Are Antifungal Nail Polish Bottles a Reservoir for Contamination in Patients Treating Onychomycosis?

IF 1.4 Q3 DERMATOLOGY
John Verrinder Veasey, Cristine Zampieri Braga, Gustavo de Sá Menezes Carvalho, Guilherme Camargo Julio Valinoto
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Abstract

Introduction: Onychomycosis presents significant therapeutic challenges, with high recurrence rates and the need for prolonged treatment adherence. While previous studies have explored the contamination risks of cosmetic nail polishes, little is known about the microbiological safety of antifungal nail polishes used in onychomycosis treatment.

Methods: This study investigated potential contamination in antifungal nail polish bottles containing ciclopirox olamine 8% (CO) and amorolfine 5% (AM) used by patients diagnosed with onychomycosis confirmed by mycological exams. After treatment, applicators were analyzed using Sabouraud and Mycosel® culture media.

Results: Of the 67 randomly selected nails treated, 100% showed positive direct mycological examination, and 49% had fungal growth in culture. However, none of the 67 applicators (49 CO and 18 AM) exhibited fungal growth.

Conclusion: The study findings suggest that antifungal nail polishes do not act as contamination reservoirs, likely due to their inherent antifungal properties. Nonetheless, patients should be educated on proper hygiene to minimize cross-contamination risks.

抗真菌指甲油瓶是治疗甲真菌病患者的污染源吗?
简介:甲真菌病呈现显著的治疗挑战,具有高复发率和需要长时间的治疗依从性。虽然以前的研究已经探讨了化妆品指甲油的污染风险,但人们对用于治疗甲真菌病的抗真菌指甲油的微生物安全性知之甚少。方法:对经真菌学检查确诊为甲真菌病的患者使用的含环匹罗胺8% (CO)和阿莫罗芬5% (AM)的抗真菌指甲油瓶进行潜在污染调查。处理后,使用Sabouraud和Mycosel®培养基对涂抹器进行分析。结果:67个随机选择的指甲,100%的直接真菌学检查阳性,49%的培养真菌生长。然而,67个施用者(49个CO和18个AM)均未显示真菌生长。结论:研究结果表明,抗真菌指甲油不作为污染水库,可能是由于其固有的抗真菌特性。尽管如此,患者应接受适当的卫生教育,以尽量减少交叉污染的风险。
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来源期刊
CiteScore
2.00
自引率
10.00%
发文量
69
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