Background and purpose: The use of herbs and spices as therapeutic agent against many
pathological infection and its interaction when combining with medication has not been fully
exploited. This study was carried out to investigate the antibacterial activity of ethanolic extracts from
the peels of Punica granatum L., rhizomes of Zingiber officinale Roscoe and leaves of Elephantopus
scaber L. and combination of these extract against Pseudomonas aeruginosa, Escherichia coli and
Staphylococcus aureus. Besides that, this study was also aimed at determining the interaction between
each extracts with tetracycline HCl against P. aeruginosa, E. coli and S. aureus. Method: The
antimicrobial potency of ethanolic extracts from the peels of P. granatum L., rhizomes of Z. officinale
Roscoe and leaves of E. scaber L. was tested through the Minimum Inhibitory Concentration (MIC)
and Minimum Bactericidal Concentration (MBC) by using microdilution well method. The interaction
between combination of extracts, and between extract and antibiotic were tested through Fraction
Inhibitory Concentration Index (FICI) by checkerboard method. Result: Based on phytochemical
screening result, crude drug and ethanolic extract of P. granatum peels contained alkaloid, flavonoid
and tannin. The crude drug and ethanolic extract of Z. officinale rhizome contained
steroid/triterpenoid, flavonoid, and tannin. Meanwhile, the crude drug and ethanolic extract of E.
scaber leaves contain flavonoid and steroid/triterpenoid. The MIC of ethanolic extract of P. granatum
peels against P. aeruginosa, E. coli and S. aureus were 16 µg/mL, 256µg/mL and 64µg/mL,
respectively. The MIC of ethanolic extract of Z. officinale against P. aeruginosa, E. coli and S. aureus
were 2000µg/mL, 2000µg/mL and 8000µg/mL, respectively. Meanwhile, The MIC of ethanolic
extract of E. scaber against P. aeruginosa, E. coli and S. aureus were 8000µg/mL, 256µg/mL and
8000µg/mL, respectively. The MIC of tetracycline HCl against P. aeruginosa, E. coli and S. aureus
were 2µg/ml, 16µg/mL and 2µg/mL, respectively. The FICI value for combination between P.
granatum peels and Z. officinale against P. aeruginosa, E. coli, S. aureus were 0.625, 1.062, and
0.563, respectively. Meanwhile, the FICI of extract between P. granatum peels and E. scaber against
P. aeruginosa, E. coli and S. aureus were 0.188, 1.250 and 0.3750, respectively. Then, in next
evaluation of combination of extract of tetracycline HCl with P. granatum gave FICI value 0.531 and
0.250 against P. aeruginosa and S. aureus respectively. The combination of tetracycline HCl with Z.
officinale gave FICI value 0.281 for both P. aeruginosa and S. aureus. Lastly the combination of
tetracycline HCl with E. scaber gave FICI value 0.375 and 0.531 against P. aeruginosa and S. aureus,
respectively. Conclusion: Extract of Punica granatum peels has the lowest MIC compared to extract
of Elephantopus scaber leaves and extract of Zingiber officinale rhizomes against P. aeruginosa, E.
coli and S. aureus. Combination between peels of Punica granatum extract with leaves of
Elephantopus scaber extract gives the lowest FICI value, suggesting the highest synergistic effect
among extracts combination. Furthermore, combination of tetracycline HCl with each extracts tested
gives synergistic effect against P. aeruginosa and S. aureus.