Browsing by Author "Paudel, Vikash"
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Publication Clinico-mycological Study of Dermatophytosis and Their Antifungal Susceptibility, A Hospital Based Study(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2021) Pradhan, Manish Bhakta; Paudel, VikashAbstract: Background: Dermatophytosis refers to superficial fungal infections of keratinized tissues caused by keratinophilic dermatophytes. It is the most common of the superficial fungal infections. Nowadays, these fungal infections are at a rise and run a prolonged course despite of treatment due to resistance to conventional antifungal agents. There is a felt need to conduct an epidemiological studies to know the change in the pattern and causes of widespread resistance. Objectives: This study was aimed at identifying clinico-mycological patterns of dermatophytic infections in patients attending the dermatology outpatient department of a tertiary care hospital in Birgunj and the adjoining areas. Methods: The study included cases of clinically diagnosed dermatophytosis from the outpatient department of Dermatology of National Medical College, Birgunj. Clinical and epidemiological data were collected as per proforma and skin scraping, hair plucking, and nail clipping were done and materials were examined microscopically by KOH mount then cultured on Sabouraud dextrose agar and antifungal susceptibility were done by disk diffusion test. Results: here were 349 patients recruited in the study, with a male: female ratio of 1.6:1. The most commonly affected age group was 20–29 years (27.3%). Tinea corporis was the most common type observed (38.1%). Potassium hydroxide positivity was seen in 228 samples (65.3%) and culture positivity was found in 202 samples (57.9%). The most common species identified was Trichophyton rubrum (55%). The most sensitive drug was itraconazole, and more number of resistances was noted with fluconazole. Conclusion: Dermatophytic infection is ecumenical in distribution with increased frequency in tropical and subtropical countries with variable epidemiology. Inadequate and irregular use of antifungal drugs has led to the emergence of resistant strains, which cause poor treatment outcomes. Thus, it is essential to test for antifungal sensitivity to check for resistance to antifungals. Keywords: Dermatophyte, Dermatophytosis, Tinea, Trichophyton, Antifungal susceptibilityPublication Letter to Editor on Dual Anti-Epileptics Induced Stevens-Johnson Syndrome: A Case Report(Nepal Medical Association, 2024) Paudel, VikashPublication Tele-Dermatology in Clinical Management of Suspected Cutaneous Leishmaniasis in COVID-19 Pandemic(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2020) Paudel, VikashAbstract: The COVID-19 pandemic has changed the world dynamics in various prospects. It led to the restricted mobility of dermatological patients and helped telemedicine platform to flourish than ever. Though teledermatology has its own pros and cons, it’s being used in treatment of various skin disorders. Cutaneous leishmaniasis is an emerging disease in Nepal whose diagnosis is primarily clinical and histological. We are reporting a case of suspected cutaneous leishmaniasis from far western hilly region of Nepal who was empirically treated with fluconazole with the help of teledermatology platform with outstand outcomes. Keywords: COVID-19; Fluconazole; Leishmaniasis, Cutaneous; Pandemics; TelemedicinePublication The Challenges of COVID-19 in Medical Education in Nepal(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2021) Paudel, Vikash; Neupane, SaraswotiAbstract: The Coronavirus Disease-2019 (COVID-19) pandemic has caused an unparalleled disruption in all forms of scientific learning process including medical education. It has presented a challenge for scientists, educators, and students.Widespread interruptions to medical education, scientific discussions, conference, and seminars have also been seen at times of major conflicts and pandemics in the past as well, which resulted in major changes in medical curriculum. This editorial discusses the medical education and how COVID-19 has affected medical education in Nepal. Besides, it also explores the potential implications of COVID-19 for the future of medical education. Keywords: COVID-19, Education, Medical, Pandemics, Nepal