PICO Analysis: Manuka Honey vs Silver Dressings in Young Men

This report conducts a PICO analysis to compare the effectiveness of Manuka honey and silver dressings in the treatment of traumatic wounds in young men. The study investigates the problem, intervention, comparison, and outcome (PICO) of the treatments, utilizing a strategic search of medical databases like PubMedCentral and Cochrane Library. The analysis explores the properties of Manuka honey, including its antioxidant, anti-inflammatory, antibacterial, and antimicrobial characteristics, and compares its healing rates to those of silver dressings. The report reviews relevant literature, including clinical studies, systematic reviews, and journal articles, to assess the superiority of Manuka honey in promoting faster healing, reducing infection, and improving overall outcomes. The conclusion supports Manuka honey as a more effective wound care option compared to silver dressings for young men with traumatic injuries, considering the faster healing process in this demographic.

Running head: PICO ANALYSIS IN NURSING 1
PICO ANALYSIS IN NURSING
Name
Institution

PICO ANALYSIS IN NURSING 2
PICO ANALYSIS IN NURSING
What is the effectiveness of silver dressings compare to manuka honey in young men
The effectiveness of traumatic wound care is an important factor in preventing the
interference of the proper wound healing process- hemostasis, inflammation, proliferation and
remodeling. Using evidence-based practice, we will seek to conduct a comparative research on
the Manuka honey (Intervention) as more effective wound dressing agent compared to Silver
dressing (comparison) in traumatic wounds among young men(problem). The study will include
a strategic search on PubMedCentral medical online databases and … to evaluate the issue.
Essentially, medical research requires evidence based research. In nursing, PICO analysis
methods provides and inclusive study of the problem in question by presenting the problem,
intervention, comparative study and the ourcome of the research. In our current research the
question posed is - What is the effectiveness of silver dressings compare to manuka honey in
young men?
PICO analysis Table 1 1
Search words Alternative search
words
P Young men with traumatic wounds -chronic wounds
I manuka honey wound dressing agent Manuka, antiseptic,
prophylaxis
C Silver dressing
O compare effectiveness of wound dressing
treatment
- manuka honey versus
silver dressing
Using online medical databases, a strategic search was conducted to include all the
relevant keywords pertaining to the question, putting into account the PICO analysis format.
Additionally, we also included search filters that would ensure relevant information was attained
such as article searches, limit to the age of the article and a variety of sentence truncations to
expand the search. Relevance of research was determined by evaluation of case studies,
systematic reviews and journal articles that could shed light on the comparison of Manuka honey
to silver dressing and its effect on young adult males.

PICO ANALYSIS IN NURSING 3
Question Search mode Results limiter
Manuka honey as
wound healing
treatment
PubMed db – find all
my search terms
Chocrane library- find
all text
209
6
No limiter
No limiter
Manuka honey in
chronic wounds
PubMed db – find all
my search terms
17
Honey dressing versus
silver…
PubMed db- written in
the last 10 years
6 Written within the last
10 years
Honey dressing versus
silver… in wounds
PubMed db- written in
the last 10 years, full
text
4 Last ten years
Full text articles
Comparison of Manuka honey and Silver dressing in chronic wound care
In traumatic wounds, interference of wound process may cause the deceleration of the
process to present chronic complications. Systemic factors such as sex and age of patients are
considered with reference to a comparison between silver dressing and Manuka honey as
effective wound therapies (Adderley and Smith, 2007). Young adults have a tendency to quick
healing owing the health of their cell that are fast to aggregate and form collagen. Additionally,
sex hormones also affect the healing process where a study suggests that wound healing is
regulated by estrogen hormones thus increasing the likelihood of women’s ability to heal faster
than men.
Intervention
Recent research finding indicate that Manuka honey contain large variety elements that help
accelerate the healing process; antioxidant properties, anti-inflammatory, antibacterial as well
as antimicrobial properties(Jull et al., 2008). All the properties make manuka honey more
effective in wound care by providing complimentary agents within each process of healing.
This becomes more beneficial in traumatic wounds who’s like hood of turning from acute to
chronic increases with length in period of healing.

PICO ANALYSIS IN NURSING 4
Comparison
In comparison to Silver dressing studies show that Manuka dressing offer significantly
faster heal rate. Several studies ascertain the superiority of honey as better wound care agent
compare to silver dressing (Singh et al.,2011:Guthrie et al. 2014). They indicate that the
diversity of antimicrobial, and antibacterial agents high sugar found in honey helps in
sterilization and faster healing of chronic wounds. In a clinical comparative study between
effects of Manuka honey and Silver zulfadiazene dressing on patients with burns, revealed
Manuka honey’s highly accelerated sterilization, inflammation and better healing outcomes.
Male and female patient ranging from age 10 – 50 who suffered from first and second degree
burns in atleast 50 percent of their body were divided into Manuka honey therapy group and
silver dressing group. Notably results show period of healing taken by patient treated with
Manuka was 18 days 100 percent of the patients within the group compared to 32-day average
recovery in patients treated with silver dressing (Gupta, 2011). Additionally, within a 2-month
follow-up, 81 percent and 37 percent of complete outcomes was noted in Manuka honey treated
patient and Silver sterilized dressing patients, respectively. One notes that in chronic burns as
well as acute wounds Manuka honey may work to reduce infection, inflammation and accelerate
healing (Norman, et al., 2015).
Conclusion
Manuka honey is more effective over silver dressing wound care as it provides a variety
accelerant in the healing process. While it is notable that estrogen play a role in regulating
wound healing, the systematic healing process may be relatively slower in males, where as in
young males healing process is faster. Therefore, Manuka honey can be deduced to be highly
effective in comparison to silver dressing among young men with traumatic injuries.

PICO ANALYSIS IN NURSING 5
References
Adderley, U., & Smith, R. (2007). Topical agents and dressings for fungating wounds. Cochrane
Database Syst Rev, 2(2).
Gupta, S. S., Singh, O., Bhagel, P. S., Moses, S., Shukla, S., & Mathur, R. K. (2011). Honey
dressing versus silver sulfadiazene dressing for wound healing in burn patients: a
retrospective study. Journal of cutaneous and aesthetic surgery, 4(3), 183.
Guthrie, H. C., Martin, K. R., Taylor, C., Spear, A. M., Whiting, R., Macildowie, S., ... & Watts,
S. A. (2014). A pre-clinical evaluation of silver, iodine and Manuka honey based dressings in
a model of traumatic extremity wounds contaminated with Staphylococcus aureus. Injury,
45(8), 1171-1178.
Jull, A. B., Rodgers, A., & Walker, N. (2008). Honey as a topical treatment for wounds.
Cochrane Database Syst Rev, 4.
Norman, G., Christie, J., Liu, Z., Westby, M. J., Jefferies, J. M., Hudson, T., ... & Dumville, J. C.
(2015). Antiseptics for burns. The Cochrane Library.
Singh, O., Gupta, S. S., Soni, M., Moses, S., Shukla, S., & Mathur, R. K. (2011). Collagen
dressing versus conventional dressings in burn and chronic wounds: a retrospective study.
Journal of cutaneous and aesthetic surgery, 4(1), 12.