2013, Number 1
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Rev Cub Med Mil 2013; 42 (1)
Importance of sucrose for healing infected wounds
Vizcaíno CM, Alarcón AI, Sebazco PC, Maceira CMA
Language: Spanish
References: 18
Page: 49-55
PDF size: 138.35 Kb.
ABSTRACT
Introduction: sucrose is a natural product that is considered for its bacteriostatic, bactericidal and stimulating healing characteristics. On the world market the sale of drugs and other products is dominated by monopolies, so it is necessary to evaluate an inexpensive alternative, which is able to reduce imports and which can be generally used.
Objectives: to assess the extent of total wound epithelialization and to identify sucrose actions on the dermis maturation degrees.
Methods: a clinical therapeutic randomized, controlled, unblinded study was performed in Wistar rats with induced infected skin lesions and, to assess the histological results of sucrose treatment of infected wounds.
Results: sucrose was effective in curing the infection in wounds and in promoting healing. There was complete wound epithelization six days in advance, in comparison with the control groups. better healing quality was achieved to reach with sucrose since a greater number of injuries reached grade III of dermis maturing.
Conclusions: better healing effect of sugar was demonstrated, as well as its antimicrobial activity due to its ability to clean wounds and to remove necrotic tissue. Higher degree of dermis maturation was achieved in those animals treated with sugar, which shows higher quality of healing in wounds treated with sugar.
REFERENCES
Dawson JS. The role of sugar in wound healing. A comparative trial of the healing of infected wounds using traditional gauze/antiseptic packing and granulated sugar, undertaken during an elective period at Kagando Hospital. Uganda: Ann R Coll Surg Engl. 1996;72:82-5.
González H, Rodríguez R, Machado M, González J. Cabrera J. Heridas. Métodos de tratamiento. Medisan. 2004;8:33-42.
Chirife J, Herrszage L, Joseph A, Kohn E. In vitro study of bacterial growth inhibition in concentrated sugar solutions: microbiological basis for use of sugar in treating infected wounds. Antimicrob Agents Chemother. 1983;23:766-73.
Haddad M, Bruschi LC, Martins EA. The effect of sugar on the process of cicatrization of infected surgical incisions. Rev Lat Am Enfermagem. 2000.8:57-65.
Harrison. Tratado de Medicina Interna. Madrid: Editorial Mc Grow-Hill Interamericana; 1999. pp. 2614-68.
Stillitani I, Arabela L, Herzage L. Azúcar y macrófagos: activación de la fagocitosis inespecífica en macrófagos peritoneales de ratón inducidos por inyección intraperitoneal de solución concentrada de sacarosa. Rev Arg Cir. 2003;70(6):179-83.
Meduedeft MG, Vedota MC, Reca ME, Herzage L. Estudio in vitro de la acción fungicida del eugenol en solución sobresaturada de azúcar. Rev Arg Micol. 2003;20(1):46-52.
Domínguez AM, Vanegas S, Camacho F, Quintero G, Patiño JF, Escallón J. Programa de seguimiento de la infección de la herida quirúrgica y el sitio operatorio. Rev Colomb Cir;16(1):44-57.
Teshima H, Kawano H, Kashikie H, Nakamura K, Imada T, Oda T, et al. Una nueva cubierta hidrocoloide previene la infección del sitio quirúrgico en las esternotomías medias. Surg Today. 2009;39(10):848-54.
Buck DW, Jin da P, Geringer M, Hong SJ, Galiano RD, Mustoe TA. The TallyHo poligenic mouse model of diabetes implication in wound healing. Plast Reconstr Surg. 2011;128(5):427-37.
Molan PC, Betts JA. Using honey to Heal Diabetic Foot Ulcers. Burns. 2008;21(7):313-6.
Benjamin AL, Christopher H. Topical Antimicrobial Therapy for Treating Chronic Wounds. Clin Infect Dis. 2009;49(10):1541-9.
Patel PP, Granick MS, Rhee ST. Topical antimicrobials in pediatric burn wound management. J Craniofac Surg. 2008;19:913-22.
Cooper RA. Iodine revisited. Int Wound J. 2007;4:124-37.
Fonder MA, Lazarus GS, Cowan DA, Aronson-Cook B, Kohli AR, Mamelak AJ. Treating the chronic wound: a practical approach to the care of nonhealing wounds and wound care dressings. J Am Acad Dermatol. 2008;58:185-206.
González-Quevedo M, Abela I, Hurtado de Mendoza J, Larionova M, López-Calleja C. Estudio preclínico de la acción cicatrizante que ejercen sobre las heridas abiertas los extractos inyectables confeccionados con dos variedades de aloe que crecen en Cuba. En: Compendio de investigaciones sobre el Aloe barbadencis miller (sábila) cultivado en Cuba. Ciudad de La Habana, 1990:36-53.
Schilling A. Cicatrización de las heridas. En: Clínicas Quirúrgicas de Norteamérica. Respuesta a las infecciones y lesiones. Primera parte: Fisiología. México: Interamericana; 1976. p. 859-77.
González Escobar R. Modelos experimentales para la evaluación de la acción cicatrizante de medicamentos. Rev Cubana Farmacol. 2002;36:189-96.