  
separated, transferred onto a dropper plate, and  
left to dry. Once dried, 2 drops of anhydrous  
acetic acid and 1 drop of concentrated sulfuric  
acid are added. The formation of a red or yellow  
color indicates a positive result for terpenoids,  
whereas a green color signifies the presence of  
steroids [12]. Saponin: Half a gram of the  
extracted sample is mixed with 0.5 mL of hot  
water and shaken for 1 minute. If foam appears,  
1N HCl is added. The extract is considered  
positive for saponins if the foam remains stable  
for 10 min at a height of 13 cm. [14].  
10 30.000  
11 New Row  
12 30.000  
5.0  
Stop Run  
Antibacterial Activity. The antibacterial test  
begins with the preparation of nutrient agar  
media. To prepare the media, 2 g of agar powder  
are weighed and dissolved in 100 mL of distilled  
water. The solution is stirred until fully  
homogeneous and then sterilized in an autoclave  
at 121°C for 15 min. After sterilization, extract  
comparisons between starfruit and green betle  
leaves are made at a ratio of 20:10 mg/mL, with  
170  
Chempublish Journal, 6(4) 2022, 168-176  
chloramphenicol serving as the positive control  
and distilled water as the negative control. Next,  
S. aureus and E. coli bacteria are evenly inoculated  
on each agar plate. After inoculation, 10 μL of the  
extract and 10 μL of antibiotics are applied to the  
designated disc paper on the plates. After the  
installation of the disc paper is complete, the  
bacteria are incubated at 37°C for 24 hr, then the  
diameter of the inhibition zone is observed and  
measured. The diameter of the inhibition zone is  
measured using a calliper, and the results are  
then compared with the positive controls,  
negative controls, and classification values of the  
inhibition zone diameter.  
(Table 1). These findings suggest that the  
combination may possess potential medicinal  
and antioxidant properties, whereas saponins,  
steroids, and terpenoids were not detected.  
Profiling  
Liquid  
Chromatography  
High  
Resolution Mass Spectrometry (LC-HRMS)  
Liquid Chromatography-High Resolution Mass  
Spectrometry (LC-HRMS) analysis revealed that  
the combination extract of green betel leaf (Piper  
betle L.) and star fruit (Averrhoa bilimbi L.)  
contains bioactive compounds with potential  
antibacterial properties (Table 3). Among the  
identified compounds, apigenin, a flavonoid, was  
detected at a retention time of 0.870 min, with a  
molecular weight of 271.05991 g/mol (Table 3).  
Results and Discussions  
The sample was extracted using distilled water  
because distilled water is neutral, has no  
antibacterial activity, is not easily evaporated and  
is polar [15]. The method used is the  
hydroextraction method because this method is  
more effective and efficient so that it can save  
production costs. In addition, this method is also  
easier to apply by the community [10].  
Flavonoids, including apigenin, are known for  
their antibacterial activity, primarily through  
interactions with extracellular and soluble  
proteins, leading to bacterial cell membrane  
disruption  
intracellular  
and  
components  
subsequent  
[16].  
leakage  
Specifically,  
of  
apigenin has been reported to inhibit the growth  
of Staphylococcus aureus and Escherichia coli, two  
Table 2. Secondary metabolites of Combination  
Extract  
clinically significant bacterial  
[16-17]. The  
antibacterial mechanism of apigenin is linked to  
its ability to inhibit the glucosyltransferase  
enzyme, which plays a critical role in bacterial  
Secondary Metabolite  
Result  
Alkaloids  
Flavonoids  
Tannins  
+
+
+
-
adhesion  
and  
biofilm  
formation,  
thereby  
reducing bacterial colonization and persistence  
[18].  
Saponins  
Steroids  
-
These findings align with previous studies  
highlighting flavonoids as promising natural  
antibacterial agents that could serve as  
alternatives or complementary treatments to  
Terpenoids  
-
Note: (+) contains coumpounds; (-) does not contain  
compounds  
The  
phytochemical  
screening  
test  
of  
a
conventional  
antibiotics,  
particularly  
in  
combination of green betel leaf extract and star  
fruit in a 2:1 ratio was conducted by observing  
the color changes produced by phytochemical  
reagents in the test tube, which indicated the  
presence of specific compounds in the extract.  
The results showed that the combination  
contained flavonoids, alkaloids, and tannins  
addressing antibiotic-resistant bacterial strains  
[19]. The presence of apigenin in the combination  
extract of Piper betle L. and Averrhoa bilimbi L.  
further underscores the therapeutic potential of  
plant-based  
bioactive  
compounds  
in  
the  
development of novel antibacterial formulations.  
