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Title: Klebsiella Pneumoniae Is An Emerging Pathogen Associated With Significant
Title: Klebsiella Pneumoniae Is An Emerging Pathogen Associated With Significant
RATIONALE
body part it infects. The researchers’ findings highlight the urgent need to develop low
cost and efficient strategies for prevention and infection control of the bacteria.
The researchers had the willingness and motivation in this study because
Klebsiella pneumoniae can progress into severe bacterial infections leading to different
diseases and disorders. Fewer and fewer treatments are available for infections by K.
been a great problem or widespread particularly in the Philippines; so this way, the
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STATEMENT OF THE PROBLEM
a. flavonoids,
b. alkaloids, and
c. tannins
3. To test the significant difference of the variation of tridax daisy to the normal
Hypotheses
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RELATED LITERATURE AND STUDIES
somewhat patently hispid herbs. The stem branched, creeping at base, sub erect or
cuneate base, obtuse or subacute, coarsely serrate or lobed, patently hispid, 2.5-7 cm
long. Marginal flowers 5-6 with pale yellow, 0.3 cm long ligules; disc flowers bright
yellow. The juice from the leaves of the tridax daisy possesses antiseptic, insecticidal
and parasitical properties. The crushed leaves are applied to arrest bleeding in bruises
and cuts. Leaves are also used for the treatment of bronchial catarrh, dysentery, and
Plants like tridax daisy have limitless ability to synthesize a vast array of
bioactive compounds which possess some bioefficacy (Jain, 2015). Plants are known to
employed as indigenous medicine for a variety of ailments (Khale & Dake, 2013). It has
anticoagulant, antifungal and insect repellent, in diarrhea and dysentery (Ahmad et al.,
2016).
Aerial parts of the plant contain sterols, campesterol, stimasterol, β-sitosterol and
saturated and unsaturated C12-C22 fatty acids. Flowers contain flavonoids, luteolin,
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The extracts of tridax daisy have been reported to have various pharmacological
effects.
There are number of reports on different part of the plant and whole plant of
tridax daisy has been reported for its antimicrobial activity on various species of
Klebsiella pneumoniae
infections, wound or surgical site infections, meningitis, urinary tract infections (UTI),
nosocomial infection, rhinoscleroma and ozena, and chronic genital ulcerative disease.
of the body it infects. Klebsiella pneumoniae is a bacterium that normally lives inside
human intestines where it does not cause disease. K. pneumoniae can cause a range
of different illnesses if it gets into other areas of the body. K. pneumoniae infections are
not through the air. Healthcare settings are most vulnerable to Klebsiella infections due
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to the nature of procedures that allow easy access of bacteria into the body. People
who have weakened immune systems, or sick or injured people who are undergoing
procedures for various health issues, are more likely to get a Klebsiella infection.
Healthy people usually do not have to worry about getting K. pneumoniae infections,
according to the Centers for Disease Control and Prevention. People cannot contract a
K. pneumoniae infection by breathing the same air as an infected person because the
contact, such as when someone with contaminated hands touches a wound. Infections
can also occur through the use of contaminated medical equipment. Patients in
healthcare settings also may be exposed to Klebsiella when they are on ventilators, or
medical tools and conditions may allow K. pneumoniae to enter the body and cause
infection. Taking antibiotics over a long course of time can also increase a person’s risk
pneumoniae in the community range from five (5) to 38 percent in stool samples and 1
to 6 percent in the nasopharynx; Klebsiella species are rarely carried on the skin. Higher
rates of nasopharyngeal carriage have been noted in ambulatory alcoholic patients (Yu
& Chuang, 2016). The mortality rate may be as high as 50% in the case of pneumonia
caused by K. pneumoiae. The prognosis is worse for patients with alcoholism and
an even high risk due to the disruption of the normal flora of the bacteria in the body,
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When dealing with hospital-acquired bacterial infections caused by K.
pneumoniae can arise in different parts of the body and in different forms of illness
in intensive care units, and 3-20% of all neonatal septicemia cases. All of these cases
rank within at least the top 11 in comparison to all other bacterial pathogens. In the
United States, people who suffer from alcoholism make up 66% of people affected by
pathogens in hospitals and is a rising issue among hospitals all around the world due to
intestinal tract. Since gram-negative bacteria do not have good growth on human skin,
they are rarely found there in comparison to internal parts of the body. Carriers rated in
hospitalized patients were 19% in the pharynx, 77% in the stool, and 42% on the hands.
