Can You Catch Toenail Fungus from Touching Infected Nails? - Dermatology

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Onychomycosis (fungal nail infection) issues?


Hello, Doctor.
I previously contracted onychomycosis from a family member, but I successfully treated it with oral medication.
Recently, I noticed some signs of onychomycosis on the sides of my left big toe.
When I was trimming my nails yesterday, if my hands touched my toenails, could I have infected myself? Thank you, Doctor.

Lin, 10~19 year old female. Ask Date: 2022/03/09

Dr. Wu Yuxin reply Dermatology


There is certainly a certain level of risk involved.

Reply Date: 2022/03/09

More Info


Toenail fungus, also known as onychomycosis, is a common condition that can be quite persistent and challenging to treat. It is caused by various types of fungi, including dermatophytes, yeasts, and molds. One of the most frequently asked questions regarding toenail fungus is whether it is possible to self-infect by touching infected nails, especially after having previously treated a fungal infection.

To address your concern, yes, there is a risk of self-infection when you touch an infected toenail with your hands. Fungal spores can be present on the surface of the infected nail, and if you touch it and then touch another nail or any other part of your body, you could potentially transfer the fungus. This is particularly relevant if your hands are not washed thoroughly after contact. The risk is higher if you have any cuts or abrasions on your hands, as these can provide an entry point for the fungus.

However, it’s important to note that not everyone who comes into contact with the fungus will develop an infection. Several factors influence whether an infection will occur, including:
1. Immune System Status: A healthy immune system can often fend off infections, while a weakened immune system may be more susceptible.

2. Skin Integrity: If your skin is intact and healthy, the likelihood of the fungus penetrating and causing an infection is lower.

3. Environmental Conditions: Fungi thrive in warm, moist environments. Keeping your feet dry and clean can help prevent the growth of fungi.

4. Personal Hygiene: Regularly washing your hands and feet, and maintaining good nail hygiene can significantly reduce the risk of infection.

If you notice any signs of toenail fungus returning, such as discoloration, thickening, or crumbling of the nail, it is advisable to consult a healthcare professional. They may recommend antifungal treatments, which can include topical applications or oral medications, depending on the severity of the infection.

In terms of prevention, here are some tips to avoid self-infection and reinfection:
- Wash Your Hands: Always wash your hands thoroughly after touching your feet or nails, especially if you suspect an infection.

- Avoid Sharing Personal Items: Do not share nail clippers, shoes, or socks with others, as this can spread the fungus.

- Keep Feet Dry: Make sure to dry your feet thoroughly after bathing, especially between the toes.

- Wear Breathable Footwear: Choose shoes made of materials that allow your feet to breathe, and avoid wearing damp shoes.

- Regular Nail Care: Keep your toenails trimmed and clean, and avoid nail polish or artificial nails if you have an active infection, as these can trap moisture and worsen the condition.

In conclusion, while there is a risk of self-infection from touching infected toenails, maintaining good hygiene practices can significantly mitigate this risk. If you have concerns about reinfection or notice any symptoms, it’s best to seek medical advice for appropriate treatment and management.

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