Brown Sherrill J
University of Montana, Missoula, MT, USA.
J Pharm Technol. 2019 Apr;35(2):82-87. doi: 10.1177/8755122518815057. Epub 2018 Nov 28.
To provide an overview of onychomycosis and current treatments and to identify opportunities for pharmacy technicians to improve treatment outcomes. A MEDLINE/PubMed search (1966 to October 2018) was performed using search terms designed to identify English-language articles on onychomycosis diagnosis, treatment, and prevention, as well as articles on the impact of pharmacy technicians on onychomycosis outcomes and the use of pharmacy technicians to improve treatment adherence. Review articles and clinical studies describing onychomycosis, risk factors, treatment efficacy, and prevention of recurrent infections were included. Although no articles on the impact of pharmacy technicians in the treatment of onychomycosis were found, the importance of treatment adherence on positive outcomes highlights a potential role of pharmacy technicians. Pharmacy technicians can identify patients with potential onychomycosis based on questions about over-the-counter products and refer patients to the pharmacist for counseling on treatment. Pharmacy technicians can also reinforce treatment adherence at refill visits. Pharmacy technicians can have a positive impact on onychomycosis treatment outcomes by addressing barriers to successful treatment and promoting treatment adherence.
概述甲癣及当前的治疗方法，并确定药剂师改善治疗效果的机会。使用旨在识别关于甲癣诊断、治疗和预防的英文文章，以及关于药剂师对甲癣治疗效果的影响和利用药剂师提高治疗依从性的文章的检索词，对MEDLINE/PubMed（1966年至2018年10月）进行了检索。纳入了描述甲癣、危险因素、治疗效果和复发性感染预防的综述文章和临床研究。虽然未找到关于药剂师在甲癣治疗中作用的文章，但治疗依从性对良好治疗效果的重要性凸显了药剂师的潜在作用。药剂师可以根据有关非处方产品的问题识别潜在的甲癣患者，并将患者转介给药剂师进行治疗咨询。药剂师还可以在复诊时加强治疗依从性。通过消除成功治疗的障碍并促进治疗依从性，药剂师可以对甲癣治疗效果产生积极影响。
