Department of Applied Science and Rehabilitation, Indiana State University, Terre Haute, IN 47805, USA.
J Athl Train. 2011 Jul-Aug;46(4):415-23. doi: 10.4085/1062-6050-46.4.415.
Methicillin-resistant Staphylococcus aureus (MRSA) infections are increasingly common in athletic settings. The MRSA knowledge and infection-control practices of certified athletic trainers (ATs) and the cleanliness of the athletic training room are important factors in preventing MRSA infections.
To assess knowledge of MRSA and the use of common disinfectants among ATs and to explore their infection-control practices.
Cross-sectional study.
High school and collegiate athletic training rooms.
A total of 163 ATs from National Collegiate Athletic Association Divisions I, II, and III and high schools, representing all 10 National Athletic Trainers' Association districts.
MAIN OUTCOME MEASURE(S): Frequencies, analyses of variance, and χ(2) tests were used to assess current practices and opinions and relationships between factors.
Methicillin-resistant Staphylococcus aureus was perceived as a national problem by 92% of respondents; 57% perceived MRSA as a problem in their practice setting. Most respondents had treated general infections (88%), staphylococcal infections (75%), and MRSA infections (57%). Male sex was associated with treating all 3 types of infections (χ(2) test, P < .05). Noncurriculum education was associated with a lack of recognition of environmental issues as risk factors and with the use of isopropyl alcohol for disinfection (χ(2) test, P < .05). For example, 10% of respondents did not recognize that contaminated whirlpools can be a source of MRSA infection. Respondents also incorrectly identified effective cleaning solutions. Thirty percent of respondents cleaned their hands frequently or sometimes before treating each athlete and 35% cleaned their hands sometimes, occasionally, or never after seeing each athlete.
The majority of ATs were informed about MRSA and made correct disinfection choices. However, improvements are still needed, and not all ATs were using proper disinfection practices.
耐甲氧西林金黄色葡萄球菌（MRSA）感染在运动环境中越来越常见。MRSA 知识和认证运动训练师（ATs）的感染控制实践，以及运动训练室的清洁度是预防 MRSA 感染的重要因素。
评估 ATs 对 MRSA 的了解程度以及对常见消毒剂的使用情况，并探讨其感染控制实践。
横断面研究。
高中和大学运动训练室。
来自全国大学生体育协会（NCAA）第一、二、三级和高中的 163 名 ATs，代表全美运动训练协会的 10 个地区。
使用频率、方差分析和卡方检验评估当前的实践和观点，以及因素之间的关系。
92%的受访者认为耐甲氧西林金黄色葡萄球菌是一个全国性问题；57%的受访者认为 MRSA 是他们实践环境中的一个问题。大多数受访者治疗过普通感染（88%）、葡萄球菌感染（75%）和 MRSA 感染（57%）。男性与治疗所有 3 种感染有关（卡方检验，P<.05）。非课程教育与未将环境问题视为危险因素以及使用异丙醇进行消毒有关（卡方检验，P<.05）。例如，10%的受访者没有意识到受污染的漩涡浴可能是 MRSA 感染的来源。受访者还错误地识别了有效的清洁解决方案。30%的受访者在治疗每位运动员之前经常或有时洗手，35%的受访者在接触每位运动员后有时、偶尔或从不洗手。
大多数 ATs 了解 MRSA 情况，并做出了正确的消毒选择。然而，仍需改进，并非所有 ATs 都在使用正确的消毒方法。
