Onychomycosis Clinical Considerations and Recommendations

Mickey Hart, PharmD Candidate 2015; Lynne Fehrenbacher, PharmD, BCPS-AQ ID


US Pharmacist 

In This Article

Risk Factors and Prevention

Several risk factors are associated with predisposition to onychomycosis, including increasing age, exposure to damp communal areas (e.g., gyms, swimming pools), poor foot hygiene, impaired immune status, diabetes mellitus, poor peripheral circulation, tinea pedis, and nail trauma.[2–4] Patients at risk for onychomycosis should be counseled on appropriate prevention techniques. Footwear should be worn when in damp communal areas, toenails should be kept short and clean, feet should be dried completely immediately after bathing, socks should be made of absorbent material (e.g., cotton) and changed if wet, and symptoms of tinea pedis should be addressed in a timely fashion.[5]