EFFECT OF HONEY DRESSING VERSUS POVIDINE PYODINE DRESSING IN POST-CESAREAN INFECTED WOUND HEALING

Abstract

Background; Wound complications are of the most common morbidities following cesarean section and it affects mother`s quality of life due to stress, anxiety, delay in mother`s ability and health recovery, and also they are associated with additional cost as a result of the increased need for wide spectrum antibiotics and sometimes hospitalization and repeated repair of wound. Objective; To compare the efficacy of honey dressing versus povidine pyodine dressing in post-cesarean infected wound healing. Material and Methods; A total of 62 post-cesarean surgical site wounds that were infected (discharge of pus from wound on examination) of > 7 days were deemed as positive, <15 cm and > 7 days were taken in this randomized controlled trial study. Group A (honey dressing) contains 31 cases in which honey dressing was appled daily and group B (povidine pyodine dressing) containing 31 cases in which povidine pyodine dressing was applied. In both groups, dressing was applied and each patient was followed till 3 weeks for efficacy. Results; Our study comprised of a 62 study cases meeting inclusion and exclusion criteria of our study. Mean age of our study cases was 29.48 ± 3.51 years (with minimum age was 22 years while maximum age was 35 years). Mean duration of wound was 14.06 ± 4.73 (with minimum duration was 8 days while maximum duration was noted to be 24 days). Mean size of wound was noted to be 10.60 ± 2.23 centimeters. BMI was in normal range in 54 (87.1%) of our study cases while obesity was seen in 8 (12.9%) of our study cases. History of diabetes was seen in 17 (27.4%) of our study cases. Efficacy was noted in 24 (38.77%) of our study cases. Both groups were compared in terms of efficacy and efficacy in group A was noted to be 61.3% while in group B only 16.1%.

Conclusion; Our study results have indicated that the efficacy of honey dressing is significantly higher compared to povidine pyodine dressing in post-cesarean infected wound healing. Post cesarean surgical site infections have major economic impact and our study results recommend the use of honey dressing as it is safe, reliable, associated with short hospital stay and cost effective for these suffering families.

Keywords; Wound Infection, cesarean section, honey dressing.