Title: Effectiveness of Honey Dressing and Silver Sulfadiazine Dressing on Wounds Healing in Burn Patients
Abstract: Objectives: The incidence of the injuries was varying from region to region throughout world. The aim of the study was to evaluate the effect of honey dressing and silver sulfadiazine dressing on wound healing in burn patients. Material & Methods: Observational study was conducted in Burn Unit POF Hospital Wah Cantt, Pakistan, of tertiary level hospital. Patients (n=78) of both sexes, with age group between 10 and 60 years and with first and second degree of burn of less than 50% of Total body surface area (TBSA) were included in the study, over a period of 1 years (March 08 to Feb. 2009). After stabilization, patients were randomly attributed into two groups: ‘honey group’ and ‘silver sulfadiazine group’. Time elapsed since burn was recorded. After washing with normal saline, undiluted pure honey was applied over the wounds of patients in the honey group (n=42) and silver sulfadiazine cream over the wounds of patients in silver sulfadiazine group (n=42), every day. Wound was dressed with sterile gauze, cotton pads and bandaged. Status of the wound was assessed every third and seventh day and on the day of completion of study. Patients were followed up every fortnight till epithelialization. The bacteriological examination of the wound was done every seventh day. Results: The mean age was 25.95 ±16.7 years. Wound swab culture was positive in 29 out of 36 patients who came within 8 hours of burn and in all patients who came after 24 hours. The average duration of healing in patients treated with honey and silver sulfadiazine dressing at any time of admission was 18.16 and 32.68 days, respectively. Wound of all those patients (100%) who reported within 1 hour became sterile with honey dressing in less than 7 days. All of the wounds became sterile in less than 22 days with honey, whereas 32 days with silver sulfadiazine treated wounds. The honey group included 32 patients reported within 24 hour of injury, and 27 had completed outcome at 2 months of follow-up, while silver sulfadiazine group were 32 patients were within 24 hours and 12 had completed outcome and 20 had uncompleted outcomes at after 2 months. Conclusion: Honey dressing improves wound healing, makes the wound sterile in lesser time, has a better outcome in terms of prevention of hypertrophic scarring and post-burn contractures, and decreases the need of debridement irrespective of time of admission, when compared to silver sulfadiazine dressing.
Publication Year: 2013
Publication Date: 2013-02-15
Language: en
Type: article
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Cited By Count: 4
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