男子摔跤运动中皮肤感染的流行病学：对2009 - 2010年至2013 - 2014年美国全国大学生体育协会监测数据的分析
Epidemiology of Skin Infections in Men's Wrestling: Analysis of 2009-2010 Through 2013-2014 National Collegiate Athletic Association Surveillance Data.
作者信息
Herzog Mackenzie M, Fraser Melissa A, Register-Mihalik Johna K, Kerr Zachary Y
机构信息
Department of Epidemiology, University of North Carolina at Chapel Hill.
Human Movement Science Curriculum, University of North Carolina at Chapel Hill.
出版信息
J Athl Train. 2017 May;52(5):457-463. doi: 10.4085/1062-6050-52.2.16. Epub 2017 Mar 31.
CONTEXT
Our knowledge of the current epidemiology of skin infections among wrestlers is limited.
OBJECTIVE
To analyze and report the epidemiology of skin infections among National Collegiate Athletic Association (NCAA) men's wrestling student-athletes during the 2009-2010 through 2013-2014 academic years.
DESIGN
Descriptive epidemiology study.
SETTING
Aggregate skin infection and exposure data collected by the NCAA Injury Surveillance Program.
PATIENTS OR OTHER PARTICIPANTS
Collegiate men's wrestling student-athletes.
MAIN OUTCOME MEASURE(S): All viral, bacterial, or fungal skin infections reported by athletic trainers at 17 NCAA programs were analyzed, providing 35 team-seasons of data. Skin infection rates per 10 000 athlete-exposures (AEs), rate ratios, skin infection proportions, and skin infection proportion ratios were calculated.
RESULTS
The athletic trainers reported 112 skin infections contracted by 87 student-athletes across 78 720 AEs. The overall skin infection rate was 14.23/10 000 AEs (95% confidence interval [CI] = 11.59, 16.86). Of the skin infections identified, 22.3% (n = 25) were recurrent skin infections. Most skin infections (65.2%) were attributable to 5 team-seasons (range, 11-19 infections). Most skin infections occurred during the regular season (n = 76, 67.9%), were identified during practice (n = 100, 89.3%), and resulted in ≥24 hours' time loss (n = 83, 74.1%). The rate for viral skin infections was 1.72 times the rate for bacterial skin infections (95% CI = 1.09, 2.72) and 2.08 times the rate for fungal skin infections (95% CI = 1.28, 3.39). Fungal skin infections more often resulted in time loss <24 hours compared with all other skin infections (75.0% versus 12.5%; infection proportion ratio = 6.00; 95% CI = 3.30, 10.92).
CONCLUSIONS
Our findings highlight the contagiousness of skin infections and suggest that skin infection rates may be attributable to high incidences among particular teams.
背景
我们对当前摔跤运动员皮肤感染的流行病学了解有限。
目的
分析并报告2009 - 2010学年至2013 - 2014学年美国国家大学体育协会（NCAA）男子摔跤学生运动员的皮肤感染流行病学情况。
设计
描述性流行病学研究。
背景
由NCAA损伤监测计划收集的汇总皮肤感染和暴露数据。
患者或其他参与者
大学男子摔跤学生运动员。
主要观察指标
分析了17个NCAA项目的运动训练师报告的所有病毒、细菌或真菌性皮肤感染情况，提供了35个团队赛季的数据。计算了每10000次运动员暴露（AE）的皮肤感染率、率比、皮肤感染比例和皮肤感染比例比。
结果
运动训练师报告了87名学生运动员在78720次AE中发生的112例皮肤感染。总体皮肤感染率为14.23/10000 AE（95%置信区间[CI]=11.59，16.86）。在确诊的皮肤感染中，22.3%（n = 25）为复发性皮肤感染。大多数皮肤感染（65.2%）归因于5个团队赛季（范围为11 - 19例感染）。大多数皮肤感染发生在常规赛期间（n = 76，67.9%），在训练期间被发现（n = 100，89.3%），并导致≥24小时的时间损失（n = 83，74.1%）。病毒皮肤感染率是细菌皮肤感染率的1.72倍（95% CI = 1.09，2.72），是真菌皮肤感染率的2.08倍（95% CI = 1.28，3.39）。与所有其他皮肤感染相比，真菌性皮肤感染导致<24小时时间损失的情况更常见（75.0%对12.5%；感染比例比 = 6.00；95% CI = 3.30，10.92）。
结论
我们的研究结果突出了皮肤感染的传染性，并表明皮肤感染率可能归因于特定团队的高发病率。
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