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The clinical and cost effectiveness of bee honey dressing in the treatment of diabetic foot ulcers.

Abstract

Honey is known, since antiquity, as an effective wound dressing. Emergence of resistant strains and the financial burden of modern dressings, have revived honey as cost-effective dressing particularly in developing countries. Its suitability for all stages of wound healing suggests its clinical effectiveness in diabetic foot wound infections. Thirty infected diabetic foot wounds were randomly selected from patients presenting to Surgery Department, Suez Canal University Hospital, Ismailia, Egypt. Honey dressing was applied to wounds for 3 months till healing, grafting or failure of treatment. Changes in grade and stage of wounds, using University of Texas Diabetic Wound Classification, as well as surface area were recorded weekly. Bacterial load was determined before and after honey dressing. Complete healing was significantly achieved in 43.3% of ulcers. Decrease in size and healthy granulation was significantly observed in another 43.3% of patients. Bacterial load of all ulcers was significantly reduced after the first week of honey dressing. Failure of treatment was observed in 6.7% of ulcers. This study proves that commercial clover honey is a clinical and cost-effective dressing for diabetic wound in developing countries. It is omnipresence and concordance with cultural beliefs makes it a typical environmentally based method for treating these conditions.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Faculty of Medicine, Suez Canal University, Ismailia, Egypt. moghazy@yahoo.com

    , , , , , , , ,

    Source

    MeSH

    Cost-Benefit Analysis
    Diabetic Foot
    Female
    Honey
    Humans
    Male
    Middle Aged

    Pub Type(s)

    Journal Article
    Randomized Controlled Trial

    Language

    eng

    PubMed ID

    20646771

    Citation

    Moghazy, A M., et al. "The Clinical and Cost Effectiveness of Bee Honey Dressing in the Treatment of Diabetic Foot Ulcers." Diabetes Research and Clinical Practice, vol. 89, no. 3, 2010, pp. 276-81.
    Moghazy AM, Shams ME, Adly OA, et al. The clinical and cost effectiveness of bee honey dressing in the treatment of diabetic foot ulcers. Diabetes Res Clin Pract. 2010;89(3):276-81.
    Moghazy, A. M., Shams, M. E., Adly, O. A., Abbas, A. H., El-Badawy, M. A., Elsakka, D. M., ... Mohamed, B. A. (2010). The clinical and cost effectiveness of bee honey dressing in the treatment of diabetic foot ulcers. Diabetes Research and Clinical Practice, 89(3), pp. 276-81. doi:10.1016/j.diabres.2010.05.021.
    Moghazy AM, et al. The Clinical and Cost Effectiveness of Bee Honey Dressing in the Treatment of Diabetic Foot Ulcers. Diabetes Res Clin Pract. 2010;89(3):276-81. PubMed PMID: 20646771.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - The clinical and cost effectiveness of bee honey dressing in the treatment of diabetic foot ulcers. AU - Moghazy,A M, AU - Shams,M E, AU - Adly,O A, AU - Abbas,A H, AU - El-Badawy,M A, AU - Elsakka,D M, AU - Hassan,S A, AU - Abdelmohsen,W S, AU - Ali,O S, AU - Mohamed,B A, Y1 - 2010/06/19/ PY - 2010/02/25/received PY - 2010/05/07/revised PY - 2010/05/20/accepted PY - 2010/7/22/entrez PY - 2010/7/22/pubmed PY - 2010/12/14/medline SP - 276 EP - 81 JF - Diabetes research and clinical practice JO - Diabetes Res. Clin. Pract. VL - 89 IS - 3 N2 - Honey is known, since antiquity, as an effective wound dressing. Emergence of resistant strains and the financial burden of modern dressings, have revived honey as cost-effective dressing particularly in developing countries. Its suitability for all stages of wound healing suggests its clinical effectiveness in diabetic foot wound infections. Thirty infected diabetic foot wounds were randomly selected from patients presenting to Surgery Department, Suez Canal University Hospital, Ismailia, Egypt. Honey dressing was applied to wounds for 3 months till healing, grafting or failure of treatment. Changes in grade and stage of wounds, using University of Texas Diabetic Wound Classification, as well as surface area were recorded weekly. Bacterial load was determined before and after honey dressing. Complete healing was significantly achieved in 43.3% of ulcers. Decrease in size and healthy granulation was significantly observed in another 43.3% of patients. Bacterial load of all ulcers was significantly reduced after the first week of honey dressing. Failure of treatment was observed in 6.7% of ulcers. This study proves that commercial clover honey is a clinical and cost-effective dressing for diabetic wound in developing countries. It is omnipresence and concordance with cultural beliefs makes it a typical environmentally based method for treating these conditions. SN - 1872-8227 UR - https://www.unboundmedicine.com/medline/citation/20646771/The_clinical_and_cost_effectiveness_of_bee_honey_dressing_in_the_treatment_of_diabetic_foot_ulcers_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0168-8227(10)00256-1 DB - PRIME DP - Unbound Medicine ER -