Table 3. Antibacterial Active Compounds in Combination Extracts  
171  
Chempublish Journal, 6(4) 2022, 168-176  
Molecular  
Weight  
(g/mol)  
Retention  
Time (min)  
Name  
Formula  
Area (max)  
m/z  
Apigenin  
Piperine  
Betaine  
C15H10O5  
C17H19NO3  
C5H11NO2  
271.05991  
286.14337  
118.0863  
0.870  
35,328,318.48  
4,570,066,672.75  
101,427,056.68  
99.2  
98.7  
98.2  
14.602  
20.442  
Figure 1. Total Ion Chromatogram  
surface of Staphylococcus aureus bacterial cells  
[20].  
Figure 2. Single chromatogram of Apigenin from  
LC analysis  
Figure 4. Single chromatogram of Piperine from  
LC analysis  
Figure 3, Apigenin Mass Spectrum  
Figure 5. Piperine Mass Spectrum  
The antibacterial mechanism of piperine against  
Staphylococcus aureus is as a protein A inhibitor.  
Protein A is a protein that is only found on the  
172  
Chempublish Journal, 6(4) 2022, 168-176  
Betaine compound in the combination extract of  
betel leaf and starfruit can be eluted at a  
retention time of 20.442 min (Figure 6) with a  
molecular weight of 118.0863 (Figure 6). Betaine  
compound is included in the Tannin compound  
group. The antibacterial mechanism of tannin  
has an antibacterial effect by implementing  
inhibition of protein synthesis. The antibacterial  
effect of tannins occurs through interactions with  
cell membranes, enzyme inactivation, and the  
disruption of genetic material. The mechanism  
by which tannins act as antibacterials involves  
inhibiting the reverse transcription enzyme and  
DNA topoisomerase, preventing bacterial cell  
formation [16].  
Antibacterial Test of Combination of Green Betel  
Leaf Extract and Starfruit Fruit  
The antibacterial activity of the combined green  
betle leaf and starfruit extracts was evaluated  
using the disc diffusion method. The test plates  
were incubated at 37°C for 24 hr. To assess the  
optimum inhibitory effect, the diameter of the  
clear zone surrounding the disc was measured  
using a caliper. The results, illustrating the  
formation of inhibition zones around the disc due  
to the extract combination, are shown in Figure 8  
A
B
Figure 6. Single chromatogram of Betaine from  
Figure 8. Inhibition of combination of betle leaf  
extract and starfruit. (A) Staphylococcus aureus,  
(B) Escherichia coli.  
LC analysis  
Figure 7. Betaine Mass Spectrum  
Table 4. Diameter of inhibition zone against Staphylococcus aureus and Escherichia coli  
Diameter Clear Zone (mm)  
Treatment  
S. aureus  
R3  
E. coli  
R1  
R2  
R1  
R2  
R3  
Mean  
Mean  
40°C  
50°C  
60°C  
90°C  
K+  
5
24.5  
14.75  
14.75  
8
10  
9
9
17  
22.5  
19.5  
20.5  
19.75  
16.25  
14.5  
35.5  
0
19.75  
16.25  
14.4  
29.5  
0
13  
15.5  
8
9
8
8
11  
11  
13  
11.75  
8
11.75  
8
8.5  
27.5 25.5  
33  
0
5.5 28  
22.17  
0
K-  
0
0
0
0
R= replication; K+= Positive control (Kloramfenikol); K- = Negative control (aquades)  
The results of the antibacterial activity test of the  
combined extract demonstrated optimal effects  
at 50°C, producing an inhibition zone of 19.75  
mm against Staphylococcus aureus, indicating a  
strong antibacterial response. Additionally, at  
60°C, the extract exhibited optimal activity  
against Escherichia coli, forming an inhibition  
173  
Chempublish Journal, 6(4) 2022, 168-176  
zone of 11.75 mm, which signifies a moderate  
inhibitory effect on bacterial growth. (Table 4).  
alkaloid- and tannin-rich plant extracts continue  
to be explored as potential alternatives or  
adjuvants  
to  
conventional  
antibacterial  
The phytochemical screening of the starfruit and  
betel leaf extract combination confirmed the  
presence of alkaloids and tannins. Alkaloids are  
bioactive compounds that act as antibacterial  
compounds just like bioactive phenol, flavonoid,  
and tannin compounds. The mechanism is by  
damaging cell metabolism so that bacterial  
growth is inhibited.  
treatments [23-24]. Tannins interact with  
polypeptides in the bacterial cell wall, disrupting  
its proper formation. This structural instability  
makes bacteria susceptible to lysis due to  
osmotic or physical pressure, ultimately leading  
to cell death [4].  
