Abstract

Staphylococcus aureus is one of the bacteria that causes postpartum infection, where this bacterium releases peptidoglycans and lipoteichoic acid (LTA) that start the inflammation response, which is then responded by macrophages by releasing pro-inflammation cytokines such as Tumor Necrosis Factor-Alpha (TNF-α) and Interleukin 1-Beta (IL-1β). Red Turi leaf extract, which is known to contain saponins, flavonoids, and tannins which work by suppressing the growth of bacteria and forcing bacterial cells to undergo lysis, causing the reduction of immune system activation which results in the reduction of secretion of pro-inflammation cytokines such as TNF-α and IL-1β. This research aims to analyze the effect of red Turi leaf extract in reducing TNF-α, IL-1β, and bacterial colonies on the puerperium Mus Musculus Ovarian Inoculated by Staphylococcus aureus. Results in this study proved that red Turi leaf extract of doses of 125, 250, and 500 mg/kgBW/day was able to reduce TNF-α, IL-1β, and the number of bacterial colonies on the puerperium Mus Musculus Ovarian Inoculated by Staphylococcus aureus. The optimum doses to reduce the number of bacterial colonies were doses of 250 and 500 mg/kgBW/day. Thus, the infection caused by intravaginal inoculation Staphylococcus aureus for 24 hours on the puerperium Mus Musculus Ovary was alleviated by treatment with red Turi leaf extract by reducing TNF-α, IL-1β, and the number of bacterial colonies on the puerperium Mus Musculus Ovarian Inoculated by Staphylococcus aureus.

Highlights

  • The maternal mortality rate in Indonesia is still considered high in the world and in 2008 among countries of the Association of Southeast Asian Nations (ASEAN) and the South-East Asia Region (SEARO)

  • This research aims to analyze the effect of red Turi leaf extract in reducing TNF-α, IL-1β, and bacterial colonies on the puerperium Mus Musculus Ovarian Inoculated by Staphylococcus aureus

  • Results in this study proved that red Turi leaf extract of doses of 125, 250, and 500 mg/kgBW/day was able to reduce TNF-α, IL-1β, and the number of bacterial colonies on the puerperium Mus Musculus Ovarian Inoculated by Staphylococcus aureus

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Summary

Introduction

The maternal mortality rate in Indonesia is still considered high in the world and in 2008 among countries of the Association of Southeast Asian Nations (ASEAN) and the South-East Asia Region (SEARO). Data from the Directorate of Maternal Health (DKI) states that in 2013 one of the causes of maternal death in Indonesia is caused by infection, at 7.3%. Seen from this data, maternal death caused by infections are still quite high, one of which is caused by pregnancy infections. Bacteria that are present in the cervix and vagina will obtain access through amnion fluids during or after delivery process and will invade dead uterus tissue [4]. Vaginal bacteria infects the decidua and the place of implantation of the placenta first, spreads to the myometrium, parametrium, and nearby organs (per continuitatem), and will grow more quickly in the presence of dead tissue [5]. Infection and abscesses in ovaries caused by Staphylococcus aureus bacteria occur simultaneously after infection of the Fallopian tubes (per continuitatem); in addition, the pathogenesis of infection and formation of abscesses caused by Staphylococcus aureus bacteria in the ovary may occur through lymphatic blood flows [6]

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