Evaluation of the effect of photodynamic therapy combined with antifungal drugs and comprehensive nursing intervention in the treatment of kerion
- Author:
CHEN Xiaoli
;
LIANG Yujia
;
CHEN Shandan
;
ZHENG Wenai
;
WU Weiwei
- Publication Type:Case Reports
- Keywords:
Kerion;
photodynamic therapy;
antifungal drug;
nursing intervention;
effect evaluation
- From:
China Tropical Medicine
2023;23(11):1228-
- CountryChina
- Language:Chinese
-
Abstract:
Abstract: Objective To explore the efficacy and safety of photodynamic therapy (PDT) using 5-aminolevulinic acid (ALA) combined with antifungal drugs combined and comprehensive nursing intervention in the treatment of refractory kerion. Methods From January 2019 to December 2022，6 cases of refractory kerion who were treated at the Fifth People's Hospital of Hainan Province with photodynamic therapy (PDT) using 5-aminolevulinic acid (ALA) combined with antifungal drugs. A solution with 20% concentration of ALA solution was uniformly dropped on the cotton sheet, shielded from light for 3 h, and irradiated with (633±10) nm LED red light for 20-30 min. The treatment was performed once a week, with one treatment course consisting of three sessions. Prior to treatment, debridement and fire needles pre-treatment were performed. Provide timely and targeted psychological care during treatment to alleviate psychological negative disorders and health education. Follow-up examinations were conducted 6 months after the treatment to evaluate clinical efficacy, safety and patient satisfaction. Results Six children received standard ALA-PDT combined with antifungal drugs, supplemented by comprehensive nursing intervention. The cure rate of children reached 100%, and no disease relapse or atrophic scar was found. The satisfaction rate of patients and their families was 100%. Conclusions PDT combined with antifungal drugs has obvious clinical efficacy in the treatment of kerion, especially when combined with comprehensive nursing intervention. This approach can help to relieve patients' anxiety, improve treatment outcomes, enhances patient compliance, and further improve patients' satisfaction.
- Full text:20240628154403474818.Evaluation of the effect of photodynamic therapy combined with antifungal drugs and comprehensive nursing intervention in the treatment of kerion.pdf
