Evaluation of the effects of honey on acute-phase deep burn wounds

Yukari Nakajima1, Kanae Mukai1, Nasruddin1

  • 1Department of Clinical Nursing, Graduate Course of Nursing Science, Division of Health Sciences, Graduate School of Medical Science, Kanazawa University, 5-11-80 Kodatsuno, Kanazawa 920-0942, Japan.

Insights

Honey treatments did not prevent deep burn wound progression in mice. While initially reducing necrotic cells and neutrophils, differences between honey, silver sulfadiazine, and no treatment groups disappeared by day 4, indicating limited efficacy for burn wound healing.

Area of Science:

  • Wound Healing
  • Dermatology
  • Biomedical Research

Background:

  • Deep burn wounds present significant challenges in clinical management.
  • Honey has been explored for its potential therapeutic properties in wound care.
  • Understanding the cellular mechanisms of burn wound progression is crucial for effective treatment.

Purpose of the Study:

  • To investigate the effects of manuka honey and Japanese acacia honey on acute-phase deep burn wounds in a murine model.
  • To compare the efficacy of honey treatments with standard care (silver sulfadiazine) and no treatment.

Main Methods:

  • Deep burn wounds were induced in mice and divided into four groups: no treatment, silver sulfadiazine, manuka honey, and Japanese acacia honey.
  • Wound areas were measured, and tissue samples were collected at 30 minutes and 1-4 days post-wounding.
  • Histological and immunohistological analyses were performed to assess necrotic cells, apoptotic cells, neutrophils, and macrophages.

Main Results:

  • All groups showed increased wound areas. The no-treatment group formed scars, and the silver sulfadiazine group exhibited intense redness.
  • Manuka and Japanese acacia honey groups demonstrated lower proportions of necrotic cells and neutrophil counts compared to control groups until day 3.
  • No significant differences in wound parameters were observed among all groups by day 4.

Conclusions:

  • Honey treatment does not prevent the progression of deep burn wounds in this animal model.
  • The study highlights potential species-specific differences in burn wound responses compared to human studies.
  • The findings suggest that the inflammatory response and necrosis contribute to burn wound progression, irrespective of honey intervention in the acute phase.