Original Article Onychomycosis in the elderly. A 2-year retrospective study of 138 cases Onicomicosis en adultos mayores. Estudio retrospectivo de 138 casos en 2 años
As life expectancy increases worldwide, so does the incidence of age-related pathologies, among them onychomycosis (OM). This fungal infection of the nails may represent a potential risk of complications among elderly due to the presence of concomitant diseases that can complicate their treatment.
To determine the frequency of onychomycosis among elderly patients over a period of 2 years at the General Hospital of Mexico “Dr Eduardo Liceaga”.
Nail Fungus Toes Elderly Woman's Feet Close White Background Old Stock Photo By ©kinderkz 356180134
A total of 138 patients were diagnosed with onychomycosis. Of these, 43 (31.2%) reported no concomitant diseases. The most common comorbidities in the remaining patients was arterial hypertension in 50 patients (36.2%) and diabetes mellitus in 49 (35.5%); the most common clinical type of OM was total dystrophic (87 patients, 63%), with involvement of the hallux of both feet (48 patients, 34.8%). The average evolution was 12 years; 60 patients (42.3%) denied previous treatments, and 32 (22.5%) used OTC medicines. In 125 patients (90.6%), filaments, yeasts or arthroconidia were observed. On culture examination,
Approximately 9 out of 10 nail disorders in the elderly were onychomycosis; many of these patients may present with comorbidities such as hypertension or diabetes mellitus, which often complicate treatment outcomes, affecting quality of life. Elderly patients should receive adequate health education and monitoring. This will improve their quality of life.
La perspectiva de aumento en el tiempo de vida del ser humano en la actualidad permite que diversas enfermedades aumenten su frecuencia, de éstas las alteraciones en la lámina ungueal, principalmente las onicomicosis pueden representar un riesgo en los adultos mayores debido a las patologÃas concomitantes que pueden complicar su tratamiento.
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Presentar un panorama actual de onicomicosis en pacientes adultos mayores de los casos atendidos en un periodo de 2 años en el Hospital General de México “Dr. Eduardo Liceaga”, durante la realización de las “Ferias de la salud”.
Del total de pacientes adultos mayores revisados, en 138 se comprobó el diagnóstico de onicomicosis, de los cuales 43 (31.2%) no refirieron ninguna otra enfermedad y las principales comorbilidades presentes en los demás fueron hipertensión arterial 50 (36.2%) y diabetes mellitus 49 (35.5%), la variedad clÃnica más frecuente fue la onicomicosis distrófica total 87 (63%), con afección de la primera uña de ambos pies 48 (34.8%), el promedio de evolución fue de 12 años; respecto a los tratamientos utilizados la mayorÃa 60 (42.3%), negaba haber utilizado alguno, y en menor proporción se referÃa el uso de productos de venta libre 32 (22.5%). En los resultados de los estudios micológicos 125 (90.6%) se observaron filamentos, levaduras o artroconidios, los hongos identificados fueron levaduras de
Aproximadamente, 9/10 alteraciones ungueales en el adulto mayor son onicomicosis, muchos de éstos pueden presentar comorbilidades como hipertensión arterial o bien diabetes mellitus, lo cual dificulta el manejo terapéutico, el deterioro en la calidad de vida y el vivir más años suelen estar acompañados, es necesario educar a la población y una vigilancia médica más estricta, ello mejorará la calidad de vida de nuestra población en edades avanzadas.Elder Care: Recognizing dangers that may not be tied to other medical illnesses or long-term difficulties is critical when creating an aged care strategy for your old parents.
Toe Nail Fungus Images, Stock Photos & Vectors
Keeping a close eye on your loved ones as they become older may help you catch issues before they get out of hand, allowing you to get them the medical care and treatment they need. If you don’t have an elder care plan it is time to think about hiring a caregiver who can help create a plan to take care of your parents.
There are so many things to watch for when you’re looking after your aging parents and it can be a full-time job ensuring the safety of your parents.
Caregivers will create an elder care plan that ensures the safety of your parents and they can help be on the lookout for things you may not even think to look for. Hygiene habits change as a senior’s age progresses and this can lead to toenail fungus or even fingernail fungus. It’s important to have someone at home helping your senior with things like this.
