Honey As a Wound Care Modality in Treating Deep Neck Space Abscess
- Conditions
- Neck Abscess
- Interventions
- Other: HoneyOther: PHMB Solution
- Registration Number
- NCT06562257
- Lead Sponsor
- Gadjah Mada University
- Brief Summary
This study investigates the effectiveness of honey as a treatment for deep neck space abscesses, comparing it to standard wound care methods. Conducted as a randomized clinical trial, it aims to determine whether honey can offer a viable alternative or improvement in managing this condition. The research assesses outcomes related to healing, infection control, and overall patient recovery.
- Detailed Description
Deep neck abscess is one of the diseases in the field of otorhinolaryngology-head and neck surgery that has high morbidity, mortality, and costs. Management of deep neck abscesses involves incision and drainage, abscess exploration, systemic administration of broad-spectrum antibiotics, management of comorbid factors, and postoperative wound care until healing. Standard dressing for wound care has been time-consuming and costly. Honey is one type of dressing modality that has been widely used in wound care for various parts of the body and diseases. Honey is expected to be a more cost-efficient treatment modality that supports accelerated wound healing, leading to better outcomes and cost savings.
The research design used is a single-blind randomized controlled trial (RCT), where researchers randomly assign one intervention to respondents to compare the effects of honey and Prontosan on the wound healing process. The population and sample of the study include all patients with deep neck abscesses treated at Dr. Sardjito General Hospital, the teaching hospital of the Faculty of Medicine Gadjah Mada University and other hospitals equipped with board-certified Otorhinolaryngologists. The participants in the control group were treated with standard dressing, while participants in the study group were treated with standard dressing along with honey dressing.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 36
- Deep neck abscess patients over 18 years old with or without comorbidities except for malignant diseases
- Patients who refused intervention
- Patients who underwent vacuum-assisted closure (VAC)
- Patients with incomplete medical records
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Treatment Group (Standard Dressing and Honey) Honey In the treatment group, we combined standard procedures with the application of Nusantara Honey. A 120 cm gauze roll was soaked in a bowl containing 12 cc of Nusantara Honey for precisely 1 minute until saturation. Once the wound bed had risen sufficiently, the honey-soaked gauze was applied and covered with sterile gauze. Treatment Group (Standard Dressing and Honey) PHMB Solution In the treatment group, we combined standard procedures with the application of Nusantara Honey. A 120 cm gauze roll was soaked in a bowl containing 12 cc of Nusantara Honey for precisely 1 minute until saturation. Once the wound bed had risen sufficiently, the honey-soaked gauze was applied and covered with sterile gauze. Control Group (Standard Dressing) PHMB Solution The control group adhered to the established standard operating procedure (SOP) at the Larynx Pharynx subdivision of Dr. Sardjito Hospital. This protocol involved several steps of wound debridement, saline irrigation, gauze roll application, and Prontosan administration.
- Primary Outcome Measures
Name Time Method Bacterial Colony Pus aspiration was performed by the resident doctor who conducted the dressing on the first and fourteenth days from abscess incision Bacterial culture results and the number of bacterial colonies served as indicators of infection improvement. Swabs from the wound bed were sent to the Microbiology laboratory.
Wound Assessment BWATs was measured on the first, seventh, and fourteenth days from abscess incision. The wound was assessed by the research assistant using the Bates-Jensen Wound Assessment Tool
Cytokine and Growth Factor Expression Tissue sampling was performed by the resident doctor who conducted the dressing on the first and fourteenth days from abscess incision Immunopathological evaluation of wound healing involved tissue samples sent to the Anatomical Pathology laboratory for analysis of IL-1, TNF-α, and VEGF expression. Tissue sampling was performed using nasopharyngeal biopsy forceps, and the preserved tissue was sent for analysis.
Wound Measurements The wound was measured on the first, seventh, and fourteenth days from abscess incision. Wound measurements included length, width, and depth in cm, with the largest width and length used for data to report wound area in cm\^2. The wound depth was measured using a probe perpendicular to the wound's length and width.
- Secondary Outcome Measures
Name Time Method Kidney Function Tests Kidney function tests were performed throughout patient's admission in the wards. Kidney function test such as albumin (g/dL), BUN (mg/dl), creatinine serum (mg/dL), uric acid (mg/dL) and electrolytes (mmol/L): sodium, potassium, chloride .
Blood Glucose Test Blood glucose test was performed throughout patient's admission in the wards. A blood glucose test measure the amount of glucose in patient blood to hel diagnose or monitor diabetes either as a comorbidity or not ny doing a finger-picker test or a blood draw from patient vein
Vital Sign Examinations Vital Signs were performed everyday throughout patient's admission in the wards. Vital signs consist of blood pressure (mmHg), heart rate per minute, respiration rate per minute, temperature (°C), and saturation (%) which are useful for monitoring patients in this study.
Blood Gas Analysis Blood gas analysis were performed throughout patient's admission in the wards. Blood gas analysis showed by measuring pH, pCO2 (mmHg), HCO3 (mmol/L), pO2 (mmHg), and BE (mmol/L) status.
Complete Blood Count (CBC) CBC were performed throughout patient's admission in the wards. Complete blood count performed included, Hemoglobin (g/dL), RBC (10\^6/uL), WBC (10\^3/uL), Platelet (10\^3/uL), and blood type.
Liver Function Tests Liver function tests were performed throughout patient's admission in the wards. Liver function tests typically include SGOT (U/L), SGPT (U/L), bilirubin serum (mg/dL), INR (international normalized ratio), prothrombin time (PT) and activated partial thromboplastine time (APTT) in second.
Trial Locations
- Locations (1)
Dr. Sardjito General Hospital
🇮🇩Yogyakarta, D.I Yogyakarta, Indonesia