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Table 8 Summary of studies that examined the safety of treatment interventions for people with diabetes

From: Safety and efficacy of tinea pedis and onychomycosis treatment in people with diabetes: a systematic review

Study

Design

Subjects

Infection

Organism

Intervention

Assessment (week)

Gupta [42]

RCT

Itraconazole

N = 35

Sex = 16 M; 19 F

Age = 57.77 (2.3) yr

Terbinafine

N = 35

Sex = 18 M; 17 F

Age = 63.65 (1.9) yr

DLSO

Dermatophyte

Ciclopirox 8%

Ciclopirox 8% nail lacquer applied to nail and 5 mm surrounding skin. Daily application over the previous coat, removed after 7 days using isopropyl alcohol. Nails trimmed and debrided at each scheduled visit (8 weeks)

48

Brenner [43]

Case series

N = 49†

Sex = 36 M; 13 F

Age = 63.8 (12.0) yr

Duration of diabetes = 8.4 (7.4) yr

Duration of infection = 10.8 (15.3) yr

DSO††

Not reported†

Terbinafine

250 mg terbinafine daily 12 weeks

48

Farkas [46]

Case series

N = 89

Sex = 47 M; 42 F

Age = 55.7 (11.7) yr

Duration of diabetes = 10.2 (7.7)

Duration of infection = 5.4 (6.0)

DSO

Dermatophyte (67.4%); moulds (5.6%); yeast (4.5%)

Itraconazole pulse therapy 200 mg of oral itraconazole taken twice a day for the first week of three consecutive months Terbinafine 250 mg of oral terbinafine once daily for 12 weeks.

48

Sadighha [41]

Case series

N = 13

Sex = NR

Age = NR

DSO††

Dermatophyte†

Pulse itraconazole therapy 200 mg of oral itraconazole taken twice a day for the first week of four consecutive months

26

  1. † Concomitant tinea pedis was present.
  2. "DSO" = distal subungual onychomycosis; "DLSO" = distal lateral subungual onychomycosis
  3. Study 4 is excluded from the graph because efficacy was not assessed at week 48 like the rest of the studies. Sadighha [41] found itraconazole achieved cure in 7.7% (1/13) of patients with diabetes at week 26