Firdaus Khan
New Delhi. In recent years, there has been a resurgent interest in the use of honey in wound care said Dr. K K Aggarwal. Honey, a plant nectar that is modified by the honey bee Apis mellifera, has been used as a treatment for wounds since antiquity, with records of its use dating back to the early Egyptians, Assyrians, Chinese, Greeks, and Romans.  There are several mechanisms through which honey is thought to act on and heal wounds.


1.    When it is applied directly on a wound surface or via a dressing, it can act as a sealant, keeping the wound moist and free from contamination.

2.    In addition, honey is comprised of glucose (35%), fructose (40%), sucrose (5%), and water (20%). This high sugar content plus vitamins, minerals, and amino acids) provides topical nutrition that is thought to promote healing and tissue growth.

3.    Honey is also a hyperosmotic agent that draws fluid from the wound bed and underlying circulation, which kills bacteria that cannot thrive in such an environment.

4.    It is bactericidal in other ways as well. During the process of honey production, worker bees add the enzyme glucose oxidase to the nectar. When honey is applied to the wound, this enzyme comes into contact with oxygen in the air, which leads to the production of the bactericide hydrogen peroxide.

5.    Macroscopically, honey has also shown debriding action.

6.    Manuka (Medihoney) is a medicinal honey with enhanced antibacterial properties derived from floral sources in Australia and New Zealand. In June and July 2007, Health Canada and the US Food and Drug Administration (FDA), respectively, cleared it as the first medicinal honey product for use in wounds and burns.

7.    Peter Molan, a New Zealand biochemist at the University of Waikato, has reported that it can stop bacterial growth even when diluted up to 56 times. He has conducted studies on this honey in rats and piglets that have suggested that it has anti-inflammatory properties and can stimulate epithelial growth, advancing closure of skin in these animals.

8.    Research at the University of Sydney tested various strains of honeys against bacterial strains obtained from hospitals and found that even the strains most resistant to antibiotics failed to grow in the presence of honey.

9.    About 17 randomized controlled trials involving a total of 1965 participants have been published; 5 other types of clinical trials involving 97 participants treated with honey have also been reported in the literature. Furthermore there are about 16 trials of honey on a total of 533 wounds in animal models (which rule out a placebo effect). There are over 270 cases, of mostly chronic wounds cited in the literature that were treated with honey. Honey gave good results in all but 14 of these cases.

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