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Indian J Plast Surg. 2010 Jan-Jun; 43(1): 119.
PMCID: PMC2938612

Honey vs. silver sulphadiazine


I read the recent publication by Baghel et al. on wound healing in burn patients with great interest.[1] Bahgel et al. concluded that "Honey dressing improves wound healing, makes the wound sterile in lesser time, has a better outcome in terms of prevention of hypertrophic scarring and post-burn contractures, and decreases the need of debridement irrespective of time of admission, when compared to SSD dressing".[1] Indeed, several reports confirm the possibility of using honey dressing for burn patients.[2,3] However, according to the meta-analysis, it is shown that "Honey dressings as an adjuvant to compression do not significantly increase leg ulcer healing at 12 weeks. There is insufficient evidence to guide clinical practice in other areas".[3] The main flaw of the report by Baghel et al. is the lack of a matched control group in the study.[1] In addition, an important problem to be concerned is the sterility of the honey. The contamination of Clostridium should not be overlooked.[4]


1. Baghel PS, Shukla S, Mathur RK, Randa R. A comparative study to evaluate the effect of honey dressing and silver sulfadiazene dressing on wound healing in burn patients. Indian J Plast Surg. 2009;42:176–81. [PMC free article] [PubMed]
2. Wijesinghe M, Weatherall M, Perrin K, Beasley R. Honey in the treatment of burns: A systematic review and meta-analysis of its efficacy. N Z Med J. 2009;122:47–60. [PubMed]
3. Jull AB, Rodgers A, Walker N. Honey as a topical treatment for wounds. Cochrane Database Syst Rev. 2008;8:CD005083. [PubMed]
4. Bogdanov S, Jurendic T, Sieber R, Gallmann P. Honey for nutrition and health: A review. J Am Coll Nutr. 2008;27:677–89. [PubMed]

Articles from Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India are provided here courtesy of Wolters Kluwer -- Medknow Publications