Professional Documents
Culture Documents
CHAPTER 1
Introduction
therefore challenging local and international public health sector. The resistance of
pathogens to antibiotic remains unresolved problem in the world. The use of synthetic
drugs may subject the patient to a higher risk due to the unwanted toxicity. To address
this, actions must be taken, such as responsible use of antibiotics, developing new
flavonoids, tannins, and other polyphenolic compound that has an antimicrobial property.
The substances present in a plant can either inhibit the growth of bacteria or kill them,
with minimum toxicity to host cells. The metabolites from plant which exhibit a
minimum toxicity are considered candidates for developing new antimicrobial drugs.
This study aimed to prepare topical antibacterial ointment from the ethanolic
crude extract from the leaves of Piper betle Linn. locally known as Ikmo since there was
a study that Ikmo leaves have an antimicrobial property and shows no toxicity.
Preparation of topical antibacterial ointment using ethanolic crude extract from the leaves
Skin infections are caused by a wide variety of germs, and symptoms can vary
from mild to serious. Mild infections may be treated with home remedies and/or an over-
the-counter preparations while other infections may require medical attention. There are
several types of skin infections, one of which is bacterial skin infections. Bacterial skin
infections often begin as small, red bumps that slowly increase in size. Some mild
bacterial infections are treated with topical antibiotics, but other infections are treated
with oral antibiotic. Common bacterial infections are cellulitis, boils, leprosy, and
Impetigo is a highly contagious bacterial skin infection and is one of the most
common skin infections in children. Impetigo is usually caused by one of two bacteria:
and/or to treat impetigo. Antibiotics are the first line treatment when multiple lesions
exist but due to the high risk of antibiotic resistant bacteria, the management of impetigo
in the future is an area of concern. There is a need to develop a new antimicrobials and
(Steele, 2017)
Ikmo leaves is a green, slender climbing plant, pungent in taste, and acrid in
East Africa, and Philippines. Ikmo leaves has been long used by the Filipino ancestors as
lime and betel nut to constitute the Filipino’s masticatory which helps in strengthening
their teeth and preventing cavities and halitosis. Nowadays, the piper betel is known for
3
its many medicinal uses like its antioxidant, antimalarial, cytotoxic, antifungal, antiseptic
Conceptual Framework
This study aims to prepare an antibacterial ointment using Ethanolic crude extract
from Ikmo. Cases of antibiotic resistance in the world is continuously rising and
vary from mild to serious. Mild infections may be treated with home remedies and/or an
OTC preparations while other infections may require medical attention. Antibiotics are
usually the first line treatment when it comes to skin infections but due to the high risk of
antibiotic resistant bacteria, the management of skin infections in the future is an area of
conducted the study, Preparation of topical antibacterial ointment using ethanolic crude
extract from the leaves of Ikmo with no previous studies of formulating ointment locally.
4
Piper betle
Ethanolic
Extract
Secondary Color
Staphylococcus Dermal Irritation
metabolites aureus Test
Appearance
Pseudomonas
aeruginosa
Solubility
Figure 1
Research Objectives
The main thrust of the study is to prepare an antibacterial ointment using ethanolic crude
Specific Objectives:
1. To obtain ethanolic crude extract from the leaves of Ikmo and determine the
percentage yield;
2. Evaluate the ethanolic leaf extract using organoleptic, solubility and chemical test
(determination of metabolites);
5. Compare the 60% ethanolic crude extract of Ikmo leaves against Ikmo ointment.
Hypothesis
crude Ikmo leaf extract and the standard drug Mupirocin ointment. (p>0.05).
6
World Health Organization urges the public to search for new antimicrobial agents
therefore this study focuses on the preparation of topical antibacterial ointment using the
ethanolic crude extract of Ikmo leaves. Furthermore, the results of the study will give
To the Patients: Patient may use the prepared product derived from herbal plant
To the Pharmacists: Pharmacist can use this study to furthermore investigate and
produce new drug from natural source that has antimicrobial activities which is safe and
effective.
this study to prepare antibacterial drugs derived from natural source that is cost effective
and chemical test only. The ethanolic crude extract was undergone phytochemical
anthraquinone glycosides, and resins only. The researchers did not perform all the tests
for each screening. The researchers have only selected tests for each screenings.
