Chemical burns due to hot concrete

Products: L-Mesitran Tulle and Net

Case study performed by: Filip Kegels, RN, Home Care Nurse, St Gillis-Waas, Belgium.

A 59-year-old man presented with several chemical burns on the inner area of the knees and shins. He sustained the wounds from exposure to hot concrete. The burns were present in the shape of ovals, with each leg having larger wounds below and inside the knee. The man sought help from the local home care nurse, who commenced treatment with medical-grade honey (MGH).

Upon presentation, the chemical burns extended across the entire lower knee and upper shin areas of both legs. The wounds exhibited minimal to light exudation. The wound was presented as a superficial chemical burn with areas slightly affected at the upper shin, with both legs having larger wound beds below and inside of the knee area. There was no sign of infection in the wounds. Therefore, treatment with MGH was started. Specifically, the left knee was treated with Tulle and Net, while the right knee received treatment with Net as primary dressings. These were covered with a gauze bandage as secondary dressing.

After 6 days of MGH treatment, skin redness decreased, tissue inflammation subsided, and granulation tissue developed. By Day 9, skin epithelization became noticeable, progressing to full epithelialization by Day 11. The burns showed substantial healing within 11 days, with a favourable cosmetic outcome.

 

MGH is an effective wound care product, as it simultaneously exerts antimicrobial and wound-healing effects via multiple mechanisms. These multifaceted effects not only contribute to the ability of MGH to treat a broad spectrum of bacteria, but it lacks the risk of resistance(1). The antimicrobial effects of MGH rely mainly on the acidic pH, the high osmotic pressure due to the high sugar content, and the release of hydrogen peroxide after the enzymatic breakdown of sugar(2, 3). In addition to its antimicrobial activities, MGH also promotes wound healing by keeping the wound moist, stimulating autolytic debridement, and exerting anti-inflammatory and anti-oxidative effects(4, 5).

As demonstrated by this case, MGH proves highly effective in addressing chemical and thermal burns. By maintaining optimal wound hydration and promoting the healing process, burn injuries can undergo a quick, painless, and aesthetically pleasing recovery.

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References

1. Cremers NA. Something old, something new: does medical grade honey target multidrug resistance? J Wound Care. 2021;30(3):160-1.

2. Mandal MD, Mandal S. Honey: its medicinal property and antibacterial activity. Asian Pac J Trop Biomed. 2011;1(2):154-60.

3. Almasaudi S. The antibacterial activities of honey. Saudi J Biol Sci. 2021;28(4):2188-96.

4. Pleeging CCF, Coenye T, Mossialos D, de Rooster H, Chrysostomou D, Wagener F, et al. Synergistic Antimicrobial Activity of Supplemented Medical-Grade Honey against Pseudomonas aeruginosa Biofilm Formation and Eradication. Antibiotics (Basel). 2020;9(12).

5. Smaropoulos E, Cremers NAJ. The pro-healing effects of medical grade honey supported by a pediatric case series. Complement Ther Med. 2019;45:14-8.