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Effectiveness of a Honey Dressing for Healing Pressure Ulcers

Yapucu Güneş, Ülkü; Eşer, İsmet

Section Editor(s): Doughty, Dorothy MN, RN, FNP, CWOCN, FAAN

Journal of Wound, Ostomy and Continence Nursing: March-April 2007 - Volume 34 - Issue 2 - p 184–190
doi: 10.1097/01.WON.0000264833.11108.35
Special Focus: Pressure Ulcers: WOUND CARE

Objective To compare the effect of a honey dressing vs an ethoxy-diaminoacridine plus nitrofurazone dressing in patients with pressure ulcers.

Design This 5-week randomized clinical trial evaluated the effect of a honey dressing on pressure ulcer healing.

Setting and subjects Thirty-six patients with a total of 68 stage II or III pressure ulcers referred from a university hospital in İzmir were enrolled in the study. Twenty-six subjects completed the trial.

Instruments Ulcers were measured with acetate tracings and Pressure Ulcer Scale for Healing (PUSH) evaluations.

Methods Fifteen patients with 25 pressure ulcers were treated with honey dressings, and 11 patients with 25 pressure ulcers were treated with ethoxy-diaminoacridine plus nitrofurazone dressings. Wound healing was assessed weekly using the PUSH tool, version 3.0. The primary outcome measure was the change in PUSH tool scores in each group at 5 weeks.

Results The two groups were statistically similar with regard to baseline and wound characteristics. After 5 weeks of treatment, patients who were treated by honey dressing had significantly better PUSH tool scores than subjects treated with the ethoxy-diaminoacridine plus nitrofurazone dressing (6.55 ± 2.14 vs 12.62 ± 2.15, P < .001).

Conclusion By week 5, PUSH tool scores showed that healing among subjects using a honey dressing was approximately 4 times the rate of healing in the comparison group. The use of a honey dressing is effective and practical.

Ülkü Yapucu Güneş, PhD, Assistant Professor, Ege University School of Nursing, İzmir/Turkey.

İsmet Eşer, PhD, Associated Professor, Ege University School of Nursing, İzmir/Turkey.

Corresponding author: Ülkü Yapucu Güneş, Ege University School of Nursing, 35100, İzmir/Turkey (e-mail:

Copyright © 2007 by the Wound, Ostomy and Continence Nurses Society