The study conducted indicates the combination  
of starfruit extract and betel leaf effectively  
inhibits the growth of Staphylococcus aureus in  
the strong category and Escherichia coli in the  
moderate category. However, the inhibition zone  
diameter for both bacteria remains smaller than  
that of the positive control. Staphylococcus  
aureus is classified as a gram-positive bacterium,  
whereas Escherichia coli is gram negative. The  
cell wall of gram-positive bacteria contains a  
higher concentration of peptidoglycan and fewer  
lipids, along with polysaccharides. Peptidoglycan  
is composed of amino acids and sugars, while  
teichoic acid, a water-soluble polymer, facilitates  
the transport of positive ions. The polar nature of  
the gram-positive bacterial cell wall suggests that  
it is more permeable to polar compounds. Since  
alkaloids and tannins are polar, they can more  
readily penetrate the polar peptidoglycan layer  
compared to the non-polar lipid layer found in  
gram negative bacteria. This leads to a stronger  
inhibitory effect on gram positive bacteria than  
on gram negative bacteria [22].  
Natural plant-derived compounds, particularly  
alkaloids and tannins, have been widely studied  
for  
Alkaloids  
their  
potent  
exert their  
antibacterial  
properties.  
effects  
antibacterial  
primarily by disrupting the peptidoglycan  
structure of bacterial cell walls, an essential  
component for maintaining cell integrity and  
shape.  
By  
interfering  
with  
peptidoglycan  
synthesis, alkaloids hinder proper cell wall  
formation, leading to increased cell permeability,  
osmotic instability, and ultimately bacterial cell  
death. In addition to targeting the cell wall, some  
alkaloids have been reported to interfere with  
bacterial nucleic acid synthesis and inhibit key  
metabolic enzymes, further contributing to their  
bactericidal activity [20].  
Similarly, tannins play a significant role in  
antibacterial defense by inhibiting essential  
bacterial enzymes, such as reverse transcriptase  
and DNA topoisomerase, which are critical for  
bacterial replication and transcription [21]. By  
blocking DNA synthesis and replication, tannins  
Conclusion  
effectively  
prevent  
bacterial  
growth  
and  
proliferation. Moreover, tannins interact with  
bacterial cell membranes, leading to protein  
The analysis of active compounds in the  
combination extract confirmed the presence of  
alkaloids and tannins. Antibacterial testing  
precipitation,  
enzyme  
inactivation,  
and  
disruption of nutrient transport systems, all of  
which contribute to bacterial cell death [22].  
demonstrated  
exhibited optimal inhibition at 50°C, with an  
inhibition zone measuring 19.75 mm, indicating a  
that  
Staphylococcus  
aureus  
These antibacterial mechanisms highlight the  
therapeutic potential of alkaloids and tannins as  
natural antimicrobial agents, particularly in the  
fight against antibiotic-resistant bacteria. Recent  
studies suggest that combining alkaloids and  
tannins with conventional antibiotics may  
strong  
antibacterial  
effect.  
Meanwhile,  
Escherichia coli showed peak activity at 60°C,  
forming an inhibition zone of 11.75 mm, which  
suggests a moderate antibacterial response.  
Further studies are recommended to explore the  
antibacterial  
combination through in vivo testing.  
properties  
of  
this  
extract  
enhance antimicrobial efficacy, providing  
a
promising strategy to combat multidrug-  
resistant bacterial infections. As research in  
phytochemistry and pharmacology advances,  
174  
Chempublish Journal, 6(4) 2022, 168-176  
Bakteri Staphylococcus aureus secara In  
Acknowledgement  
vitro.  
Jurnal  
MIPA,  
2(2),  
128.  
Thank you to the Directorate of Research and  
Community Service (DRPM) for funding this  
research with contract number 159 / E5 /  
Dewi, L.K., Sarosa, A.H., Kartikowati, C.W.,  
Hayati, N., Parasu, R., Amalia, E. (2021).  
Pengaruh Jenis Pelarut Terhadap Daya  
Antibakteri Hasil Ekstraksi Daun Sirih Hijau  
(Piper betle L.) pada Aktivitas Staphylococcus  
Epidermidis. Journal of Innovation and  
[5]  
P6.02.00.PT  
/
2022  
from  
the  
APBN  
Implementation List (DIPA) of the Deputy for  
Strengthening Research and Development of the  
Ministry of Research and Technology/National  
Research and Innovation Agency in 2022.  
