Comparison of Honey & Povidone Iodine dressings in Post-Cesarean Surgical Site Wound Infection Healing

Objective: To compare the healing of post-cesarean infected wounds by a combination of honey and povidone iodine Et povidone-iodine alone dressings using ASEPSIS Score.Method: This prospective randomised cohort study was carried out at at OBGYN Department Jinnah Postgraduate Medical Center from 1st August 2022 till 31st December 2022. Patients were randomly allocated into groups A and B. Group-A was dressed with honey povidone-iodine, while Group-B only had povidone-iodine. The ASEPSIS score was calculated in both groups on day fifth, 7th, 9th, and 10th day. Patients were followed till full recovery of the wound.Results: A total of 70 women were included and equally allocated into two groups A & B (35 each). On day five mean ASEPSIS score in Group-A was 36.14 and that in Group-B was 37.74. No significant difference in scores were noted on day five [t (68) =-.753, p = .454] & day seven Group-A 28.63 vs Group-B 32.11 [t (68) =-1.302, p = .197]. Significant improvements in ASEPSIS scores were noted on days ninth Et tenth. On day nine ASEPSIS score of Group-A was 21.54 and that of Group-B was 27.14 [t (68) =-2.056, p = .044]. On day tenth the mean ASEPSIS score of Group-A was 18.26, while that of Group-B was 23.86 [t (68) =-2.021, p = .047]. The mean time required for the wound to heal in Group-A and Group-B was eighteen Et twenty-one days respectively.Conclusion: Significant improvements in ASEPSIS score occurred with the use of honey with povidone-iodine combination.