Background and Context
In clinical practice, honey dressings are often used for the management of chronic wounds. National Institute for Clinical Excellence [NICE], (2016) provides a summary of evidence to suggest that there is little good quality evidence to suggest that honey, among other advanced antimicrobial dressings, is the best option for chronic wound management despite its frequent usage.
Antimicrobial resistance is a growing, global problem (World health organisation [WHO], 2016) that has resulted in action from the Department of Health [DH], (2013). in the form of a five year Antimicrobial Resistance (AMR) Strategy. The AMR strategy running 2013-2018 aims to build international alliances with governments and partners across
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(2015).
Qatar To determine the efficacy, cost effectiveness and acceptability of natural honey on the healing of chronic foot ulcers at primary care level. Case series
The wound site of patients with chronic foot ulcers were rinsed with normal saline, natural honey was applied to the wound and covered with glycerin- impregnated gauze. Patients were followed on a daily basis for four weeks.
Sample size = 12 All ulcers healed with no contractures or scars on average of three weeks. The dressing budget reduced by 75%, satisfaction was high among patients and pain was significantly reduced. Honey had antimicrobial effect and eliminated malodour. Among patients and clinicians, the honey proved to be cost effective and efficacious.
Cooper, Jenkins & Hooper. (2014).
Wales
To investigate the susceptibility of biofilms of Pseudomonas Aeruginosa (PA) to Medihoney in vitro. In Vitro study
Biofilms were cultivated in micro titre plates with and without different concentrations of Medihoney and the effects on the biofilms were monitored. Manuka honey is effective against certain biofilms but its effect on polymicrobial biofilms requires further research. Low sugar concentrations support microbial growth therefore it was found that high
While University Hospital is already on the brink of completely preventing pressure ulcers I would still recommend implementing all of the current practices but also add new additions to the team. Currently, we have a wound care team that diligently treats at risk and affected patients. Adding a nutritionist into the team to guarantee treatment from within along with prescribed medications. This will make the team and the strategies multidisciplinary. In addition to that, each treatment should be customized for each patient in regards to cost options and best treatment for their health. The project would also have to be performed repetitively without error to ensure that it is actually helpful. Patients’ skin should continue to be examined thoroughly in common places where ulcers could arise, the standardized pressure ulcer risk assessment should be used, and the proper care should be distributed once evaluated. The team should continue to record its progress and also provide company update emails to inform the facility, as well as send the appropriate data to the higher ups for public posting.
Barrett (2009) concurs that, the management of wound required dressing that can maintain a moist environment, absorbs exudates as well as remain in situ over number of days.
The goal to treat an ulcer in a diabetic patient is to heal the wound faster to prevent infection, pressure has to be take off the area by “offloading” the foot, remove dead tissue by the process of debridement, apply to dress per doctors order, and focus on managing the patient’s blood sugar effectively to promote healing. In addition, to prevent infection, the patient must keep the dressing clean, cleanse the wound daily and change the bandage and dressing, the patient must also avoid walking on barefoot.
Living with annoying venous painful wound leg ulcers is so miserable, it seems it would be endless, leads you wanting to be alone and having unwanted life. In spite of current mountainous researches work in the management of this type of wound, still the problem persisted and continuously affecting certain populations. Venous legs ulcer has great impact in life; physically, mentally and psychosocially.
Today, despite precise surgical techniques to cut out dying tissue, artificial skin and other high-tech treatments, hard-to-heal wounds remain a huge problem. Diabetic foot ulcers alone strike about 600,000 people annually and lead to thousands of
The RPNAO guideline places emphasize on health history and medical status within recommendation 1.1 and 1.7. (1) Through the health and psychosocial history, the clinician can understand what conditions may affect wound healing, lead to further stress on the patient, or place the patient at risk for infections. Within this category, the history of ulcer development is discussed along with current or past treatment plans. (1) The authors experience has shown a thorough and focused interview can take 5-10 minutes and establishes both the patient and family members’ knowledge, expectations, values, and
Rub onto scars twice daily. The antibacterial properties in honey can help heal wounds and promote skin cell growth. With constant use, scars should fade. Using honey is not recommended if you have oily
Liquid honey is a powerful natural remedy for its antibacterial properties. The experts concluded that honey has two main functions are to strengthen the immune system and shorten healing time.
