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Advisor(s)
Abstract(s)
INTRODUÇÃO: O estudo da aplicação tópica do mel em feridas tem vindo a obter um
reconhecimento no campo do controlo da infecção. Considerado um apósito de fácil
manuseamento, ao qual se identificam e se consagram propriedades distintas de
poder anti-inflamatório e antibacteriano local, com atividade fúngica relatada e com
resultados benéficos na redução do odor, da dor e do edema, o mel tem vindo a ser
utilizado cada vez mais no tratamento de feridas das mais diversas etiologias.
METODOLOGIA: Revisão sistemática da literatura cujo principal objetivo é avaliar o
efeito da aplicação tópica do mel no controlo da infeção em feridas crónicas. A
pesquisa efetuada em bases de dados eletrónicas e por busca manual decorreu entre
os meses de Fevereiro a Agosto de 2013, revelando uma amostra final de 8 artigos. O
controlo da infeção na ferida crónica foi o principal alvo a analisar nos estudos
seleccionados e incluídos. A colheita e extracção de dados foram realizadas pela autora
e posteriormente verificados, de forma independente, por um colega revisor.
RESULTADOS: Foi possível verificar uma ação positiva do uso do mel no controlo da
infeção em feridas crónicas, nomeadamente em úlceras de perna, úlceras de pé
diabético, úlceras de pressão e feridas pós-operatórias. A evidência encontrada aponta
para uma eficaz redução dos microrganismos patogénicos presentes no leito das
feridas, observando-se igualmente uma diminuição do edema, odor e exsudado local,
resultando numa melhoria significativa da redução do processo infecioso instalado.
CONCLUSÃO: A aplicação tópica do mel demonstrou um potencial de actividade
positiva no controlo de infecção em feridas crónicas, mas a fraca expressividade dos
estudos avaliados não permitiu outro tipo de conclusões, ficando a certeza de que
outros estudos e/ou o acesso a outras publicações a decorrer, poderão sedimentar
este pressuposto.
INTRODUCTION: The study of topical application of honey on wounds has been gaining recognition in infection control field. Considered a dressing patch of easy handling, with distinct properties of anti-inflammatory , antibacterial and antifungal local activity, honey has been increasingly used in the treatment of wounds due to is beneficial results in reducing odor, pain and edema. METHODS: Systematic literature review that aims to evaluate the effect of topical application of honey on infection control in chronic wounds. The research conducted in electronic databases and manual search took place between the months of February to August 2013, revealing a final sample of 8 studies. Wound infection control was the primary endpoint. Data collections and analysis were conducted by the author and independently verified by a reviewer colleague. RESULTS: As main result we observed a positive action of the use of honey in the infection control of chronic wounds, particularly in leg ulcers, diabetic foot ulcers, pressure ulcers and post-operative wounds. This evidence points to an effective reduction of pathogenic microorganisms in the wound bed, observing also a decrease in the swelling, odor and local exudates, resulting in a significant improvement of the reduction in the infectious process installed. CONCLUSION: Honey dressings demonstrated a potential positive activity in infection control in chronic wounds but the low expression of the evaluated studies did not allow us other considerations. More evidence is needed to guide clinical practice.
INTRODUCTION: The study of topical application of honey on wounds has been gaining recognition in infection control field. Considered a dressing patch of easy handling, with distinct properties of anti-inflammatory , antibacterial and antifungal local activity, honey has been increasingly used in the treatment of wounds due to is beneficial results in reducing odor, pain and edema. METHODS: Systematic literature review that aims to evaluate the effect of topical application of honey on infection control in chronic wounds. The research conducted in electronic databases and manual search took place between the months of February to August 2013, revealing a final sample of 8 studies. Wound infection control was the primary endpoint. Data collections and analysis were conducted by the author and independently verified by a reviewer colleague. RESULTS: As main result we observed a positive action of the use of honey in the infection control of chronic wounds, particularly in leg ulcers, diabetic foot ulcers, pressure ulcers and post-operative wounds. This evidence points to an effective reduction of pathogenic microorganisms in the wound bed, observing also a decrease in the swelling, odor and local exudates, resulting in a significant improvement of the reduction in the infectious process installed. CONCLUSION: Honey dressings demonstrated a potential positive activity in infection control in chronic wounds but the low expression of the evaluated studies did not allow us other considerations. More evidence is needed to guide clinical practice.
Description
Keywords
Mel Controlo de infeção e ferida crónica Honey Infection control and chronic wound