A clean venous leg ulcer has no spreading erythema, warmth, increasing pain or fever. The nurse proposes routine medical-grade honey beneath

Question

A clean venous leg ulcer has no spreading erythema, warmth, increasing pain or fever. The nurse proposes routine medical-grade honey beneath compression to accelerate healing. What is the best evidence-based response?

Accepted Answer

Use a simple dressing beneath compression; evidence does not support routine honey

Answer

Start honey and oral antibiotics because every chronic ulcer is clinically infected

Answer

Use honey indefinitely because colonisation alone requires topical antimicrobial treatment

Answer

Replace compression with honey because antimicrobial dressings correct venous hypertension

Answer

Use honey because it has proven superiority over compression for venous-ulcer closure

Medical-Grade Honey — SCE Dermatology MCQ

A clean venous leg ulcer has no spreading erythema, warmth, increasing pain or fever. The nurse proposes routine medical-grade honey beneath compression to accelerate healing. What is the best evidence-based response?