The researchers used 20%, 40%, 60%, and 80% of the ethanolic crude extract. The
medium. The evaluation of ethanolic crude extract was done by measuring the diameter
(in millimeters) of zone of inhibition using Vernier caliper. The zone of inhibition of
aeruginosa was interpreted based on the table provided from the manual (Source:
The researchers used the concentration that exhibited the greatest zone of
inhibition for the preparation of the ointment. The researchers used 60% ethanolic crude
extract of Ikmo and was subjected to prepare an ointment and was compared to
mupirocin ointment to see if the prepared ointment still have the activity against
microorganism. The preparation was packed in collapsible tube and was properly labeled.
The preparation undergone dermal irritation test to evaluate its safety using rabbits as an
animal model. All six albino rabbits were examined for signs of erythema and oedema
Definition of Terms
Antibacterial. Anything that kills bacteria or suppresses their growth or their ability to
reproduce. An agent that kills or suppresses the ability of bacteria to grow and reproduce.
Antibiotic resistance. The ability of bacteria and other microorganisms to resist the
Antioxidant. A chemical compound that protects cells against the effects of free radicals.
in living tissue.
Boil. A pus-filled skin infection that starts in a hair follicle or oil gland.
Impetigo. A common and highly contagious skin infection that mainly affects infants and
children.
Leprosy. A contagious disease caused by that affects the skin and peripheral nerves and
production of deformities.
Lesions. A region in an organ or tissue that has suffered damage through injury or
product.
Topical. A route of administration in which the site of drug intake is located beneath the
skin.
from plants.
10
Chapter 2
This chapter covers the compiled local and foreign literature and studies. This
chapter aims to present the information that the researchers were able to gather for better
In the past years, the use of medicinal plants, from different parts of the world, for
their antimicrobial property has been increasingly reported. According to the reports, the
plant extracts show a different target site other than those targeted by the synthetic
antibiotics and that these plant extracts targeting other sites with be effective against the
The modern era of antibiotics started with the discovery of Penicillin by Sir
Alexander Fleming in 1928. Since then, Antibiotics have transformed modern medicine
and saved millions of lives. Antibiotics were first prescribed to treat serious infections in
the 1940s. Antibiotics have not only saved patients’ lives, they have played a pivotal role
in achieving major advances in medicine and surgery. They have successfully prevented
or treated infections that can occur in patients who are receiving chemotherapy
treatments; who have chronic diseases such as diabetes, end-stage renal disease, or
rheumatoid arthritis; or who have had complex surgeries such as organ transplants, joint
worldwide, endangering the efficacy of antibiotics, which have transformed medicine and
saved millions of lives. Many decades after the first patients were treated with antibiotics,
bacterial infections have again become a threat. The antibiotic resistance crisis has been
attributed to the overuse and misuse of these medications, as well as a lack of new drug
11
resistance became a substantial clinical problem, so that, by the 1950s, many of the
advances of the prior decade were threatened. The overuse of antibiotics clearly drives
resistant bacteria strains. In bacteria, genes can be inherited from relatives or can be
acquired from nonrelatives on mobile genetic elements such as plasmids. This horizontal
gene transfer (HGT) can allow antibiotic resistance to be transferred among different
The infectious disease society of america has considered the following bacteria as
The same emerging MDR bacteria are also an immense threat in Asia. There have
fresh culinary herbs from Thailand, Vietnam, and Malaysia. These culinary herbs are
usually consumed without proper heating. Acinetobacter baumannii, being able to exhibit
12
a wide spectrum of antimicrobial resistance mechanism, has also emerged as one of the
The current problem with the MDR bacteria is a serious, global medical crisis
which requires constant monitoring. Scientists are seeking for more natural or organic
materials as a solution for the diminishing efficacy and increasing toxicity of synthetic
drugs which further aggravate the problem. Traditional medicinal plants are being studied
further for the purpose of finding solution to the emerging problem regarding MDR
bacteria.
Bacteria was one of the most common cause of deadly diseases but with the
discovery of antibiotics, this problem was slowly resolved. However, due to inadequate
healthcare sector.
multiple class of drugs without considering remaining effective therapies. This leads to
bacterial strains being resistant to antibiotics. Some of the bacterial strains that are
nose, throat, intestine, vagina, and skin of human body. It is a round and bunched
together pathogen and has the ability to cause different kinds of mild to severe infections
who have been hospitalized longer than 1 week, frequently causing nosocomial
infections. Some strains of MDR P. aeruginosa have been found to be resistant to nearly
13
carbapenems.
