Welland symposium

Welland symposium

Manuka Honey Workshop – Hydrocolloid containing Manuka honey as a first line defence in maintaining peristomal skin health.

Speaker: Dr. Duale Mahdi, research scientist

Why skin integrity is at the Heart of Stoma Care?

1. Skin – the interface

Protection – mechanical impact, fluids, radiation, infection; thermal regulation; endocrine function/ Vitamin D; sensation

• Skins structure – formed by  hypodermis,  derma, epidermis – 3 lays

Structure of the Epidermis:

• Stratum Corneum Structure:

Key components: 1) Corneocytes contain keratin and compounds referred to as natural moisturizing factor ( NMF), b) Intracellular Lipid bilayer

Skin hydration ( moisture- associated skin damage)

Consequences of Moisture Damage:…(..)

• The pH of human organs is tightly regulated by acid- base homeostasis varying between 1 to 8
• “normal” pH skin is acidic in range of 4.1 – 5.8
• Skin pH bacterial growth in particular staphylococcus aureus which has an optimal pH of 7.5

Peristomal Skin Complication
– common – estimated to be  approx. 70 %
– expensive – treatment cost for severe case of Peristomal skin complication
– is the flange simply an adhesive plate? It has a huge impact on peristomal skin protection
– why have an additive such as Manuka honey in the baseplate? = natural, safe ( ingestible), strong etc

High level of MGO are present in Manuka Honey from the nectar of the flower of the Manuka bush ( Leptospermum Scoparium) , indigenious to New Zeeland.

UMF trademark is giving for the original of the honey , on the content pure.

• Low pH, High sugar content, hydrogen peroxide,
• Reported benefits of Medicinal Honey ( anti-inflammatory activity, is used in wound dressing to stimulate and rapidly heal skin, used in burns etc)

Peristomal skin in study ( for flat appliances, not convex)

• 61 % saw improved peristomal skin and increased in their QOF
• 93% comfortable
• 88% felt secure
• 68% Improved or healed

Conclusions:

• Honey is safe
• String positive clinical results
• Leading core research that will be continued to share