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Paronychia
Introduction
Paronychia is a painful infection that usually occurs at the nail fold. It may occur after injury or minor trauma, and is caused by Staphylococcus aureus. It may also occur as a result of fungal infection.
Signs & symptoms
• Painful nail
• Redness
• Swelling
Diagnostic criteria
• Painful nail
• Redness
• Swelling
Investigation
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Treatment
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Non-Pharmacological treatment
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Pharmacological
- Acute Paronychia
oAmoxicillin with clavulanic acid 625mg (PO) 8 hourly for 14 days.
Chronic Paronychia (commonly due to fungal infection)
oClotrimazole cream 1%, apply topically 12 hourly for 14 days
AND
oItraconazole tablets (PO) 200mg once daily for 14 days AND S: Clindamycin tablets 300mg (PO) 12 hourly for 14 days Note: For both acute and chronic paronychia, incision and drainage may be needed
Prevention
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Updated on,
3 Novemba 2020 10:29:36
References
- 1.STG
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