Drugs intended for skin infections are usually formulated into ointments for
topical application. Ointments are greasy and they stay on the surface of the skin and are
not well absorbed, thus are “occlusive”. They are best used on dry skin and they trap
moisture that’s why they are able to keep the skin moist for longer periods of time. They
have lesser chance of causing allergy because of few preservatives. Ointments allow
better penetration of the active ingredient in the topical medication and they are better
because skin and soft tissue infections such as scrapes and scratches or mild folliculitis,
do not usually require antibiotic treatment. In primary care, management should focus on
good skin hygiene, for patients with infected eczema, for wound management, or for
other skin infections, topical antibacterial medicines are not usually prescribed or they
evergreen climbing vine whose height reaches 2 to 4 meters. Ikmo leaves, which has a
Ikmo is best grown in tropical areas like Philippines, Malaysia, Sri Lanka and
Indonesia. In the Philippines, it is best grown in region VI, in provinces like Ilo-Ilo,
Bacolod, and Cordillera Mountains. Its production is a very tedious process and it is not
The Ikmo leaf has been described to have piperol-a, piperol-b, methyl piper
betlol. The Ikmo leaves have starch, sugars, diastases and an essential oil composing of
chavicol , eugenol , piper betol and the betle oil contains cadinene carvacrol, allyl
catechol, chavicol, p-cymene, caryophyllene, chavibetol, cineole, estragol, etc. as the key
Chavibetol None
Eugenol Yes
Hydroxychavicol Yes
Allypyrocathecol Yes
Quercetin Yes
Β-caryophyllene None
15
most important component of the essential oil from the leaves of the Ikmo plant. It is
an aromatic compound with a spicy odor and is an isomer of eugenol. (Dwivedi, Et. Al.,
2014)
Eugenol, one of the principal constituent of Ikmo leaf, has also been shown to
other identified activities such as its anti-ulcerogenic potential and effect on osteoporosis
and especially its effect on the Central Nervous System (CNS) encompassing seizure
control, Parkinson’s disease, antidepressant effects etc. (Dwivedi, Et. Al., 2014)
The new, immature leaves contains various beneficial bio- active compounds,
possesses anti carcinogenic, anti nitrosation, anti-mutagenic effects beside this, it has a
platelet and anti- thrombotic effects without impairing haemostatic function. In the
and anticarcinogenic activities, whereas isolated from the chloroform withdrawal from
aqueous extract of Ikmo leaves show inhibitory action alongside oral cavity pathogens.
0.5% hydroxychavicol inhibited the biofilm produced by anaerobes and biofilm produced
in pooled saliva the use of hydroxychavicol as an oral care agent. Hydroxychavicol show
compelling anti- inflammatory action by considerably inhibits the phrase of the pro
The phenolic constituent allyl pyrocatechol obtained from the leaves, show action
against obligate oral anaerobes responsible for halitosis. The leaf extract also has a
allyl pyrocatechol at different doses accelerates the rate of remedial of gastric lesion
flavonols. It occurs chiefly as glycosides, but other derivatives of quercetin have been
bioavailability of molecules when compare to the aglycone. Quercetin has also been
properties. The anticarcinogenic property of quercetin result from its important impact on
cancerous cell growth, decrease and alteration of cellular signal transduction pathways.
Animal evidence suggest quercetin’s antioxidant effects provides protection of the brain,
heart, and other tissues adjacent to ischemic a- reperfusion injury, toxic compounds, and
other factors that can persuade oxidative stress. Β-caryophyllene is a chief volatile
compound establish in huge amounts in different spice and food plants. (Dwivedi, Et. Al.,
2014)
compound with no genotoxic or cytotoxic effect in vivo. Clinical studies prove its
by acting as a potent, selective and non- psychoactive full agonist for cb2 receptor in
Through the discovery of antibiotics, millions of lives were saved but because of
the overuse and misuse of these medications, antibiotic resistance arose which is now,
being resistant to antibiotics. The current problem with the multidrug resistant bacteria is
a serious, medical crisis which requires constant monitoring. Some of the bacteria that are
more natural or organic source to be able to synthesize a drug that will solve the problem
associated with synthetically made drugs. In line with seeking for natural sources, various
studies about herbal plants are being conducted. One of the plants that have been used
since the early days is the piper betel. Piper betel, from the family Piperaceae, contains
antibacterial activity. Thus, piper betel may be used in formulating a medicine against
CHAPTER 3
This chapter is concerned with the research methodology, which covers the
topical antibacterial ointment from the ethanolic crude extract of Ikmo Leaves.
Ikmo.
