Using Medicated Honey in Chronic Wound
Healing for Diabetic Foot Patient: Case Study
and Literature Review
Bassam Mousa* and Abelrahman Nawar
Lecturer of general surgery, Faculty of Medicine, Zagazig University, Saudi Arabia
Submission:June 20, 2021; Published:June 23, 2021
*Corresponding author: Bassam Mousa, Lecturer of general surgery, Faculty of Medicine, Zagazig University, – mecca – Aljumom, Postal code: 6430-25354, Saudi Arabia
How to cite this article: Bassam M, Abelrahman N. Using Medicated Honey in Chronic Wound Healing for Diabetic Foot Patient: Case Study and Literature Review. Open Access J Surg. 2021; 13(2): 555859 DOI: 10.19080/OAJS.2021.13.555859.
Background: Chronic Wound is the type of Wound which couldn’t heal in 3 months’ duration. Chronic Wound seems stay in inflammatory stage for long time . Diabetic foot lesions are responsible for more hospitalizations than any other complication of diabetes . Diabetic foot infections are diagnosed clinically based on the presence of at least two classic findings of inflammation or purulence .
Materials and methods: In this case I started dressing by ordinary methods for dressing then I shifted to medicated honey gauzes day by day.
Results: The results were excellent and there was generous improvement and rapid healing of the wound within one month.
Conclusion: using medicated honey in infected diabetic foot wounds is very effective, rapid and useful in chronic wound healing.
Wound healing is replacement of dead tissues by living one; skin is consisted of epidermis which is superficial layer of skin, Dermis and subcutaneous tissue. In undamaged Skin Epidermis & Dermis makes a barrier to outer environment, when the barrier broken then biochemical process set into motion to repair that . Diabetic foot wound is considered one of the major complications of diabetes mellitus, abd it is responsible for hospitalization other than any complications of diabetes. Also, it is a burden on the economic level for the patient and also for the governments. So, all researches about management of diabetic foot concentrate on this issue and to lower hospitalization rate of diabetic foot patients and to hasten recovery of patients. In this case study, I focused on usage of medicated honey in treatment of diabetic foot wounds. It is known that honey has antioxidant, anti-bacterial and anti-inflammatory properties. It can be used as a wound dressing to promote rapid and improved healing . Honey has also been used to lessen foul odors emanating from wounds which cause a social barrier for patients and may lead to isolation .
A 54 years old male patient was come in outpatient clinic for a consultation post diabetic foot abscess drainage and débridement in January 2021; the chief complaint of him was a big wound at plantar aspect of the left foot with edema at dorsum of the foot. the size of the wound was 12 cm length and 6 cm width and 3 cm depth. His blood glucose level is controlled, and all vital parameters were good.
I started dressing for him by using verities of wound dressing such as washing with saline and local ointments as B-sitosterol and silver sulfadiazine for about 2 months, the dressing was day by day. But with low haling power then shifted to medicated honey (Manuka) gauze dressing day by day, it gives a marvelous result and the healing is hastened, the wound was completely healed within 3 weeks. the Manuka honey contain three compounds: Leptosperin, Docosahexaenoic acid (DHA) and Methylglyoxal (MGO). Manuka honey comes straight from the nectar of the New Zealand Manuka bush (Leptospermum scoparium).
I noticed after trial of using medicated honey (Manuca) that
the results were marvelous and rapid recovery of the wound in
a little time, wound shrinkage, the bed of the wound is filled by
healthy pink granulation tissues in a rapid time in comparison
to other types of dressing. The time of using ordinary methods
of dressing was 70 days and the time of using medicated honey
dressing was less than 1 month (Figures1-7).
In present case study we noticed that usage of medicated
honey dressing Hasten the wound closure and improve growth of
granulation tissue. Medicated honey can be used in different types
of chronic and infected wounds, and this is very important on the
health and economic levels for the community and the patient as
well. According to (Alam f., et al) Honey has potent antibacterial
activity and is effective in preventing and clearing wound
infections . Also, Honey has several natural substances that
contribute to its antimicrobial activity including an osmotic effect,
a naturally low pH, and the production of hydrogen peroxide .
In a poor-quality randomized controlled trial, honey dressing
compared with saline-soaked dressing was found to accelerate
healing in Stages I and II pressure ulcers. 44 In another, poorquality
trial, honey was found to accelerate healing in Stage II or
III pressure ulcers .