Тырнақ төңірегінің қабынуы

the nail disease

Paronychia is an inflammation of the skin around the nail, which can occur suddenly, when it is usually due to the bacterium Staphylococcus aureus, or gradually when it is commonly caused by the fungus Candida albicans. The term is from παρωνυχία from para 'around', onyx 'nail', and the abstract noun suffix ia. Risk factors include repeatedly washing hands and trauma to the cuticle such as may occur from repeated nail biting

Paronychia aka "swollen nail" may be divided as occurring suddenly, acute, or gradually, chronic.

Acute paronychia is an infection of the folds of tissue surrounding the nail of a finger or, less commonly, a toe, lasting less than six weeks. Acute paronychia is usually caused by direct or indirect trauma to the cuticle or nail fold, and may be from relatively minor events, such as dishwashing, an injury from a splinter or thorn, nail biting, biting or picking at a hangnail, finger sucking, an ingrown nail, or manicure procedures.

No strong evidence has been found to recommend topical vs. oral antibiotics, and this may be physician dependent based on experience. Antibiotics used should have S. aureus coverage. Topical antibiotics used may be a triple antibiotic ointment, bacitracin, or mupirocin. In patients failing topical treatment or more severe cases, oral antibiotics are an option; dicloxacillin or cephalexin can be used. Indications for antibiotics with anaerobic coverage include patients where a concern exists for oral inoculation; this would require the addition of clindamycin or amoxicillin clavulanate.