Wound Care in Indonesia

Bachelor Nursing Of Health Faculty

Muhammadiyah University Surabaya

1.) Jihan Robbaniyah

2.) Winda Ayu S.
3.) Putri Aufi
4.) Muhammad Zaki
 Majority Problem of Wound in
Indonesia

Diabetic Wound
Burn Wound
Post operation wound
 Diabetic Foot Ulcer
(Honey Wound Dressing)
 DFU in Indonesia
Diabetic foot ulcer in Indonesia is a problem that can not be managed
properly. The prevalence of diabetic foot ulcer in Indonesia is 15% and
often ends with disability and death
Diabetic foot ulcers are the cause of hospital treatment of 80% for
diabetes mellitus
Death rates and amputation rates are still high, respectively at 16% and
28%. Diabetes mellitus patients with diabetic foot ulcer after amputation
as many as 14.3% will die in one season after amputation and 37% will
die 3 years after amputation.
Patients Diabetic foot ulcer in Indonesia require a high cost of 1.3 million
to Rp. 1.6 million per month and Rp. 43.5 million per year for a patient

Source : http://www.depkes.go.id/resources/download/pusdatin/infodatin/infodatin-diabetes.pdf
 The Benefits of Honey for Wound
Some studies suggest that honey is useful as an antiseptic and
antibacterial (to overcome the infection in the wound area and
facilitate the circulation process that affects the wound healing
process).
Honey also stimulates the growth of new tissues so as to accelerate
healing. Honey has an osmotic effect with high levels of sugar and
very little water content causes honey to have a high osmotic
effect. With these effects allows the microorganisms that exist in
the body difficult to grow and develop.

Source : https://id.wikipedia.org/wiki/Madu
 Honey has a high acid content with a pH of between 3.2-4.5 (very
acidic). Given the high acid levels this microorganisms that do not
stand acid will die.
Honey creates analgesic effects (pain relievers), reduces irritation,
and can eliminate the stinging smell of the wound.
Honey also serves as an antioxidant due to the presence of vitamin
C which is mostly contained in honey. Indirectly honey eliminates
the free radical substances that exist in our bodies.

Source : https://id.wikipedia.org/wiki/Madu
Research about benefits of honey for DFU
How to care DFU with Honey

Open the wound dressing slowly

Clean the wound

Debridement

Topical Therapy with honey

Wound dressing
 Implementation

1. Open the wound dressing slowly, if the dressing is dry, wet it with NaCl
0.9%
2. Clean the wound with NaCl 0.9% in one direction or circular
3. For dirty wounds and there exudate/pus, cleaned with H2O2 3%
irrigation (not done on wound that has been flushed and granulation)
4. Do debridement on the necrotic tissue of the wound
5. The wound is cleaned again with H2O2 3% and rinsed with NaCl 0.9
6. The wound is smeared with honey evenly and cover the entire surface
of the wound
Honey is safe to apply directly to open wounds because the honey is
always soluble in water and easy to clean
7. The wound is dressing with a sterile gauze that has been smeared with
honey first
8. Wrap wound with dry gauze
Aloe Vera Gel as Primary Dressing for
Diabetic Ulcer
Research about aloe vera gel and
diabetic ulcer
 Reference
Imran, M,. Barkaat, M, H., and Baig, M., (2015). A Randomized, Controlled
Clinical Trial of Honey-Impregnated Dressing for Treating Diabetic Foot
Ulcer. Retrieved from DOI : 10.2015/JCPSP.721725.
https://www.ncbi.nlm.nih.gov/pubmed/26454386
Surahio, R, A., Khan A, A., Farooq, U, M., Fatima, I., (2014) Role Of Honey
In Wound Dressing In Diabetic Foot Ulcer Retrieved from
http://jamc.ayubmed.edu.pk/index.php/jamc/article/view/1492
Kateel, R., Adhikari, P., Augustine, Alfred J., Ullal, S., (2016) Topical honey
for the treatment of diabetic foot ulcer: A systematic review Retrieved
from http://dx.doi.org/10.1016/j.ctcp.2016.06.003
http://www.sciencedirect.com/science/article/pii/S1744388116300482
Xu Tian, Li-Juan Yi , Li Ma, Lei Zhang , Guo-Min Song, Yan Wang., (20014)
Effects of honey dressing for the treatment of DFUs: A systematic review
Retrieved from http://dx.doi.org/10.1016/j.ijnss.2014.05.013
http://www.sciencedirect.com/science/article/pii/S2352013214000489