Fungal Infection of Nails

33. (2003)

Fungal infection of nails is called onychomycosis. This highly contagious condition can cause discomfort and loss of dexterity. People often do not seek treatment as they have not recognised the problem or because it can be present without causing pain. It is still important to seek treatment because as the infection progresses the symptoms can become debilitating.

It can be recognised by:

• colour changes in the nail (yellow, white or brown),
• nail thickening
• nail becoming brittle
• deformity of the nail

Other diseases can also cause these symptoms so it is important to get the nail checked by your doctor to ensure correct diagnosis and treatment.

Be aware that the infection is easily transferred to others through clothing, shoes, carpet (where it can live for up to 2 years), and the floor of the gym or pool. It is particularly important for those suffering from diabetes to be aware of fungal nail infection as it can lead to serious conditions in diabetics.

Nail Health Tips

• Wash your feet daily with soap and water.
• Remember to dry your feet thoroughly after washing.
• Properly fitted shoes are essential. A shoe with a firm sole and soft upper, which allows room for movement of the toes, is best for daily activities.
• Shower shoes should be worn when possible, in public areas (gyms and pools etc).
• Shoes, socks, or hosiery should be changed daily, or more frequently if they become wet from working in damp / humid conditions.
• Toenails should be clipped straight across (leaving some nail for protection) so that the nail does not extend beyond the tip of the toe.
• Use a quality foot powder -- talcum -- in conjunction with shoes that fit well and are made of materials that breathe.
• Avoid wearing excessively tight hosiery, which promotes moisture.
• Always wear gloves when gardening.
• Encourage family and friends to seek treatment if affected, before the infection is passed on to others.

References

1. American Podiatric Medical Association: http://www.apma.org/topics/fungal.htm
2. Fungal Nail Infection and its Consequences (video), Novartis Pharmaceuticals Australia Pty Ltd.

For further information contact:
OHS Officer, e-mail: OHS.Officer@anu.edu.au