Review Article

External Use of Propolis for Oral, Skin, and Genital Diseases: A Systematic Review and Meta-Analysis

Table 2

Characteristics of the included RCTs for skin diseases.

First author, yearLocation of propolis production, chemical composition of propolisUsed form of propolis, amount usedPatient’s disease, sample size (randomized/analysed)Experimental group (intervention, regimen)Control group (intervention, regimen)Outcome measuresMain resultsAE

Gregroy, 2002 [24]n.r., n.r.Cream, n.r.Second-degree burns, 33/(A) PC, , 1 session(B) SSD, , 1 session(1) CFU 
(2) Duration of treatment for burns
(1) NS 
(2) (A) better than (B) but NS
n.r.

Kucharzewski, 2013 [25]Poland, n.r.Ointment, n.r.Varicose veins of lower extremities with ulcer, 56/56(A) PO + rinsing the ulcer with PSCS + compression treatment, , PO: 7 to 42 sessions (1 time per day until healing); the others: 7 to 42 sessions (1 time per week until healing)(B) Rinsing the ulcer with PSCS + compression treatment, , 28 to 102 sessions (1 time per week until healing)(1) Duration of treatment for ulcer(1) n.r.

Ngatu, 2011 [26]Japan, n.r.Extract, n.r.Tinea capitis and tinea versicolour, 242/188(A) PE (50 mg/mL), , 28 sessions (1 time per day for 28 days)(B) PE (100 mg/mL), , 28 sessions (1 time per day for 28 days) 
(C) Acacia honey, , 28 sessions (1 time per day for 28 days) 
(D) Miconazole, , 28 sessions (1 time per day for 28 days) 
(E) Vaseline, , 28 sessions (1 time per day for 28 days)
(1) Pruritus 
(2) Papule, pustule 
(3) Erythema 
(4) Desquamation 
(5) WBC 
(6) Leukocytes
(1) , , , significantly better than (E) 
(2) Significant difference in , , ,
(3) , , , significantly better than (E) 
(4) , , , significantly better than (E) 
(5) , , , significantly better than (E), but NS between (C) and (E) 
(6) NS
Itch (1 in group (D))

Park, 2013 [27]Korea, n.r.Mask pack, 2 gAcne, 30/30(A) PMP, , 10 sessions (1 time per week for 4 weeks)(B) PPMP, , 10 sessions (1 time per week for 4 weeks)(1) Skin conditions 
① Moisture 
② Sebum 
③ Elasticity 
(2) Number of acne lesions 
① Stuff 
② Papule 
③ Pustule
(1) 

②, ③   
(2) 
①, ② NS 
n.r.

Yin, 2013 [28]China, n.r.Ointment, n.r.Other specified diabetes mellitus with foot ulcer, 60/60(A) PO + VT, , PO: 4 times per day for 17 months, VT: 24 months(B) VT, , 24 months(1) TER for ulcer(1) n.r.

; ; ; patients with two burn areas received PC and SSD.
AE: adverse events; CFU: colony forming units; negative: (B) significantly better than (A); n.r.: not reported; NS: no significant difference between groups; PC: propolis cream; PE: propolis extract; PMP: propolis mask pack; PO: propolis ointment; positive: (A) significantly better than (B); PPMP: pine pollen mask pack; PSCS: physiological sodium chloride solution; SSD: silver sulfadiazine; TER: total effective rate; VT: vasodilator therapy; WBC: white blood cell.