Medical and Surgical Management

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Medical & Surgical Management for Fungal Infection
The most effective treatment plan for fungal infections uses a multifaceted approach. The first step in treatment is prevention. Prevention measures include maintaining good oral, groin and skin hygiene. It is important not to share towels, underwear and other personal items with other people. Prevention also includes using antibiotics only when truly needed, which can help minimize fungal infections that result from antibiotic use. A treatment plan may also include medications, including prescription topical or oral antifungal medications, such as fluconazole. Treatment of fungal infections also includes diagnosing any underlying diseases that may increase the risk for the infection. These include HIV/AIDS and diabetes. Treating the high blood sugar levels of diabetes may resolve a current infection and is the key to minimize the risk of developing recurrent infections of fungal infections.

Treatment List for Fungal infections:
The list of treatments mentioned in various sources for fungal infections includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
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Topical therapy - Used to treat tinea and localized mucocutaneous candidiasis. Not usually successful for infections involving the nail and hair. Topical agents include: o Azoles (Clotrimazole, miconazole, ketaconazole, econazole) o Terbinafine o Tolnaftate o Nystatin Other agents used to treat topical infection include benzoic acid with salicylic acid (Whitfield's ointment) and crystal violet but these tend to be less effective Drying/antibacterial agents such as Condys crystals may be used in severe interdigital infection Combination therapy with topical steroids may be useful to settle initial inflammation Predisposing factors should be sought and addressed - obesity, diabetes, antibiotics, immunosuppressive agents including steroids, neutropenia and immunodeficiency. Systemic agents include o Griseofulvin o Itraconazole o Terbinafine o Fluconazole o Amphotericin o Nystatin

Drugs and Medications used to treat fungal infections:
Note: Always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.

Medications used in the treatment of fungal infections include:
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Amphotericin B lipid complex Abelcet Amphotericin B Liposomal - mainly used in neutropenic patients AmBisome - mainly used in neutropenic patients Voriconazole - Serious fungal infections VFEND - Serious fungal infections

Unlabelled alternative drug treatments for fungal infections include:
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Flucytosine 5-Fluorocytosine 5-FC Ancobon Ancotil Novo-triphyl

Latest treatments for fungal infections:
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Surgical debridement - Surgical debridement is the removal of devitalized tissue by a physician using a scalpel, scissors or other sharp instrument. Surgical debridement remains the standard of care for removal of necrotic tissue. Physicians use surgical debridement when the tissue removal needs are extensive, or when the patient has a serious infection associated with the wound. Anti-fungals Cephalexin Dicloxacillin Amoxicillin-clavulanate Clindamycin Erythromycin Topical steroids Antistaphylococcal treatment

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