# NEXTODERM: Consensus on Dermatophytosis Diagnosis and Management in Nepal

## TL;DR

Experts in Nepal developed updated guidelines for diagnosing and managing dermatophytosis, focusing on improving patient care amid rising resistance and atypical cases.

## Contribution

The novel contribution is the development of localized consensus guidelines for dermatophytosis management in Nepal using a structured Delphi process.

## Key findings

- A modified Delphi process was used to create updated dermatophytosis management guidelines for Nepal.
- The consensus emphasizes combination therapy and considerations for complex disease presentations.
- The guidelines aim to improve clinical decision-making and patient outcomes in dermatophytosis management.

## Abstract

The rising incidence of dermatophytosis, marked by atypical presentations and increasing resistance to treatment, has posed significant challenges to effective clinical management, particularly in regions like Nepal, where localized guidance is limited. In response, a panel of dermatology experts in Nepal conducted a structured literature review and employed a modified Delphi process to develop updated consensus recommendations. These guidelines aim to assist clinicians in making informed decisions regarding diagnosis and treatment, with an emphasis on improving patient outcomes. The consensus highlights key treatment principles, including the potential role of combination therapy and considerations for both localized and more complex presentations of the disease.