The Effectiveness Of a Combination Of Rosella (Hibiscus sabdariffa) and Red Ashoka (Ixora javanica) Extracts as an Eosin Substitute For Parasite Examination in Feces

Efektivitas Kombinasi Ekstrak Rosella (Hibiscus Sabdariffa) dan Asoka Merah (Ixora Javanica) Sebagai Pengganti Eosin Untuk Pemeriksaan Parasit pada Feses

Authors

  • Ahsanatul Munawwaroh Prodi D4 Analis Kesehatan, Fakultas Kesehatan, Universitas Nahdlatul Ulama Surabaya, Indonesia
  • Yauwan Tobing Lukiyono Prodi D4 Analis Kesehatan, Fakultas Kesehatan, Universitas Nahdlatul Ulama Surabaya, Indonesia
  • Irwan Sulisti Prodi Sarjana Terapan Sanitasi Lingkungan, Politeknik Kesehatan Surabaya, Indonesia
  • Agus Aan Adriansyah Prodi S1 Kesehatan Masyarakat, Fakultas Kesehatan, Universitas Nahdlatul Ulama Surabaya

DOI:

https://doi.org/10.21070/medicra.v8i2.1805

Keywords:

Eosin, Helminth Eggs, Red Ixora (Ixora javanica), Roselle (Hibiscus sabdariffa), Stool Examination

Abstract

Stool examination is an important diagnostic method for detecting intestinal helminths, particularly in tropical regions like Indonesia. Eosin 2% is commonly used to enhance microscopic visualization of helminth eggs but raises concerns regarding toxicity and environmental impact. This study aimed to evaluate the effectiveness of combining roselle (Hibiscus sabdariffa) and red ixora (Ixora javanica) flower extracts as a natural substitute for eosin in stool examination. This experimental research used a post-test-only control group design with four treatment groups: eosin (positive control), and three extract concentration combinations (60%:40%, 50%:50%, and 70%:30%). The results showed that all extract combinations produced comparable contrast and clarity to eosin in visualizing helminth eggs. The Kruskal–Wallis test indicated no significant difference between treatments (p>0.05). The combination of roselle and red ixora extract can therefore be considered a potential natural alternative to eosin for stool examination without reducing microscopic effectiveness.

References

Djaeni, M. (2017). Ekstraksi Antosianin dari Kelopak Bunga Rosella (Hibiscus Sabdariffa L.) Berbantu Ultrasonik: Tinjauan Aktivitas Antioksidan. Jurnal Aplikasi Teknologi Pangan, 6(3), 148-151. doi: 10.17728/jatp.236

Nadhira, F. F., Rahmat, M., Mulia, Y. S., & Rismiarti, Z. (2023). Ekstrak Daun Jati (Tectona Grandis) Sebagai Alternatif Pengganti Eosin Dalam Pemeriksaan Telur Cacing Golongan Soil Transmitted Helminths. Jurnal Kesehatan Siliwangi, 4(1), 165–171. Doi: 10.34011/jks.v4i1.1502

Lukiyono, Y. T., Sumarsono, T.-, & Murhadjito, I. R. (2020). Prevalensi Helmintiasis Pada Siswa Kelas 1 – 6 Sekolah Dasar Manyar Sabrangan Surabaya Tahun 2020. the Journal of Muhammadiyah Medical Laboratory Technologist, 3(2), 94-99. Doi: 10.30651/jmlt.v3i2.6167

Mohamed, R. K., Gibriel, A. Y., Rasmy, N. M. H., & Abu-Salem, F. M. (2016). Extraction of Anthocyanin Pigments from Hibiscus sabdariffa L. and Evaluation of their Antioxidant Activity. Middle East Journal of Applied Sciences, 6(04), 858–866. Retrieved from Source: ResearchGate https://share.google/2bHDobAmdApUg5c1b

Primadana, A., Nurdian, Y., Agustina, D., Hermansyah, B., & Armiyanti, Y. (2019). Eosinophilia Sebagai Prediktor Morbiditas Soil- Transmitted Helminthiases Pada Pekerja Perkebunan Widodaren, Jember. Journal of Vocational Health Studies, 3(2), 47–52. https://doi.org/10.20473/jvhs.V3I2.2019.47

Rizki, Z., Ardhya, Y., & Fajarna, F. (2023). Optimasi penggunaan air perasan bunga asoka merah (Ixora coccinea) sebagai pengganti eosin pada pemeriksaan telur cacing Soil Transmitted Helminth. Journal SAGO, 4(2), 271-277. Doi: 10.30867/gikes.v4i2.1235

Salnus, S., Arwie, D., & Armah, Z. (2021). Ekstrak Antosianin Dari Ubi Ungu (Ipomoea Batatas L.) Sebagai Pewarna Alami Pada Pemeriksaan Soil Transmitted Helminths (STH) Metode Natif (Direct Slide). Jurnal Kesehatan Panrita Husada, 6(2), 188–194. Doi: 10.37362/jkph.v6i2.649

Syafrullah, H., & Lamato, E. L. (2018). Ekstrak Kelopak Bunga Rosella (Hibiscus Sabdariffa L)Sebagai Pengganti Eosin 2% Untuk Pemeriksaan Telur Cacing Nematoda Usus. Jab-Staba, 02(01), 12–17.

Vanawati, N., Oktari, A., & Febriani, T. Y. (2021). Evaluation of Roselle (Hibiscus sabdariffa L.) Calyx Extract Stability for Intestinal Nematode Egg Staining. Journal of Physics: Conference Series, 1764(1), 1-6. Doi: 10.1088/1742-6596/1764/1/012004

Widiyanti, F., Nuryati, A., & Nuryani, S. (2020). Lama pengapungan terhadap jumlah telur Soil Transmitted Helminth metode flotasi. Jurnal Vokasi Kesehatan, 6(1), 52–55. Retrieved from http://ejournal.poltekkes-pontianak.ac.id/index.php/JVK 52

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Published

2025-12-31

How to Cite

Munawwaroh, A., Lukiyono, Y. T., Sulisti, I., & Adriansyah, A. A. (2025). The Effectiveness Of a Combination Of Rosella (Hibiscus sabdariffa) and Red Ashoka (Ixora javanica) Extracts as an Eosin Substitute For Parasite Examination in Feces: Efektivitas Kombinasi Ekstrak Rosella (Hibiscus Sabdariffa) dan Asoka Merah (Ixora Javanica) Sebagai Pengganti Eosin Untuk Pemeriksaan Parasit pada Feses. Medicra (Journal of Medical Laboratory Science Technology), 8(2), 88–92. https://doi.org/10.21070/medicra.v8i2.1805

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