Tropical Health and Medical Research Journal
Vol. 8 No. 2 (2026): Tropical Health and Medical Research

Comparative Antibacterial Activity of Citrus hystrix DC. Leaf Essential Oil Against ESBL Klebsiella pneumoniae and Multidrug-Resistant Serratia marcescens

Leka Lutpiatina (Medical Laboratory Technology Poltekkes Kemenkes Banjarmasin, Indonesia)
Norsyifa Norsyifa (Medical Laboratory Technology Poltekkes Kemenkes Banjarmasin, Indonesia)
Mahira Ainiyah Putri (Medical Laboratory Technology Poltekkes Kemenkes Banjarmasin, Indonesia)
Ratih Dewi Dwiyanti (Medical Laboratory Technology Poltekkes Kemenkes Banjarmasin, Indonesia)
Aima Insana (Medical Laboratory Technology Poltekkes Kemenkes Banjarmasin, Indonesia)



Article Info

Publish Date
17 Aug 2026

Abstract

The increasing antimicrobial resistance has driven the development of natural antibacterial sources, one of which is essential oils. This study aimed to analyse the antibacterial activity of lime leaf essential oil (Citrus hystrix DC.) against Extended Spectrum ?-Lactamase (ESBL)-producing Klebsiella pneumoniae and multidrug-resistant Serratia marcescens. The study used a true experimental design with a posttest-only control group design. The essential oils were tested at concentrations of 50%, 60%, 70%, 80%, 90%, and 100% using the well diffusion method with four replications. Ciprofloxacin served as a positive control and dimethyl sulfoxide as a negative control. Data were analysed using the Shapiro–Wilk test, Levene's test, one-way ANOVA, or Welch ANOVA, followed by post hoc tests according to data characteristics at a significance level of p<0.05. The results showed that lime leaf essential oil had antibacterial activity against both bacteria at all concentrations tested. For Klebsiella pneumoniae ESBL, the inhibition zone diameter increased from 6.83 mm at 50% concentration to 9.30 mm at 90% concentration, then decreased to 8.08 mm at 100%. For multidrug-resistant Serratia marcescens, the inhibition zone diameter increased from 7.80 mm to 14.00 mm at 90% concentration, then decreased to 11.20 mm at 100%. Statistical analysis showed a significant difference between the concentrations for both bacteria (p<0.001). In general, Serratia marcescens showed higher sensitivity than Klebsiella pneumoniae ESBL. Although its inhibitory power was still lower than ciprofloxacin, lime leaf essential oil has the potential to be developed as a natural antibacterial source against resistant Gram-negative bacteria.

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Journal Info

Abbrev

JAK

Publisher

Subject

Religion Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

Description

Tropical Health and Medical Research is an open access, peer-reviewed journal that publishing only original research on all aspects of tropical medicine and global health especially health related to the Muslim community. Journal content including viral, bacterial and parasitic infectious diseases, ...