Properties and use of a honey dressing and gel in wound management
Wound management is a major clinical challenge and puts a significant financial burden on the NHS. Because of the rise in long-term conditions including diabetes, obesity and an ageing population, practitioners regularly encounter a wide variety of wound types. In recent years, there has been a resurgence of interest in the use of medical-grade honey in the management of wounds. Honey is anti-inflammatory in action and has the capability to treat local infection, promote autolytic debridement, deodorise wounds and promote granulation tissue. Revamil is a recent addition to the range of honey dressings available and is intended to manage the majority of problems that may arise during wound care episodes. The attributes of Revamil will be illustrated through four case studies.
Wound management is a major clinical challenge and places a vast financial burden on the NHS (Guest et al, 2016) because of a rapid rise in long-term conditions such as diabetes, obesity and an ageing population (Lu et al, 2018). Damage to the skin impairs its functionality; this can include breaching of the physical barrier, which can reduce protection from ingress of pathogens, and affect temperature regulation and water loss. A physical breach of the skin provokes a wound-healing cascade of precisely synchronised events in five distinct phases: haemostasis; inflammation; migration; proliferation; and remodelling (Li et al, 2007).
The duration and character of the healing process indicate whether a wound is acute or chronic (Simões et al, 2018). Under normal physiological conditions, the restoration of the epidermal structure is highly effcient. An acute wound is one that heals in an appropriate manner, going through the phases of wound repair described above. However, a chronic wound is characterised by a defective healing process that does not allow skin to be repaired in an orderly and timely manner (Järbrink et al, 2016).
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