Mohr LD, Reyna R, Amaya R, et al.
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy an.... Date of publication 2014 May 1;volume 41(3):213-8.
1. J Wound Ostomy Continence Nurs. 2014 May-Jun;41(3):213-8. doi:
10.1097/WON.0000000000000028.
Neonatal case studies using active leptospermum honey.
Mohr LD(1), Reyna R, Amaya R.
Author information:
(1)Lynn D. Mohr, MS, APN, PCNS-BC, CPN, Instructor, Rush University, Chicago,
Illinois. Roxana Reyna, BSN, RN-NIC, WCC, Registered Nurse, Driscoll Children's
Hospital, Corpus Christi, Texas. Rene Amaya, MD, FAAP, Specialist, Pediatric
Infectious Disease, Houston, Texas.
PURPOSE: Treatment of the neonatal patient with clinically complex wounds
creates a challenge due to the safety and efficacy issues associated with the
use of many advanced wound care products. The purpose of this case series was to
present outcomes of 3 neonates with wounds of differing etiologies managed by
Active Leptospermum Honey (ALH).
DESIGN: Clinical case series.
SUBJECTS AND SETTINGS: Clinical experiences with 3 neonates, 1 male and 2
females, are described. These premature infants received care at Rush University
Medical Center, Houston, Texas, or Driscoll Children's Hospital, Corpus Christi,
Texas.
RESULTS: Each neonate presented with dissimilar wounds and differing treatment
goals. For a premature infant with left foot ischemia, ALH dressings allowed for
removal of nonviable tissue and facilitated the granulation of the open wounds.
This removal of nonviable tissue coupled with the facilitation of granulation
tissue enabled the premature infant's toe tips to be salvaged without requiring
aggressive surgical intervention. For the 2 preterm infants with extravasation
of intravenous solutions, ALH dressings allowed healing and increased tissue
granulation without any noted toxicity to the wound bed. Further, the method of
action of ALH includes an osmotic pull effect that reduced periwound erythema
and edema.
CONCLUSION: Although the use of ALH has been well documented in adult care,
these case studies demonstrate its potential use in different wound etiologies
in 3 neonatal patients.
DOI: 10.1097/WON.0000000000000028
PMID: 24805171 [Indexed for MEDLINE]
