Layering minute amounts of Manuka honey between layers of surgical mesh acts as a natural antibiotic that could prevent infection following an operation, new research has shown.
Meshes are used to help promote soft tissue healing inside the body following surgery and are common in operations such as hernia repair.
However, they carry an increased risk of infection, as the bacteria can get inside the body by forming a biofilm on the surface of the mesh.
Skin and soft tissue infections are the most common bacterial infections, accounting for around 10% of hospital admissions, and a significant proportion of these are secondary infections following surgery.
Currently, any infection is treated with antibiotics, but the emergence of antibiotic-resistant strains—or ‘superbugs’—means scientists are on the hunt for alternatives.
Sandwiching eight nano-layers of Manuka honey (with a negative charge) between eight layers of a polymer (with a positive charge), the international team of scientists and engineers led by Dr Piergiorgio Gentile at Newcastle University, UK, and Dr Elena Mancuso at Ulster University showed it is possible to create an electrostatic nanocoating on the mesh that, in the lab, inhibits bacteria for up to three weeks as the honey is slowly released.
The team published their findings today in the academic journal Frontiers. The study highlights the potential benefits of infusing medical implants with honey.
Dr Piergiorgio Gentile, lead author and a Biomedical Engineer at Newcastle University, explains:
“Mesh is implanted inside the body to provide stability while the internal tissues heal but, unfortunately, it also provides the perfect surface for bacteria to grow on. Once the bacteria form a biofilm on the surface, it’s very difficult to treat the infection. By sandwiching the honey in a multilayer coating on the mesh surface and slowly releasing it, the aim is to inhibit the growth of the bacteria and stop the infection before it even starts.
“These results are really very exciting. Honey has been used to treat infected wounds for thousands of years but this is the first time it has been shown to be effective at fighting infection in cells from inside the body.”
Dr Mancuso, a lecturer within the Nanotechnology and Integrated Bioengineering Centre (NIBEC) at Ulster University, adds:
“Although numerous antibiotic-based coatings, constructed through layered approaches, and intended for the development of antibacterial implants, have been investigated so far, it has been found that the effect of antibiotics may decrease with time, since antibiotic resistant bacteria may potentially develop.”
What Is Manuka Honey?
Manuka honey is a unique type of honey produced in New Zealand by bees pollinating the native Manuka bush. Unlike regular honey, it contains exceptionally high levels of methylglyoxal (MGO), which gives it powerful antibacterial properties. This is why MGO ratings for Manuka honey are crucial when determining its potency and effectiveness.
The Science Behind Manuka Honey and Its Antibacterial Properties
Honey has been used to treat infected wounds since ancient times, and thousands of years before the discovery of bacteria.
Most honey is believed to have some bacteria killing properties because it contains chemicals that produce hydrogen peroxide.
However, in 1991, a New Zealand study showed that when hydrogen peroxide was removed from a range of honeys, Manuka—made from nectar collected by bees that forage on the wild Manuka tree—was the only type that retained its ability to kill bacteria. This is due to the presence of a unique ingredient, now identified as methylglyoxal, which has specific antimicrobial properties.
Using medical-grade Manuka honey, the team used Layer-by-Layer assembly technology to create alternating layers of negatively charged honey and positively charged conventional biocompatible polymer to modify the surface of an electrospun membrane, each layer just 10-20 nanometers thick.
Tested in-vitro on different soft tissue cell lines to test their biocompatibility, the functionalised meshes were exposed to a range of common bacterial infections such as MRSA, Staphylococcus and E coli.
“Too little honey and it won’t be enough to fight the infection but too much honey can kill the cells,” explains Dr Gentile. “By creating this 16-layerd ‘charged sandwich’ we were able to make sure the honey was released in a controlled way over two to three weeks which should give the wound time to heal free of infection.”
Dr Mancuso adds:
“With our study we have demonstrated the promising combination of a naturally-derived antibacterial agent with a nanotechnology approach, which may be translated to the design and development of novel medical devices with advanced functionality.”
The secret to Manuka honey’s effectiveness lies in its high concentration of MGO. This compound, not found in significant amounts in other honey types, makes Manuka honey particularly effective against bacteria, even antibiotic-resistant strains. The best-rated Manuka honey often has the highest MGO levels, making it a potent natural alternative to traditional antibiotics.
As research continues, we may see even more innovative uses for this remarkable New Zealand honey. Whether for medical breakthroughs or everyday health benefits, Manuka honey proves that sometimes, nature provides the best solutions to our most pressing health challenges.