Honey and Wound Care

Weeping spots, lymphorrhea, Cuts, Scrapes, Stitches, Blisters, Silver Dressings, Compression therapy, wound bandaging, wound infections

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Honey and Wound Care

Postby patoco » Tue Jul 10, 2007 2:13 pm

Evaluation of a honey-impregnated tulle dressing in primary care

Br J Community Nurs. 2004

Stephen-Haynes J.
Worcestershire Primary Care Trusts and University College Worcester. Jackies_h@btopenworld.com

Honey has been used for its healing properties for centuries and has been used to dress wounds with favourable results. The emergence of antibiotic resistance and growing interest in "natural" or "complementary" therapies has led to an interest in honey dressings. Much of the research to date has been related to honey's antibacterial properties. However, the healing properties claimed for honey also include stimulating new tissue growth, moist wound healing, fluid handling and promoting epithelialization. Until recently, honey had not been developed as a wound management product and was not a certified pharmaceutical device. Activon Tulle is a sterile, non-adherent dressing impregnated with Leptospermum scoparium hone. The claimed properties of honey dressings would make this a valuable addition to the dressing currently available in the primary care setting. An evaluation was undertaken involving 20 patients with a variety of wounds. A conclusion is drawn that while further research is needed, medical grade honey does appear to be a valuable addition to the wound management formulary.

http://www.ncbi.nlm.nih.gov/sites/entre ... stractPlus

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A different and safe method of split thickness skin graft fixation: Medical honey application.

Burns. 2007 Jun 28

Emsen IM.
Numune State Hospital, Department of Plastic Reconstructive and Aesthetic, Surgery, Erzurum, Turkey.

Honey has been used for medicinal purposes since ancient times. Its antibacterial effects have been established during the past few decades. Still, modern medical practitioners hesitate to apply honey for local treatment of wounds. This may be because of the expected messiness of such local application. Hence, if honey is to be used for medicinal purposes, it has to meet certain criteria. The authors evaluated its use for the split thickness skin graft fixation because of its adhesive and other beneficial effects in 11 patients. No complications such as graft loss, infection, and graft rejection were seen. Based on these results, the authors advised honey as a new agent for split thickness skin graft fixation. In recent years there has been a renewed interest in honey wound management. There are a range of regulated wound care products that contain honey available on the Drug Tariff. This article addresses key issues associated with the use of honey, outlining how it may be best used, in which methods of split thickness skin graft fixations it may be used, and what clinical outcomes may be anticipated. For this reason, 11 patients who underwent different diagnosis were included in this study. In all the patients same medical honey was used for the fixation of the skin graft. No graft loss was seen during both the first dressing and the last view of the grafted areas. As a result, it has been shown that honey is also a very effective agent for split thickness skin graft fixations. Because it is a natural agent, it can be easily used in all skin graft operation for the fixation of the split thickness skin grafts.

http://www.sciencedirect.com/science?_o ... d3d210a1ae

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Manuka honey dressing: An effective treatment for chronic wound infections

Br J Oral Maxillofac Surg. 2006

Visavadia BG, Honeysett J, Danford MH.
Maxillofacial Unit, Royal Surrey County Hospital, Egerton Road, Guildford Surrey, UK.

The battle against methicillin-resistant Staphylococcus aureus (MRSA) wound infection is becoming more difficult as drug resistance is widespread and the incidence of MRSA in the community increases. Manuka honey dressing has long been available as a non-antibiotic treatment in the management of chronic wound infections. We have been using honey-impregnated dressings successfully in our wound care clinic and on the maxillofacial ward for over a year.

http://www.bjoms.com/article/PIIS026643 ... 0/abstract

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The evidence supporting the use of honey as a wound dressing

Molan PC.
Department of Biological Sciences, University of Waikato, Hamilton, New Zealand. pmolan@waikato.ac.nz

Some clinicians are under the impression that there is little or no evidence to support the use of honey as a wound dressing. To allow sound decisions to be made, this seminar article has covered the various reports that have been published on the clinical usage of honey. Positive findings on honey in wound care have been reported from 17 randomized controlled trials involving a total of 1965 participants, and 5 clinical trials of other forms involving 97 participants treated with honey. The effectiveness of honey in assisting wound healing has also been demonstrated in 16 trials on a total of 533 wounds on experimental animals. There is also a large amount of evidence in the form of case studies that have been reported. It has been shown to give good results on a very wide range of types of wound. It is therefore mystifying that there appears to be a lack of universal acceptance of honey as a wound dressing. It is recommended that clinicians should look for the clinical evidence that exists to support the use of other wound care products to compare with the evidence that exists for honey.


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Comparison of healing of incised abscess wounds with honey and EUSOL dressing.Comparison of healing of incised abscess wounds with honey and EUSOL dressing.

J Altern Complement Med. 2005

Okeniyi JA, Olubanjo OO, Ogunlesi TA, Oyelami OA.
Department of Paediatrics and Child Health, Obafemi Awolowo University, Ile-Ife, Ilesa, Nigeria. akinyemiokes2@yahoo.com

OBJECTIVE: To clinically compare the healing of abscess wounds dressed with either crude undiluted honey or Edinburgh University solution of lime (EUSOL).

