Mamdouh Abdul Maksoud Mohamed Abdul Rhman, Faculty of Medicine, Ain Shams University Abbasia, Cairo, Egypt
This is the fifth in a series of abstracts from the 1st International Conference on the Medicinal Uses of Honey (From Hive to Therapy) held by University Sains Malaysia in August of 2006. The abstracts have been published by the Malaysian Journal of Medical Sciences (Vol.14 No.1, January 2007).
BACKGROUND: Bee honey has been an outstanding household remedy used for the treatment of cough and wheezing associated with bronchitis. The therapeutic use of honey in the form of inhalation dates from very early days. This method is particularly effective in the treatment of diseases of the upper respiratory tract.
OBJECTIVE: The present work attempted to study the effects of bee honey in the form of nebulization in infants and children with acute asthma.
SUBJECTS AND METHODS: After obtaining consent from their parents, 300 infants and children with mild to moderate acute attacks of asthma were included in this study. The mean age of studied patients was 2.49 ± 3.02 years with male to female ratio of 1.2 to 1. All studied patients received Bee Honey Nebulization (BHN) for 30 minutes. Neither corticosteroids nor bronchodilators were given. The response was judged 60 minutes after BHN by changes in respiratory rate (RR), heart rate (HR), O2 saturation at room air (SPO2), dyspnoea, use of accessory respiratory muscles and chest wheezes.
RESULTS: There was a significant increase of SPO2 and decrease of RR and HR 60 minutes after BHN. The dyspnoea improved in 94% of patients. The chest wheezes disappeared in 35% and decreased significantly in 31% of patients. Six (6) patients were admitted because of persistence of symptoms.
During and after BHN increased frequency of productive cough occurred in 78.7% and it was severe and exhausting in 2%. The expectoration of sputum was followed by improvement in nearly all patients. Apart from severe exhausting cough, no side effects occurred during and after BHN.
CONCLUSION: BHN is an effective and safe treatment for mild and moderate acute attacks of asthma in infants and children.