Evidence map›Paper›PMID 32825100›Full record

ArticleAntibiotics (Basel, Switzerland)2020

Medical-Grade Honey Kills Antibiotic-Resistant Bacteria and Prevents Amputation in Diabetics with Infected Ulcers: A Prospective Case Series.

Harikrishna K R Nair, Nektarios Tatavilis, Ivana Pospíšilová, Jana Kučerová, Niels A J Cremers

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Review
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Manuka honey as a non-antibiotic alternative againstFrontiers in cellular and infection microbiology · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Therapeutic Potential of Honey and Propolis on Ocular Disease.Pharmaceuticals (Basel, Switzerland) · 2022
    Review
  17. L-Mesitran Foam: Evaluation of a New Wound Care Product.Case reports in dermatological medicine · 2022
    Article
  18. Article
  19. Medical grade honey: Hope for wounded white rhinos.Veterinary and animal science · 2021
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Harikrishna K R NairWound Care Unit, Department of Internal Medicine, 50586, Kuala Lumpur Hospital, Kuala Lumpur 50586, Malaysia.
Nektarios TatavilisGeneral Practitioner Xanthi, 67100 Xanthi, Greece.
Ivana PospíšilováHospital Na Pleši (Nemocnice Na Pleši s. r. o.), Complex Rehabilitation Center, 262 04 Nová Ves pod Pleší, Czech Republic.
Jana KučerováHospital Na Pleši (Nemocnice Na Pleši s. r. o.), Surgical clinic, 262 04 Nová Ves pod Pleší, Czech Republic.
Niels A J CremersTriticum Exploitatie BV, 6222NK Maastricht, The Netherlands.ORCID 0000-0003-4042-8987

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic ulcers are at risk of becoming chronic and infected, as diabetics have hampered vascular structures, limiting oxygen and nutrient supply. These wounds can lead to pain, malodor, functional problems, and amputation. The current rise in antibiotic resistance demands for complementary therapies. Medical-grade honey (MGH) forms an attractive option because of its antimicrobial and pro-healing properties. We aim to show the beneficial effects of MGH in infected diabetic ulcers. We present six patients with infected diabetic ulcers, of which some were at risk of (further) amputation. Previous treatments with antibiotics, silver and alginate dressings, surgical closure, and maggot therapy were ineffective; therefore, the treatment was switched to the application of MGH. MGH therapy typically reduced the malodor in a couple of days and controlled infection within 2-3 weeks. MGH also enhanced wound healing by promoting granulation tissue formation, angiogenesis, and re-epithelialization, by decreasing inflammatory and oxidative stress and providing nutrients. Together, wound healing was enhanced, and the patient's quality of life improved. MGH is safe and cost-effective for treating complicated diabetic wounds with (antibiotic-resistant) infections and at risk of amputation. MGH forms a promising alternative or complementary therapy to replace antibiotics for treating locally infected wounds.

Indexed as

antibiotic resistancecomplementary therapiesdiabetic ulcersinfectionsmedical-grade honey

Identifiers

PMID32825100
PMCPMC7558111

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.