How does doctors treat for fungal infection? скачать в хорошем качестве

How does doctors treat for fungal infection?

Hello everyone. This is Dr. Vidyasagar, the consultant dermatologist, and Cosmetologist associated with Ayu Health Hospitals. Today I am going to talk about fungal infection of the skin. What is this Fungal infection? This is the superficial infection of the skin which might involve the nail and hair also. The most common cause it includes is Epidermophyton, Microsporum, or trichophyton species. These are the most common species and the most common predisposing factors include sweating or wearing tight-fitting clothes and how do patients identify this? The patients will usually have an annular lesion- annular means circle. They will have annular lesions with intense pruritus. They come with multiple lesions all over the body and these lesions have separate names. For example, if it involves the hair or scalp it is called Tinea capitis, or the body is called Tinea corporis as well as hands, it is called Tinea manuum and the groin is called Tinea cruris. How do we diagnose this case? Otherwise we can do a KOH where we can take the scraping from the edge of the lesion and send it for KOH examination where we can see the septate hyphae or we can do a culture which is the rarest thing to do. Only the clinical diagnosis and KOH test are sufficient for the diagnosis of the fungal infection. How do we treat it? Usually, it is treated by tropical as well as oral medications. Tropical treatment includes clotrimazole, miconazole as well as luliconazole, sertaconazole, We usually start with a tropical treatment if the lesions are extensive and widespread, we use oral medications. Usually, oral medications include fluconazole in the dosage of 150 mg and 400 mg. It is given weekly once, terbinafine 250 mg is given once daily for two weeks or itraconazole 100 mg or 200 mg. If taking 100 mg we should take two dosages and if 200 mg then we should take 1 dosage for almost two weeks. Then the treatment is very important because people usually stop the treatment one or two weeks after clearing the lesion. But these lesions will have microscopically persistent fungus and for that continuation and completion of treatment is very important. So, for this we have a regular hygienic measure which has to be followed. From these measures, we can treat seventy percent of the Tinea infection. The Hygienic methods include trimming of the nails, wearing loose-fitting clothes and if there is any sweating or perspiration, they can use a clotrimazole dusting powder or any dusting powder in this case. The predisposing factors include working at excessive temperature, excessive sweating or poor hygienic practices, obesity sometimes, uncontrolled diabetes matters, sometimes at last in compromise status. Hygienic measures treat almost seventy percent of the tinea infection along with tropical and oral treatment. The hygienic measures include wearing loose-fitting clothes, nail trimming, practicing hygienic practices, and avoiding sweating by using a dusting powder. Clothes should be washed thoroughly with hot water and have to be sun dried and you should use them after ironing the clothes including your undergarments. If these things are not controlled. Thank you all!