EXPERIENCE WITH MEDIHONEY ® TREATING DEEP-DERMAL BURNS Objectives There are multiple options for topical treatment of burns. The antibacterial properties of honey have been long known. In addition to avoiding and treating infection, honey has also proven debriding action, anti-inflammatory properties and inmune stimulation. We describe our preliminary experience with Medihoney Wound Gel treating deep-dermal burns evaluating not only the duration of the healing period but the quality of the reepithelization. Methods From August 2016 we have treated 32 patients with deep-dermal burns from different etiologies, including chemical and electrical flash burns with up to a 10%TBSA on any anatomical location. Follow up was done every 3 to 5 days until complete reepithelization was achieved, collecting data as time to complete reepithelization, infection and the posterior surgery when needed. Results We observed complete reepithelization on 28 patients. Only 4 patients had to be secondarily debrided and covered with split thickness skin grafts in areas not healing after a certain period. We found no other associated complications and did not have any case of infection. Hyperthopic scarring did not appear on any patient, however, most of our patients with deep dermal burns are treated with pressure therapy garments. Conclusion Medihoney is a highly recommended topical treatment for deep-dermal burns, proving to be a well tolerated and easy to apply ointment, with antibacterial and debriding properties that allow for a directed reepithelization of burns with successful wound coverage.
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