Precise treatment of skin fungi in primary health-care facilities

Introduction

Skin fungi disease is a common type of disease caused by fungi intrusion into parts such as skin, hair and the nail bed, including a wide variety of types such as body acne, gill, foot acne, and acne, with a high incidence and a certain degree of contagion, with many adverse effects on the quality of life and health of patients. As a front-line for health services, primary health-care institutions are charged with the initial and therapeutic tasks of a large number of skin fungi patients, and it is therefore essential to achieve a rational use of medicines and the accurate treatment of skin fungi.

II. Diagnosis points for skin fungi disease

Accurate diagnosis is the basis for reasonable treatment. In the first place, the physician must make a preliminary assessment based on the patient ‘ s clinical performance, such as that the acupuncture usually manifests itself in a red ring with clear borders, with rashes on the edges and acne on the edges, which tends to recede in the centre; and that there are different types of acupunctures, which can be seen in the depths of the acupuncture, and that the accelerations are in the form of skin roughness, crumbing, thickening, etc. However, fungal examination is essential because clinical performance alone is susceptible to confusion with other skin diseases, such as rashes and contact dermatitis. Direct lenses are easy to see by scratching the crumbs of the pathogen, water herpes, etc., under the microscope, and can be diagnosed if found; fungi culture, though time-consuming, is able to specify the specific type of fungi, which is important for guiding the treatment of the drug, especially in cases of re-emergence or infirmity, and helps to improve the accuracy of the diagnosis and avoid unreasonable use of the drug as a result of misdiagnosis.

III. Common anti-foulbacterial drugs and rational applications

1. Exogenous drugs: The range of exogenous antigen drugs commonly used at the grass-roots level is diverse. Aphids such as crooxin, miconazole, etc., have a better inhibition on skin aphicella, which is applied to a wide range of shallow skin fungi diseases, which are typically sprayed 2 – 3 times a day and 2 – 4 weeks of treatment, with attention to the extent that they go beyond the edge of the skin. Accetamine, such as Tebitrin emulsions, is fungicidal, has exact therapeutic effects, and for hand and foot, for example, the therapeutic procedure may be relatively short, approximately 1-2 weeks, but should be adapted to the conditions. Out-of-use drugs are used in such a way as to inform patients of their adherence to the drug and to avoid relapses due to symptoms that alleviate premature withdrawals, while paying attention to the adverse effects of the drug, such as local irritation, allergies, etc., and in a timely manner to stop and replace the drug.

Oral drugs: The oral anti-foul medicine is a necessary option for cases of serious skin fungi diseases, such as extensive body thallium, acetate, or in cases where external drugs are ineffective. It is one of the most commonly used drugs, with the application of shock therapy for acetazine, i.e. one week per month and 3 – 4 months per month; for other skin fungi, the daily oral treatment is 100 – 200 mg, depending on the condition, usually 2 – 4 weeks. Tebbiphine is treated for americium on oral treatment for 250 mg/day for 6-12 weeks; other parts of fungi are treated, and the dose and treatment process are adjusted accordingly. The use of oral drugs is preceded by an assessment of the liver and kidney function of the patient and is monitored on a regular basis during the treatment process, as these drugs can cause adverse effects such as abnormal liver function, ensure safe and effective use and avoid unnecessary harm to the patient from blind use.

IV. Strategies to increase the level of rational use

Medical institutions at the grass-roots level should strengthen the training of medical personnel, conduct regular academic activities, such as lectures and case studies on dermal fungal disease and rational use of medicines, and raise the level of awareness and use of medicines by doctors; establish a system of reasonable drug guidance involving clinical pharmacists, who can assist doctors in drug selection, dosage determination and adverse response monitoring, review the reasonableness of prescriptions and provide timely and correct advice on unreasonable use of medicines; improve the availability and management of medicines, ensure that the types and quantities of antigen medicines commonly used are adequate and avoid unregulated substitution of medicines due to shortage of medicines; and promote health development at the grass-roots level by means of informative means, such as tele-medical consultation platforms, contacts with dermatological specialists in higher hospitals, consultations on difficult and complex cases, study of advanced diagnostics and drug-use programmes, continuously upgrading the capacity of medical institutions at the grass-roots level to use reasonable and accurate medications in the treatment of dermal disease, providing quality and efficient medical services to a wide range of patients and promoting the health of the grass-roots health care.