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POSTER PRESENTATIONS<br />

P 408<br />

The use of the ribbon with honey in special case reports<br />

Poster: Case Study<br />

Andrea Pokorná 1 , Romana Mrázová 1<br />

1 Masaryk University, Faculty of Medicine, Department of Nursing (Brno, Czech<br />

Republic).<br />

Introduction: Cavity containing the biofilm require antiseptic materials with silver or<br />

material with another type of strong antiseptics. For the patients with some allergies is<br />

better to use natural materials (e.g. with honey).<br />

Aim: To present the effect of manuka honey ribbon by two polymorbid patients with<br />

severe and deep sacral decubitus.<br />

Methods: We evaluated the effect of the manuka honey dreesing by two old woman (65<br />

and 70 years) with sacral decubitus (4th grade). The patients were polymorbid and<br />

treated for more than 1 month without any effects. To ensure the eradication of biofilm<br />

we chosed for manuka honey (combined material – 60% + 40% alginate textiles) in the<br />

form of ribbon shape.<br />

Results: After one week of ribbon application we recognised cleaner wound beds and<br />

less pain (pain relief from VAS 6 to 3). The granulation at the base of the cavity occurred<br />

after three weeks by both patients. We demonstrated effectiveness of manuka honey<br />

dressings. The visible effect: absorption of the exudation, less pain and reducing of<br />

malodor was monitored within three weeks. Depending on the tissue type within the<br />

wound bed and level of exudate, the secondary dressing of choice could be a film<br />

dressing and/ or bandage. In wounds with a high level of exudate an additional highly<br />

absorbent dressing can be introduced to help manage exudate, we recommend material<br />

with superabsorbent.<br />

Conclusion: Manuka honey brings following properties: Anti-bacterial; Antiinflammatory;<br />

Eliminates odours without masking them; Osmotic effect, drawing harmful<br />

tissue away from the wound bed.<br />

POSTER: CASE STUDY<br />

P 409<br />

Poster: Case Study<br />

First experiences with new dressing containing honey and alginate<br />

Jana Hrabinova 1 , Igor Slaninka 2<br />

1 Nemocnice Novy Bydzov (Novy Bydzov, Czech Republic);<br />

2 Charles University, Faculty in Hradec Kralove (Hradec Kralove, Czech Republic).<br />

Introduction: : Effective treatment of wound in inflammatory stage requires often an<br />

alginate use. Especially when we have cavity. According to our experiences with such a<br />

wound the best results are with antiseptic materials containing silver or material with<br />

honey (manuka).<br />

Aim: To verify the effect of the new alginate dressing with manuka honey. may be<br />

applied to any wound but especially: cavities, sinuses, pressure ulcers, leg ulcers,<br />

diabetic ulcers, surgical wounds, burns, graft sites, and infected wounds.<br />

Methods: Case report of usage of alginate dressing with manuka honey in elderly<br />

patient.<br />

Results: To treat the chronic wound in inflammatory phase we have chosen material<br />

with Manuka honey in the ribbon shape which consist of combination of alginate and<br />

textiles (60% + 40%). The main advantage of this material is the possibility of cutting and<br />

compactness. As a secondary dressing we have the best results with film dressing, bud<br />

we modify it with dependence to wound secretion.<br />

Conclusion: Our first experiences with alginate dressing with manuka honey shows<br />

very good results. This dressing is very soft and conformable, shaped for easy<br />

application within cavities and sinuses.<br />

234

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