Evidence map›Paper›PMID 36671293›Full record

ArticleAntibiotics (Basel, Switzerland)2023

Medical-Grade Honey Enhances the Healing of Caesarean Section Wounds and Is Similarly Effective to Antibiotics Combined with Povidone-Iodine in the Prevention of Infections-A Prospective Cohort Study.

Amadou Bocoum, Senna J J M van Riel, Soumana Oumar Traoré, Elisabeth Florine Ngo Oum Ii, Youssouf Traoré, Augustin Tioukani Thera, Seydou Fané, Bakary Tientigui Dembele, Niels A J Cremers

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.1field-weighted citation impact, top 5% of its field
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

10 citing papers in PubMed, 18 citations in OpenAlex.

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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

9 authors at 2 institutions in 3 countries.

Amadou BocoumGynecology-Obstetrics Department, Faculty of Medicine and Odonto-Stomatology, Center Hospitalier Universitaire (CHU) Gabriel Touré, Bamako, Mali.
Senna J J M van RielDepartment of Obstetrics and Gynecology, Zuyderland Medical Center, 6162 BG Sittard-Geleen, The Netherlands.
Soumana Oumar TraoréGynecology-Obstetrics Department, Faculty of Medicine and Odonto-Stomatology, Center Hospitalier Universitaire (CHU) Gabriel Touré, Bamako, Mali.
Elisabeth Florine Ngo Oum IiGynecology-Obstetrics Department, Faculty of Medicine and Odonto-Stomatology, Center Hospitalier Universitaire (CHU) Gabriel Touré, Bamako, Mali.
Youssouf TraoréGynecology-Obstetrics Department, Faculty of Medicine and Odonto-Stomatology, Center Hospitalier Universitaire (CHU) Gabriel Touré, Bamako, Mali.
Augustin Tioukani TheraGynecology-Obstetrics Department, Faculty of Medicine and Odonto-Stomatology, Center Hospitalier Universitaire (CHU) Gabriel Touré, Bamako, Mali.
Seydou FanéGynecology-Obstetrics Department, Faculty of Medicine and Odonto-Stomatology, Center Hospitalier Universitaire (CHU) Gabriel Touré, Bamako, Mali.
Bakary Tientigui DembeleDepartment of General Surgery, Faculty of Medicine and Odonto-Stomatology, CHU Gabriel Touré, Bamako, Mali.
Niels A J CremersDepartment of Gynecology and Obstetrics, Maastricht University Medical Center, 6202 AZ Maastricht, The Netherlands.ORCID 0000-0003-4042-8987
University of Bamako · MLUniversity Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Caesarean sections (CS) are becoming increasingly popular. The antibiotic resistance crisis and relentless risk of infections, especially in developing countries, demand alternative treatment options. Medical-grade honey (MGH) exerts antimicrobial and healing properties. This study aims to evaluate the effect of MGH treatment on CS wound healing and postoperative complications when compared to conventional treatment (antibiotics in combination with povidone-iodine). In this prospective cohort study, 766 CS patients were included and evenly divided into two groups. The treatment group (n = 383) received an MGH-based formulation (L-Mesitran Soft) and the control group (n = 383) received antibiotics (Amoxicillin) combined with povidone-iodine. The wound healing time and complication rate were determined for both groups, and subsequently, predisposing factors for complications among the baseline characteristics and non-patient-related parameters were determined. The baseline characteristics were similar for both study groups, supporting a homogenous distribution. Postoperative complications were experienced by 19.3% of the patients in the control group and 18.8% in the treatment (MGH) group. The treatment group experienced significantly more superficial pus discharge than the control group, while the latter experienced significantly more deeper pus discharge. BMI, age, duration of hospitalization, anesthesia, and duration of CS could affect the complication risk. MGH significantly enhanced wound healing until day 42. On average, the healing time with MGH was 19.12 ± 7.760 days versus 24.54 ± 8.168 days in the control group. MGH is a potent alternative treatment to antibiotics and povidone-iodine because while the complication risk is similar, MGH has additional benefits. MGH promotes wound healing and does not bear the risk of resistance.

Indexed as

antibiotic resistanceantibioticscaesarean sectionmedical-grade honeypostoperative woundssurgical site infectionssuture techniqueswound care

Identifiers

PMID36671293
PMCPMC9855001
OpenAlexW4313570747

What OpenQuestion holds

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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.