{"id":10654,"date":"2020-04-28T06:32:23","date_gmt":"2020-04-28T09:32:23","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/miel-en-el-cuidado-de-heridas\/"},"modified":"2020-04-28T06:32:23","modified_gmt":"2020-04-28T09:32:23","slug":"honey-in-wound-care","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/miel-en-el-cuidado-de-heridas\/","title":{"rendered":"Honey in wound care"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/miel-en-el-cuidado-de-heridas\/#Introduccion\" >Introduction<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/miel-en-el-cuidado-de-heridas\/#%C2%BFComo-funciona-la-miel-para-tratar-las-infecciones\" >How does honey work to treat infections?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/miel-en-el-cuidado-de-heridas\/#%C2%BFQue-se-usa-para-tratar-la-miel\" >What is used to treat honey?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/miel-en-el-cuidado-de-heridas\/#%C2%BFQue-miel-se-debe-usar\" >What honey should be used?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/miel-en-el-cuidado-de-heridas\/#Como-usar-miel-en-las-heridas\" >How to use honey on wounds<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>Introduction<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>For centuries, honey has been used as an effective remedy for wounds, burns and <span class=\"term\" data-term-id=\"1279\">ulcers<\/span>. In recent years there has been renewed interest in the medicinal properties of honey. Much of this research is carried out by a team of people working at the Honey Research Unit in Waikato, New Zealand.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-funciona-la-miel-para-tratar-las-infecciones\"><\/span>How does honey work to treat infections?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>There are many characteristics in the composition of honey that together combine to give it its <span class=\"term\" data-term-id=\"516\">antimicrobial<\/span> properties.<\/p>\n<table class=\"borders\">\n<tbody>\n<tr>\n<th>Characteristic<\/th>\n<th>Antimicrobial action<\/th>\n<\/tr>\n<tr>\n<td>High osmolality<\/td>\n<td>Honey is a saturated or supersaturated product <span class=\"term\" data-term-id=\"1119\">solution<\/span> of sugars that have a strong interaction with water <span class=\"term\" data-term-id=\"1853\">molecules<\/span>. The lack of \u201cfree\u201d water inhibits the growth of <span class=\"term\" data-term-id=\"1702\">microorganisms<\/span>.<\/td>\n<\/tr>\n<tr>\n<td>Hydrogen peroxide<\/td>\n<td>When honey is diluted with a wound <span class=\"term\" data-term-id=\"488\">exudates<\/span>, hydrogen peroxide is produced through a <span class=\"term\" data-term-id=\"559\">glucose<\/span> oxidase <span class=\"term\" data-term-id=\"1525\">enzyme<\/span> reaction. This is released slowly to provide antibacterial activity but does not damage the tissue.<\/td>\n<\/tr>\n<tr>\n<td>Antibacterial phytochemicals<\/td>\n<td>Some types of honey still have antimicrobial activity even when the hydrogen peroxide activity has been removed. Honey from Manuka trees (<em>Leptospermum scoparium<\/em>) has been found to have high levels of this antibacterial phytochemical.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>In addition to its antimicrobial properties, honey also appears to stimulate <span class=\"term\" data-term-id=\"422\">lymphocytic<\/span> and <span class=\"term\" data-term-id=\"461\">phagocytic<\/span> activity. These are key immune responses of the body in the battle against <span class=\"term\" data-term-id=\"145\">infection<\/span>.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-se-usa-para-tratar-la-miel\"><\/span>What is used to treat honey?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Honey is most commonly used as <span class=\"term\" data-term-id=\"1330\">current<\/span> antibacterial agent to treat infections in a wide range of wound types. These include:<\/p>\n<ul>\n<li>leg ulcers<\/li>\n<li>Pressure ulcers<\/li>\n<li>Diabetic foot ulcers<\/li>\n<li>\n<p>Infected wound as a result of injury or surgery<\/li>\n<li>\n<p>Burns<\/li>\n<\/ul>\n<p>In most cases, honey is used when conventional antibacterial treatment with antibiotics and antiseptics is not effective. Numerous studies have shown that these difficult-to-heal wounds respond well to honey dressings. <span class=\"term\" data-term-id=\"148\">Inflammation<\/span>, swelling and pain decrease quickly, unpleasant odors stop, <span class=\"term\" data-term-id=\"606\">debridement<\/span> is improved as honey dressings remove dead tissue painlessly and without harming regrowing cells. Honey promotes rapid healing with minimal scarring.<\/p>\n<p>Honey can also be used as a first aid treatment for burns as it has a powerful anti<span class=\"term\" data-term-id=\"490\">inflammatory<\/span> exercise.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-miel-se-debe-usar\"><\/span>What honey should be used?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>It has been known for centuries that different types of honey exhibit differences in antibacterial activity. In recent years, honey from different sources has been studied and some have been identified as having particularly high antibacterial activity. Manuka honey collected from the manuka tree <em>Leptospermum scoparium<\/em>, native to New Zealand, has exceptionally high antibacterial activity, with approximately half of this type of honey having high levels of non-peroxide activity (i.e., high levels of antibacterial phytochemical activity present). It is important that honey has this additional antibacterial component without peroxide such as factors such as acidity, catalase and protein digestion. <span class=\"term\" data-term-id=\"1526\">enzymes<\/span> in wound fluids, all work to reduce the antibacterial effectiveness of hydrogen peroxide.<\/p>\n<p>For the treatment of infected wounds, it is important that sterilized and laboratory-tested honey be used for medicinal purposes. Honey produced from manuka trees is tested for antibacterial activity and given a potency rating called UMF (Unique Manuka Factor). The higher the UMF rating, the higher the level of antibacterial activity. Medical professionals in New Zealand use active manuka honey with a UMF rating of 10 or higher. UMF-rated honey is also sterilized by gamma irradiation without loss of antibacterial activity.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Como-usar-miel-en-las-heridas\"><\/span>How to use honey on wounds<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Your doctor should see all difficult-to-heal wounds. The following are general tips on how honey can be used for wound care.<\/p>\n<ul>\n<li>The amount of honey used depends on the amount of fluid coming out of the wound. Large amounts of <span class=\"term\" data-term-id=\"99\">exudate<\/span> require substantial amounts of honey to be applied.<\/li>\n<li>The frequency of dressing changes depends on how quickly the exudate dilutes the honey. This should become less frequent as the honey begins to work on healing the wound.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"878\">Occlusive<\/span> The dressings help prevent honey from leaking out of the wound.<\/li>\n<li>It is better to spread the honey on a dressing and apply this to the wound than to apply the honey directly to the wound. Honey pre-impregnated bandage pads are commercially available and provide an effective and less messy alternative.<\/li>\n<li>\n<p>Abscesses, cavity or deep wounds need more honey to properly penetrate the wound tissues. The wound bed should be filled with honey before applying the honey dressing.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n Durante siglos, la miel se ha utilizado como un remedio eficaz para heridas, quemaduras y \u00falceras. En los \u00faltimos a\u00f1os ha habido un renovado inter\u00e9s en las propiedades medicinales&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-10654","wiki","type-wiki","status-publish","format-standard"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/10654","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=10654"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/10654\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=10654"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=10654"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=10654"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}