Final answer:
Chronic paronychia is treated based on its bacterial or fungal origin. Early bacterial infections are managed with oral antibiotics like amoxicillin or doxycycline, while advanced cases may require intravenous options such as penicillin G. Fungal infections are treated with topical or systemic antifungals, such as azoles, depending on severity and chronicity.
Step-by-step explanation:
Chronic paronychia can be treated with a combination of antibiotics such as amoxicillin, doxycycline, penicillin G or antifungal medications like azoles and antifungal creams, depending on the cause.
Effective treatment for chronic paronychia depends on whether the cause is bacterial or fungal. During the early stages of bacterial infection, antibiotics such as amoxicillin and doxycycline are typically effective. If the condition progresses, intravenous antibiotics like penicillin G, chloramphenicol, or ceftriaxone may be used. For fungal causes, such as candidiasis, treatment includes topical azoles like clotrimazole, econazole, or systemic medications such as fluconazole and itraconazole for more persistent infections. It is crucial to follow a healthcare professional's guidance for treatment duration and practices to reduce the likelihood of repeat infections.
For Pseudomonas spp. infections, which are often resistant to many antibiotics, treatments may include polymyxin B, gentamicin, and certain fluoroquinolones. In some instances, especially when caused by fungi, antifungals may be employed. For specific treatment recommendations, consultation with a healthcare provider is essential.