{"id":13124,"date":"2023-10-10T08:01:35","date_gmt":"2023-10-10T08:01:35","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=13124"},"modified":"2023-10-10T08:01:39","modified_gmt":"2023-10-10T08:01:39","slug":"llr-policy-for-fungal-nail-infection","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/llr-policy-for-fungal-nail-infection\/","title":{"rendered":"Politica LLR pentru infec\u021bia fungic\u0103 a unghiilor"},"content":{"rendered":"

<\/p>\n\n\n\n

Categoria<\/strong><\/p>\n\n\n\n

Criterii de prag<\/p>\n\n\n\n

Infec\u021bia fungic\u0103 a unghiilor este o afec\u021biune comun\u0103 \u0219i benign\u0103. Terbinafina trebuie considerat\u0103 ca tratament pentru ciupercile dermatofite (cele care provoac\u0103 piciorul atletului) dup\u0103 confirmarea prin t\u0103ieturi de unghii care trebuie trimise pentru micologie \u00eenainte de \u00eenceperea tratamentului. Tratamentul este de obicei necesar timp de 6 s\u0103pt\u0103m\u00e2ni pentru infec\u021biile unghiilor \u0219i timp de 12-16 s\u0103pt\u0103m\u00e2ni pentru infec\u021biile unghiilor de la picioare.<\/p>\n\n\n\n

\u2022 Tratamentul antifungic oral este necesar pentru copiii cu v\u00e2rsta sub 18 ani.<\/p>\n\n\n\n

Doar aproximativ 50% de infec\u021bii ale unghiilor sunt vindecate \u0219i exist\u0103 un risc mare de recidiv\u0103 \u0219i reinfec\u021bie.<\/p>\n\n\n\n

Onicomicoza poate produce numai simptome cosmetice \u0219i se accept\u0103 c\u0103 \u00een astfel de cazuri tratamentul nu este necesar clinic.<\/p>\n\n\n\n

Acolo unde diagnosticul este incert, Sfaturile \u0219i \u00eendrum\u0103rile pot fi utilizate prin ERS, ceea ce poate evita trimiterea c\u0103tre asisten\u021b\u0103 secundar\u0103.<\/p>\n\n\n\n

Eligibilitate<\/strong><\/p>\n\n\n\n

<\/p>\n\n\n\n

LLR ICB va finan\u021ba trimiterea c\u0103tre Podologie numai \u00een cazul \u00een care unul dintre urm\u0103toarele criterii este \u00eendeplinit<\/strong>
\u00a0<\/strong>
\u00b7 Unghia este traumatizat\u0103 de \u00eenc\u0103l\u021b\u0103mintea persoanei care provoac\u0103 durere sau unghiile deformate provoac\u0103 durere la degetele adiacente.
\u00a0
\u00b7 Persoana are diabet, boal\u0103 vascular\u0103 sau o tulburare a \u021besutului conjunctiv (din cauza unui risc mai mare de infec\u021bii bacteriene secundare \u0219i celulit\u0103).
\u00a0
\u00b7 Persoana este, sau este probabil s\u0103 devin\u0103, imunocompromis\u0103 sever (de exemplu, cu o afec\u021biune malign\u0103 hematologic\u0103 sau tratamentul acesteia).<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

\u00cendrumare<\/strong><\/p>\n\n\n\n

https:\/\/cks.nice.org.uk\/fungal-nail-infection#!scenario<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

<\/p>\n\n\n\n

Data revizuirii ARP 45: 2026<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"

Category Threshold Criteria Fungal nail infection is a common and benign condition. 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