Applied  
Technology.  
Vol.  
7
(1).  
Author Contributions  
[6]  
[7]  
[8]  
Noventi, W. R.-4272-2-P. pdfa., & Carolia, N.  
(2016). Potensi Ekstrak Daun Sirih Hijau (  
Piper betle L .) sebagai Alternatif Terapi  
Acne vulgaris. Studi Pendidikan Dokter  
Fakultas Kedokteran Universitas Lampung,  
Vol. 5(1), Hal. 140.  
Conceptualization, DPT and AM.; Methodology,  
WH, PIP, and MLK; Software, DPT, WH, and AM.;  
Validation: DPT and AM; Formal Analysis, DPT  
and AM.; Investigation, WH, PIP, and MLK;  
Resources, DPT and AM.; Data Curation, AM and  
AM; Writing Original Draft Preparation, DPT,  
AM, and ILT; Writing Review & Editing, DPT, AM  
and ILT and ML; Visualization: DPT and AM.;  
Supervision, DPT and AM; Project Administration,  
DPT.  
Triyani, M. A., Pengestuti, D., Khotijah, S. L.,  
Susilaningrum, D. F., & Ujilestari, T. (2021).  
Aktivitas  
Antibakteri  
Hand  
Sanitizer  
Berbahan Ekstrak Daun Sirih dan Ekstrak  
Jeruk Nipis. NECTAR: Jurnal Pendidikan  
Biologi, 2(1), 16-23  
Bagus, I., Suyasa, O., Bekti, H. S., Rinawati,  
L. P., & Laksmi, L. P. (2022). Daya Hambat  
Ekstrak Daun Sirih dan Daun Legundi  
Conflic of Interest  
There are no significant conflicts that interfere  
with the progress of this research, from data  
collection to processing results and conclusions.  
Terhadap  
Pertumbuhan  
Bakteri  
Staphylococcus aureus. 1(5). The Journal Of  
Muhammadiyah  
Technologist.  
Medical  
Laboratory  
References  
[1]  
[2]  
[3]  
[4]  
Rustanti, E., Jannah, A., & Fasya, A. G.  
(2013). Uji Aktivitas Antibakteri Senyawa  
Katekin Dari Daun Teh (Cameliasinensis  
L.Var  
Micrococcusluteus.  
[9]  
Aji, A., & Bahri, S. (2017). Pengaruh Waktu  
Ekstraksi Dan Konsentrasi HCl untuk  
Pembuatan Pektin dari Kulit Jeruk Bali  
(Citrus maxima). Jurnal Teknologi Kimia  
Unimal, 6(1), 3344.  
Assamica)  
Terhadap  
Bakteri  
Alchemy,  
2(2).  
[10] Rahayu, N. W. S., Prasetyo, E. N., &  
Isdiantoni. (2016). Hindroekstraksi Daun  
Ketapang (Terminalia catappa L.) sebagai  
Pengendali Penyakit Ice-ice pada Budidaya  
Kappaphycus alvarezii. Jurnal Sains Dan  
Seni Its, 18.  
Maryam, S., Juniasti, S., & Kosman, R.  
(2015). Uji Aktivitas Antibakteri Ekstrak  
Etanol Buah Belimbing Wuluh (Averrhoa  
Bilimbi L.) Asal Kota Watampone. Jurnal  
Ilmiah  
As-Syifaa,  
7(1),  
6069.  
[11] Indrayati, A., Farmasi, F., Buana, U.,  
Ferdyani, S., Yuniarto, P. F., (2020). Uji  
Aktivitas Antibakteri Sediaan Gel Ekstrak  
Etanol Buah Belimbing Wuluh (Averrhoa  
Karawang, P.,  
Formulasi  
&
Pudding, S. (2019).  
,
Uji Stabilitas Fisik Dan  
Kompatibilitas Produk Kosmetik Anti-Aging  
Dalam Sediaan Serum. Jurnal Ilmiah  
Farmasi, 4, 2.  
Bilimbi  
Linn)  
terhadap  
Bakteri  
Staphylococcus aureus. Jurnal Kesehatan  
Mahasiswa UNIK, 2(1), 3042.  
Ngajow, M., Abidjulu, J., & Kamu, V. S.  
(2013). Pengaruh Antibakteri Ekstrak Kulit  
Batang Matoa (Pometia pinnata) terhadap  
[11] Muthmainnah. (2017). Skrining Fitokimia  
Senyawa Metabolit Sekunder Dari Ekstrak  
Etanol Buah Delima (Punica Granatum L.)  
