Andrea Bernhard, MD
Dr. Bernhard became a physician in order to make a positive difference in people’s lives. Her goal is to treat every patient with respect and dignity, and to deliver the highest quality care. Dr. Bernhard has lived in Hawaii for 10 years, and even completed her residency at the University of Hawaii. In her own words, “I get to care for wonderful people in one of the most beautiful places in the world.”
Paronychia (Bacterial Nail Infection)
In brief, paronychia is a skin infection that occurs next to nails. We also know this condition as whitlow. Bacteria or fungus in the area may lead to infection. In addition, the condition causes the skin near the nail to become tender and swollen. If untreated, the nail itself could come infected. Occasionally, pus may form. Thus, a bacterial nail infection may result. The article will further explain paronychia.
Pay attention to signs and symptoms of paronychia or bacterial nail infection. To do so, be aware of the following-
- To start, if the infection is painful and sudden, Staphylococcus aureus bacteria could be to blame.
- Additionally, if symptoms develop slowly, fungus could be to blame. Yeast and Candida are two types of fungi that cause fungal infections. Typically, it could develop into a chronic condition if you do not seek treatment.
- Thirdly, less common causes are other microbes. These may include viruses and other types of fungi.
Doctors may prescribe antibiotics to combat the bacterial nail infection. Yet, if the infection is from yeast or fungus, anti-fungal medicines may work, too. On rare occasions, doctors may need to perform a minor surgery to drain out collected pus.
Causes of a bacterial nail infection
To note, some infections can happen with no reason. Other conditions thrive from bacteria and may lead to infections.
To start, hands in water may increase the risk of infection. Especially hands in soapy water. The nail fold may have damage from constant washing. Thus, people with jobs requiring constant washing are prone to the infection. For example, cleaners, bartenders, and fishermen. Beauticians, dairy farmers and dish washers are also examples as well.
In addition, if you have open cuts, there is a higher chance for the germs to get inside your skin. Broken skin can be from an injury. Also, people with a habit of biting nails may get an infection, too. Other conditions may lead to infection, for example:
- Firstly, the presence of splinters may lead to a bacterial nail infection.
- Secondly, if you have a manicure procedure executed poorly. This is from pushing the cuticles too far back.
- Thirdly, pre-existing skin conditions such as eczema or contact dermatitis, for instance.
Lastly, gloves prevent ventilation. Also, gloves gather moisture. Additionally, it also encourages the growth of bacteria, too. Be sure to use cotton-lined rubber gloves. This is to minimize the effect of water on your hands. Especially do this if you have to keep your hands in water for long periods of time. Also, artificial nail extensions also cause germs to multiply as well.
Here are some of the conditions we treat:
Here’s what people are saying
North Shore, Oahu
"I thought the whole process was pretty cool. To be able do this all on the phone instead of wasting an hour or two to see my doctor and wait all that time to speak with my doctor for only 5 minutes. The best part was I didn't feel rushed either during the video consult. The doctor really took her time speaking with me and more so than my regular doctor would have the time to do so with me.
This was so convenient for me and my family, especially since we are traveling and this saved me a trip to Urgent Care, who knows how long that could have taken. I appreciate how prompt the doctor and the staff were with contacting me.
This was so great for my Dad to use as he is visiting from another country and he doesnt have health insurance. For something as simple as an earache, we didn't have to spend so much money on a quick doctor's visit. Plus the doctor was able to help my Dad sooner than our scheduled appointment!
"Everything was very helpful from the initial call down the getting my prescription. I wish I could take this service back home with me to Canada!"
The whole experience was super fast! That was thee fastest appointment I have ever had, especially for something as simple as a prescription refill. Plus I had to pick my son up for school.
The fact that I was able to do all of this without getting out of my bed. From the time I made my appointment to hearing my prescription is ready, its been less than 1 hour.
Video consult was my favorite part. I've never done a telemedicine visit before and it was cool. I can really see this being great for people with busy schedules, not to mention there is nothing like this in Hawaii yet.
"Convenience from the comfort of your own home. Some times it can be a hassle getting out of house when you're already not feeling well to see your doctor, or even just to get a refill. But this is a very convenient service."
"Just being able to do it at home and ON TIME was great, because I didn't have to spend the time to commute and spend time in the waiting room to MAYBE see my doctor at my scheduled appointment time. The doctor called me as soon on the dot of my appointment time."
Waimea, Big Island
The best part was definitely seeing the doctor on the video call. It is comforting as a patient that there is a real doctor on the other end laying eyes on me and the symptoms I could be having.
Kona, Big Island
"The doctor was great and took his time explaining my symptoms and treatment! Actually the whole experience was fantastic! I can't believe how efficient you guys are. It hasn't even been 30 minutes and I've already been contacted by pharmacy that my prescription is ready. This was great. I would definitely use this service again and highly recommend to others!"