Honey-Based Dressings in Wound Care: A Cost-Effective and Practical Option in General Practice and Family Medicine in Indonesia
Michael TAROUX, Katia MAZALOVIC, Claire ZABAWA, Julien MORISSON, Eleanor PAZART, Raphael GALEA, Maeva ABDALLAH and Valentin VERMEE
Wound care is a fundamental component of general practice and family medicine, particularly in low-resource settings where clinicians frequently manage chronic wounds, diabetic ulcers, burns, traumatic injuries, and post-operative complications. In countries such as Indonesia, the high cost and limited availability of advanced dressings create barriers to optimal wound care. This highlights the need for practical, affordable, and evidence-based alternatives. Honey, a traditional remedy with renewed scientific support, has demonstrated strong antimicrobial, anti-inflammatory, and tissue-regenerative effects, making it a suitable candidate for routine use in primary care wound management.This practice-based reflection integrates clinical experience from Indonesian primary care settings (2024–2025) with evidence from peer-reviewed studies published between 2018 and 2025. Honey dressings were applied after cleansing with saline and covered with non-adherent gauze, with dressing changes every 24–48 hours. Honey was selected due to its accessibility, low cost, cultural acceptance. Strengths observed included accelerated healing, reduced infection rates, improved patient satisfaction, and suitability for home-based care. Limitations included variability in honey quality and limited availability of standardized medical-grade honey.This experience provides a rarely reported perspective by showing how honey dressings are applied in real-world primary care and community settings. Unlike most studies centered on hospital wound units, this reflection highlights honey’s practicality, low cost, cultural acceptance, and strong patient adherence in family medicine. It demonstrates its effectiveness for home-based care and offers a realistic, affordable model for wound management in resource-limited environments.Honey accelerated healing by 20–40%, reduced infection rates including MRSA, decreased treatment costs by up to 60%, and improved patient compliance due to ease of use and cultural familiarity.Honey’s osmotic effect promotes autolytic debridement, while hydrogen peroxide production provides sustained antimicrobial activity. Anti-inflammatory properties reduce edema and pain, and its bioactive components enhance granulation and epithelialization. These therapeutic properties, combined with affordability and accessibility, make honey highly compatible with primary care workflows.Honey-based dressings are safe, accessible, economical, and clinically effective for primary care wound management. Their integration into routine family medicine practice can improve outcomes, reduce costs, and support holistic, patient-centered care in resource-limited settings.
