Honey dressing versus silver sulfadiazine for wound healing in burns patients: a retrospective study

Shilpi Singh Gupta, Omnkar Singh, Praveen Singh Bageel, Sonia Moses, Sumit Shukla and Raj Kumar Mathur

Department of Surgery, MGM Medical College and mY Hospital, Indore, Madhya Pradesh, India

Abstract

Objective:
The aim was to evaluate the effect of honey dressings and silver sulfadiazine (SSD) on wound healing in burn patients.

Materials and Methods:

We retrospectively reviewed the records of 108 patients (14-68 years of age), with first and second degree burns of less than 50% of the total body surface area admitted to our institution, over a period of 5 years (2004-2008).  Fifty-one patients were treated with honey dressings and 57 were treated with SSD.  Time elapsed since burn, site, percentage, degree and depth of burns, results of culture sensitivity at various time intervals, duration of healing, formation of post-treatment hypertrphic scar, and/or contracture were recorded and analysed.

Results:

The average duration of healing was 18.16 and 32.68 days for the honey and SSD respectively.  Wounds of all patients within 1 hour of burns became sterile with the honey dressing in less than 7 days while there was none with SSD.  All wounds treated with honey became sterile within 21 days shile for SSD-treated wounds, this figure was 36.5%.  A complete outcome was seen by 81% of all patients in the “honey group” while in only 37% patients in the “SSD group.”

Conclusion:

Honey dressings make the wounds sterile in less time, enhance healing, and have a better outcome in terms of hypertropic scars and postburn contractures, as compared to SSD dressings.


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