Publication: La miel en el tratamiento local de úlceras de pie diabético: revisión bibliográfica narrativa
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2021-06
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Abstract
Las úlceras de pie diabético (UPDs) son la complicación más frecuente en pacientes diabéticos, estas suponen un alto riesgo en concluir con amputaciones no traumáticas de la extremidad inferior, que a su vez suponen un aumento en la tasa de mortalidad en este tipo de pacientes. El temprano y correcto abordaje de las UPDs es clave en evitar al máximo las complicaciones, el tratamiento local con miel se ha aplicado desde hace siglos, siendo de gran ayuda en la cicatrización de heridas. En esta revisión bibliográfica narrativa, se pretende revisar las propiedades terapéuticas de la miel aplicadas al tratamiento local de UPDs. Existen diferentes tipos de apósitos con miel que pueden ser utilizados, en general, sus propiedades terapéuticas se basan en una acción antibacteriana, antiinflamatoria y cicatrizante, además de favorecer el desbridamiento autolítico. Los criterios de aplicación son amplios, y proporcionan un tratamiento seguro. Se ha demostrado que la miel es un tratamiento eficaz de amplio espectro contra bacterias causantes de las infecciones en UPDs, varias bacterias resistentes a los antibióticos y biofilms. En cuanto a la evidencia sobre su uso en UPDs, es baja en estos últimos 5 años, y se necesitarían más estudios para evaluar su eficacia y eficiencia como tratamiento local en UPDs.
Diabetic foot ulcers (DFUs) are the most common complication in diabetic patients and pose a high risk for non-traumatic lower limb amputations, which in turn increase the mortality rate in these patients. Early and correct management of DFUs is key in avoiding complications as much as possible, local treatment with honey has been applied for centuries and has been of great help in wound healing. In this narrative literature review, we aim to review the therapeutic properties of honey as applied to the local treatment of DFUs. There are different types of honey dressings that can be used, in general, their therapeutic properties are based on antibacterial, anti-inflammatory and healing action, as well as favouring autolytic debridement. The application criteria are broad and provide a safe treatment. Honey has been shown to be an effective broad-spectrum treatment against infection-causing bacteria in DFUs, various antibiotic-resistant bacteria and biofilms. Evidence for its use in DFUs is low in the last 5 years, and more studies would be needed to evaluate its efficacy and efficiency as a local treatment in DFUs.
Diabetic foot ulcers (DFUs) are the most common complication in diabetic patients and pose a high risk for non-traumatic lower limb amputations, which in turn increase the mortality rate in these patients. Early and correct management of DFUs is key in avoiding complications as much as possible, local treatment with honey has been applied for centuries and has been of great help in wound healing. In this narrative literature review, we aim to review the therapeutic properties of honey as applied to the local treatment of DFUs. There are different types of honey dressings that can be used, in general, their therapeutic properties are based on antibacterial, anti-inflammatory and healing action, as well as favouring autolytic debridement. The application criteria are broad and provide a safe treatment. Honey has been shown to be an effective broad-spectrum treatment against infection-causing bacteria in DFUs, various antibiotic-resistant bacteria and biofilms. Evidence for its use in DFUs is low in the last 5 years, and more studies would be needed to evaluate its efficacy and efficiency as a local treatment in DFUs.
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