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Comparing the antibacterial and healing properties of medical-grade honey and silver-based wound care products in burns
BKHL. Boekema, D. Chrysostomou, G. Ciprandi, A. Elgersma, M. Vlig, A. Pokorná, LJF. Peters, NAJ. Cremers
Jazyk angličtina Země Nizozemsko
Typ dokumentu časopisecké články
- MeSH
- antibakteriální látky farmakologie terapeutické užití MeSH
- Bacteria MeSH
- hojení ran MeSH
- lidé MeSH
- med * MeSH
- popálení * farmakoterapie komplikace MeSH
- stříbrná sůl sulfadiazinu farmakologie terapeutické užití MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Burns are a major global healthcare concern, often complicated by the presence of bacteria such as Pseudomonas aeruginosa in the wounds. Silver-based dressings are commonly used in the treatment of burns but can cause skin irritation and delay healing time. Medical-grade honey (MGH) provides an interesting alternative. This study investigated the antimicrobial effects and possible cytotoxicity of L-Mesitran Soft (MGH-gel) and its individual components, Medihoney (Manuka), Flammazine (silver sulphadiazine), and silver nitrate (AgNO3) in an ex vivo human burn wound model. Bacterial survival and wound healing parameters, including re-epithelialization and keratinocyte proliferation were assessed. L-Mesitran, Flammazine, and AgNO3 reduced P. aeruginosa numbers below detection levels. L-Mesitran Soft exhibited a significantly stronger antimicrobial effect compared to Medihoney. The individual components of L-Mesitran contributed significantly to its antibacterial efficacy, thus suggesting synergistic activities. Moreover, L-Mesitran, Flammazine, and AgNO3 slightly inhibited re-epithelialization while Medihoney treatment resulted in a complete lack of re-epithelialization and keratinocyte proliferation. Furthermore, clinical cases illustrated the effectiveness of MGH therapy in infected burns. Overall, L-Mesitran Soft had similar effects as silver-based products on bacterial load and epidermal regeneration, but outperformed Medihoney. Therefore, supplemented MGH could be used as an effective alternative to silver-based dressings for P. aeruginosa-infected burns.
College of Polytechnics Jihlava Jihlava Czech Republic
Department of Health Sciences Faculty of Medicine Masaryk University Brno Czech Republic
Department of Public Health Faculty of Medicine Masaryk University Brno Czech Republic
Plastic Reconstructive and Hand Surgery AUMC Amsterdam the Netherlands
Triticum Exploitatie BV Sleperweg 44 6222 NK Maastricht the Netherlands
Wound Clinic Linksfield Road 45 Dowerglen Johannesburg 1612 South Africa
Citace poskytuje Crossref.org
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- $a Comparing the antibacterial and healing properties of medical-grade honey and silver-based wound care products in burns / $c BKHL. Boekema, D. Chrysostomou, G. Ciprandi, A. Elgersma, M. Vlig, A. Pokorná, LJF. Peters, NAJ. Cremers
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- $a Burns are a major global healthcare concern, often complicated by the presence of bacteria such as Pseudomonas aeruginosa in the wounds. Silver-based dressings are commonly used in the treatment of burns but can cause skin irritation and delay healing time. Medical-grade honey (MGH) provides an interesting alternative. This study investigated the antimicrobial effects and possible cytotoxicity of L-Mesitran Soft (MGH-gel) and its individual components, Medihoney (Manuka), Flammazine (silver sulphadiazine), and silver nitrate (AgNO3) in an ex vivo human burn wound model. Bacterial survival and wound healing parameters, including re-epithelialization and keratinocyte proliferation were assessed. L-Mesitran, Flammazine, and AgNO3 reduced P. aeruginosa numbers below detection levels. L-Mesitran Soft exhibited a significantly stronger antimicrobial effect compared to Medihoney. The individual components of L-Mesitran contributed significantly to its antibacterial efficacy, thus suggesting synergistic activities. Moreover, L-Mesitran, Flammazine, and AgNO3 slightly inhibited re-epithelialization while Medihoney treatment resulted in a complete lack of re-epithelialization and keratinocyte proliferation. Furthermore, clinical cases illustrated the effectiveness of MGH therapy in infected burns. Overall, L-Mesitran Soft had similar effects as silver-based products on bacterial load and epidermal regeneration, but outperformed Medihoney. Therefore, supplemented MGH could be used as an effective alternative to silver-based dressings for P. aeruginosa-infected burns.
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- $a Pokorná, Andrea $u Department of Health Sciences, Faculty of Medicine, Masaryk University, Brno, Czech Republic; Department of Public Health, Faculty of Medicine, Masaryk University, Brno, Czech Republic; College of Polytechnics Jihlava, Jihlava, Czech Republic
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