Microbiological analysis of acute infections of the nail fold on the basis of bait thread test

Hanna Tomczak; Aleksandra Dańczak-Pazdrowska; Adriana Polańska; Agnieszka Osmola-Mańkowska; Jakub Pazdrowski; Wioleta Błażejewska-Gąsior; Anna Horla; Marta Hasse-Cieślińska; Zygmunt Adamski

doi:10.5114/ada.2017.67072

eISSN: 2299-0046
ISSN: 1642-395X

Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii

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2/2017
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abstract:

Original paper

Microbiological analysis of acute infections of the nail fold on the basis of bait thread test

Hanna Tomczak

,

Aleksandra Dańczak-Pazdrowska

,

Adriana Polańska

,

Agnieszka Osmola-Mańkowska

,

Jakub Pazdrowski

,

Wioleta Błażejewska-Gąsior

,

Anna Horla

,

Marta Hasse-Cieślińska

,

Zygmunt Adamski

Adv Dermatol Allergol 2017; XXXIV (2): 110-115

DOI: https://doi.org/10.5114/ada.2017.67072

Online publish date: 2017/04/13

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AMA

Tomczak H, Dańczak-Pazdrowska A, Polańska A, et al. Microbiological analysis of acute infections of the nail fold on the basis of bait thread test. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii. 2017;34(2):110-115. doi:10.5114/ada.2017.67072.

APA

Tomczak, H., Dańczak-Pazdrowska, A., Polańska, A., Osmola-Mańkowska, A., Pazdrowski, J.,  & Błażejewska-Gąsior, W. et al. (2017). Microbiological analysis of acute infections of the nail fold on the basis of bait thread test. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, 34(2), 110-115. https://doi.org/10.5114/ada.2017.67072

Chicago

Tomczak, Hanna, Aleksandra Dańczak-Pazdrowska, Adriana Polańska, Agnieszka Osmola-Mańkowska, Jakub Pazdrowski, Wioleta Błażejewska-Gąsior,  and Anna Horla et al. 2017. "Microbiological analysis of acute infections of the nail fold on the basis of bait thread test". Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii 34 (2): 110-115. doi:10.5114/ada.2017.67072.

Harvard

Tomczak, H., Dańczak-Pazdrowska, A., Polańska, A., Osmola-Mańkowska, A., Pazdrowski, J., Błażejewska-Gąsior, W., Horla, A., Hasse-Cieślińska, M.,  and Adamski, Z. (2017). Microbiological analysis of acute infections of the nail fold on the basis of bait thread test. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, 34(2), pp.110-115. https://doi.org/10.5114/ada.2017.67072

MLA

Tomczak, Hanna et al. "Microbiological analysis of acute infections of the nail fold on the basis of bait thread test." Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, vol. 34, no. 2, 2017, pp. 110-115. doi:10.5114/ada.2017.67072.

Vancouver

Tomczak H, Dańczak-Pazdrowska A, Polańska A, Osmola-Mańkowska A, Pazdrowski J, Błażejewska-Gąsior W et al. Microbiological analysis of acute infections of the nail fold on the basis of bait thread test. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii. 2017;34(2):110-115. doi:10.5114/ada.2017.67072.

Introduction: An acute infection of the nail fold, called paronychia, is a common clinical problem. The basis for the implementation of the treatment is the result of microbiological examination. Due to the rapid and painful course of infection, usually an empirical antimicrobial treatment prior to obtaining microbiological test results is introduced.

Aim: The microbial analysis of acute infections of the nail fold.

Material and methods: The study included 32 tests conducted on 31 patients of the Department of Dermatology. Microbiological analysis was performed with the use of the so-called bait thread test.

Results: In 73% of analyzed cases microbiological examination revealed mixed microbiological flora. Most cultured microorganisms were: Enterococcus faecalis (14%), Staphylococcus aureus (12%), Candida albicans (9%), Enterobacter cloacae (8%), and Klebsiella pneumoniae (7%). Most cultured bacteria belonged to the families or genera of Enterobacteriaceae (36%), other cultured bacteria were staphylococci (26%), enterococci (16%), Candida species (14%), and Gram-negative non-fermenting bacilli (8%).

Conclusions: The acute infection of the nail fold in the vast majority of cases is caused by mixed bacterial flora. A profile of isolated microorganisms suggests that the cause of the infection can be associated with neglect of hygiene. Fluoroquinolone and fusidic acid are recommended as the empirical therapy. Microbiological examination is the basis for the appropriate final treatment.

keywords:

Microbiological analysis of acute infections of the nail fold on the basis of bait thread test

Hanna Tomczak , Aleksandra Dańczak-Pazdrowska , Adriana Polańska , Agnieszka Osmola-Mańkowska , Jakub Pazdrowski , Wioleta Błażejewska-Gąsior , Anna Horla , Marta Hasse-Cieślińska , Zygmunt Adamski

paronychia, nail fold, infection, Enterobacteriaceae, staphylococci, bait thread test

Hanna Tomczak

,

Aleksandra Dańczak-Pazdrowska

,

Adriana Polańska

,

Agnieszka Osmola-Mańkowska

,

Jakub Pazdrowski

,

Wioleta Błażejewska-Gąsior

,

Anna Horla

,

Marta Hasse-Cieślińska

,

Zygmunt Adamski