Medihoney as debrider?

[onthemark]

In my facility we often use Medihoney on wounds. I thought of it as being a moisture barrier and provider of good nutrients to the newly forming epithelia. However, another nurse recently referred to it as a debriding agent. I've been googling it but cannot find anything saying it's a debrider. Does anyone here know?

[mommy.19, MSN, RN, APRN]

Medihoney paste promotes autolytic debridement by utilizing it's hypertonic gradient to draw moisture to the wound bed through an osmotic effect. There are quite a few webinars and web articles regarding the debridement abilities as well as the innate anti microbial properties of Manuka honey. It possesses the ability to block pathogen binding sites on the body's cells. Dermascience hosted a webinar recently regarding the beneficial and cost effect use of Medihoney vs. Santyl.

[onthemark]

Thanks so much, mommy.19! I learned a lot from your answer.

[mommy.19, MSN, RN, APRN]

Happy to help :)

[sarah73180]

Medihoney paste promotes autolytic debridement by utilizing it's hypertonic gradient to draw moisture to the wound bed through an osmotic effect. There are quite a few webinars and web articles regarding the debridement abilities as well as the innate anti microbial properties of Manuka honey. It possesses the ability to block pathogen binding sites on the body's cells. Dermascience hosted a webinar recently regarding the beneficial and cost effect use of Medihoney vs. Santyl.

Could you post the link for the webinar if you have it I would like to hear it, thanks

[mommy.19, MSN, RN, APRN]

http://www.dermasciences.com/elearning-portal/webinar-series/medihoney-a-debridement-alternative/

[jguesman]

Medihoney is NOT FDA approved as a debriding agent. The phrase, "promotes autolytic debridement" is not completely wrong, but applying a duoderm over an eschar promotes autolytic debridement too. The only FDA approved debriding agent is Santyl.

[mommy.19, MSN, RN, APRN]

Medihoney is NOT FDA approved as a debriding agent. The phrase "promotes autolytic debridement" is not completely wrong, but applying a duoderm over an eschar promotes autolytic debridement too. The only FDA approved debriding agent is Santyl.[/quote']

I never said anything about FDA approved indications. And yes, many products can promote autolytic debridement. Santyl is the only *enzymatic* debriding agent.

[jammycakesRN]

Many of our patients use medihoney in place of santyl. They aren't the same, but similar & medihoney is much more affordable for our patients.

[rabbitbowchou]

we no longer use santyl in hospital due to high cost (and higher cost as they continue raising price)...however, I haven't noticed lots of benefits from medihoney as a debrider...but keeping wounds moist...