The fresh Ikmo leaves were collected in the province of Nueva Ecija. The leaves
were washed with running tapped water, air- dried for 1 week, then grinded into powder
using blender. 500 g of Ikmo leaf powder in 2500 mL of Ethanol were mixed and
macerated for 48 hours. The mixture was subjected to filtration, then the filtrate was
collected and was incipient dried. The percentage yield was able to determine using the
In a trace amount of ethanolic extract, the odor, color, and physical appearance
Put trace amount of ethanolic crude extract in each test tube containing alcohol,
water, acetone, and ether, respectively to determine the solubility of the extract.
The ethanolic crude extract, about 2 grams equivalent, was evaporated and the
residue was taken then mixed with 10 mL distilled water and divided into nine equal
parts:
which was added to 2 mL of sulfuric acid. Presence of bluish violet zone indicates
a positive result.
5mL of Benedict’s reagent was added to 1mL of the filtrate, then heat the
Fehling’s A & B) using test tube. Add an equal quantity of plant extract and boil
again. A brick red precipitate indicates the presence of reducing sugars. (Limuaco
place in a boiling water bath. Presence of flesh color indicates the presence of
2.3.1.2.2Xanthoproteic Test
yellow precipitate indicates the presence of proteins. (Limuaco O.M, et.al., 2012)
green to blue color standing for 3 minutes indicates the presence of flavonoids.
tube. The solution was shaken vigorously for 30 seconds and allow to stand for 10
minutes. Observed for “honeycomb” froth. Froth with greater than 2cm height
21
from the surface of the liquid persists in 10 minutes indicates the sample positive
HCl was added until an acid reaction occur. 1 ml of Dragendorff’s reagent was
then added to the mixture. Formation of orange or orange red precipitate indicated
2 mL of the ethanolic crude extract was acidified with 1.5% v/v of HCl. A
few drops of Wagner’s reagent were added to the acidified extract. A formation of
2012)
evaporate to incipient dryness over steam bath. Take the residue with 10 mL
distilled water, filter and discard the residue; extract the aqueous filtrate with 5
mL portions of benzene twice and combine and combine two portions of benzene
extracts. Divide combined benzene extracts into two portions. One portion serves
as the control. Treat the other portion with 5 mL ammonia solution and shake.
Compare the result with the control. A red coloration in the ammoniacal layers
evaporate to incipient dryness over a steam bath. Add 10 mL 0.5M KOH and 1
mL of 5% H2O2 and stir. Heat the resulting mixture over steam bath for 10
minutes. Filter and discard the residue. Acidify filtrate with glacial acetic acid.
Collect the filtrate and extract it with two 5mL portions of benzene; combine with
benzene extract and divide it in two portions, one portion will serve as the control
and alkalinify the other portion with ammonia and shake. Compare the result with
the control. A pink color indicates a positive result. (Limuaco O.M, et.al., 2012)
38.0 grams of the medium were suspended in 1000 mL of distilled water. Heat to
boiling to dissolve the medium completely. The medium was sterilized using an
autoclave at 121°C for 15 minutes, then cooled to 45 to 50°C and poured into sterile petri
plates.
study. The inocula used were undergone confirmatory test using agar plates to determine
its purity. Nutrient agar was used to test the purity of Pseudomonas aeruginosa, and on
the other hand, Mannitol Salt Agar was used for Staphylococcus aureus. The researchers
suspensions so that the number of bacteria will be within a given range to standardize
microbial testing.
23
3.2.1 Inoculation
The researchers used plated medium technique; made a zigzag streak on the
was the most recommended topical antibiotic and reserved for treating MRSA infection.
80%) and, the water and tween 80 as the negative control were placed on the agar plate
individually and covered aseptically. The plates were incubated at 35-37°C for 16-18
hours. The antibacterial activity was determined by measuring the diameter of the zone of
inhibition in millimeters using a vernier caliper. The result was interpreted based on the
table provided.
TABLE 2
Diameter of Zone of
Activity Interpretation
Inhibition (mm)
< 10 Inactive
14 – 19 Active Intermediate
The study aims to prepare and evaluate an antibacterial topical ointment based on
the following:
The extract was incorporated into the molten simple ointment base and allowed to
Preparation of Ingredients
Modification in the Preparation of the White Ointment using the Ethanolic Crude
Extract of Ikmo
COMPOUNDING PROCEDURES
4. Incorporate the extract into the molten simple ointment base and stir the mixture until
it begins to congeal.
