Journal of Health and Nutrition Research
Vol. 5 No. 1 (2026)

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 (Department of Adult Nursing, Universitas Muhammadiyah Ahmad Dahlan Palembang, Indonesia)
Heri Shatriadi (Department of Environmental Health, Universitas Muhammadiyah Ahmad Dahlan Palembang, Indonesia)
Indah Sari (Department of Toxicology, Universitas Muhammadiyah Ahmad Dahlan Palembang, Indonesia)
Nichapatr Phutthikhamin (Department of Adult Nursing, Khon Kaen University, Thailand)



Article Info

Publish Date
01 Apr 2026

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

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Journal Info

Abbrev

jhnr

Publisher

Subject

Medicine & Pharmacology Nursing Public Health

Description

The Journal of Health and Nutrition Research (ISSN: 2829-9760) is an international peer-reviewed, scientific, and open-access journal managed by Media Publikasi Cendekia Indonesia. Journal of Health and Nutrition Research aims to provide forum exchanges and interfaces between researchers and related ...