![]() 1,3,4 These fungi seed keratinized tissues, infecting the skin, hair, and nails. The majority of infectious dermatophytes belong to the genera Epidermophyton, Mirosporum, and Trichophyton. Identification of dermatophyte infections is categorized based upon the anatomical site of infection through Latin terminology such as capitis (head) corporis (body) and pedis (foot). While generally thought of as an outpatient condition, many patients who present to the hospital have concomitant fungal infections that if left untreated or treated inappropriately, can become severe and complicate the overall management of hospitalized patients. 1 They represent a persistent problem across healthcare settings owing to various fungal pathogens and sites of infection. A variety of topical treatments are available, including allylamines, azoles, and polyenes.įungal infections of the epidermis are common worldwide and are estimated to affect 10% to 20% of the world’s population. As the severity of the condition increases, the patient can become more susceptible to other infections. Improper treatment can lead to disease progression. While unlikely to be the cause of a patient’s hospital visit, the infection should address be addressed by healthcare providers either by initiating treatment or continuing it as outpatient therapy. If the affected part of the nail fails to grow out but spreads towards the nail wall, application can be repeated and prolonged if necessary.ABSTRACT: The prevalence of dermatophytes and topical candidal infections is high worldwide. The effectiveness can only be assessed after a lengthy period because the affected part of the nail must grow out (approx. Before applying the gel, remove as much of the affected nail tissue as possible and roughen with a file. In cases of severe infection: use 2 x daily (can also be used 2 x in succession) for several days. If necessary, repeat light treatment without applying any more gel. Then treat with light using the PACT ® MED for 9.5 minutes at a distance of approx. Also rub under the nail fold and nail wall. Rub well into the tip of the nail, and especially under the nail. The gel must cover the entire nail and be allowed to act for approx. That is why photodynamic antimicrobial therapy is a good way of combating the infection with a single treatment or one week of treatment.Īpply blue dye to the affected nail generously. Stimulation is performed using the specially developed PACT ® MED device, because light intensity, wavelength and light treatment time must be exactly matched to the dye gel in order to be effective.įungi are less sensitive than bacteria so the reduction of fungus in highly inaccessible nail keratin makes treatment difficult. It is selectively stimulated with light at a wavelength of 630 nm so it kills off fungi by forming singlet oxygen, without harming the skin. Blue dye is toluidine blue, a special non-toxic dye (phenothiazine). During light treatment the nail should always be covered with gel. The more severe the infection, the more frequently treatment can and should be performed. With a light treatment time of a few minutes it is also possible to combat nail fungus. How does PACT ® nail fungus treatment work?ĭue to a special dye (photosensitiser) microorganisms become sensitive to light at a certain wavelength and die off within a short space of time. He or she can conduct a microscopic or microbiological examination. If the infection is severe or the diagnosis is not definite, please make sure you contact a doctor before using PACT ®. Nail psoriasis and nail fungus in particular are easily mistaken because both diseases can typically have yellow, brown or grey nail discolourations. psoriasis or infections that may have similar symptoms. Not every nail change is a case of onychomycosis. For exact identification of the species of fungus it is necessary to make a culture. That makes the fungus visible and a diagnosis can be made immediately. In cases of doubt, scrapings are taken from the nail affected and examined directly under a microscope. The symptoms of nail fungus infection are characteristic and visual diagnosis is usually sufficient. PACT ® nail fungus treatment can only be performed with the LED lamp PACT ® MED and other light sources, especially red light, must not be used with blue dye because other light sources do not normally bring about any fungus reduction. PACT ® nail fungus therapy – for effective treatmentīlue dye (Toulidine Blue) was specially developed for application to toenails and fingernails and it only works in combination with exposure to light from a PACT ® MED light device.
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