The Orthopedic and Sports Medicine Center, Department of Orthopedic Surgery, Annapolis 21409, USA.
Int J Sports Med. 2009 Aug;30(8):557-62. doi: 10.1055/s-0029-1214382. Epub 2009 May 25.
Although once considered only a nosocomial pathogen, methicillin-resistant Staphylococcus aureus (MRSA) is a rapidly emerging, problematic infection in the community. Community acquired MRSA (CA-MRSA) is notably becoming more prevalent in athletic environments and unfortunately, can be easily transmitted via superficial abrasions and minor skin trauma. CA-MRSA infections are highly contagious and are associated with significant morbidity, with published reports of up to 70% of infected team members requiring hospitalization and intravenous antibiotics . Risk factors for athletic related environments include contact sports with repeated close physical contact with other competitors, open abrasions, and sharing of personal equipment. Failure to correctly diagnose and appropriately treat skin and soft tissue lesions infected with CA-MRSA may contribute to large scale MRSA infections in athletic environments. The purpose of this review article is to help sports medicine physicians prevent, identify, and treat MRSA skin and superficial soft tissue infections in athletic environments.
虽然耐甲氧西林金黄色葡萄球菌 (MRSA) 曾经被认为只是一种医院内病原体,但它在社区中正迅速成为一个令人关注的问题感染源。社区获得性耐甲氧西林金黄色葡萄球菌 (CA-MRSA) 在运动环境中明显更为普遍,不幸的是,它可以通过浅表擦伤和轻微皮肤创伤轻易传播。CA-MRSA 感染具有高度传染性,并与显著的发病率相关,有报道称多达 70%的感染队员需要住院和静脉注射抗生素。与运动相关环境相关的危险因素包括接触性运动,这些运动与其他竞争者有反复的密切身体接触、开放性擦伤以及个人装备的共享。未能正确诊断和适当治疗 CA-MRSA 感染的皮肤和软组织损伤可能导致运动环境中大规模的 MRSA 感染。本文的目的是帮助运动医学医生预防、识别和治疗运动环境中的 MRSA 皮肤和浅表软组织感染。