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Leptospermum Honey for Wound Care in an Extremely Premature Infant

Esser, Media MSN, NNP-BC, APNP

Section Editor(s): Schierholz, Elizabeth

doi: 10.1097/ANC.0000000000000331
Case of the Month

Background/Introduction to Case: Neonatal wound care is challenging due to the fragility and vulnerable skin structure. Neonates are often left susceptible to the forces of their environment, leaving them open to infection when skin injury occurs. Leptospermum honey has been used successfully in adult patients, with evidence lacking in the neonatal population. This case demonstrates the management of a difficult-to-heal wound in a 23-week gestation infant.

Purpose: Selecting the proper treatment and products for wound healing is challenging, with little evidence-based research available for the treatment of neonatal wounds. Leptospermum honey and other adult-driven dressings have been used for neonatal wound care as well as other adult-driven dressings. This case demonstrates the benefits of Leptospermum honey as an option for neonatal wounds.

Case Findings/Results: This case presents the treatment and healing of an extensive wound of a 23-week gestation neonate using a hydrogel product initially and then transitioning to a Leptospermum honey dressing due to suboptimal healing. Results of this treatment included quick healing time, little to no scarring, and no loss of movement or function to the affected extremities.

Implications for Practice: The incorporation of Leptospermum honey for wound care has the potential to promote faster wound healing, with less scarring in the neonatal population.

Implications for Research: Adult wound care principles have been applied in the face of a weak evidence base relating to neonatal-specific cases. There is a need for continued research related to moist wound healing in the neonatal population, with resulting product and practice recommendations.

Children's Hospital of Wisconsin, Milwaukee, Wisconsin; and St Mary's Hospital, Madison, Wisconsin.

Correspondence: Media Esser, MSN, NNP-BC, APNP, 7844 Saint Anne Ct, Wauwatosa, WI 53213 (

This study was conducted at St Mary's Hospital, Madison, Wisconsin.

The author has no conflict of interest and does not have any commercial affiliation with any products listed in the manuscript.

© 2017 by The National Association of Neonatal Nurses