Romano Russ, Lu Doanh, Holtom Paul
Department of Athletic Medicine, University of Southern California, Los Angeles, CA 90089-0602, USA.
J Athl Train. 2006 Apr-Jun;41(2):141-5.
Methicillin-resistant Staphylococcus aureus (MRSA) was once primarily a hospital-acquired organism, but now community-acquired MRSA (CA-MRSA) is causing outbreaks among otherwise healthy sport participants.
To investigate MRSA skin and soft tissue outbreaks within a collegiate football team and the effect of infection control measures over 3 years.
Retrospective analysis.
College.
Collegiate football team.
INTERVENTION(S): Infection control measures included education, following Centers for Disease Control and Prevention recommendations, nasal cultures, hexachlorophene 3% soap, disposable towels, and hand sanitizers.
MAIN OUTCOME MEASURE(S): Number of MRSA infections and hospitalizations.
Complicated skin and soft tissue infections (those requiring surgical debridement and/or hospitalization) were diagnosed in 2 (1.8%) of 107 players in 2002, 17 (15.8%) of 107 players in 2003, and 1 (0.96%) of 104 players in 2004.
Outbreaks of CA-MRSA in sports teams are very serious, and recognition is crucial. Treatment includes incision for proper drainage, bacterial culture and sensitivity, and appropriate antibiotic therapy. Infection control measures include educating athletes and staff, following Centers for Disease Control and Prevention recommendations, identifying CA-MRSA carriers with nasal cultures, introducing hexachlorophene 3% soap intermittently in the showers, making alcohol-based hand sanitizers available on the field, disinfecting weight training and rehabilitation equipment, and using disposable towels on the field during practices and games.
耐甲氧西林金黄色葡萄球菌（MRSA）曾经主要是一种医院获得性微生物，但现在社区获得性MRSA（CA-MRSA）正在原本健康的体育参与者中引发疫情。
调查一支大学橄榄球队内MRSA皮肤及软组织感染疫情以及3年期间感染控制措施的效果。
回顾性分析。
大学。
大学橄榄球队。
感染控制措施包括教育、遵循疾病控制与预防中心的建议、鼻腔培养、3%的六氯酚肥皂、一次性毛巾和洗手液。
MRSA感染和住院的数量。
2002年，107名球员中有2名（1.8%）被诊断为复杂皮肤及软组织感染（那些需要手术清创和/或住院治疗的感染）；2003年，107名球员中有17名（15.8%）；2004年，104名球员中有1名（0.96%）。
运动队中CA-MRSA的疫情非常严重，识别至关重要。治疗包括切开以进行适当引流、细菌培养及药敏试验，以及适当的抗生素治疗。感染控制措施包括对运动员和工作人员进行教育、遵循疾病控制与预防中心的建议、通过鼻腔培养识别CA-MRSA携带者、在淋浴间间歇性引入3%的六氯酚肥皂、在赛场上提供含酒精的洗手液、对重量训练和康复设备进行消毒，以及在训练和比赛期间在赛场上使用一次性毛巾。