25
The researchers used six (6) male albino rabbits to test the prepared ointment with
the active ingredient and the preparation containing the excipients only to be conducted
in three (3) trials. The rabbits were acclimatized for seven (7) days. Twenty four (24)
hours prior to testing, their backs was shaved and a pinch of the preparation was applied
on the shaved area and covered with gauzed patch. The animals should be observed up to
14 days after removal of the patches. The results were examined for signs of erythema
and oedema based on the grading of skin reactions provided from OECD/OCD and the
responses scored at 60 minutes, and then at 24, 48 and 72 hours after patch removal.
26
5. Statistical Analysis
the Ikmo ethanolic crude extract and Mupirocin ointment as the positive control.
difference between the prepared ointment and the positive control, Mupirocin ointment.
between the average zones of inhibition of the Ikmo ethanolic crude extract and the
Piper betle
Ethanolic
Crude
Extract
Figure 1
Chapter 4
This chapter provides the presentation, analysis and interpretation of the data
gathered from the tests conducted to the ethanolic crude extract from the leaves of Piper
betle Linn.
1. Percentage Yield of Ethanolic Crude extract from the leaves of Piper betle Linn.
The Ethanolic Crude Extract from Piper betle Linn. were obtained by maceration
using 95% ethanol as solvent then was evaporated to incipient dryness. The ethanolic
crude extract was weighed and the percentage yield was computed. The percentage
TABLE 1
(Evdokimor, 2014)
The ethanolic crude extract was soluble in acetone, ethanol, and ether and
TABLE 2
in water.
substance
constituents
organic metabolites
30
TABLE 3
Brick-red
Formation of brick red Presence of
Fehling’s Test precipitate precipitate Carbohydrates,
reducing
sugars
31
Absence of
Xanthoproteic Formation of No Formation of yellow proteins,
color specifically
Test yellow precipitate aromatic
amino acids
For the primary metabolites, the ethanolic crude extract of Ikmo leaves contains
carbohydrates, specifically reducing sugars, while it can be noted that proteins are not
detected primarily due to the application of heat during the preparation of crude extract
precipitate
A formation of
Phloroglucinol
reddish-brown Reddish-brown color Presence of Resins
Test
color
The ethanolic Ikmo leaf extract contains polyphenols like flavonoids, tannins and
Four different concentrations (20%, 40%, 60%, and 80%) of ethanolic crude
extract of Ikmo have the capability of inhibiting both Staphylococcus aureus and
Pseudomonas aeruginosa.
aureus.
aeruginosa.
crude extract of Ikmo was used as an active ingredient and white ointment was used as an
ointment base. The extract, white wax, and white petrolatum were mixed together and
35
allowed to congeal by stirring. The preparation was packed in collapsible tube and
labeled according to its basic guidelines, and stored in a cool, dry place.
The preparation was undergone antibacterial susceptibility test and was compared
to Mupirocin ointment. The 60% Ikmo ointment has the capability of inhibiting
ointment (17.55±0.03mm).
Test chemical:
60% Ikmo Leaf Extract Ointment
Vehicle:
White Petrolatum
Test animals:
(6) Male albino rabbits from Department of Science and Technology (DOST) with
weight of NLT 1.5 kg were used.
Test condition:
The patch was loosely held in contact with the skin by means of a suitable semi-occlusive
dressing. Access by the animal to the patch and ingestion or inhalation of the test
chemical was prevented.
36
Results:
24 h 48 h 72 h
C
Applied with
Normal Skin Simple ointment
base
Rabbits A, B, and C were examined for signs of erythema and oedema and graded
according to the grading of skin reactions from OECD. Rabbits A, B, and C have seen no
erythema and oedema formation.
5. Statistical Analysis: Comparison between the Ethanolic Crude Extract and the
Ikmo ointment
37
CHAPTER 5
This chapter contains the summary of findings from the performed tests, the
Summary of Findings
Perfectly mature Piper betle, L. leaves were collected, dried and macerated using
95% ethanol and subjected to reflux distillation. The extractives were dried to incipient
dryness and the percentage yield of the extract was 9.9222%. The Ikmo leaves extract is
greenish-black, with distinct creosote-like odor and has syrupy consistency. The ethanolic
crude extract of Piper betle Linn. Leaves (Ikmo) contains reducing sugars, flavonoids,
tannins, alkaloids, and resins. The microbiological assay was conducted using agar-plate
method using two (2) test organisms, namely S. aureus and P. aeruginosa. The assay was
Increasing dose of the ethanolic crude extract (increments of 20%) of Ikmo were
used and exhibited an average zone of inhibition of 25.85±1.13 & 20.63±0.58 mm,
26.82±1.56 & 21.98±0.55 mm, 27.92±1.36 & 22.83±0.47 mm and 25.38±3.91 &
respectively. The 60% concentration was used in preparation an ointment and was tested
on rabbits. The prepared ointment did not show erythema and oedema formation on the
Conclusion
Based on all available variables in this study, Ikmo ointment still shows
antibacterial activity although it decreased as compared to the Ikmo extract but it shows
higher zone of inhibition in comparison with the reference standard, Mupirocin ointment.
