Honey-Based Dressings as a Practical, Evidence-Informed, and Cost-Effective Approach to Wound Care in Primary Care
Berk UMUT, Yasemin ÖZKAYA and Bakiye Nurdan TEKGÜL
Wound care is a common task in family medicine, covering chronic ulcers, injuries, burns, and post-surgical wounds. In many primary-care settings, the high cost and limited supply of advanced dressings slow healing and widen care gaps. Honey, with its antimicrobial and healing properties, offers a practical alternative that fits these real-world constraints. However, primary-care experience using honey dressings is still rarely reported.This reflection integrates routine wound management in primary care during 2024–2025 with an evidence-informed comparison of peer-reviewed studies published from 2018–2025. Across approximately 60 cases, honey was applied after saline cleansing and covered with non-adherent gauze, with dressing changes every 24–48 hours. Outcomes were monitored through serial wound assessments. In parallel, findings were compared with randomized trials and meta-analyses evaluating wound-area reduction, infection clearance, healing time, and pain.While most studies on honey dressings originate from tertiary wound-care centers, this reflection highlights an underrepresented perspective: the integration of honey dressings within frontline family medicine. The experience demonstrates that honey is clinically effective, culturally acceptable, feasible for home-based care, and 30–50% more cost-saving than commercial dressings—advantages rarely emphasized in the literature. This model is highly scalable for low-resource primary care environments.Clinical observations showed 25–40% wound-area reduction by day 14, early granulation by days 4–7, fewer signs of infection, and a 1–2 point drop in pain scores. Patients adhered well to home dressing changes, costs were 30–50% lower than advanced dressings, and referrals to secondary care decreased.Honey’s biological actions—osmotic debridement, low-level hydrogen peroxide activity, acidic pH, and anti-inflammatory effects—combined with affordability and accessibility, align closely with core principles of family medicine: continuity of care, equity, practicality, gatekeeping, and patient empowerment. This low-cost, evidence-informed intervention enhances the capacity of family physicians to provide effective wound care despite resource limitations.Honey-based dressings represent a safe, effective, and feasible wound-care option for primary care. Their integration can accelerate healing, reduce costs, strengthen patient participation, and support more equitable wound management in underserved communities. This experience supports adopting honey-based protocols as a practical component of routine family medicine practice.
