Left: Clinical photograph of the left side of the face and neck of a patient presenting with impetigo caused by an S. aureus infection. Right: Clinical photograph of the left axilla of a patient presenting with the same infection.
Clinical photograph demonstrating the typical presentation of MRSA abscesses on the ventral surface of the abdomen of a member of a recreational gymnasium.
Clinical photograph demonstrating the typical appearance of a MRSA infection on the left side of the abdomen/flank region.
Reports of MRSA SSTIs Among College Football Players*
• Shaving and turf burns resulting in trauma to the skin and sharing of unwashed bath towels were suspected as potential risk factors for transmission
• Both players were hospitalized for MRSA skin infections within the same week; 1 received surgical debridement and skin grafts
• Shared items such as balms and lubricants were identified as potential risk factors for transmission
• 10 players developed 13 MRSA skin infections (9 abscesses and 4 cellulitis)
• Hospitalization was required for 2 players who had recurrent MRSA infections. The other 8 players were managed as outpatients; all but 1 required at least 7 days of frequent visits for wound care
• 8 of the 10 infected players were cornerback defensive backs or wide receivers. The 2 remaining infected players were a linebacker and a tight end
• Other risk factors deemed to be associated with transmission of MRSA infection included abrasions from artificial grass (turf burns), cosmetic body shaving
• In 3 of the 4 players whose infection was located at a covered site (e.g., hip or thigh), transmission was attributed to sharing the cold whirlpool at least twice each week
• The spectrum of disease ranged from a small abscess requiring outpatient surgical drainage to necrotizing fasciitis requiring hospitalization and multiple procedures
• 8 players required hospitalization
• Cutaneous manifestations included abscess (70%), cellulitis (16%), folliculitis, impetigo, and necrotizing fasciitis
• 90% of the infections were treated with surgical drainage, whereas 27% were treated with intravenous antibiotics
• No differences were seen in occurrence by player position
• 13 (52%) of the 25 cases occurred in offensive linemen. Other positions included defensive lineman (4), tight end (2), linebacker (2), defensive back (2), quarterback (1), and wide receiver (1)
• A particularly virulent strain of MSSA with an unusual resistance profile (resistant to erythromycin and ciprofloxacin) was responsible for this outbreak
• 5 of the 9 infections were identified as MRSA, 1 was identified as MSSA, and 3 were not S. aureus abscesses
↵* NR = not reported.
Reports of MRSA SSTIs Among High School Football Players*
• Playing a lineman position carried a fourfold greater likelihood of infection than playing other positions
• 4 cases of MSSA infection were reported in 4 football players, 1 of whom was hospitalized
• All 4 players reported wearing a game or practice uniform as many as 11 times without laundering the uniform between uses during the season
• 3 cases involved abscesses that required incision and drainage
• The team had attended a preseason football training camp, where all 59 players on the team lived together in the school gymnasium
• The risk for MRSA infection was 8 times higher among those who reported sharing towels during the training camp than among those who did not
• The 6 players with MRSA infections had a mean BMI that was significantly higher than that for those who were not infected
Thank you for your interest in spreading the word about JBJS Reviews.
NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.