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- Title
The Comparison of Topical Honey and Povidone Iodine for Dressing of Diabetic Foot ulcers.
- Authors
A., Shukrimi; A. R., Sulaiman; A., Azril; Yusof, A. H.; A. S., Amran
- Abstract
BACKGROUND Honey has been used in clinical practice for centuries. Its role as a dressing material that promotes wound healing has been observed in the treatment of a wide range of serious long standing ulcers and wounds. Honey debrided wounds rapidly, replacing slough with granulation tissue. It also promoted rapid epithelization, and absorption of oedema from around the ulcer margin.Diabetic foot ulcers have different characteristics since they are associated with polymicrobial infection, neuropathy and ischemia. The challenge in the treatment of diabetic foot ulcers is to find a dressing material that is able to overcome the unique features of diabetic foot ulcers. OBJECTIVE The aim of the study was to look at the efficacy of honey as a dressing material in diabetic foot ulcer (Wagner's stage 2), as compared to povidone followed by normal saline. RESULTS In the povidone group , all wounds infected with Streptococcus spp., Staphylococcus spp., Acinobactor, Proteus and E.coli became sterilized after treatment. However, wound infected with Pseudomonas, mixed organisms or enterococcus had persistent positive swab culture at the end of the study. In the honey group all wounds infected with Streptococcus spp. and Staphylococcus spp. became sterilized after treatment. However, wounds infected with mixed organisms, Bacteroides or enterococcus had persistent positive swab culture at the end of the study The duration of wound healing in the povidone group was 9 to 36 days with a mean of 15.4 days. Whereas, in the honey group, it took 7 to 26 days with a mean of 14.4 days. The difference was not statistically significant (p>0.05). However, honey had better effect in terms of reducing pain when changing the dressing, reduced the oedema faster and also suppressed the bad odour of the wound faster than povidone. There were no local or systemic complications in both groups. The overall cost of the dressing using honey was cheaper than povidone. CONCLUSION Honey dressing was shown to have results comparable to povidone for the treatment of diabetic foot ulcer in terms of sterility of the wound and the duration of wound healing.
- Subjects
HONEY; POVIDONE-iodine; DIABETIC foot; WOUND care; WOUND healing
- Publication
Malaysian Journal of Medical Sciences, 2007, Vol 14, Issue 1, p110
- ISSN
1394-195X
- Publication type
Article