Paronychia

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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. 

Clinical presentation 

• Painful nail
• Redness
• Swelling

Pharmacological Treatment  Acute Paronychia 

B: amoxicillin with clavulanic acid (PO) 625mg 8hourly for 14days

AND 

C: mupirocin cream (topical) 12hourly for 14days 

OR 

S: clindamycin (PO) 300mg 12hourly for 14days 

Chronic Paronychia (commonly due to fungal infection) 

A: clotrimazole cream (topical) 1%, apply 12hourly for 14days 

AND 

A: fluconazole (PO) 200mg 24hourly for 14days 

OR 

D: itraconazole tablets (PO) 200mg 24hourly for 14days 

Note: For acute paronychia, incision and drainage may be needed