Effectiveness of honey for symptomatic relief in upper respiratory tract infections: a systematic review and meta-analysis.
BMJ Evid Based Med
; 26(2): 57-64, 2021 04.
Article
en En
| MEDLINE
| ID: mdl-32817011
ABSTRACT
BACKGROUND:
Antibiotic over prescription for upper respiratory tract infections (URTIs) in primary care exacerbates antimicrobial resistance. There is a need for effective alternatives to antibiotic prescribing. Honey is a lay remedy for URTIs, and has an emerging evidence base for its use. Honey has antimicrobial properties, and guidelines recommended honey for acute cough in children.OBJECTIVES:
To evaluate the effectiveness of honey for symptomatic relief in URTIs.METHODS:
A systematic review and meta-analysis. We searched Pubmed, Embase, Web of Science, AMED, Cab abstracts, Cochrane Library, LILACS, and CINAHL with a combination of keywords and MeSH terms.RESULTS:
We identified 1345 unique records, and 14 studies were included. Overall risk of bias was moderate. Compared with usual care, honey improved combined symptom score (three studies, mean difference -3.96, 95% CI -5.42 to -2.51, I2=0%), cough frequency (eight studies, standardised mean difference (SMD) -0.36, 95% CI -0.50 to -0.21, I2=0%) and cough severity (five studies, SMD -0.44, 95% CI -0.64 to -0.25, I2=20%). We combined two studies comparing honey with placebo for relieving combined symptoms (SMD -0.63, 95% CI -1.44 to 0.18, I2=91%).CONCLUSIONS:
Honey was superior to usual care for the improvement of symptoms of upper respiratory tract infections. It provides a widely available and cheap alternative to antibiotics. Honey could help efforts to slow the spread of antimicrobial resistance, but further high quality, placebo controlled trials are needed. PROSPERO REGISTRATION NO Study ID, CRD42017067582 on PROSPERO International prospective register of systematic reviews (https//www.crd.york.ac.uk/prospero/).Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Infecciones del Sistema Respiratorio
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Miel
Tipo de estudio:
Clinical_trials
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Diagnostic_studies
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Prognostic_studies
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Systematic_reviews
Límite:
Child
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Humans
Idioma:
En
Revista:
BMJ Evid Based Med
Año:
2021
Tipo del documento:
Article
País de afiliación:
Reino Unido