S1 Guideline onychomycosis

被引：16

作者：

Nenoff, Pietro ^{[1
]}

Reinel, Dieter

Mayser, Peter

Abeck, Dietrich ^{[2
]}

Bezold, Guntram ^{[3
]}

Bosshard, Philipp P. ^{[4
]}

Brasch, Jochen ^{[5
]}

Daeschlein, Georg ^{[6
]}

Effendy, Isaak ^{[7
]}

Ginter-Hanselmayer, Gabriele ^{[8
]}

Graeser, Yvonne ^{[9
]}

Hamm, Gudrun ^{[10
]}

Hengge, Ulrich ^{[11
]}

Hipler, Uta-Christina ^{[12
]}

Hoeger, Peter ^{[13
]}

Kargl, Alexandra ^{[14
]}

Kolb-Maeurer, Annette ^{[15
]}

Krueger, Constanze ^{[1
]}

Malisiewicz, Bartosz ^{[16
]}

Mayer, Johannes ^{[17
]}

Ott, Hagen ^{[18
]}

Paasch, Uwe ^{[19
]}

Schaller, Martin ^{[20
]}

Uhrlass, Silke ^{[1
]}

Zidane, Miriam ^{[21
,22
,23
]}

机构：

[1] Labopart Med Labs, Lab Leipzig Molbis, Rotha Ot Molbis, Germany

[2] Nymphenburg Skin Ctr, Munich, Germany

[3] Neu Ulm Dermatol Practice, Neu Ulm, Germany

[4] Univ Zurich, Univ Hosp Zurich, Dept Dermatol, Zurich, Switzerland

[5] Schleswig Holstein Univ Hosp, Dept Dermatol Venerol & Allergol, Kiel Campus, Kiel, Germany

[6] Dessau City Hosp, Skin Clin, Dessau, Germany

[7] Univ Bielefeld, Dept Dermatol Venereol & Allergol, Univ Hosp OWL, Campus Bielefeld, Bielefeld, Germany

[8] Graz Med Univ, Univ Dept Dermatol & Venereol, Graz, Austria

[9] Charite Univ Med Berlin, Inst Microbiol & Infect Immunol, Natl Consultant Lab Dermatophytes, Berlin, Germany

[10] Gudrun Hamm MD Dermatol Practice, Halle, Saale, Germany

[11] Skin Ctr Prof Hengge, Dusseldorf, Germany

[12] Jena Univ Hosp, Skin Dis Clin, Jena, Germany

[13] Catholic Childrens Hosp Wilhelmstift, Dept Pediat Dermatol & Allergol, Hamburg, Germany

[14] Dermatologists Gasteig, Munich, Germany

[15] Wurzburg Univ Hosp, Dept Dermatol Venereol & Allergol, Wurzburg, Germany

[16] Frankfurt Univ Hosp, Dept Dermatol Venereol & Allergol, Frankfurt, Germany

[17] Polipraxis AG, Herisau, Switzerland

[18] Childrens & Adolescents Hosp Bult, Dept Dermatol & Allergol, Hannover, Germany

[19] Leipzig Univ Hosp, Dept Dermatol Venereol & Allergol, Leipzig, Germany

[20] Eberhard Karls Univ Tubingen, Tubingen, Germany

[21] Charite Univ Med Berlin, Berlin, Germany

[22] Free Univ Berlin, Berlin, Germany

[23] Humboldt Univ, Dept Dermatol Venereol & Allergol, Div Evidence Based Med, Klin Dermatol Venerol & Allergol, Berlin, Germany

来源：

JOURNAL DER DEUTSCHEN DERMATOLOGISCHEN GESELLSCHAFT | 2023年 / 21卷 / 06期

关键词：

fungal nail infection; nail fungus; Onychomycosis; TRICHOPHYTON-RUBRUM; VENOUS INSUFFICIENCY; NAIL; TERBINAFINE; DIAGNOSIS; AUTOINOCULATION; IDENTIFICATION; DERMATOPHYTES; EPIDEMIOLOGY; POPULATION;

D O I：

10.1111/ddg.14988

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Onychomycosis is a fungal infection of the fingernails and toenails. In Europe, tinea unguium is mainly caused by dermatophytes. The diagnostic workup comprises microscopic examination, culture and/or molecular testing (nail scrapings). Local treatment with antifungal nail polish is recommended for mild or moderate nail infections. In case of moderate to severe onychomycosis, oral treatment is recommended (in the absence of contraindications). Treatment should consist of topical and systemic agents. The aim of this update of the German S1 guideline is to simplify the selection and implementation of appropriate diagnostics and treatment. The guideline was based on current international guidelines and the results of a literature review conducted by the experts of the guideline committee. This multidisciplinary committee consisted of representatives from the German Society of Dermatology (DDG), the German-Speaking Mycological Society (DMykG), the Association of German Dermatologists (BVDD), the German Society for Hygiene and Microbiology (DGHM), the German Society of Pediatric and Adolescent Medicine (DGKJ), the Working Group for Pediatric Dermatology (APD) and the German Society for Pediatric Infectious Diseases (DGPI). The Division of Evidence-based Medicine (dEBM) provided methodological assistance. The guideline was approved by the participating medical societies following a comprehensive internal and external review.

引用

页码：678 / 692

页数：15

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