ROLE OF HONEY IN WOUND DRESSING IN DIABETIC FOOT ULCER

Authors

  • Abdul Rashid Surahio
  • Ashar Ahmad Khan
  • Main Usman Farooq
  • Iffat Fatima

Abstract

Background: Honey has antibacterial and antimicrobial properties. This study was conducted to evaluate the efficacy and role of honey as local wound dressing agent in the management of diabetic foot and its effect on rate of amputation. Method: This prospective observational study was done in the general surgery department, Al- Noor Specialist hospital, Holly Makkah, KSA from 1st March, 2007 to 31st May, 2008 (15 months). This study includes 172 patients of either gender, above 18 years of age, belonging to different nationalities admitted to Al- Noor specialist hospital, Holly Makkah, KSA. Results: A total of 172 patients with male to female ratio 1.54:1 were admitted from 1st March, 2007 to 31st May, 2008 with complicated and non-healing diabetic foot ulcers. Out of these 172 patients, 135 (78.48%) were Saudi and 37 (21.52%) were non Saudi residents with ratio of 3.6:1. After admission and resuscitation, all the patients under went early surgical debridement and dressing with the thick layer of honey locally available. Wounds became healthy within 7–35 days. Three patients (1.75%) underwent big toe amputation and 2 (1.16%) patients under went below knee amputations. Twenty (11.6%) patients under went split skin grafting to cover the wound while in other patients wound healed by secondary intention. Conclusion: Use of honey significantly reduced rate of amputation and improve wound healing when used for wound dressing in chronic diabetic foot ulcers.Keywords: Diabetic foot ulcer, honey, dressing

References

Molan PC. Honey as an antimicrobial agent. In: Mizrahi A, Lensky Y, editors. Bee products. New York: Plenum Prss; 1996.p. 27–37.

Majno G, editor. The healing hand: Man and wound in the ancient world. Cambridge: Harvard University Press; 1975.p. 571.

Zumla A, Lulat A. Honey- a remedy rediscovered. J R Soc Med 1989;82:384–5.

Willix DJ, Molan PC, Harfoot CJA. A comparison of the sensitivity of wound-infecting species of bacteria to the antibacterial activity of Manuka honey and other honey. J Appl Bacteriol 1992;73:388–94.

Efem SE, Udoh KT, Iwara CI. The antimicrobial spectrum of honey and its clinical significance. Infection 1992;20:227–9.

Cooper R, Molan P. The use of honey as an antiseptic in managing pseudomonas infection. J Wound Care 1999;8(4):161–4.

Greenwood D. Sixty years on: antimicrobial drug resistance comes of age. Lancet 1995; 346(Suppl):S1.

Cooper RA, Molan PC, Harding KG. The sensitivity to honey of gram positive cocci of clinical significance isolated from wounds. J Appl Microbial 2000;93:857–63.

Mullai V, Menon T. Bactericidal activity of different types of honey against clinical and environmental isolates of pseudomonas aeroginosa. J Altern Complement Med 2007;13:439–41.

Armstrong DG, Lavery LA. Diabetic foot ulcers: prevention, diagnosis and classification. Am Fam Physician 1998;57:1325–32.

Andersen CA, Roukis TS. The diabetic foot. Surg Clin North Am 2007;57:1149–77.

Al-Maskari F, El-Sadig M. Prevalence of risk factors for diabetic foot complications. BMC Fam Pract 2000;8:59.

Dunford C, Cooper R, Molan P, White R. The use of honey in wound management. Nurs Stand 2000;15(11):63–8.

Subrahmanyam M. Topical application of honey in treatment of burns. Br J Surg 1991;78:497–8.

Molan PC. The role of honey in the management of wounds. J Wound Care 1999;8:415–8.

Molan PC, Betts J. Using honey dressing. The practical considerations. Nurs Times 2000; 96(49):36–37.

Farouk A, Hassan T, Kashif H, Khalid SA, Mutawali I, Wadi M. Studies on Sudanese bee honey: laboratory and clinical evaluation. Int J Crude Drug Res 1988;26:161–8.

Fakoor M, Pipelzadeh MH. A study on the healing effect of honey on infected open fracture wounds. Pak J Med Sci 2007;23:327–9.

Hammouri SK. The role of honey in the management of diabetic foot ulcers. J Res Med Sci 2004;11(2):20–2

Published

2014-09-01