爱荷华州高中体育项目关于感染及感染预防政策与实践的调查。

Survey of high school athletic programs in Iowa regarding infections and infection prevention policies and practices.

作者信息

Pedersen Mark, Doyle Matthew R, Beste Alan, Diekema Daniel J, Zimmerman M Bridget, Herwaldt Loreen A

机构信息

Department of Epidemiology and University of Iowa College of Public Health , Iowa City , IA 52242 ; University of Iowa Carver College of Medicine , Iowa City , IA 52242.

出版信息

Iowa Orthop J. 2013;33:107-13.

PMID:24027469

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3748864/

Abstract

OBJECTIVE

To assess high school athletic programs' infection prevention policies and procedures and to estimate the frequency of skin and soft tissue infections (SSTIs) among Iowa's high school athletes.

METHODS

An on-line survey of high school athletic programs.

RESULTS

Nearly 60% of programs responded. Schools in higher classifications were more likely to have a certified athletic trainer (AT; P < 0.0001) and to report that they had a policy preventing athletes with SSTIs from participating in athletic events than were schools in lower classifications (P = 0.0002). Programs that had an AT reported that athletic training equipment (P = 0.01) and tables (P = 0.02) were cleaned more frequently than did programs without ATs. Programs were significantly more likely to provide training equipment than to provide soap or towels. About 57% of programs reported that at least one athlete acquired an SSTI during the prior school year, including methicillin- resistant Staphylococcus aureus (N = 14; 10.8%). Programs that had an AT (P = 0.02) were in higher classifications (P < 0.0001), educated athletes about SSTIs (P < 0.0001), or had policies regarding athletes with SSTIs (P = 0.01) were more likely than other programs to report having at least one athlete with an SSTI. The estimated SSTI rate per 1000 athletes ranged from 22.0 in 1A to 5.9 in 4A programs.

CONCLUSIONS

SSTIs are common among Iowa's high school athletes. Staff should review and update their infection prevention policies. Athletic programs need resources to support infection prevention efforts.

摘要

目的

评估高中体育项目的感染预防政策与程序，并估计爱荷华州高中运动员皮肤及软组织感染（SSTIs）的发生频率。

方法

对高中体育项目进行在线调查。

结果

近60%的项目做出了回应。与低级别分类的学校相比，高级别分类的学校更有可能配备认证运动训练师（AT；P<0.0001），并且更有可能报告他们有政策禁止患有SSTIs的运动员参加体育赛事（P = 0.0002）。配备AT的项目报告称，运动训练设备（P = 0.01）和治疗台（P = 0.02）的清洁频率高于未配备AT的项目。项目提供训练设备的可能性显著高于提供肥皂或毛巾的可能性。约57%的项目报告称，在前一学年至少有一名运动员发生了SSTI，包括耐甲氧西林金黄色葡萄球菌感染（N = 14；10.8%）。配备AT（P = 0.02）、处于高级别分类（P < 0.0001）、对运动员进行SSTIs教育（P < 0.0001）或有关于患有SSTIs运动员的政策（P = 0.01）的项目比其他项目更有可能报告至少有一名运动员患有SSTI。每1000名运动员中SSTI的估计发生率在1A项目中为22.0，在4A项目中为5.9。