Honey dressing versus foam dressing on paediatric burns: Comparison of healing rate

Mrs Nurazlin  Mohd Azman1, Mrs Herni Lutfiah Hussein1, Mrs Joanne Jovina SH Cheng1

1Kk Women’s And Children’s Hospital, Singapore, Singapore

Abstract:

Background:KK Women’s and Children’s Hospital is the referring paediatric hospital in Singapore for a wide variation of paediatric burns. The Department of Plastic, Reconstructive and Aesthetic Surgery consults an average of thirty-five paediatric burns a month, of which most patients require some form of dressing coverage. Burns dressing has been shown to be painful and traumatizing, and the average recovery time for deep partial thickness burn is around four to six weeks using foam dressing. People with burn wounds have a higher chance of having wound infection, especially with Singapore’s humid climate.
Honey had been used since ancient times as a recommended treatment for healing wounds. It is known to accelerate wound healing, debriding action with antibacterial, anti-inflammatory and antioxidant properties. Recent Cochrane review in 2017 showed a moderate to high certainty that honey accelerates wound healing compared to those with non-bacterial treatment.

Aim:The aim of this review is to compare the healing rate of burn wound using of honey dressing versus plain foam dressing. Other variables such as burn wound infection and pain score will be looked into.

Method: Retrospective data from (Jan 2016 – Jan 2018) of 20 paediatric patients with a total burn surface area (TBSA) between 5 – 10% with partial thickness burns to deep partial thickness were selected. The age group was within >6months of age to 16 years of age. 10 patients were treated with honey-dressing while the 10 patients were treated with foam dressing.

Results: Patients with honey dressing took an average of 3-4 weeks to heal, while foam dressing took an average of 4-6 weeks to heal completely. There was an increased chance of hypergranulation with patients on foam dressing, while no incidence of hypergranulation occurred in the honey dressing group. Findings of increased pain occur in honey dressing with a pain score ranging from 6-10.


Biography:

Working At KK Women’s and Children’s Hospital for 6 years in the Department of Plastics, Reconstructive and Aesthetics.