Furthermore, the prepared ointment did not show any irritation to the biological animals
Recommendations
For the further improvement of the presented results of this study, the researchers
thereby recommend the following: (1) improvement of the appearance of the prepared
ointment; (2) test the antibacterial activity of the preparation against Streptococcus
pyogenes and MRSA Staphylococcus aureus; (3) conduct in vitro-release testing for the
prepared antibacterial ointment, (4) conduct stability testing for the prepared antibacterial
ointment and (5) conduct stability test of the excipients and active drug, (6) conduct
(MBC).
40
REFERENCES
41
Fawad, et al., (2012) In-Vitro Antibacterial Activity of Piper betle Leaf Extracts.
Journal of Applied Pharmacy. p. 643
Valle, et al., (2016) Antimicrobial Activities of Methanol, Ethanol, and Supercritical CO2
Extracts of Philippine Piper betle L. on Critical Isolates of Gram Positive
and
Gram Negative Bacteria with Transferable Multiple Drug Resistance. p. 1.
Nalina, T., et al., (2007) The Crude Aqueous Extract of Piper betle L. and its
Antibacterial
Effect Towards Streptococcus mutans. pp. 10-11.
282.
Budiman, A., et al., (2018) Antibacterial Activity of Piper betle L. Extract in Cream
Dosage Forms against Staphylococcus aureus and
Propionibacterium
acne. p.
Aryal, S., (2018) Mueller Hinton Agar (MHA) – Composition, Principle, Uses, and
Preparation.
Pawar, S., et al., (2017) Biochemical Profiling of Antifungal Activity of Betel Leaf
(Piper
betle L.) Extract and Its Significance in Traditional Medicine. Journal of
Advanced Research in Biotechnology. p. 1
Kaveti, B., et al., (2011) Antibacterial Activity of Piper betle Leaves. International
Journal
of Pharmacy Teaching and Practices. p. 129
Blas, E., et al., (2016) Antifungal Property of Polyphenolic Compo unds from Ikmo
(Piper
betle fam. Piperaceae) Leaves and Formulation of Cream. pp. 1, 10, 11,
12
APPENDICES
43
APPENDIX A
Plant Sample
Ikmo
Family: Piperaceae
APPENDIX B
APPENDIX C
Certificate of Authentication
46
APPENDIX D
IACUC PROTOCOL
47
48
49
50
51
52
53
54
APPENDIX E
Maceration
Filtration
Evaporation
55
APPENDIX F
Solubility
Water Acetone
Ethanol Ether
56
APPENDIX G
Phytochemical Screening
APPENDIX H
Microbiological Screening
Staphylococcus aureus
Negative Control
Positive Control
20%
65
40%
60%
80%
66
Pseudomonas aeruginosa
Negative Control
Positive Control
20%
67
40%
60%
80%
68
APPENDIX I
Drug
Staphylococcus aureus
Negative Control
Positive Control
Pseudomonas aeruginosa
Negative Control
Positive Control
APPENDIX J
Statistical Treatment
71
72
73
APPENDIX K
Preparation of Ingredients
Modification in the Preparation of the White Ointment using the Ethanolic Crude
Extract of Ikmo
APPENDIX L
Day 1
Positive
Negative
111
Day 2
Positive
75
Negative
Day 3
Positive
Negative
Negative
76
Day 4
Positive
Negative
Day 5
Positive
77
Negative
Day 6
Positive
Negative
78
Day 7
Positive
Negative
79
APPENDIX M
Plagiarism Scan
SOURCE: https://www.plagscan.com/docman
Content Percentage
Chapter 1
The Problem and Its 1846 words 9.1 %
Setting
Chapter 2
Review of Related 1720 words 8.5 %
Literature and Studies
Chapter 3
1715 words 8.8 %
Methods and Procedures