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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.
Abstract:
This study aimed to clarify the effects of honey on acute-phase deep burn wounds. Two deep burn wounds were created on mice which were divided into four groups: no treatment, silver sulfadiazine, manuka honey, and Japanese acacia honey. Wound sizes were calculated as expanded wound areas and sampled 30 minutes and 1-4 days after wounding for histological observation. The wound sections were subjected to hematoxylin and eosin and immunohistological staining to detect necrotic cells, apoptotic cells, neutrophils, and macrophages. The no treatment group formed a scar. The redness around the wound edges in the silver sulfadiazine group was the most intense. All groups exhibited increased wound areas after wounding. The proportions of necrotic cells and the numbers of neutrophils in the manuka and acacia honey groups were lower than those in the no treatment and silver sulfadiazine groups until day 3; however, there were no significant differences between all groups on day 4. These results show that honey treatment on deep burn wounds cannot prevent wound progression. Moreover, comparing our observations with those of Jackson, there are some differences between humans and animals in this regard, and the zone of hyperemia and its surrounding area fall into necrosis, which contributes to burn wound progression.
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.
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