Tinea corporis (Ring worm of the body) and Tine Capitis : What It Is / Treatment, And Nursing Management
They are known to cause an intense inflammatory reaction in humans because they are not normally adapted to living on human hosts.
a) Mode of transmission
Through contact with patient or through contact with object, the patient has used that.
b) Clinical manifestation
Typical annular ringed lesion is produced with an advancing scaly border and central clearing or scaly patches with well defined margin.It are associated with purities.
c) Management and Nursing intervention
-Topical antifungal medication may be applied to small areas of lesion
-Griseofulvin is used in extensive cases but has side effect include photo sensitivity, skin rashes, headache & nausea.
-In those patient who have resistance to griseofulvin, ketoconazole,an antifungal agent shows real promise in patient with chronic fungal (dertmatophyte) infection,
-Give education to use clean towel & washcloth daily.
-All area and skin folds that retain moist must be dried thoroughly; fungal infections are fostered by heat & moisture. The patient has to wear clean cotton cloth next to the skin.
Tinea capitis (Ringworm of the scalp)
Ringworm of the scalp is a contagious fungal infection of the hair shafts and common cause of hair loss in children.
a) Mode of transmission
Making contact with an infected person’s, such as using of hat, comb and brush of diseased person
b) Clinical manifestation
-Clinically, one or several round patches of redness and scaling are present on scalp
-Small pustules or papules may be seen at the edges of such patches.
-As the hair in the affected areas are invaded by the fungi, the fungi become brittle and often break off at or near the surface of the scalp, resulting in patchy loss of hair. Most cases of tinea capitis heal without scarring, so the hair loss is temporary.
-It could be complicated by secondary bacterial infection
c) Management and nursing intervention
1. Griseofulvin and other anti fungal agents are administered systemically according to the prescription. Advice to take griseofulvin after meal since it is lipid soluble antifungal
2. The hair should be shampooed two or three times weekly with antifungal shampoo.
3. Topical antifungal preparation should be applied preferably white field ointment.
- Patient and family should be advised to set up a hygienic regimen for home use
- Family member should have a separate comb & brush
- All infected members of the family & household must examined and treated.
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