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245	0	2	_aA cross-sectional study of the clinical profile and management of patients with paronychia : _ba five-year retrospective study / _cMarie Eleanore O. Nicolas, Maria Christina R. Batac
520	3		_aResearch Question: What is the clinical profile of patients diagnosed with acute and chronic paronychia? Do patients with acute paronychia differ from those with chronic paronychia according to sociodemographic factors, medical illnesses, history of repeated exposure to water and mechanical trauma? Background: Paronychia is a superficial inflammation of the nail folds causing marked pain and discomfort. There are two basic types - acute and chronic. Although, a common cause of hand infection, it is a preventable dermatological problem as well. To date, epidemiological studies on acute and chronic paronychia in the Philippines does not exist. General Study Design: Cross-sectional, retrospective study Participants: All patients who consulted at the Section of Dermatology, Out-Patient Department of the Philippine General Hospital between January 1999 to December 2003 in whom paronychia was diagnosed was included in the study. Chart review was done. Outcome measures: The clinical profile of the patients diagnosed with acute and chronic paronychia was described. The patients with acute and chronic paronychia were compared according to sociodemographic factors, medical illnesses, history of repeated exposure to water and mechanical trauma. Consultation behavior and management were described. Analysis: Qualitative variables were described in frequencies and percentage. The mean and standard deviation of quantitative variables were computed. The comparison of acute and chronic paronychia patients according to the distribution of relevant factors was determined using the Chi-square test and the Fisher exact test. Results: Hospital records show a total of 252 patients were diagnosed with paronychia (0.46 percent of new dermatological cases). A total of 193 (77 percent) charts were retrieved and included in the study. Acute paronychia commonly affected younger patients than chronic paronychia (36.71 +/- 23.51 vs 42.38 +/- 16.68, p=0.08). The female to male ratio is 3:1. Patients with acute paronychia did not differ from those with chronic paronychia according to sociodemographic factors, concomitant medical conditions or presence of localized skin lesions. The duration of illness was four months for acute and three years for chronic paronychia. History of nail manipulation was significantly more frequent among those with acute paronychia (p-value = 0.001). The most common digits involved were the same for both acute and chronic paronychia, namely the 1st and 3rd digits of the right hand and both toes. Medical management of patients varied among dermatologists within the institution (from monotherapy to combination therapy, and use of antibacterials, antifungals or steroids). Majority of the patients with acute paronychia were treated with various oral antibacterials (77.9 percent) while those with chronic paronychia were given oral antifungals (46.6 percent). Notably, acute paronychia patients complied better with follow-up schedules. Conclusions: Among the factors investigated, only trauma or nail manipulation was found to be significantly more frequent among patients with acute paronychia compared to those with chronic paronychia. A standardized form for charting acute and chronic paronychia patients, formulation of evidence-based treatment guidelines, and public education on paronychia are hereby recommended.
580			_aIn: Acta Medica Philippina, 2006 vol. 40 (2) pages: 33-38
650		2	_aParonychia
650		2	_aRetrospective Studies
650		2	_aCross-Sectional Studies
700	1		_aBatac, Maria Christina R.
700	1		_aNicolas, Marie Eleanore O.
942			_cJA
999			_c2818 _d2818