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Practical considerations of using topical honey for neuropathic diabetic foot ulcers: a review.

Abstract

CONTEXT

It is increasingly important to identify and use low-cost effective dressings for treating diabetic foot ulcers as medical costs and rates of diabetes continue to rise. Honey is an inexpensive moist dressing with antibacterial and tissue-healing properties that has shown promise in the medical literature. Many clinicians are unfamiliar with its use, but patients with diabetic foot ulcers may wish to try honey therapy or discuss it with their physicians. The purpose of this review is to familiarize physicians with practical aspects of using honey to treat diabetic foot ulcers.

EVIDENCE ACQUISITION

The authors have experience using topical honey and are currently conducting a randomized controlled trial of its effectiveness in treating diabetic foot ulcers. In this review, the authors summarize evidence of honey's effectiveness, its hypothesized mechanism of action, potential risks and benefits, the types of honey available, and the nature of its application. Critical aspects of ulcer care are also reviewed.

CONCLUSION

Honey is a low-cost topical therapy with important potential for healing. Its use may be considered in diabetic foot ulcers after a discussion of risks and benefits and in conjunction with standard wound care principles.

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  • Authors+Show Affiliations

    ,

    Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wis., USA. jennifer.eddy@fammed.wisc.edu

    ,

    Source

    MeSH

    Administration, Topical
    Diabetic Foot
    Honey
    Humans
    Wound Healing

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't
    Review

    Language

    eng

    PubMed ID

    18702435

    Citation

    Eddy, Jennifer J., et al. "Practical Considerations of Using Topical Honey for Neuropathic Diabetic Foot Ulcers: a Review." WMJ : Official Publication of the State Medical Society of Wisconsin, vol. 107, no. 4, 2008, pp. 187-90.
    Eddy JJ, Gideonsen MD, Mack GP. Practical considerations of using topical honey for neuropathic diabetic foot ulcers: a review. WMJ. 2008;107(4):187-90.
    Eddy, J. J., Gideonsen, M. D., & Mack, G. P. (2008). Practical considerations of using topical honey for neuropathic diabetic foot ulcers: a review. WMJ : Official Publication of the State Medical Society of Wisconsin, 107(4), pp. 187-90.
    Eddy JJ, Gideonsen MD, Mack GP. Practical Considerations of Using Topical Honey for Neuropathic Diabetic Foot Ulcers: a Review. WMJ. 2008;107(4):187-90. PubMed PMID: 18702435.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Practical considerations of using topical honey for neuropathic diabetic foot ulcers: a review. AU - Eddy,Jennifer J, AU - Gideonsen,Mark D, AU - Mack,Gregory P, PY - 2008/8/16/pubmed PY - 2008/10/22/medline PY - 2008/8/16/entrez SP - 187 EP - 90 JF - WMJ : official publication of the State Medical Society of Wisconsin JO - WMJ VL - 107 IS - 4 N2 - CONTEXT: It is increasingly important to identify and use low-cost effective dressings for treating diabetic foot ulcers as medical costs and rates of diabetes continue to rise. Honey is an inexpensive moist dressing with antibacterial and tissue-healing properties that has shown promise in the medical literature. Many clinicians are unfamiliar with its use, but patients with diabetic foot ulcers may wish to try honey therapy or discuss it with their physicians. The purpose of this review is to familiarize physicians with practical aspects of using honey to treat diabetic foot ulcers. EVIDENCE ACQUISITION: The authors have experience using topical honey and are currently conducting a randomized controlled trial of its effectiveness in treating diabetic foot ulcers. In this review, the authors summarize evidence of honey's effectiveness, its hypothesized mechanism of action, potential risks and benefits, the types of honey available, and the nature of its application. Critical aspects of ulcer care are also reviewed. CONCLUSION: Honey is a low-cost topical therapy with important potential for healing. Its use may be considered in diabetic foot ulcers after a discussion of risks and benefits and in conjunction with standard wound care principles. SN - 1098-1861 UR - https://www.unboundmedicine.com/medline/citation/18702435/Practical_considerations_of_using_topical_honey_for_neuropathic_diabetic_foot_ulcers:_a_review_ L2 - http://www.wisconsinmedicalsociety.org/_WMS/publications/wmj/pdf/107/4/187.pdf DB - PRIME DP - Unbound Medicine ER -