Explainer: Why Do We Get Fungal Nail Infections And How Can We Treat Them?
Making toenail fungus a part of your senior care plan will help protect your elderly loved ones from major discomfort, suffering, and a spread of the infection that can have a negative influence on their general health. This form of illness may have a detrimental effect on your parents’ emotional health because of how unsightly it is and how easily it spreads to their fingers.
Toenail fungus spreads quickly, which is one of the main worries. The infection may spread to other parts of the body if infected parts of the nail or skin come into contact with other parts of the body. A weakened immune system or illnesses like diabetes and poor circulation might make maintenance more challenging for the elderly. Here are some symptoms of toenail fungus.
There are ways to protect your elderly parents from getting fungus but you may not be able to do it alone. It will be important to have the right help to take care of your parents.
How To Stamp Out Toenail And Foot Fungus
Once the fungus has spread a senior may need to go to a doctor for medical treatment. However, sanitization will help prevent it from happening altogether. Here are some ways to prevent fungus from happening.
If you bring your elderly parents in for a professional foot treatment, make sure to utilize only sterilized pedicure materials and pay attention to the sanitary procedures of the tools.
Make sure you use special toenail cutters if you discover your elderly parents’ toenails have been infected with a fungal infection. Once you’re done, be sure to thoroughly disinfect your clippers.
Nail Fungus Infection, Causes And How To Get Rid Of Nail Fungus Infection
Encourage your parents to wear water shoes when they travel to locations where they may come into touch with fungi, such as public pools or the gym showers. After each visit, make certain they thoroughly wash their feet.
If you or an aging loved-one are considering hiring Elder Care in Winchester City, VA , please contact the caring staff at Home Care. Call Us Today at (703) 634-9991.
Is a Medicare certified agency based in Manassas, VA. Since 2003 we have been committed to providing the best home health care available. Our company was started by a registered nurse who still owns and operates the company today. Julie McCormick and Brendan McCormick are co-owners and founders of Home Health Services. Between the two of them comes over 35 years of home health care experience. Julie is a Registered Nurse with extensive experience in Emergency Medicine, Cardiac Critical Care, Oncology & Infusion Services.Toenail fungus is a fungal infection of the nails of your toes. Known as onychomycosis, an infection may begin as a whitish or yellowish spot under the tip of your toenail. As the fungal infection spreads, it may cause your nail to discolor, thicken, and start to crumble at the edges - a potentially painful and unsightly problem.
Toenail Fungus & Warts
Elderly patient with toenail fungus A toenail fungal infection is not due to poor hygiene - it occurs when fungus enters the nail through a small cut or break in the toenail. Fungi, microscopic organisms which thrive in dark, damp places like gym showers and locker rooms, multiply quickly inside socks and shoes which are damp most of the day. Since toenails have less blood flow than the rest of your body, fighting a fungal infection becomes difficult.
Elderly patients are particularly at risk for fungal infections of toenails, due to their diminished blood circulation and the slower growth of their nails. Infections are also more likely to occur in men than women, especially those with a family history of toenail infection.
Onychomycosis can become quite painful and cause permanent damage to your nails. If you have a suppressed or weakened immune system(leukemia, AIDS, organ transplant recipients), a fungal infection of your toenails can lead to other, more serious infections which may spread beyond your toes.
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Diabetic patients are also at high risk, as blood circulation and the nerves in their feet may be impaired due to diabetic peripheral neuropathy, making healing difficult. Diabetics also may contract
, a potentially serious bacterial skin infection. Learn what to look for on our page about foot and ankle healthcare for diabetics.
You can avoid getting toenail fungus infections by always wearing flip-flops or sandals in warm, damp, public areas like gym locker rooms, public showers, and swimming pools; keeping the inside of your shoes dry and wearing clean socks every day; drying your feet thoroughly after bathing; wearing socks made from materials like cotton or wool that absorb moisture from your feet; wearing shoes made from natural materials which allow air and moisture exchange; and using antifungal powder daily.
Toenail Fungus Symptoms & Fungal Infection Treatment
A toenail fungal infection will not clear up on its own and must be treated with medications or by laser removal of the fungus. As soon as you see the first signs of a toenail fungus infection (tiny white or yellow spot under the nail), seek treatment from a podiatrist.
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