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Honey gauze
used for Treating and Healing
Burns
Aharon Wanszelbaum MD
Meuhedet health service wound clinics
HYPOTHESIS / AIM
Honey gauze dressing and Honey gels are well
known treatments that accelerate the healing
of problem woun...
Our assumptions were:
1. The impregnated gauze will not
adhere to the burn surface
2. The honey will contribute its potent...
MATERIAL and METHODS
We decided to limit the spectrum of the trial to superficial burns (involving
only the Epidermis) and...
Results and findings
1: 3 Out of 4 patients (75%) achieved complete healing in 13-47 days (mean: 28.6
days) and 5-20 treat...
General description of the cases
Patient
Sex
Cause of burn
Localization
TBSA
Grade
Time to healing
(days)
Nb of dressings ...
Patient 2
Before using
At 14 days of using
After 33 days of using
Conclusions and implications for
clinical practice
gauze should be considered as a first
choice in the treatment of superf...
References
-1: Archer HG, Barnett S, Irving S, Middleton KR, Seal DV
A controlled model of moist wound healing: comparison...
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EWMA 2013-Ep440-TREATMENT OF BURNS BY A HONEY GAUZE: A SMALL-SCALE CLINICAL ESSAY TO ASSESS ITS EFFICACY

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TREATMENT OF BURNS BY A HONEY GAUZE: A SMALL-SCALE CLINICAL ESSAY TO ASSESS ITS EFFICACY

Aharon Wanszelbaum1

1Meuhedet health service wound clinics (Jerusalem, Israel).

Published in: Health & Medicine, Business
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Transcript of "EWMA 2013-Ep440-TREATMENT OF BURNS BY A HONEY GAUZE: A SMALL-SCALE CLINICAL ESSAY TO ASSESS ITS EFFICACY"

  1. 1. Honey gauze used for Treating and Healing Burns Aharon Wanszelbaum MD Meuhedet health service wound clinics
  2. 2. HYPOTHESIS / AIM Honey gauze dressing and Honey gels are well known treatments that accelerate the healing of problem wounds. Our Hypothesis was that Burns also may benefit from Honey dressing in the healing process . We decided to use honey gauze (Bfactory*) as a single treatment for burns
  3. 3. Our assumptions were: 1. The impregnated gauze will not adhere to the burn surface 2. The honey will contribute its potent antibacterial effects ,hyperosmolarity and other characteristics to induce a better and healing. HYPOTHESIS
  4. 4. MATERIAL and METHODS We decided to limit the spectrum of the trial to superficial burns (involving only the Epidermis) and partial thickness burns (involving the epidermis till most of the dermis). Patient with allergy to honey were excluded. All patients got explanations of the treatment and signed an informed consent. Once patients enrolled they were dressed with the gauze with a secondary foam dressing. The dressings were changed 2-3 times a week until healing was achieved or the product went inadequate. The use of gel, oral antibiotics and pain killer was permitted if needed.
  5. 5. Results and findings 1: 3 Out of 4 patients (75%) achieved complete healing in 13-47 days (mean: 28.6 days) and 5-20 treatments (mean 11 treatments). 2: Patient 4 dropped out because of pain induced by the and healed with silver sulfadiazine cream daily treatment . 3: Patient 1 was treated on his right hand by and on the left by a silver dressing (Biatain Ag).Both were effective but with better results with so that after 8 days ,we replaced the silver dressing to Of importance is to mention that the side that got from the begining healed better with a much nicer skin.
  6. 6. General description of the cases Patient Sex Cause of burn Localization TBSA Grade Time to healing (days) Nb of dressings to healing Other pathologies Albuminemia Pain killer (burn related) 1 Male Frozen meat Finger pulps both hands 1% 2 13 5 Diabetes mellitus insulin dependent HbA1c:6.8 Renal failure Diabetic retinopathy Anemia(mild) Hypertension Normal Paracetamol 2 Female Boiling oil Shin heel plantar foot left leg 4.5% 2 47 20 / / Paracetamol dipyrone 3 Male Boiling water Finger 3 left hand 0.5% 2 26 8 Diabetes mellitus Non-insulin dependent HbA1c:9.7 Diabetic neuropathy Poor compliance Coronaropathy Hypertension Normal / 4 Male Explosion of gas canister Face-hands 6.5% 1 Dropped out / / / paracetamol
  7. 7. Patient 2 Before using At 14 days of using After 33 days of using
  8. 8. Conclusions and implications for clinical practice gauze should be considered as a first choice in the treatment of superficial and/or partial thickness burns . Although we achieved good and impressive results, randomized control and blinded trials on a bigger scale should be done to ratify the effectiveness of honey as single topical treatment for burns
  9. 9. References -1: Archer HG, Barnett S, Irving S, Middleton KR, Seal DV A controlled model of moist wound healing: comparison between semi-permeable film, antiseptic and sugar paste J.Exp.Pathol.1990:71.155-70 -2: Moore OA, Smith LA, Campbell F, Seers K, McQuay HS, Moore RA Systematic review of the use of honey as a wound dressing Complementary and alternative medicine 2001.1:2 -3: Ingle R, Levin J, Polinder K Wound healing with honey: a randomized control trial South African Medicine Journal 2006:96:831-5 -4: Jull A, Walter N, Parag V, Molan PC, Rodgers A Randomized clinical trial of honey- impregnated dressings for venous ulcers British Journal of Surgery 2008:95:175-82 -5: Molan PC The antibacterial properties of honey CINZ1995: July 10-14 -6: Kwakman PHS, te Velde AA, de Beer L, Speijer D, Vandenbroucke- Grauls CMJE Zaat SAJ How honey kills bacteria Faseb journal: 2010:24.000-000 -7: Baghel PS, Shukla S, Mathur RK, Randa R A comparative study to evaluate the effect of honey dressing and silver sulfadiazine dressing in burn patients Indian Journal of Plastic Surgery 2009: Jul-Dec,42(2):176-81 -8: Gupta SS, Singh O, Baghel PS, Moses S, Shukla S, Mathur RK Honey dressing versus sulfadiazine dressing for wound healing in burn patients: a retrospective study. Journal of Cutaneous and Aesthetic Surgery 2011:4.183-7 -9: Stephen-Haynes J Implication of honey dressings with primary care wounds Wounds UK 2005: Suppl 1 (3):33-53 -10: Subrahmanyam M Topical application of honey for burn wound treatment: an overview Annals of burns and fire disasters 2007: 20(3) 137-41 -11: Sukur SM, Hakim AS, Singh KKB Evaluations of bacterial contaminated full thickness burn wound heal Tualang honey -12: Eleftherios Smaropoulos, Spyridon Romeos, Chrisavgi Dimitriadou Honey-based therapy for paediatric burns and dermal trauma compared to standard hospitalization protocol Wound UK 2011: vol 7 N1:33-40
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