Paronychia is a suppurative inflammation of the nail fold surrounding the nail plate; may be due to bacteria or fungi, most commonly staphylococci and streptococci. It most commonly occurs in middle-aged women and in the client with diabetes mellitus.
Person who has paronychia will have painful, redness and swelling around the nailbed, and soreness at nailbed. There may be pus-filled blisters, especially with a bacterial infection. Because of paronychia, the nail may look detached, abnormally shaped, or have an unusual color.
There are three types of paronychia :
- Bacterial paronychia that is caused by bacteria.
- Candidal paronychia that is caused by a specific type of yeast.
- Fungal paronychia that is caused by a fungus other than Candida.
Nursing Intervention for paronychia:
- Monitor temperature
- Monitor for infection around the nails
- Monitor for cellulitis in the affected area
- Soaking the nail in hot water 2 or 3 times a day helps reduce inflammation and pain
- Incision and drainage of infected area if prescribed
- Antibiotic and fungicidal ointments as prescribed
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