Onychomycosis secondary prevention: Difference between revisions
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==Overview== | ==Overview== | ||
Effective measures for the secondary prevention of onychomycosis include patient education about the disease course and adherence to the treatment. | Effective measures for the secondary prevention of onychomycosis include patient education about the <font color= disease course and adherence to the treatment. | ||
==Secondary prevention== | ==Secondary prevention== | ||
Several factors have been suggested to play a role in the high incidence of recurrence.<ref name="pmidhttps://www.ncbi.nlm.nih.gov/pubmed/27843933">{{cite journal| author=Tosti A, Elewski BE| title=Onychomycosis: Practical Approaches to Minimize Relapse and Recurrence. | journal=Skin Appendage Disord | year= 2016 | volume= 2 | issue= 1-2 | pages= 83-87 | pmid=https://www.ncbi.nlm.nih.gov/pubmed/27843933 | doi=10.1159/000448056 | pmc=5096127 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27843933 }} </ref> | Several factors have been suggested to play a role in the high incidence of recurrence.<ref name="pmidhttps://www.ncbi.nlm.nih.gov/pubmed/27843933">{{cite journal| author=Tosti A, Elewski BE| title=Onychomycosis: Practical Approaches to Minimize Relapse and Recurrence. | journal=Skin Appendage Disord | year= 2016 | volume= 2 | issue= 1-2 | pages= 83-87 | pmid=https://www.ncbi.nlm.nih.gov/pubmed/27843933 | doi=10.1159/000448056 | pmc=5096127 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27843933 }} </ref> |
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Overview
Effective measures for the secondary prevention of onychomycosis include patient education about the <font color= disease course and adherence to the treatment.
Secondary prevention
Several factors have been suggested to play a role in the high incidence of recurrence.[1]
- Family history of onychomycosis
- Tinea pedis in family members
- Wearing occlusive footwear
- Moist environments such as swimming pools
- Comorbidities of patients like diabetes mellitus or severe onychomycosis
- Therapy choice, duration, treatment success
- Non compliance to the treatment
- Resistance of the infecting fungus
- Nail injuries
Steps that can prevent disease recurrence
- Patient education to recognize early signs of disease recurrence
- Adherence to the treatment
- Keeping feet cool and dry
- Avoiding going barefoot in public places
- Topical antifungal prophylaxis
- Prompt treatment of any tinea pedis, including that of family members
References
- ↑ Tosti A, Elewski BE (2016). "Onychomycosis: Practical Approaches to Minimize Relapse and Recurrence". Skin Appendage Disord. 2 (1–2): 83–87. doi:10.1159/000448056. PMC 5096127. PMID https://www.ncbi.nlm.nih.gov/pubmed/27843933 Check
|pmid=
value (help).