眼球菌的治疗选择:有效性,副作用,坚持,财务考虑和道德
Faraz Yousefian1, Ciaran Smythe1, Haowei Han1
1Drs. Yousefian, Smythe, Han and Nestor are with the Center for Clinical and Cosmetic Research in Aventura, Florida.
The Journal of clinical and aesthetic dermatology
|March 18, 2024
概括
由于指甲生长缓慢和复发率很高,尾虫症的治疗是复杂的. 本综述审查了各种治疗方案,包括局部,口服和激光治疗,以指导医疗保健提供者选择有效的以患者为中心的疗法.
科学领域:
- 皮肤病学 皮肤病学
- 菌类学 菌类学是指菌类学.
- 传染性疾病 传染性疾病
背景情况:
- 常见的指甲真菌感染 (Onychomycosis) 是一个重要的全球卫生挑战.
- 虽然通常是良性的,但它可以导致糖尿病或血管疾病患者的严重并发症.
- 指甲生长缓慢需要长时间的治疗,因此治疗选择至关重要.
研究的目的:
- 综合审查当前和新兴的治疗选择.
- 根据疗效,安全性,实用性和成本来评估治疗方法.
- 帮助医疗保健提供者在道德上做出合理的,基于证据的治疗决定.
主要方法:
- 在主要的电子数据库 (PubMed,Embase,Medline,CINAHL,EBSCO) 和教科书中进行广泛的文献搜索.
- 包括作者和从业者的临床经验.
- 综合发现,提供治疗方式的总结.
主要成果:
- 目前FDA批准的治疗方法包括局部 (埃菲纳可纳,塔瓦博罗尔,西克洛皮洛克斯),口服 (特尔比纳,伊特拉可纳) 和激光疗法.
- 新兴的选择包括新的局部/口服药物,组合疗法,光动力疗法,手术干预,补充剂,OTC药物和血疗法.
- 有广泛的治疗模式,可用于单一治疗或组合治疗.
结论:
- 眼球肌病治疗是具有挑战性的,因为高复发率.
- 治疗选择需要仔细考虑个体患者的需求,坚持,成本和生活质量.
- 基于道德和证据的决策对于成功治疗形菌根是至关重要的.
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