Honey for the Treatment of Infections
The results of this research (recently published internationally in the Journal of Pharmacy and Pharmacology) show the importance of selecting the honey used for medical purposes. Although all honey will stop the growth of bacteria because of its high sugar content, when the sugars are diluted by body fluids this antibacterial action is lost. The additional antibacterial components (primarily hydrogen peroxide generated by the glucose oxidase enzyme in the honey) then become important. Considering that carbolic disinfectant is usually used with a phenol concentration of 4-5%, it is evident that selected honeys can remain antibacterial when extensively diluted by body fluids.

Another finding in this research was that that hydrogen peroxide was not the only antibacterial substance involved in some types of honey. When testing samples of the honeys with the enzyme catalase added to remove the hydrogen peroxide, it was found that only two of the 26 floral types of honey contained significant levels of this additional antibacterial activity. In one of these, vipers bugloss honey, the level of activity was quite low. In the other, manuka honey, the additional antibacterial activity was in some samples quite high, although it is important to note that half of the 60 samples tested had very low levels or none of this additional antibacterial activity.

This additional antibacterial activity was considered to be important enough to warrant further investigation. As a project for her recently completed M.Sc. thesis, Dawn Willix compared the antibacterial activity of an average-level manuka honey with that of an average-level honey with activity due to hydrogen peroxide, testing them on seven different species of bacteria chosen as the ones most commonly involved in wound infection. The percentage (by volume) of each type of honey needed to completely prevent the growth of each species of bacteria was found to be:
  Manuka Honey Other Honey
Escherichia coli 3.7 7.1
Proteus mirabilis 7.3 3.3
Pseudomonas aeruginosa 10.8 6.8
Salmonella typhimurium 6.0 4.1
Serratia marcescens 6.3 4.7
Staphylococcus aureus 1.8 4.9
Streptococcus pyogenes 3.6 2.6
Although some species are more sensitive to the action of one type of honey than they are to the other, on average there is little difference. The most notable point is that these "average" honeys can be diluted nearly ten-fold yet still completely halt the growth of all the major wound-infecting species of bacteria. Also notable is the finding that an "average" manuka honey will still halt staphylococcus aureus when diluted with 54 times its volume of fluid: this is not only the most common wound-infecting species, but is notorious for developing resistance to antibiotics.

The work has recently been carried further by microbiologists at Waikato Hospital looking at the effect of these two honeys on their collection of strains of MRSA--strains of staphylococcus aureus that cause ward closures in hospitals because they are resistant to most or all of the commonly used antibiotics. All of the strains have been found to have their growth halted completely by the honeys diluted to 5-10%.
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