Honey dressings

Authors: Christian Kaare Paaskesen, Med. Stud., Hasan Gökcer Tekin, MD

Wound bed assessment

Can be used on any type of wound in any stage of healing
Infected wounds

Moisture assessment

Wet wounds

Contra-indications

Caution on scalp wound with exposed bone or in wound with exposed tendons, as honey dressings may in some cases dry out

Advantages

Honey creates a moist environment that is unfavorable for bacteria and fungi. Honey has a combination of antibacterial and anti-inflammatory properties, while also detaching slough and debriding the wound. Some studies suggest that the immunostimulatory action of honey can initiate healing of chronic wounds that have remained stationary for a long time. It is also suggested that honey has an effect on cell interaction and promotes angiogenesis, granulation, and epithelialization, while enhancing phagocytosis and expressing repair markers.

Honey also prevents adherence of other combined dressings to the wound bed making it easier and more painless during change.

Disadvantages

Honey loses its immune-mediated effect when diluted and must be applied regularly. Some alginate products impregnated with honey can absorb exudate and keep the wound continuously exposed to honey. Factors such as species, nectar type and geographical location and storage may affect the wound healing ability of honey.