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Introduction: Pressure ulcer (PU) is a result of prolonged pressure and shear over a bony prominence resulting in tissue injury of varying depth. To date, there is no standardized wound dressings for PU. Due to its availability and affordability, honey is suitable as PU wound dressing considering its anti-oxidant, anti-inflammatory, and antibacterial properties. This review article will provide evidence of the superiority of honey dressing.
Methods: Literature source was searched through online databases with relevant keywords and then appraised for their validity, importance, and applicability. Total of three articles were appraised.
Results: All articles agreed that application of honey on PU wounds reduced wound size and alleviate pain. Honey-impregnated gauze dressing promoted faster pain relief throughout treatment and less discomfort during each dressing change. Healing rate was proven 4 times faster with honey compared to other topical ointments. However, the antibacterial effect of honey was not significantly confirmed in the study. Nonetheless, topical application of honey successfully accelerates wound healing in PU.
Conclusion: Honey is a promising alternative for topical dressings in patients with PU.
2. Bhattacharya S, Mishra RK. Pressure ulcers: Current understanding and newer modalities of treatment. Indian J Plast Surg. 2015;48(1):4-16.
3. Edsberg LE, Black JM, Goldberg M, et al. Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury Staging System. J Wound Ostomy Continence Nurs. 2016;43(6):585-97.
4. Sood A, Granick MS, Tomaselli NL. Wound Dressings and Comparative Effectiveness Data. Adv Wound Care (New Rochelle). 3. United States2014. p. 511-29.
5. Volakakis E, Papadakis M, Manios A, et al. Platelet-rich Plasma Improves Healing of Pressure Ulcers as Objectively Assessed by Digital Planimetry. Wounds. 2019;31(10):252-6.
6. Yaghoobi R, Kazerouni A, kazerouni O. Evidence for Clinical Use of Honey in Wound Healing as an Anti-bacterial, Anti-inflammatory Anti-oxidant and Anti-viral Agent: A Review. Jundishapur J Nat Pharm Prod. 2013;8(3):100-4.
7. Samarghandian S, Farkhondeh T, Samini F. Honey and Health: A Review of Recent Clinical Research. Pharmacognosy Res. 2017;9(2):121-7.
8. Gupta SS, Singh O, Bhagel PS, et al. Honey dressing versus silver sulfadiazene dressing for wound healing in burn patients: a retrospective study. J Cutan Aesthet Surg. 2011;4(3):183-7.
9. Gulati S, Qureshi A, Srivastava A, et al. A Prospective Randomized Study to Compare the Effectiveness of Honey Dressing vs. Povidone Iodine Dressing in Chronic Wound Healing. Indian J Surg. 2014;76(3):193-8.
10. Khadanga S, Dugar D, Karuna T, et al. Effects of Topical Honey Dressing in Decubitus Ulcer. Asian Journal of Medical Sciences. 2015;6(4):99-101.
11. Saha A, Chattopadhyay S, Azam M, et al. The role of honey in healing of bedsores in cancer patients. South Asian J Cancer. 12012. p. 66-71.
12. Yapucu Gunes U, Eser I. Effectiveness of a honey dressing for healing pressure ulcers. J Wound Ostomy Continence Nurs. 2007;34(2):184-90.
13. CEBM. Therapy Study - Critical Apprasial University of Oxford: Center of Evidence-Based Medicine; 2011 [December 1st 2019]. Available from: https://www.cebm.net/wp-content/uploads/2018/11/RCT.pdf.
14. Mandal MD, Mandal S. Honey: its medicinal property and antibacterial activity. Asian Pac J Trop Biomed. 2011;1(2):154-60.
15. Vyhlídalová D, Kozáková R, Zeleníková R. Management of non-healing wounds with honey dressings: A literature review Central European Journal of Nursing and Midwifery 2018;9(3):880-8.
16. Jull AB, Cullum N, Dumville JC, et al. Honey as a topical treatment for wounds. Cochrane Database Syst Rev. 2015(3):Cd005083.
17. Biglari B, vd Linden PH, Simon A, et al. Use of Medihoney as a non-surgical therapy for chronic pressure ulcers in patients with spinal cord injury. Spinal Cord. 2012;50(2):165-9.
18. Dunford CE, Hanano R. Acceptability to patients of a honey dressing for non-healing venous leg ulcers. J Wound Care. 2004;13(5):193-7.
19. Wijesinghe M, Weatherall M, Perrin K, et al. Honey in the treatment of burns: a systematic review and meta-analysis of its efficacy. N Z Med J. 2009;122(1295):47-60.
20. Gilligan AM, Waycaster CR, Bizier R, et al. Comparative Effectiveness of Clostridial Collagenase Ointment to Medicinal Honey for Treatment of Pressure Ulcers. Adv Wound Care (New Rochelle). 2017;6(4):125-34.
21. Albaridi NA. Antibacterial Potency of Honey. International Journal of Microbiology. 2019;2019:1-10.
22. Johnston M, McBride M, Dahiya D, et al. Antibacterial activity of Manuka honey and its components: An overview. AIMS Microbiol. 42018. p. 655-64.
23. Jenkins R, Cooper R. Improving Antibiotic Activity against Wound Pathogens with Manuka Honey In Vitro. PLoS One. 2012;7(9):e45600.
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