Paronychia

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Infection - skin around the nail

To prevent paronychia, care for the nails and the skin around the nails properly. Avoid damage to the nails or the fingertips. Do not bite, or pick the nails. Because the nails grow slowly, damage can cause an injury that lasts for months. Protect the nails from exposure to detergents and chemicals by using protective rubber or plastic gloves, preferably with cotton liners.

To minimize the risk of damage to the nails, keep them smooth and trim them weekly. Because the toenails grow more slowly, trim them about once a month. For fingernails and toenails, use sharp manicure scissors or clippers for trimming and an emery board for smoothing the edges. The nails may be softer and easier to trim after bathing. Trim fingernails with a slightly rounded edge. Trim toenails straight across and don't cut them too short.

Do not trim cuticles or use cuticle removers. Cuticle removers are corrosive and may damage the skin around the nail. Trimming the cuticle results in damage to the skin at the base of the nail and allows an entry point for fungi (and bacteria), which can result in infection.

Review Date: 04/30/2005
Reviewed By: Jonathan Kantor, M.D., Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.