DESIGN: A prospective clinical randomized study. LOCATION: The Isolation Children's Ward of the Wesley Guild Hospital, Ilesa, an affiliate of the Obafemi Awolowo University, Ile-Ife, Nigeria.

SUBJECTS: Thirty-two (32) Nigerian children with 43 pyomyositis abcesses.

INTERVENTIONS: All subjects had fresh surgical incision and drainage of the abcesses and a 21-day course of ampicillin plus cloxacillin (Ampiclox) and gentamicin; the wounds were left to close spontaneously with twice-daily wound dressing with packing of the abscess cavity with either honey- or EUSOL-soaked gauze in two randomized treatment groups.

OUTCOME MEASURES: The clinical conditions of the wound sites were documented on days 1, 3, 7, and 21 as either clean or dirty, dry or wet, granulation tissue present or absent, and epithelialization present or absent; the length of hospital stay was also measured.

RESULTS: Honey-treated wounds demonstrated quicker healing and the length of hospital stay was significantly shorter in patients with honey-treated wounds than those treated with EUSOL (t = 2.45, p = 0.019).

CONCLUSIONS: Honey is a superior wound dressing agent to EUSOL. Honey is recommended for the dressing of infected wounds, more so in tropical countries, where it is most readily available.

http://www.liebertonline.com/doi/abs/10 ... 005.11.511

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Honey dressing versus paraffin tulle gras following toenail surgery

J Wound Care. 2006

McIntosh CD, Thomson CE.
Centre for Health and Social Care Research, University of Huddersfield, UK. c.mcintosh@hud.ac.uk

OBJECTIVE: Anecdotal reports suggest that certain honey dressings have a positive effect on wound healing. However, there is limited empirical evidence supporting its use.This double-blind randomised controlled trial investigated the effect of a honey dressing on wound healing following toenail surgery with matrix phenolisation.

METHOD: Participants (n=100) were randomly assigned to receive either an active manuka honey dressing (n=52) or paraffin-impregnated tulle gras (n=48).The primary outcome was time (days) taken for complete re-epithelialisation of the nail bed.

RESULTS: Mean healing times were 40.30 days (SD 18.21) for the honey group and 39.98 days (SD 25.42) for the paraffin tulle gras group. Partial avulsion wounds healed statistically significantly faster (p=0.01) with paraffin tulle gras (19.62 days, SD 9.31) than with the honey dressing (31.76 days, SD 18.8), but no significant difference (p=0.21) was found following total avulsion when comparing honey (45.28 days, SD 18.03.) with paraffin tulle gras dressings (52.03 days, SD 21.3).

CONCLUSION: The results suggest that patients may benefit more from paraffin tulle gras dressings than honey dressings following partial toenail avulsion. No statistically significant difference was found for healing times after total toenail avulsion, although the marginal benefit of the honey dressing on these healing times warrants further investigation.

http://www.ncbi.nlm.nih.gov/sites/entre ... stractPlus

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Treatment of a venous leg ulcer with a honey alginate dressing

Br J Community Nurs. 2005

van der Weyden EA.
Woodfield Retirement Village, Haberfield, New South Wales, Australia. Liesjevdw1@aol.com

The management of chronic wounds such as venous ulcers is a common and long-term issue with the aging population. Non-standard treatment that is both medically and financially effective needs to be identified. Honey has been used for its healing properties for centuries and has been used to successfully heal wounds including pressure-ulcers in our care facility.

However, there is not much evidence for its use in treating venous ulcers. To this end, I trialed the use of a honey-impregnated alginate dressing on a man who had a long-standing history of venous ulcers on his leg with the aim of evaluating the effectiveness of honey as an alternative treatment to the current wound management therapies.

The honey seemed to act as an effective antibacterial, anti-inflammatory and deodorizing dressing, with total healing of the ulcer achieved. This result, together with past successes with the use of honey alginate on ulcerated wounds, has led to this product becoming mainstream in the treatment of chronic wounds within our care facility.

http://www.ncbi.nlm.nih.gov/sites/entre ... stractPlus

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Use of medical honey in patients with chronic venous leg ulcers after split-skin grafting.

J Wound Care. 2004

Schumacher HH.
Norfolk and Norwich University Hospital, UK. hagenschumacher@yahoo.com

OBJECTIVE: To assess the use of medical honey on healing times and complications in patients with venous leg ulcers after split-skin grafting.

METHOD: Healing time and morbidity were evaluated in six patients with chronic venous leg ulcers who underwent split-skin grafting followed by the application of medical honey at the vascular unit of University Hospital Aintree in Liverpool.

RESULTS: Mean healing time was 22 days. There were no complications.

CONCLUSION: The use of medical honey in patients who have received split-skin grafts for chronic venous leg ulcers appears to give a similar healing time to that seen without the application of honey. There were no major complications. Larger prospective randomised controlled trials are needed to confirm the findings.

http://www.ncbi.nlm.nih.gov/sites/entre ... stractPlus

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Pat O'Connor
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