Guidelines for treatment of onychomycosis

@article{Roberts2003GuidelinesFT,
  title={Guidelines for treatment of onychomycosis},
  author={D T Roberts and W D Taylor and J. Boyle},
  journal={British Journal of Dermatology},
  year={2003},
  volume={148}
}
Summary These guidelines for management of onychomycosis have been prepared for dermatologists on behalf of the British Association of Dermatologists. They present evidence‐based guidance for treatment, with identification of the strength of evidence available at the time of preparation of the guidelines, and a brief overview of epidemiological aspects, diagnosis and investigation. 

Current treatment of onychomycosis.

  • D. Thappa
  • Medicine
    Indian journal of dermatology, venereology and leprology
  • 2007
Therapeutic options for the treatment of onychomycosis range from no therapy, palliative care, mechanical or chemical debridement, topical and systemic antifungal agents to a combination of two or

Treatment of onychomycosis caused by dermatophytes--an opinion proposed by Committee for Standardization of the Japanese Society for Medical Mycology 2007.

Clinical problems concerning this disease are discussed, recommendable treatments for each patient with topical and/or systemic use of antifungal agents are proposed and the necessity of "order-made" therapy for each patients with his/her medical status and wishes taking into account is stressed.

Take a multifaceted approach when treating onychomycosis

Because onychomycosis has a high recurrence rate, preventive measures are recommended even after achieving a cure.

Potential role of tavaborole for the treatment of onychomycosis.

Tavaborole 5.0% nail solution is the first member of a new class of antifungals that has been developed as a new topical nail solution for the treatment of toenail onychomycosis caused by dermatophytes.

Acitretin: Could it be a new therapeutic player in the field of onychomycosis?

The therapeutic use of acitretin is investigated in onychomycosis following the successful treatment of recurrent dermatophytosis with isotretinoin and itraconazole and the complete cure rate with itrachoazole pulse therapy remains unsatisfactory.

Onychomycosis treatment in the United States.

Major trends in the prescription and use of antifungal agents for treatment of onychomycosis in the United States were evaluated using data from the National Ambulatory Medical Care Survey.

Onychomycosis - a review of its presentation and treatment

Data from recently published studies have demonstrated an increased mycological and clinical cure rate using a combination of topical and oral antifungal agents, and this approach may be a cost-effective means of improving outcomes for patients with more resistant nail disease.

Clinical diagnosis of toenail onychomycosis is possible in some patients: cross‐sectional diagnostic study and development of a diagnostic rule

A large number of patients with suspected toenail onychomycosis have had their nails removed or removed with a claw machete, leading to fears that the nails may be infected with bacteria.

Topical and oral combination therapy for toenail onychomycosis: an updated review.

  • I. BristowR. Baran
  • Medicine, Biology
    Journal of the American Podiatric Medical Association
  • 2006
Although effective, oral antifungal therapy is still not completely successful, and additional measures, such as mechanical intervention, may help improve response rates further.

Treatment of Onychomycosis: An Update

Medicated nail lacquers have been developed for the treatment of fungal infections i.e. onychomycosis, which has less toxicity and shorter treatment period than oral antifungal agents.
...

References

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With the advent of the newer oral antifungals available to treat onychomycosis, the majority of patients respond to therapy. However, there may be subsets of patients who exhibit poor response or

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The efficacy of a combination of oral terbinafine and topical amorolfine in the treatment of severe dermatophyte toenail onychomycosis with matrix area involvement was examined.

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There is good evidence that a continuous regimen of terbinafine (250 mg/d) for 3 months is the most effective oral treatment for fungally infected toenails.

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The results indicate that cures of onychomycosis are possible after topical therapy, and further methods of using this form of treatment such as combined surgical and topical therapy are discussed.

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This study investigated 800 individuals aged 6 to 80 years in Finland and yielded a higher onychomycosis prevalence of nail fungal infections than previously investigated, in contrast to the previously mentioned studies.
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