findings were linked to the over usage of broad-spectrum antibiotics rather than delivery
producing Enterobacteriaceae was conducted in hospitals among patient with short and
throughout 4 counties in Indiana and Illinois. The source of the problem was found to be
within long-term facilities and patients. KPC has been found in a total of 44 states thus
far 14% of bacteremia cases are because by K. pneumoniae, which places it in second
place next to Escherichia coli for origins of gram-negative sepsis. Outbreaks of neonatal
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facilities reported increases in KPC-producing Enterobacteriaceae beginning in 2006,
while the first case in the United States was reported in 2001 (Kappel, 2016).
Alkaloids
microbial, plant and animal origin. Alkaloids are responsible for the beneficial effects of
traditional medicines such as cinchona bark, but also the harmful effects of poisons.
Alkaloids have inspired the development of several antibacterial drugs, with synthesis of
metronidazole, and work with the quinolone scaffold yielding bedaquiline. Alkaloids are
present in other drugs as scaffold substructures. Alkaloids remain the focus of much
and joint ventures. Alkaloids are found in bacteria, fungi, plants and animals, although
their distribution within each kingdom is quite limited. Alkaloids occur in ca. 300 plant
families, specific compounds typically confined to certain families. Alkaloids can occur
in any part of the plant, though specific compounds may be limited to a certain part.
More than 18,000 alkaloids have been discovered. Multiple roles have been attributed
and the ability to quench singlet oxygen confers protection against this toxic
protecting plants against infection. The great structural diversity, the presence of a basic
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nitrogen atom being the only unifying feature characterizes the alkaloids. Most alkaloids
possess just one (1) nitrogen atom, but some have up to five (5). Pharmacological
vasoconstrictor, antitumor and antimalarial activities. These activities are exploited both
in traditional medicine and modern medicine. Other alkaloids have been incorporated
into human culture as recreational drugs and drugs of abuse (Cushnie & Lamb, 2014).
The effect alkaloid from various plants or bacterial growth and efflux pump activity was
evaluated on some different strains of bacteria and it inhibited bacterial growth with
potential courses of compounds that can act as lead compounds for the development of
plant based antibacterial and their adjunct compound (Mabhiza, Chitemerere, &
Makunganyama, 2016).
need for new antibacterial therapies is more pressing than ever. Alkaloids are a large
and structurally diverse group of compounds that have served as scaffolds for important
antibacterial drugs.
Flavonoids
fruit, vegetables, nuts, seeds, stems, flowers, tea, wine, and honey. For centuries,
constituents have been used to treat human diseases. Increasingly, this class of natural
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products is becoming the subject of anti-infective research, and many groups have
isolated and identified the structures of flavonoids possessing antifungal, antiviral and
Reports of activity in the field of antibacterial flavonoid research are widely conflicting.
flavonoid structure and antibacterial activity and these are in close agreement. In
mechanisms of action of selected flavonoids. The activity of quercetin, for example, has
has also been proposed that sophoraflavone G and (−)-epigallocatechin gallate inhibit
include robinetin, myricetin, apigenin, rutin, galangin, two (2), four (4), two (2) -
novel leads, and future studies may allow the development of a pharmacologically
photosynthesising cells and therefore occur widely in the plant kingdom. Flavonoids are
found in fruit, vegetables, nuts, seeds, stems and flowers as well as tea, wine, propolis
and honey, and represent a common constituent of the human diet. In the US, the daily
dietary intake of mixed flavonoids is estimated to be in the range 500–1000 mg, but this
figure can be as high as several grams for supplementing diets of the humankind with
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flowers is to provide colors attractive to plant pollinators. In leaves, these compounds
from, for example, fungal pathogens and UV-B radiation. In addition, flavonoids are
sex determination.
extract from plants with a history of use in folklore medicine have been screened in vitro
with high flavonoid content have also been reported to exhibit antibacterial activity.
Small number of groups have investigated the relationship between flavonoid structure
and antibacterial activity have been able to identify common structural features among
active compound. Individual antibacterial flavonoids have multiple cellular targets, rather
than one specific site of action. These common structural features may be simply
necessary for flavonoids to gain proximity to or update into the bacterial cell (Cushnie &
Lamb, 2005).