175  
Chempublish Journal, 6(4) 2022, 168-176  
Dengan Metode Uji Warna. Media Farmasi,  
13(3), 15761580.  
[12] Harborne, J.B. (2006). Metode Fitokimia:  
[20] Yan Y, Li X, Zhang C, Lv L, Gao B, Li M.  
Research  
Progress  
on  
Antibacterial  
Activities and Mechanisms of Natural  
Penuntun Cara Modern Menganalisis  
Alkaloids: A Review. Antibiotics (Basel).  
Tumbuhan  
(alih  
bahasa:  
Kosasih  
2021  
Mar  
19;10(3):318.  
doi:  
Padmawinata & Iwang Soediro). Bandung :  
Penerbit ITB.  
[13] Dewi, N. R. K., Kuncoro, H., & Rijai, L. (2015).  
Potensi Sitotoksik Ekstrak Air Daun Sirih  
Hitam (Piper sp.). Jurnal sains dan  
Kesehatan, 1(1), 11-15.  
[21] Vaou N, Stavropoulou E, Voidarou C,  
Tsigalou C, Bezirtzoglou E. Towards  
Advances in Medicinal Plant Antimicrobial  
Activity: A Review Study on Challenges and  
Future Perspectives. Microorganisms. 2021  
[14] Dewantoro,  
Z.,  
Widodo,  
Y.L.A.,  
Ciptaningtyas,  
Pemberian Ekstrak daun Belimbing Wuluh  
(Averrhoa  
Pertumbuhan  
aureus secara In Vitro. Jurnal Kedokteran  
Diponegoro, 6(2); 886-892  
R.  
(2017).  
Pengaruh  
Sep  
27;9(10):2041.  
doi:  
bilimbi  
Bakteri  
L).  
Terhadap  
Staphylococcus  
[22] Redondo LM, Chacana PA, Dominguez JE,  
Fernandez Miyakawa ME. Perspectives in  
the use of tannins as alternative to  
antimicrobial growth promoter factors in  
[15] Parama, P. W., Sukrama, I. D. M., &  
Handoko, S. A. (2019). Uji efektifitas  
antibakteri ekstrak buah jeruk nipis (Citrus  
poultry.  
27;5:118.  
Front  
Microbiol.  
2014  
Mar  
doi:  
aurantifolia)  
Streptococcus mutans in vitro. Bali dental  
journal, 3(1), 45-52.  
terhadap  
pertumbuhan  
[23] Sari, D. R. A. P., Yustiantara, P. S., Paramita,  
N. L. P. V., & Wirasuta, I. M. A. G. (2014). Uji  
Aktivitas Antibakteri Ekstrak Etanol Buah  
Lada Hitam (Piper nigrum L.) Terhadap  
Bakteri Propionibacterium acnes. Jurnal  
Farmasi Udayana, 3(2), 279831.  
[16] Nuria, M.C., A. Faizatun., dan Sumantri.  
2009. Uji Antibakteri Ekstrak Etanol Daun  
Jarak Pagar (Jatropha cuircas L) terhadap  
Bakteri Staphylococcus aureus ATCC 25923,  
Escherichia coli ATCC 25922, dan Salmonella  
typhi ATCC 1408. Jurnal Ilmu Ilmu  
Pertanian. 5: 26 37.  
[24] Tarigan, I., Muadifah, A., & Latief, M. (2023).  
Non-Ribosomal  
Inhibition  
of  
The  
Antibacterial Compound from Ethanol  
[17] Isnarianti, R., Wahyudi, I. A., & Puspita, R. M.  
(2013). Muntingia calabura L leaves extract  
inhibits glucosyltransferase activity of  
Streptococcus mutans. Journal of Dentistry  
Indonesia, 20(3), 59-63.  
Extract of Gnetii gnemon. Life Science, 12(2),  
174-185.  
[18] Matilla-Cuenca, L., Gil, C., Cuesta, S. et al.  
Antibiofilm activity of flavonoids on  
staphylococcal biofilms through targeting  
BAP amyloids. Sci Rep 10, 18968 (2020).  
[19] Shamsudin NF, Ahmed QU, Mahmood S, Ali  
Shah SA, Khatib A, Mukhtar S, Alsharif MA,  
Parveen H, Zakaria ZA. Antibacterial Effects  
of Flavonoids and Their Structure-Activity  
Relationship  
Interpretation.  
9;27(4):1149.  
Study:  
Molecules.  
A
Comparative  
2022  
Feb  
doi:  
176