Smaropoulos Eleftherios, Cremers Niels Aj
Aristotle University of Thessaloniki, Thessaloniki, Greece.
St. Luke Private Clinic, Thessaloniki, Greece.
J Wound Care. 2020 Feb 2;29(2):94-99. doi: 10.12968/jowc.2020.29.2.94.
Children are at high risk of injuries and wounds. The application of medical grade honey is a promising approach to improving the healing of wounds of various origin and severity. However, the use of medical grade honey in young paediatric patients remains limited. The aim of this study is to show the safety, efficacy and usefulness of medical grade honey in abdominal wounds, of different causes, in paediatric patients.
This was a prospective, observational case series evaluating five young infants with abdominal wounds at the General Hospital in Thessaloniki. All wounds were treated in the same manner with daily medical grade honey applied to the wound area and closely monitored.
All treated wounds rapidly presented granulation tissue formation and underwent re-epithelialisation. Peripheral oedema and inflammation decreased upon initial application. Necrotic tissue was effectively debrided when present. Slough was removed and no signs of infection were detected, irrespective of initial wound presentations. Scar formation was minimal and the full range of motion was preserved in all cases.
Based on this case study, medical grade honey is safe and effective in treating different abdominal wounds, including infected or dehisced wounds as well as burns. The easy application and broad applicability make medical grade honey recommendable as a first-line treatment in paediatric patients.
儿童受伤和伤口的风险很高。应用医用级蜂蜜是改善各种来源和严重程度伤口愈合的一种有前景的方法。然而，医用级蜂蜜在幼儿患者中的使用仍然有限。本研究的目的是证明医用级蜂蜜在儿科患者不同原因导致的腹部伤口治疗中的安全性、有效性和实用性。
这是一项前瞻性观察性病例系列研究，评估了塞萨洛尼基综合医院的五名患有腹部伤口的幼儿。所有伤口均采用相同方式治疗，每天在伤口部位涂抹医用级蜂蜜并密切监测。
所有接受治疗的伤口均迅速出现肉芽组织形成并经历了上皮再形成。初次涂抹后外周水肿和炎症减轻。如有坏死组织，可有效清创。腐肉被清除，无论初始伤口情况如何，均未检测到感染迹象。瘢痕形成最小，所有病例均保留了全范围活动。
基于本病例研究，医用级蜂蜜在治疗不同的腹部伤口，包括感染或裂开的伤口以及烧伤方面是安全有效的。其易于应用和广泛的适用性使其可作为儿科患者的一线治疗方法推荐使用。