Tannins
Tannins are astringent, pitter plants polyphenols that either bind and precipitate
or shrink proteins. The term tannin refers to the use of tannin in tanning animal halides
into leather; however the term is widely applied to any large polyphenolic compound
containing sufficient hydroxyls and other suitable groups to form strong complexes with
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promoting effect have been reported for plant tannin and flavonoids and now
it is now known that their beneficial or anti-nutritional properties depend upon their
chemical structure and dosage. The new technologies used to analyze molecular and
chemical structures have shown that a division into condensed and hydrolysable
abundantly found in nature which have the ability to precipitate proteins (Spencer et al.,
1988; Cowan, 1999). Many studies of phenolic compounds (resveratrol, quercetin, rutin,
catechin, proanthocyanidins) have been present in the last few years, most of these
works were directed to improvements of human health and they demonstrate that
antioxidant and antiradical activity (Frankel et al., 1993; Teissedre et al., 1996; Santos-
Buelga and Scalbert, 2000). Tannins are also able to reduce the risk of livestock
friendly manner. Recent reports of the use of tannin in poultry show promising results
(Van Parys et al., 2010; Anderson et al., 2012; Redondo et al., 2013b; Tosi et al., 2013).
Tannins have shown potential antiviral (Lin et al, 2004), antibacterial (Akiyama et al.,
2001; Funatogawa et al., 2004), and antiparasitic effects (Bhagavathi et al, 1999; Yang
et al, 2000; Tanimura et al, 2005). There are several reports on the use of tannins in
treating various ailments in humans, including diarrhoea, gastric ulcers, snake bites and
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Tannin toxicity for fungi, bacteria and yeasts is reviewed and compared to toxicity
the substrates required for microbial growth or direct action on microbial metabolism
(Scalbert, 1991).
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MATERIALS AND METHOD
alternative antibacterial agent against Klebsiella pneumoniae. The tridax daisy leaves
will be coming from the field of Quezon Science High School. The researchers will
gather the materials needed to be used for the extraction which are the containers,
The researchers will gather one (1) kg of tridax daisy. The leaves of Tridax daisy
will be separated and will be washed with tap water. The researchers will leave the
leaves of tridax daisy for some time until it is dry. The plant will be shredded in a
container and be added with 50 ml of methanol. The researchers will pound it with the
use of mortar and pestle and then squeeze it into an empty container with the strainer to
obtain the extract from the leaves. The researchers will leave the container exposed to
heat for the methanol to evaporate and to get pure extract of the tridax daisy leaves.
The extract will be introduced to the experimental units through disc diffusion
sensitivity testing and tube dilution testing that will occur at the Calayan Educational
The researchers will have five (5) treatments. Treatment A will have 100% tridax
daisy leaf extract, treatment B will have 75% tridax daisy leaf extract and 25% normal
saline solution, treatment C will have 50% tridax daisy leaf extract and 50% normal
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saline solution, treatment D will have 25% tridax daisy leaf extract and 75% normal
saline solution, while treatment E will have 100% normal saline solution.
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ABSTRACT
Nowadays, bacteria are mostly the main cause of the diseases the people are
starting to get. The humans are experiencing different infections and diseases such as
lung diseases, blood infections, urinary tract infections, wound infections, meningitis and
The researchers want to provide a medicine with a low cost and can be seen
easily that can help avoid diseases connected with the bacteria K. pneumoniae. The
researchers are to find the chemical components found in Tridax daisy (Tridax
procumbens) that can help kill the bacteria K. pneumoniae. The researchers will find the
against K. pneumoniae in terms of zone of inhibition. The researchers are to use Tridax
The researchers will gather the materials and the tools needed for the research.
The researchers will make a methanolic extract of Tridax daisy (T. procumbens). The
researchers will have five (5) treatments, of which four (4) are experimental treatments
and one (1) is a control treatment. Treatments A, B, C and D will have 25%, 50%, 75%,
100% extract of Tridax daisy, respectively, while treatment E with normal saline
solution.
The results of the phytochemical analysis are: Flavonoids are the most abundant.
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Background of the Study
Infectious diseases remain a major cause of death, disability, and social and
economic disorder for millions of people throughout the world (Nizet &Esko, 2009).