It's a super power when it comes to healing scrapes, burns and cuts. A burn that's treated with a little honey will heal much more quickly and is less likely to scar, says Professor Peter Molan from New Zealand's University of Waikato. "Recent research has revealed that honey stimulates white blood cells to release cytokines that activate the growth of cells which repair wounds," says Molan. Any honey will work, but manuka honey is the most powerful.
Inflammatory cause from immune response to infection by remove damage tissue to clear the area for repair. Uncontrolled inflammatory will give side effect to body. Greek physician and herbalist detect the anti-inflammatory properties in honey. During that time, the honey is use for sunburn and spots on the face and consume honey heal inflammation at the throat and tonsils (Gunther R.T, 1934). The mechanism of anti-inflammatory action recognized by a research revealed that bees add a protein called Apalbumin 1 to the nectar to make a honey by suppress the action of white blood cell engulfing bacteria that lead to inflammation process. The present of high level methylglyoxal in manuka honey react with Apalbumin 1 effective in suppressing white
- Honey is a biologic wound dressing with multiple bioactivities that work in concert to expedite the healing process, and some of it's physical properties:-
Researchers confirm that honey is extremely powerful in treating numerous diseases, in mix with cinnamon turns into a deadly weapon against the virus, elevated cholesterol and sugar, and different enemies of our health.
Amazingly, honey is more than just a sticky and sweet substance: Its value goes incredibly beyond of what we imagine. Before anything else, I was skeptical of the idea on how honey could also be applied in different aspects in life. To my surprise, indeed, I found multiples uses of honey that go back to ancient cultures to this current century. As the book entitled Letters from The Hive by Stephen Buchman states it when he describes that honey played a special role among prehistoric cultures by considering it as magical, powerful and even divine (Buchmann 124). For instance, Egyptians contemplated honey as the “Lord of offerings” since was good enough to satisfy the demands of even the most capricious and willful gods: For such reason, Egyptians came to the conclusion that as honey was good for gods therefore it would be good for kings as well, up to the point of burying them with pots filled up with honey, and so, with the objective of helping them to transcend to the afterlife (Buchmann 124). Similarly, not only Egyptians, but also Greeks thought of honey as a divine meal. They believed that honey conferred immortality to whoever consumed it (Buchmann
The article, The evidence and rationale for the use of honey as a wound dressing focuses on the evidence and explanation as to the effectiveness of the bioactivites in honey that support and promote wound healing. This study concluded that honey showed tremendous value in wound healing. Honey has a broad spectrum of antibacterial activity specifically to gram positive and gram negative species, anaerobes, and aerobes. It showed an amazing effectiveness against bacteria that is considered to be antibiotic resistant such as MRSA, pseudomonas, staphylococci, and a number of others. The study also concluded that over an extended period of time, antibiotic resistant bacteria did not develop a resistance to the antibacterial effects of honey. In fact, honey was effective against bacteria that had been shown resistance to other antibiotics and silver wound dressings.
The most abundant type of cell is bacteria. It is a single celled organism that rapidly multiplies and lives on almost all aspects of the environment. Most bacteria were discovered and studied in laboratories during the 20th century. However, more recently scientists have been able to study bacteria in its natural environment due to advancements in technology, such as microscopes. With advancements in equipment, along with scientists, it is now known that most bacteria live in complex communities called biofilm. The study of biofilms has grown exponentially in recent years due to increased awareness of its impact on natural and manufactured systems, as well as human health. It is reported that biofilm cost the U.S. billions of dollars every year in product contamination, energy losses, equipment damage and medical infections (Montana State University CBE, retrieved 2016). To understand the important of biofilm it is necessary to understand that it is a form of bacteria that is densely packed in communities of microbial cells that grow together and adhere to a moist surface. These complex communities of bacteria contain many strains and include a multistep formation that is vital. Oral biofilms contain communities of disease causing bacteria and if left uncontrolled can be related to periodontal disease. For the dental hygienist understanding what biofilm is will be just as important as understanding its formation.