Sukron Sukron
Department of Adult Nursing, Universitas Muhammadiyah Ahmad Dahlan Palembang, Indonesia

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Efficacy of a Pineapple Core-Based Hand Sanitizer in Reducing Bacterial Contamination and Infection Risk in Diabetic Foot Ulcer Care: A True Experimental Study Sukron Sukron; Heri Shatriadi; Indah Sari; Nichapatr Phutthikhamin
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.756

Abstract

This study evaluated the efficacy of a natural hand sanitizer derived from pineapple core extract as an alternative to alcohol-based agents for reducing bacterial contamination and infection risk during diabetic foot ulcer (DFU) care. Using a true experimental design, the researchers conducted microbiological assessments of 16 nurse hand swabs and clinical observations of 43 DFU patients between February and April 2025. Microscopic results revealed a significant reduction in bacterial presence: only 18.75% of swabs tested positive for gram-positive cocci with the pineapple-based sanitizer, compared to 68.75% in the control group. Furthermore, clinical findings indicated that 76.74% of patients remained infection-free following wound care procedures employing the extract. The study concludes that pineapple core extract possesses potent antimicrobial and anti-inflammatory properties, largely attributed to the enzyme bromelain, making it a viable, eco-friendly, and cost-effective alternative for infection control in specialized wound care settings
Effect of Temperature on the Thermal Stability and Staining Quality of Parijoto Fruit Extract as a Counterstain in Gram Staining Indah Sari; Nurhayati Nurhayati; Siti Akhirunnisah Rusera; Putri Anggraini; Sukron Sukron; Simon Martin Manyanza Nzilibili
Journal of Health and Nutrition Research Vol. 5 No. 2 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i2.1353

Abstract

Gram staining is a differential staining procedure that distinguishes between Gram-positive and Gram-negative bacteria. Toxicity and health hazards arising from the use of safranin dye have been widely reported, especially the danger of dye contamination originating from synthetic dye waste. Safranin is one of the dyes in Gram staining. Anthocyanin is a natural pigment that has the potential to be used as a dye, including applications in the laboratory such as Gram staining. Parijoto is a red fruit and contains anthocyanin. To evaluate the stability of parijoto fruit extract as a contrast dye for Gram staining based on temperature variations. The research design used was a true experimental design. Samples were E. coli bacteria to see the results of microscopic examination using alternative parijoto fruit extracts and safranin as a control in Gram staining. Data were processed using descriptive analysis based on the results of Gram staining. All treatment groups showed clear background contrast, good color, optimally stained bacteria, and clean preparations without debris. The best results were obtained with safranin (100%), followed by parijoto extract without heating (85%), heating at 40°C (80%), and heating at 80°C (75%), with a tendency to decrease in quality as the temperature increases.  Parijoto fruit extract can be used as an alternative contrast dye in Gram staining, with the best results in conditions without heating, while increasing the temperature decreases the staining quality. Parijoto fruit extract has the potential to be an alternative natural contrast dye that is safer and more environmentally friendly. Use without heating is recommended because it provides optimal results and can be further developed in laboratory tests.