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CHAPTER ONE
INTRODUCTION
1.1.Background
The use of natural products to enhance wound healing is a common practice in many parts of
the world. The first written reference to honey, a Sumerian tablet writing, dating back to
2100-2000 BC, mentions honey's use as a drug and an ointment (Mandal,2011). A survey
conducted by Hermans1 in 1998 to review worldwide use of different treatment options for
Honey was used as a topical cream for wounds in many African countries. It was used as a
component of beauty creams and for treating large wounds in Egypt (Subrahmanyam, 1999),
Honey is a mixture of sugars prepared by honey bees from the natural sugar solutions - called
nectar - obtained from flowers or other plant secretions. By inverting the sucrose in the
nectar, the bee increases the attainable density of the final product, and thus raises the
efficiency of the process in terms of caloric density. By the addition of enzymes and the
evaporation of water contained in it, honey bees transform it into a sweet liquid . Scar is a
1.2.Research Problem
Healing of a burn wound can occur either in regaining its epithelial tissue (regeneration)
or by formation of scar (williama et al, 2006). Regeneration gives the skin the ability to
gain its full function. Application of honey to the partial thickness burn speeds up the
There is no literature on the impact of the local application on the prevention of eschar
The purpose of this study is to determine and describe the impact of local application on
prevention of post-healing complications using clinical trial study design with the view of
eschar and scar formation and limitations of joint movement after healing of burn
wounds.
In the view of this operation, the study will determine the effect of topical application of
honey on the prevention of the formation of eschar, scar and limitation of joint movement
1.4.Specific objectives
formation.
1.5.Research questions
1. What is the relationshsip between the topical honey and prevention of Escher
2. How does topical application of honey effect the prevention of scar formation
This study will have a great impact on the uses of honey in wounds as a topical
application through its recommendations to the amounts to be used and the general
This study will focus on Impact Of Topical Application Of Honey On The Prevention
Of Eschar And Scar Formation After Healing In Third Degree Burn Wounds In
Madina Hostpital