| Peer-Reviewed

Use of Honey in Management of Diabetic Foot Infection: Patient’s Satisfaction and Outcome

Received: 12 May 2015     Accepted: 1 June 2015     Published: 15 June 2015
Views:       Downloads:
Abstract

Introduction: diabetic foot is a major economic problem, and its management has not always been performed in a most cost effective way. This study on diabetic foot infection aimed at comparison of the effect of bee honey with another concentrated carbohydrate solution like glycerin and with a group using betadine and saline. Patients, Materials and Methods: The patients were divided into three groups; Group A: dressing with bee honey , Group B: dressing with glycerin magnesia and Group C: represented the control group dressed with Betadine and Saline. Results: We observed that the tested materials had positive effects on diabetic foot infections but honey surpassed all by reducing the debridement times and the load of infecting organisms. Conclusion: Local wound care plays a good role when topically applied to treat diabetic foot wounds. Honey seems effective in combating infection and helps wound healing.

Published in Journal of Surgery (Volume 3, Issue 2-1)

This article belongs to the Special Issue Postoperative Pain Syndrome

DOI 10.11648/j.js.s.2015030201.19
Page(s) 42-47
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Diabetic Foot, Honey, Patient’s Satisfaction

References
[1] Lee CM, Chang CC, Pan MY, Chang CF, Chen MY. Insufficient early detection of peripheral neurovasculopathy and associated factors in rural diabetes residents of Taiwan: a cross-sectional study. BMC Endocr Disord. 2014 Nov 24;14:89. doi: 10.1186/1472-6823-14-89.
[2] Seabrook GR, Towne JB: Management of foot lesions in the diabetic patient. In: Ruther- ford vascular surgery. 5th Ed WB Saunders, 2000; Ch 76:1093-1102.
[3] Al-Benna S, Al-Ajam Y and Steinstraesser L. The evidence base for the wound healing properties of honey. Burn, 2009; 35 (1): S21-S22.
[4] Saber A. Effect of honey versus intergel in intraperitoneal adhesion prevention and colonic anastomotic healing: A randomized controlled study in rats. International Journal of Surgery 8 (2010) 121–127
[5] Saber A, Shekidef MH, El-Daharawy MH. Fecal Peritonitis in Rats. J. Adv. Vet. Res. 2011; 1(1): 8-12.
[6] Greenhalgh DG. Wound healing and diabetes mellitus. Clin Plast Surg. 2003 Jan;30(1):37-45
[7] Tsourdi E1, Barthel A, Rietzsch H, Reichel A, Bornstein SR. Current aspects in the pathophysiology and treatment of chronic wounds in diabetes mellitus. Biomed Res Int. 2013;2013:385641. doi: 10.1155/2013/385641.
[8] Mandracchia VJ, Yoho RM, Buddecke DE, et al: The diabetic foot: Treatment strategies. Hospita Medicine 1999; 35(1): 27-33
[9] Tallis A, Motley TA, Wunderlich RP, Dickerson JE, Waycaster C, Slade HB. Clinical and economic assessment of diabetic foot ulcer debridement with collagenase: results of a randomized controlled study. Clin Ther.2013;35:1805-1820.
[10] DiPreta JA. Outpatient assessment and management of the diabetic foot. Med Clin North Am. 2014;98:353-373
[11] Goldstein ES, Citron DM, Nesbit CA: Diabetic foot infections. Bacteriology and activity of 10 oral antimicrobial agents against bacteria isolated from consecutive cases. Diabetes Care 1996; 19:638-641.
[12] Mousley M. Diabetes and its effect on wound healing and patient care. Nurs Times. 2003 Oct 21-27;99(42):70, 73-4.
[13] Eaglestein WH, Falanga V: Chronic wounds. Surgical Clinics of North America 1997; 77( 3): 144-162
[14] Abuharfeil N, Al-Oran R, Abo-Shehada M. The effect of bee honey on the proliferative activity of human B- and T-lymphocytes and the activity of phagocytes. Food Agric. Im- muno 1999; 11:169-77.
[15] Molan PC, Tonks A, Cooper RA, Price AJ, Jones KP: Stimulation of tnf-alpha release in monocytes by honey. Cytokine 2001; 14(4):240-2.
[16] Pieper B. Honey based dressings and wound care: an option for care in the United States. JWOCN. 2009. 36(1); 60-66.
[17] Saber A. Effect of Intergel versus Honey in Intraperitoneal Adhesion Prevention and Colonic Anastomotic Healing: A Comparative Experimental Study in Rats. A thesis Submitted For Partial Fulfillment of M.D Degree In General Surgery. Faculty of Medicine, Suez-Canal University , Egypt; 2005.
[18] Nzeako B C1& Hamdi J. Antimicrobial potential of honey on some microbial isolates. SQU J Sc Res (2000), 2: 75−79
[19] Al-Waili NS. Investigating the Antimicrobial Activity of Natural Honey and Its Effects on the Pathogenic Bacterial Infections of Surgical Wounds and Conjunctiva. J Med Food (2004), 7 (2): 210-222
[20] Hariss S: Honey for the treatment of superficial wounds: a case report and review. Pr mary Intention 1994; 2(4): 18-23
[21] Subrahmanyam M: A prospective randomised clinical and histological study of superficial burn wound healing with honey and silversulfadiazine. Burns 1998; 24 (2): 157-61
[22] Shukrimi A, Sulaiman AR , Halim AY, Azril A. A Comparative Study Between Honey and Povidone Iodine as Dressing Solution for Wagner Type II Diabetic Foot Ulcers. Med J Malaysia 2008; 63 ( 1): 44-46
[23] Tonks J, Cooper RA,. Jones KP et al. Honey stimulates inflammatory cytokine production from monocytes. Cytokine (2003),21: 242–247
[24] Angel DE, Morey P, Storer JG and Mwipatayi BP. The great debate over iodine in wound care continues: a review of the literature. Wound Practice and Research. 2008; 16(1): 6-21
[25] Sibbald RG, Leaoer DJ, Queen D. Iodine Made Easy. Wounds International 2011; 2(2): S1-S6.
[26] Blumenstein I, Borger D, Loitsch S, Bott C, Tessmer A, Hartmann F, Stein J. A glycerin hydrogel- based wound dressing prevents peristomal infections after percutaneous endoscopicgastrostomy (PEG): a prospective, randomized study. Nutr Clin Pract. 2012 Jun;27(3):422-5.
[27] Stout EI and McKessor A. Glycerin-Based Hydrogel for Infection Control. Adv Wound Care (New Rochelle). 2012 Feb; 1(1): 48–51.
[28] Al-Waili NS1, Salom K, Butler G, Al Ghamdi AA.. Honey and microbial infections: a review supporting the use of honey for microbial control. J Medicinal Food. 2011, 14(10): 1079-1096
[29] Alam F, Islam MA, Gan SH1, Khalil MI. Honey: a potential therapeutic agent for managing diabetic wounds. Evid Based Complement Alternat Med. 2014;2014:169130. doi: 10.1155/2014/169130. Epub 2014 Oct 15.
[30] Mohamed H, Salma MA, Al Lenjawi B, Abdi S, Gouda Z, Barakat N, Elmahdi H, Abraham S2, Hamza AH, Al Khozaei D, Al Majid S, Al Majid H,Abdini J, Al Jaber M, Al Masseh F, Al Ali AA. The efficacy and safety of natural honey on the healing of foot ulcers: a case series. Wounds. 2015 Apr;27(4):103-14.
Cite This Article
  • APA Style

