502 Sweet or Sour? Real-World Experience with Honey in the Burn Center
Bibliographic record
Abstract
Honey is a non-toxic product of nature that is antimicrobial, antifungal and promotes wound healing. Several honey dressings (HD) are available in the U.S.; however, there are limited data on experience with HD in U.S. burn centers. Our burn center recently began using HD and encountered several challenges: HD application, dressing maintenance, patient discomfort and staff acceptance. The purpose of this project was to implement HD utilizing an evidence-based, systematic approach and to evaluate our experience. The FOCUS-PDCA model was utilized. A team, led by a Clinical Nurse Specialist, identified process variations and formulated an improvement plan. 115 of 142 burn centers (81%) were surveyed regarding their HD use via telephone; the Burn Care Resource Directories for US and Canadian burn centers were utilized. Guidelines and a standard order set were developed; education was provided. Product evaluations were completed by staff who applied dressings. Descriptive statistics were utilized. HD use for burn wounds was reported by 13/115 U.S. and Canadian burn centers (11%). Recommendations were to perform daily dressing changes by impregnating sheets of petrolatum gauze with pre-warmed honey gel or paste and to cover with roller gauze or a foam dressing. Thirty-three evaluations have been completed thus far for 23 individual patients who have received HD at our burn center. Overall, 52% of staff recommend to continue using HD (17/33) while 18% do not (6/33); 10 staff are undecided. Staff commented that honey “appears to work well”, was “easy to apply” with petrolatum gauze, and “seems to help in circumstances where other treatments have not”. However, staff feel that HD preparation was “tedious and time consuming”, would be more effective if “manufactured in a roll” or larger sizes, and that HD “cause pain”. Staff found that a tongue depressor is helpful in spreading the honey, frequent glove changes must be anticipated and to have supplies and dressings ready before application. As a result of this project, we are currently in the process of obtaining HD in pre-impregnated sheets and rolls that will improve the application process. HD are currently being used in a limited number of U.S. and Canadian burn centers. Despite feedback that HD are challenging to use, staff reported improved eschar removal and benefits when other treatments had failed. Pain is important to consider and alternative dressings should be placed if the patient does not tolerate HD. Honey has been shown to be a safe and effective treatment for a variety of wounds, to decrease bio-burden and to effectively sterilize wounds. Larger, better-designed trials are warranted to establish benefits of honey on wound healing.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.002 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".