Transcript Bee Venom Therapy - American Apitherapy Society AAS

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Treatment of Wounds
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CMACC
2009 December 05
Th. Cherbuliez, MD
Description
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Wound
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Description
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A lesion of the skin or/and mucosa
The lesion can be acute or chronic
They can be superficial or include deep tissue lesion
They can come from a burn, a cut, a compression, a fracture
They can be clean or infected.
Steps in healing
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Wound
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Steps in healing
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Rest is, in general, the most propitious state for healing; therefore:
1) Protect the place from further mechanical and infectious attack
2) Clean the area of dead and decaying cells, coagulated materials
3) Disinfect and nourish the new tissues
These steps “treat” the wound and the rested wound heals itself.
Role of honey
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Wound
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to “treat” the wound
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Role of Honey
Covers the wound, no further bacterial or mechanical insult
Saturation of the sugar content dehydrates bacteria
Generating O+ “burns” bacteria and dead tissues
Protects wound from losses: fluids, electrolytes.
Roles of bee products
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Roles of bee products
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to “treat” the wound
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Role of Propolis
Disinfectant
Anesthetic
Role of bee venom
Increases blood circulation in and around the wound tissue
Role of Pollen
Brings proteins and electrolytes to the wound.
Wound cover; Scientific qualities
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Scientific qualities of wound cover
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by N. Marsit (Apimondia 09)
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Non inflammatory
Not antigenic
Protects wound from external bacteria
Protects wound from evaporation and electrolyte losses
Fosters granulation and epithelialization
Accelerates wound healing.
Practical qualities
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Practical qualities of wound cover
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Availability
Price
Easy conservation
Adhere to the wound without sticking or destroying new cells
when removed
Wound cover
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Wound cover
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Creation of a skin substitute as biological dressing
Human amniotic membranes sterilized by gamma rays from
cobalt-60 sources
To increase conservation time of the prepared amnion grafts:
Honey impregnated amnion grafts could keep four years at room
temperature.
Burn wounds
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Wound treatment
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Burns by A Berretta-Silva (Apimondia 09)
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A thermo-reversible polymer that provides sustained delivery of a
formulation containing standardized propolis extract
This is a product that maintains its liquid state in low temperatures and
provides in situ gelling property.
It enhances patient’s comfort and acceptance, and obtains a
histological well-organized skin tissue that reduces wound healing
time.
Protected by patent
Abdominal surgical wounds
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Surgical, infected wounds
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Bernard Descottes✝(Apimondia 09)
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Head of Division of visceral surgery in University Hospital in
Limoges, France and Number 2 in France for liver transplant
Since 1984 study of Honey for the healing of major abdominal
post-operative, clean or infected wounds
In the last 24 years honey is the only product used in this division
for the healing of all wounds.
87 % of the >3500 wounds treated heal without complications. Results
are faster and cheaper than those of commercial preparations.
Chronic bone wound
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Chronic, deep wound
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By the Apitherapy Commission of Apimondia
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Man, distal end of femur infected for 42 years. Wound drains pus,
resistant to all used antibiotics. Patient candidate for amputation
Lavage with honey-propolis-essential oils for 9 months until clean
Surgical curettage of the wound. Cavity left empty
Further care of the wound with honey mix until closed 4 months later
Patient’s knee ankylosed. He can walk without cane.
Antibiotics vs Apittt
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Antibiotics vs Apitherapy
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Date
Antibiotics
Days
Cost USD
Cost/months
269
7,303.92
486.93
270
600.00
66.67 (≈14%)
.
2000 September
2001 December
Antibiotics
Examples of wounds
Amikacine
10,7,10,3,3
Amixiciline
8
Amoxicicline
6,7
Cefalexine
8
Ceporane
Chloramphenicol
9
Ciprofloxacile
7,4,8,10,9,8
Cloxacicline
9
Erytromycine
6,10,7,7,7
Kanamicine
4
Metronidazol
6
Oxaciline
2
Penicilline
9
Rifampicine
7
Sulfaprine
Tetracicline
7,5,8,5
Vancomicine
9
15 months
9,6
9,6,6
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Wound
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Examples
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Infected wound by fish bone
Chronic ankle ulcer
Bed sore
Fish bone wound
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S.M. 43 (F) Infected
wound by fish bone
(Staphilococcus aureus) . The seventh day after.
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After 7 days antib.
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This is the situation after 7 days of
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antibiotic therapy
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Healing after 10 days of
maggot therapy and 25 days
of honey dressing.
One year later
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This is the situation one year later.
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Chronic Ulcer w. Honey
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Honey
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Chronic ulcer
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After 60 days of Honey treatment.
Bed sore w. BVT
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Treated with bee venom.
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!
Chronic ulcer.
One month later.
Two months later.
Three month later.
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Thank you
x
© Th. Cherbuliez, M.D.