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NAIL+
Current TAT: 24 hours

Nail Pathogens Testing

Nail fungus and bacteria is most prevalent in older adults or patients with a weakened immune system including, diabetes, HIV, poor peripheral circulation, or peripheral neuropathy (sensory loss in the lower extremities). The possibility of contracting a nail pathogen increases in households and co-habitable areas with infected members and in communal environments. According to the American Diabetes Association, studies have shown a higher risk of gangrene and foot ulcers and an increased risk of amputation in diabetics with onychomycosis compared to those without the infection.

Onychomycosis (tinea unguium), or fungal infection of the nail, causes almost half of all nail pathologies worldwide. The clinical features of onychomycosis can be confused with and mimic other nail pathologies such as psoriasis, eczema, dermatitis, lichen planus (an inflammatory rash-causing grooves or ridges in nail plate), and malignant melanoma. Leading to problems with physical agility, pain, paresthesia, and difficulty with walking and wearing shoes. PCL's NAIL+ test can accurately specify up to 25 pathogens and identify antibiotic resistance for 11 drug classes (in development – 1st Antifungal marker by PCR).

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Molecular Diagnostics vs. Conventional (KOH Preparation & Culture)

Patients Choice Molecular Testing

  • Rapid identification with results within 24 hours

  • Amplifies specific DNA sequences of dermatophyte fungus

  • Improved sensitivity and specificity for diagnosis of various microorganisms including fungal pathogens

Labs With Conventional Method 

  • Unable to identify pathogen 30–50% of the time

  • Identifies presence of fungi; however, KOH does not identify genus, species, or the specific pathogen

NAIL+ Testing

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Pathogens Detected

The following pathogens are detected in our NAIL+ test.

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Antibiotic Resistance Markers Identified

Determine which antibiotics may be ineffective for a more accurate treatment plan. 

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Collection Instructions

Collection and detection window details.