Pipeline bandage with marigold essence in pediatric bee sting lesions

The common reaction to a bee sting is localized pain, swelling, and erythema at the site of the sting [1], which usually subsides within several hours. More extensive local reactions are common, however. Lesions which are more than 20 mm in diameter and characterized by induration and erythema, are defined as an “exaggerated reaction” [2]. Swelling may extend from the sting site over a large area, often peaking within 2 days and lasting up to 1 week [1]. The cause of these large local reactions has not yet been determined; however, it is assumed that they are brought about by IgE antibodies [1]. The usual treatment for these large local reactions are acetylsalicylic acid, antihistamines, or, if the swelling is extensive, systemic steroids [3]. These drugs can cause several adverse reactions. Acetylsalicylic acid, for example, can cause bleeding or ulcers [4], and steroids can cause facial rounding, hirsutism, diminished carbohydrate tolerance, or vague abdominal distress [5]. In children, in particular, it is difficult to predict the extent of adverse reactions or interactions. Consequently, alternative remedies are essential for the treatment of sting wounds. A treatment alternative for large inflamed lesions is the pipelinebandage, which has proven to have several advantages. It helps provide a moist environment, especially for non-exudating wounds, which reduces pain [6]. The bandage is applied by integrating a tube system into the dressing so that parents can administer solutions with a syringe.