skin infections in wrestling mr. staub sgasd athletic trainer [email protected] 717-225-4731 ext....
TRANSCRIPT
Skin Infections In WrestlingSkin Infections In Wrestling
Mr. StaubSGASD Athletic Trainer
[email protected] ext. 7539
Ringworm (Tinea Corporis)Ringworm (Tinea Corporis)– Fungal Skin Infection– Transmitted primarily through skin to skin
contact– Prevalence rate is between 20% - 55% in high
school wrestling– Preventative measures can limit the spread
RingwormRingworm
Ringworm (Tinea Capitis) - Ringworm (Tinea Capitis) - ScalpScalp
Ringworm (Tinea Pedis) Ringworm (Tinea Pedis) –– AthleteAthlete’’s Foots Foot
RingwormRingworm
– Most common locations are: Head Neck Arms Trunk Rarely located on the legs
Thrives in dark, moist, warm environments
RingwormRingworm
– The distribution of lesions in wrestling supports skin to skin contact
– If wrestling mats played a role in the transmission, more lesions would be located on the lower extremity
– Cultures of the wrestling mats have not been supportive in their role in transmission
RingwormRingworm
– Prevention Shower immediately after practice Launder your clothing daily Shampoo your hair daily (Dandruff Shampoo) Do not share towels, clothing, headgear, razors, etc. Wear sandals in the locker room and shower Skin checks before practice/events on a periodic
basis Infected wrestlers should not wrestle
RingwormRingworm
– Treatment Topical Therapy
– Anti-Fungal creams/ointments (Lamisil, Lotramin AF, etc.)
– Apply to the area 2-3 times a day for 3-4 weeks
– Continue for the above time period even when the lesion is no longer visible
Oral Therapy– Pills prescribed by your Doctor
– Take as directed
RingwormRingworm
– Return to wrestle guidelines MINIMUM of 72 hours of oral or topical treatment MINIMUM of 14 days if on the scalp Solitary or close clustered lesions must be covered
before wrestling
MRSA MRSA –– Methicillin Resistant Methicillin Resistant Staphylococcus AureusStaphylococcus Aureus
Bacterial infection caused by the Staphylococcus bacteria
Often called “Staph” infectionUsually start out looking like small red
bumps resembling pimples, boils, or spider bites
They can quickly turn into deep painful abscesses that require draining
MRSAMRSA
Infections can stay on the skin ORIt can penetrate into the body causing life-
threatening infections in the bones, joints, blood stream, heart valves and lungs
MRSAMRSA
About 1/3 of the population is “colonized” with this bateria on their skin or in their nose
They may not be sick, but can pass the bacteria on to other people
It is generally harmless unless it enters the body through a cut or wound
MRSAMRSA
Over time, this bacteria has become resistant to many of the drugs that are on the market
MRSAMRSA
MRSAMRSA
Risk Factors– Participating in contact sports– Sharing towels or other personal items– Weakened immune system– Crowded and unsanitary conditions
MRSAMRSA
Treatment– Tissue sample or nasal swab to see if it MRSA– Will respond to certain medications
Vancomycin can be used to treat MRSA It has been becoming less effective
– Many doctors may just drain the abscess
MRSAMRSA
Prevention– Wash your hands– Keep your personal items personal– Keep all wounds covered– Shower after practice/matches– Wash your clothing daily– Get tested if you suspect MRSA– Removed from competition if infected
MRSAMRSA
Return to Wrestle Guidelines– If it has been diagnosed, there should be a
MINIMUM of 10 days of oral antibiotics before returning to competition or until all lesions are scabbed over
ImpetigoImpetigo
Bacterial skin infection – Staphylococcus or Streptococcus bacteria
Highly contagious Signs and Symptoms
– Red sores that quickly rupture, ooze for a few days, then form a yellowish-brown crust
– Itching– Painless, fluid-filled blisters– More seriouspainful fluid/pus filled blisters that turn
into deep ulcers
ImpetigoImpetigo
ImpetigoImpetigo
ImpetigoImpetigo
Risk Factors– Direct skin to skin contact– Crowded conditions– Warm, humid environment– Contact with contaminated objects – towels,
clothing etc.
ImpetigoImpetigo
Can lead to MRSA if not treated Treatment
– Change in hygiene habits– Topical Antibiotic– Oral Antibiotic
Prevention– Wash hands and clothing– Shower after practice– Do not share personal items
ImpetigoImpetigo
Return to Wrestle Guidelines– To be considered Non-Contagious
All lesions must be scabbed over with no oozing or discharge and no new lesions should have occurred in the preceding 48 hours
Oral antibiotics for 3 days is considered a MINIMUM to achieve this status
If new lesions continue to develop or drain after 72 hours, MRSA should be considered10 days off
Herpes Simplex 1 (Cold Sore)Herpes Simplex 1 (Cold Sore)
Viral infections that usually occurs around the mouth or face, but can occur anywhere over the body
Once you have herpes, you always have it– It can reoccur at anytime, usually in the the same
general region– Virus lies dormant in your nerve cells– Once triggered, it travels the nerve path to the skin and
causes the cold sore
Herpes Simplex 1 (Cold Sore)Herpes Simplex 1 (Cold Sore)
What causes the cold sore to reappear:– Illness, fever, or the flu– Exposure to sun– Stress– Changes to immune system– Trauma to the skin
Herpes Simplex 1 (Cold Sore)Herpes Simplex 1 (Cold Sore)
Herpes Simplex 1 (Cold Sore)Herpes Simplex 1 (Cold Sore)
Signs and Symptoms– Group of blisters on a red base– Dry up rapidly and leave scabs– May itch– Sometimes preceded by tingling or burning in
the area from a few hours to a couple of days
Herpes Simplex 1 (Cold Sore)Herpes Simplex 1 (Cold Sore)
Return to Wrestle Guidelines– To be considered non-contagious, all lesions must be
scabbed over with no oozing or discharge and no new lesions should have occurred in the preceding 48 hours
– 1st Episodetreated and not allowed to compete for a MINIMUM of 10 days
If fever and swollen lymph nodes are presenttreatment extended to 14 days
– Recurrent outbreaks require a MINIMUM of 5 full days of oral anti-viral treatment
Molluscum ContagiosumMolluscum Contagiosum
Viral skin infectionFirm bumps that are painlessUsually disappear within a 6-12 months
without treatmentIf scratched open, they can spreadSpread through direct skin to skin contact
and contact with contaminated objects
Molluscum Contagiosum Molluscum Contagiosum
Molluscum ContagiosumMolluscum Contagiosum
Treatment– Removal by:
Scrapping or curettage Freezing Laser therapy
– Medications to remove warts– Adhesive tapes????
Molluscum ContagiosumMolluscum Contagiosum
Return to Wrestle Guidelines– 24 hours after curettage
EczemaEczema
Chronic itchy rash that tends to come and go
Exact cause in unknown, but is likely due to a combination of dry, irritable skin together with a malfunction of the immune system
EczemaEczema
Take Home MessageTake Home Message
Do not share personal itemsShower after practice/matchesWash clothing dailyWash hands frequentlyCover all woundsSeek advice from your athletic trainer
