Critical Illness Clinical Trial
— MICAREAOfficial title:
Medical Honey for Wound Treatment in Intensive Care. (MICARéa) Randomized, Controlled, Single-center Pilot Study.
Wound management is a real public health issue in France. To date, a wide range of devices exists to treat these wounds, depending on their nature and stage of evolution. Honey has been proposed for the care of wounds and is effective in reducing the surface of wounds and the pain perceived by patients. Inanition, its use is very simple compared to usual care, requiring different types of dressing accross time. In the intensive care unit, patients are prone to suffering or developing numerous types of wound, but the interest of honey has not been investigated yet. We propose a prospective, monocentric, randomized, single-blind, controlled clinical trial to assess the efficacy of managing acute cutaneous wounds with honey (Activon®) compared with standard care, in intensive care patients. The primary endpoint is the percentage of wound surface area reduction measured at 15 days from inclusion.
Status | Not yet recruiting |
Enrollment | 60 |
Est. completion date | April 2026 |
Est. primary completion date | January 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Hospitalization in surgical intensive care unit A -USC PTO CHU ANGERS - Informed consent signed by patient or relative (or emergency inclusion procedure) - Patient with one or more wounds = 4 cm2, evolving for less than 8 days, including: stage 2, 3, 4 pressure sores, lacerations, ulcers, dermabrasions and scar disunions. Exclusion Criteria: - Patients with honey intolerance/allergy to bee stings - Patients with wounds lasting more than 8 days - Patient with a bleeding wound, - Patient with a tunneled wound - Patients with chronic dermatoses - Patient with an estimated life expectancy < 15 days - Expected discharge =48 hours. - No affiliation to a French social security scheme or beneficiary of such a scheme. - Pregnant, breast-feeding or parturient woman - Person deprived of liberty by judicial or administrative decision - Person subject to a legal protection measure |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Angers |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | percentage of wound area reduction measured 15 days after inclusion (or on hospital discharge if before Day15). | R = (AJ15-AJ0)/SJ0 x100 with wound area obtained as the mean of the measures made by 3 nurses using a layer of the wound and the formula Area = maximal Length x maximal Width x p/4 R, percentage reduction in surface area (expressed in %); S, surface area (cm²); D, day; D0=day of inclusion | 15 days | |
Secondary | percentage of patient with pain | pain evaluation before and after wound care at Day0,Day7 and Day15, using a numerical scale (graduated from 0 to 10) or the Behavior Pain Scale. A scale >3 or a BPS>6 are indicative of significant pain | Day0, Day7 and Day15 | |
Secondary | total healing, | to assess total healing, measured by the proportion of patients with total skin healing at Day7, Day15 (or hospital discharge if before Day15) and Day90 (outpatient visit). | Day0, Day7 and Day15 | |
Secondary | scarring progress | To assess scarring progress at Day0, Day7, Day15 and Day90 using a visual colorimetric scale (black = necrosis; yellow = fibrin; red = budding) | Day0, Day7, Day15 and Day90: | |
Secondary | Dressing time | To assess the time needed for dressing repair at Day0, Day7 and Day15 (or on day of discharge if before Day15): in minutes | Day0, Day7 and Day15 | |
Secondary | numbers of honey tubes used for dressings | to assess Number of honey tubes used for dressings at Day0, Day7 and Day15 (or on day of discharge if before D15). | Day0, Day7 and Day15 | |
Secondary | total honey tubes | to asses Number of honey tubes used/returned at Day90 during follow-up visit. | Day90 |
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