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Use of Medihoney as a non-surgical therapy for chronic pressure ulcers in patients with spinal cord injury

BIGLARI B; VD LINDEN PH; BEGUE SIMON A; AYTAC S; GERNER HJ; REZAIEE MOGHADDAM F
SPINAL CORD , 2012, vol. 50, n° 2, p. 165-169
Doc n°: 157004
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.1038/sc.2011.87
Descripteurs : DA451 - ESCARRES, AE21 - ORIGINE TRAUMATIQUE

Prospective, observational study of 20 spinal cord-injured (SCI)
patients with chronic pressure ulcers (PUs) using Medihoney. OBJECTIVES: To
determine the effects of Medihoney by bacterial growth, wound size and stage of
healing in PUs. METHODS: We treated 20 SCI adult patients with chronic PUs using
Medihoney. In all, 7 patients (35%) were female, and 13 (65%) were male. The
average patient age was 48.7 years (30-79). In all, 6 patients (30%) were
tetraplegic and 14 (70%) were paraplegic. Also, 5 patients (25%) had grade IV
ulcers and 15 patients (75%) had grade III ulcers according to the National
Pressure Ulcer Advisory Panel. RESULTS: After 1 week of treatment with Medihoney,
all swabs were void of bacterial growth. Overall 18 patients (90%) showed
complete wound healing after a period of 4 weeks, and the resulting scars were
soft and elastic. No negative effects were noted from the treatment using
Medihoney. No blood sugar level derailment was documented. CONCLUSION: The
medical-honey approach to wound care must be part of a comprehensive conservative
surgical wound-care concept. Our study indicates the highly valuable efficacy of
honey in wound management and infection control as measured by bacterial growth,
wound size and healing stage.

Langue : ANGLAIS

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