PMID- 19525905 OWN - NLM STAT- MEDLINE DCOM- 20090831 LR - 20191111 IS - 0966-0461 (Print) IS - 0966-0461 (Linking) VI - 18 IP - 11 DP - 2009 Jun 11-24 TI - The use of MelMax in the healing of chronic wounds. PG - S30, S32, S34-5 AB - Chronic wounds can have detrimental consequences for the quality of life of patients as well as presenting a huge financial burden to the NHS. An imbalance in the level of matrix metalloproteinases (MMPs) and the tissue inhibitors of MMPs (TIMPs) in chronic wounds impedes the healing process. In addition, high levels of bacteria in the wound bed are a common feature of chronic wounds and also cited as a major cause of delayed healing. The aim of this article is to look in more detail at the role of MMPs in wound healing as well as the antimicrobial properties of honey when combined with a dressing to combat wound infection. The article also introduces a new dressing, MelMax (distributed by CliniMed), which utilizes protease regulation and the antimicrobial properties of honey when addressing chronic wound infection. Short-term case studies are used to demonstrate how the dressing was successfully incorporated into the author's practice. FAU - Lloyd Jones, Menna AU - Lloyd Jones M AD - Tissue Viability, North West Wales NHS Trust. LA - eng PT - Journal Article PL - England TA - Br J Nurs JT - British journal of nursing (Mark Allen Publishing) JID - 9212059 RN - EC 3.4.24.- (Matrix Metalloproteinases) MH - Bandages MH - Chronic Disease MH - Honey MH - Humans MH - Matrix Metalloproteinases/physiology MH - State Medicine MH - United Kingdom MH - *Wound Healing MH - Wounds and Injuries/*therapy EDAT- 2009/06/16 09:00 MHDA- 2009/09/01 06:00 CRDT- 2009/06/16 09:00 PHST- 2009/06/16 09:00 [entrez] PHST- 2009/06/16 09:00 [pubmed] PHST- 2009/09/01 06:00 [medline] AID - 10.12968/bjon.2009.18.sup4.42730 [doi] PST - ppublish SO - Br J Nurs. 2009 Jun 11-24;18(11):S30, S32, S34-5. doi: 10.12968/bjon.2009.18.sup4.42730.