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Oral antibiotics are rarely necessary, helpful [4] or recommended by all practitioners. [3] Moderate cases of green nail syndrome may be prescribed topical antibiotics (silver sulfadiazine, gentamicin, ciprofloxacin, bacitracin and polymyxin B). [16] Oral antibiotics are sometimes used if other therapies fail. [16] Tobramycin eye drops are ...
[1] [2] It contains the three antibiotics neomycin, polymyxin B, and bacitracin. [1] It is for topical use. [3] [4] Possible side effects include itchiness and skin rash, [5] and in rare cases hearing loss. [5] It is relatively broad spectrum, being effective against both Gram-negative and Gram-positive bacteria. [2]
Acute paronychia is usually caused by bacteria. It is often treated with antibiotics, either topical (applied to the skin) or oral (taken by mouth), or both.Chronic paronychia is most often caused by a yeast infection of the soft tissues around the nail but can also be traced to a bacterial infection.
Combination creams are best avoided to improve treatment outcomes, reduce the possibility of skin atrophy associated with prolonged topical glucocorticoid use, and limit the cost of treatment. It can be effective in treating chronic paronychia. The preferred treatment of tinea infections is therefore clotrimazole monotherapy. [11]
Bacitracin is a narrow-spectrum antibiotic. It targets Gram-positive bacteria, especially those that cause skin infections. The following represents susceptibility data for a few medically significant microorganisms. [9] Staphylococcus aureus – ≤0.03 μg/mL – 700 μg/mL; Staphylococcus epidermidis – 0.25 μg/mL – >16 μg/mL
A systematic review examined the benefits and clinical efficacy of routine skin care activities, such as washing, bathing, and applying lotions, in acute and long-term care adult settings. The study led to a proposed 2-step program targeting adults with intact or preclinically damaged skin.
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The article says "Paronychia is often treated with antibiotics, sometimes as a cream" -- but later it says, "Topical antibiotics or anti-bacterial ointments do not effectively treat paronychia." Would someone with medical training please resolve this contradiction.