title: A Pilot Randomized, Controlled Study of Nanocrystalline Silver, Manuka Honey, and Conventional Dressing in Healing Diabetic Foot Ulcer.
abstract: Nanocrystalline silver (nAg) and Manuka honey (MH) dressing have increasing popularity for treating diabetic foot ulcer (DFU). This study was an open-label randomized controlled trial with three parallel groups' design in examining the preliminary effectiveness of nAg against MH and conventional dressing in healing DFU in terms of ulcer healing, ulcer infection, and inflammation. 31 participants (11 in the nAg group, 10 in the MH group, and 10 in the convention group) diagnosed with type 2 diabetes were enrolled. Wound cleaning, debridement, and topical dressing application were performed according to the group allocation in each visit at weeks 1, 2, 3, 4, 6, 8, 10, and 12. The results found that the proportions of complete ulcer healing were 81.8%, 50%, and 40% in the nAg, MH, and conventional groups, respectively. The ulcer size reduction rate was potentially higher in the nAg group (97.45%) than the MH group (86.21%) and the conventional group (75.17%). In bacteriology, nAg showed a greater rate of microorganism reduction although it was not significant. To conclude, nAg alginate was potentially superior to MH and conventional dressing in healing diabetic foot ulcer in terms of ulcer size reduction rate.
authors.affiliation: O&T Department, Queen Elizabeth Hospital, Kowloon, Hong Kong; Department of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
authors.forename: Ka-Kit
authors.identifier: 0000-0002-4572-3750
authors.initials: KK
authors.lastname: Tsang
authors.affiliation: School of Nursing, Tung Wah College, Kowloon, Hong Kong.
authors.forename: Enid Wai-Yung
authors.initials: EW
authors.lastname: Kwong
authors.affiliation: Department of Health Technology & Informatics, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
authors.forename: Tony Shing-Shun
authors.initials: TS
authors.lastname: To
authors.affiliation: Faculty of Liberal Arts and Social Sciences, The Education University of Hong Kong, Tai Po, Hong Kong.
authors.forename: Joanne Wai-Yee
authors.identifier: 0000-0003-0321-906X
authors.initials: JW
authors.lastname: Chung
authors.affiliation: Ginger Knowledge Transfer and Consultancy Limited, Kowloon, Hong Kong.
authors.forename: Thomas Kwok-Shing
authors.initials: TK
authors.lastname: Wong