Nonpharmacologic Therapy

• Since fungi thrive in warm, moist environments, the practitioner should encourage patients to wear loose-fitting clothing and socks, preferably garments made of cotton or other fabrics that wick moisture away from the body. Avoid clothing made with synthetic fibers or wool.

• Clean the infected area daily with soap and water.

• The infected area should be dried completely prior to dressing, paying particular attention to skin folds.

• To allow circulation of air, the infected area should not be bandaged.

• For foot infections, cotton socks are recommended, although these should be changed two to three times a day to reduce moisture.

• To prevent spreading of the infection towels, clothing, and footwear should not be shared with other persons.

• Wear protective footwear in public showers and pool areas.

Table 83-6 Available Topical Antifungal Agents

Medication

Rx/ÜTC

CreamfOl

Bui engine

IK

X

Ckbdm

to

ï

Clotrimazol?

OTC

X

Coonuck

to

x

Hakipcgm

to

X

IfetOtCfiMuk:

RjtAJÎC

X

Mkonaralc

OTC

X

NS'UItc

RK

X

Nystatin

to

X

OïictnJiote

to

X

Vir.vonavok1

to

X

SufcOfiMöte

to

X

Tpfbinadfi?

OTC

X

T^rmrtiMr?

OTC

Iprüyi'Silirtlon

L .y^ijft otJ ftarnpt x

Shampoo x

Table 83-7 Dosing of Systemic Therapy for Tinea Infections

Medication

Adult Dosing

Pediatric Dosing

Fluconazole

150 mg/week

6 mg/kg/week

Giiseofulvln

0,5-1 g/day

10-25 mg/kg/day

itraconazole

200 mg twice daily

Not studied

Ketocona/ole

200-400 mg/day

3.3-6.6 mg/kg/day

ferbinafirie

250 mg/day

Less til an 20 kg:

675-125 mg/day

20-40 kg: 125-200

mg/day

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