    Alexander Kosternoy, Emad K. Bayumi. (2015). Use of Honey in Management of Diabetic Foot Infection: Patient’s Satisfaction and Outcome. Journal of Surgery, 3(2-1), 42-47. https://doi.org/10.11648/j.js.s.2015030201.19

    Copy | Download

    ACS Style

    Alexander Kosternoy; Emad K. Bayumi. Use of Honey in Management of Diabetic Foot Infection: Patient’s Satisfaction and Outcome. J. Surg. 2015, 3(2-1), 42-47. doi: 10.11648/j.js.s.2015030201.19

    Copy | Download

    AMA Style

    Alexander Kosternoy, Emad K. Bayumi. Use of Honey in Management of Diabetic Foot Infection: Patient’s Satisfaction and Outcome. J Surg. 2015;3(2-1):42-47. doi: 10.11648/j.js.s.2015030201.19

    Copy | Download

  • @article{10.11648/j.js.s.2015030201.19,
      author = {Alexander Kosternoy and Emad K. Bayumi},
      title = {Use of Honey in Management of Diabetic Foot Infection: Patient’s Satisfaction and Outcome},
      journal = {Journal of Surgery},
      volume = {3},
      number = {2-1},
      pages = {42-47},
      doi = {10.11648/j.js.s.2015030201.19},
      url = {https://doi.org/10.11648/j.js.s.2015030201.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2015030201.19},
      abstract = {Introduction: diabetic foot is a major economic problem, and its management has not always been performed in a most cost effective way. This study on diabetic foot infection aimed at comparison of the effect of bee honey with another concentrated carbohydrate solution like glycerin and with a group using betadine and saline. Patients, Materials and Methods: The patients were divided into three groups; Group A: dressing with bee honey , Group B: dressing with glycerin magnesia and Group C: represented the control group dressed with Betadine and Saline. Results: We observed that the tested materials had positive effects on diabetic foot infections but honey surpassed all by reducing the debridement times and the load of infecting organisms. Conclusion: Local wound care plays a good role when topically applied to treat diabetic foot wounds. Honey seems effective in combating infection and helps wound healing.},
     year = {2015}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Use of Honey in Management of Diabetic Foot Infection: Patient’s Satisfaction and Outcome
    AU  - Alexander Kosternoy
    AU  - Emad K. Bayumi
    Y1  - 2015/06/15
    PY  - 2015
    N1  - https://doi.org/10.11648/j.js.s.2015030201.19
    DO  - 10.11648/j.js.s.2015030201.19
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 42
    EP  - 47
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.s.2015030201.19
    AB  - Introduction: diabetic foot is a major economic problem, and its management has not always been performed in a most cost effective way. This study on diabetic foot infection aimed at comparison of the effect of bee honey with another concentrated carbohydrate solution like glycerin and with a group using betadine and saline. Patients, Materials and Methods: The patients were divided into three groups; Group A: dressing with bee honey , Group B: dressing with glycerin magnesia and Group C: represented the control group dressed with Betadine and Saline. Results: We observed that the tested materials had positive effects on diabetic foot infections but honey surpassed all by reducing the debridement times and the load of infecting organisms. Conclusion: Local wound care plays a good role when topically applied to treat diabetic foot wounds. Honey seems effective in combating infection and helps wound healing.
    VL  - 3
    IS  - 2-1
    ER  - 

    Copy | Download

Author Information
  • Head of surgical gastroentrology in Medical Academy named after S.I. Gergivesky of Crimea Federal University, Crimea, Russia

  • Researcher PhD General Surgery, Medical Academy Named after S.I. Georgiesky of Crimea Federal University, Crimea, Russia

  • Sections