Bacteria or viruses are usually the cause of many human infections. Bacteria are tiny
single-celled organisms. It can be beneficial but some are responsible for a range of
infections (Better Health Channel, 2014). The spectrum of clinical syndromes includes
lung diseases, bloodstream infections, wound infections, urinary tract infections and
bacterium is one of the main causes of infections. There is an increase in the likelihood
of nosocomial infection with Klebsiella species (Qureshi, 2015). One of the most
pneumonia.
infections in healthcare settings over the past few decades. Antimicrobial treatment of
geographically confined to Southeast Asia and South Africa. Nowadays, it has been
recorded that Klebsiella pneumoniae is the main cause of severe infections and is
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alkaloids, flavonoids, and tannins are considered to be the most important bioactive
compounds of plants for their potential antimicrobial trait (Dahiya &Purkayastha, 2012).
The phytochemical screening revealed that one of the plants that have the presence of
these constituents is Tridax Daisy (Tridax procumbens). Tridax daisy (T. procumbens) is
Asteraceae. It is best known as a widespread weed and pest plant. The plant is a
procumbent herb and is valued for its pharmaceutical properties (Sahoo & Chand,
1998). It is a common weed that grows in open places, coarse textured soils of tropical
regions, sunny dry localities, fields, waste areas, meadows and dunes (Khan, 2008).
pathogen that led to different infections, diseases and disorders such as urinary tract
rhinoscleroma, pyogenic liver abscess and pneumonia (Brisse, Fevre & Passet, 2009).
infections, with most deaths occurring in developing countries (Horby et al., 2014). In
the recent two decades, K. pneumoniae has become the most common causative
pneumonia, which is also caused by the said pathogen, is considered in the top 5
Because of this problem, the researchers’ findings highlight the urgent need to
develop strategies for prevention and infection control in a low cost and efficacy. The
researchers had the willingness and motivation in this study because the acquisition of
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Klebsiella pneumoniae can progress into severe bacterial infections leading to different
diseases and disorders. These diseases have been a great problem or threat and
widespread particularly in the Philippines; so this way, they would contribute in the
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Statement of the Problem
a. Flavonoids,
b. Alkaloids, and
c. Tannins
2. To determine the effectiveness of the variation of tridax daisy to the normal saline
3. To determine the effectiveness of the variation of tridax daisy to the normal saline
4. To test the significant difference of the variation of tridax daisy to the normal
5. To test the significant difference of the variation of tridax daisy to the normal
saline solution
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HYPOTHESES
the normal saline solution in terms of zone of inhibition using disc diffusion
sensitivity testing
the normal saline solution in terms of zone of inhibition using tube dilution testing
H0: There is no significant difference between the variation of tridax daisy to the
normal saline solution in terms of zone of inhibition using disc diffusion sensitivity
testing
H0: There is no significant difference between the variation of tridax daisy to the
normal saline solution in terms of zone of inhibition using tube dilution testing
Different types of infections have been increasing all over the world and so are
the needs of new antibacterial drugs. A lot of people are starting to suffer from these
infections. Different commercial antibiotic drugs are given to the people and what a lot
of people do not know that most of these drugs are not safe. Klebsiella pneumoniae is
one of the bacteria that can cause a range of different illnesses. Most people who have
been suffering from the illness brought this type of bacteria rely on the chemically made
antibiotics and most do not know how more efficient and safe natural alternatives are.
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Tridax daisy (T. procumbens) is found all over the Philippines and can be easily
be found. Tridax daisy (T. procumbens) contains flavonoids, alkaloids and tannins that
effectiveness and significant difference of tridax daisy (T. pocumbens) leaf extract
against Klebsiella pneumoniae in terms of zone of inhibition. The study has five (5)
treatments, of which four (4) are experimental treatments and one (1) is control
treatment. Each treatment consists of three (3) trials. Laboratory testing and observation
The tridax daisy (T. procumbens) leaves used in the laboratory testing and
phytochemical analysis were gathered in the field of Quezon Science High School.
The plant verification of trdax daisy leaves was done at the Museum of Natural
History in the University of the Philippines Los Baños, Los Baños, Laguna.
The study only covers the effect of Tridax Daisy (Tridax procumbens) leaf extract
against Klebsiella pneumoniae. It will not cover the effects of tridax daisy against other
bacteria; it will also not be used as treatment for diseases and other body organs.
Additionally, the side effects of tridax daisy are not included in this study.
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