2. Par obtener el mejor resultado es ideal aplicar la miel a un gasa-paño abasorbente antes de la aplicación. Si la aplicamos directamente a la herida la miel tiende a correrse antes que le apliquemos la segunda capa de paño o gasa para mantenerse estable o sea a siempre a traves de una gasa o paño.

3.La miel no penetra inmediatamente la gasa-paño abasorbente. La correcta capa de miel se tiene que hacer a temperatura del cuerpo

4. En algunos casos  un "blister " de miel puede mantenrerse encima de la herida usando un esparadrapo. La Miel tambien puede usarse en heridas con cavidad  manteniendo con un esparadrapo, aunque no suele ser practico para heridas que exuden liquidos.

5. Para heridas que emitan exudaciones una segunda gasa es muy recomendable. Una combinancion de pelicula de poliuretano para mantener suele ser interesante, ya que la segunda capa de la gasa-paño tiende a absorber la miel de la herida en vez de mantenerla.

6. Que el paño no se peque demasiado previene que la gasa-paño no se pegue a la herida y se convierta en parte el problema. Esta gasa-apaño debe ponerse entre la herida, tambien tiene que ser poroso para las propiedades antibacterianas  de los componentes de la miel actuen  libremente dentro de la herida.

1. 10 Puesto que la infección puede penetrar/mantenerse en los tejidos  subyacentes mas finos de los márgenes de la herida, el preparado de la miel debe extenderse más allá del área inflamada que rodea una herida.

1. The amount of honey required on the wound relates to the amount of fluid exuding from the wound diluting it. The frequency of dressing changes required will depend on how rapidly the honey is being diluted by exudate. If there is no exudate, dressings need to be changed twice-weekly to maintain a 'reservoir' of antibacterial components as they diffuse into the wound tissues.

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4. To achieve best results the honey should be applied to an absorbent dressing prior to application. If applied directly to the wound, the honey tends to run off before a secondary dressing is applied to hold it in place.

5. Honey will not soak readily into absorbent dressings. Soaking is facilitated by warming the honey to body temperature and/or adding 1 part water to 20 parts honey to make the honey more fluid.

6. In some situations a 'blister' of honey can be held on a wound using an adhesive film dressing. Honey can be used to treat cavity wounds in this way, although this approach is not suitable for heavily exuding wounds.

7. For moderately to heavily exuding wounds, a secondary dressing may be needed to contain seepage of diluted honey from the primary dressing. An occlusive dressing such as polyurethane film is best, as an absorbent secondary dressing tends to draw the honey away from the wound surface.

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9. A low-adherent dressing helps prevent the honey dressing sticking to the wound in cases where this is a problem. This dressing is placed between the wound and the honey dressing, but must be porous to allow the antibacterial components of the honey to diffuse freely into the wound bed.

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11. Alginate dressings impregnated with honey are a good alternative to cotton/cellulose dressings, as the alginate converts into a honey-containing soft gel.

12. 8 Any depressions or cavities in the wound bed need to be filled with honey in addition to using a honey-impregnated dressing. This is to ensure the antibacterial components of the honey diffuse into the wound tissues.

13. 9 Honey can safely be inserted into cavities and sinuses. It is water-soluble and easily rinsed out; any residues are bio-degradable (honey filtered in processing does not contain any foreign bodies). For sinuses with small openings a catheter on a syringe filled with honey is an effective way of applying honey.

14. Since infection may lie in the tissues underlying the wound margins, honey dressings need to extend beyond the inflamed area surrounding a wound.