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Suggest An Alternative Medicine For Tobramycin For Pseudomonas Of The Nail

Posted on Wed, 22 Jul 2015

Question: Can you suggest an OTC alternative to tobramycin for pseudomonas of the nail?

Answered by Dr. Dr. Muhammad Sareer Khalil (31 minutes later)

Brief Answer:
acetic acid , culture sensitivity, no OTC should be used as alternative

Detailed Answer:
Hello and Welcome

I appreciate your concern

There is no OTC alternative for treating pseudomonas infection adequately. Antiseptic ointments are good options against Pseudomonas. 1% acetic acid solution can be applied along with trimming back the nail and subsequently treating it with antibiotics based on bacterial culture and sensitivity which would show whether the organisms involved are multidrug resistant or not.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

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Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Thank you for your reply. I don't have the money to proceed through the testing protocol to determine antibiotic resistance. What might happen if I just don't treat it, other than with drops of dilute vinegar? The pseudomonas is confined to the distal portion of my left thumbnail and there is no longer separation of the nail from the bed. I will try to remember to use gloves hereafter.

Thank you again for your further answer.

Answered by Dr. Dr. Muhammad Sareer Khalil (14 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello.

Pseudomonal infections involving the nail can potentially lead to necrotizing fasciitis, necrosis and gangrene, especially if it involves adjacent skin structures. You should get your G.P to examine it and try to keep it dry from now onwards.

Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (14 hours later)

Eeeouw. Dry hands it is. Thank you for your directness.

Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Brief Answer:
Most welcome

Detailed Answer:
Hello again.

Your most welcome, madam.

Let me know if you have any other query.

Wishing you best of health

Thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar