Onychomycosis secondary prevention

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Overview

Effective measures for the secondary prevention of onychomycosis include patient education about the 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

  1. 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).