Transcript Slide 1
Skin/Soft Tissue Infections Issues/Topics • • • • • • • • • Causes of Skin Infections Common Types of Skin Infections Ringworm Infections MRSA Infections Diagnosis/Typical Signs & Symptoms Treatment Precautions Wrestler/Coach Responsibilities Wrestling Officials’ Responsibilities Skin Infection Causes • Bacterial Organisms • Staphylococcus Aureus • Streptococcus Pyogenes • Virus Organisms • Herpes • Fungus Organisms • Tinea Corporis (Ringworm) Main Bacterial SSTIs • • • • Impetigo Cellulitis Folliculitis Paronychia • Furuncle • Carbuncles • Erysipelas Viral and Fungus SSTIs • Virus Infections • Fungus Infections • Warts • Ringworm • Cold Sores • Athletes Foot • Jock Itch Ringworm ( Tinea) “Facts & Fiction” • • • • Caused by fungus….not a worm Ringworm does not always produce “rings” on skin Affects people of all ages; more prevalent in children Ringworm infections appear on skin, feet (athletes foot), toe nails, beards, scalp, groin area (jock itch) • Thrive in warm, moist area; more likely when you have frequent wetness (sweating) • Ringworm is highly contagious by direct skin-to-skin contact or contact w/contaminated items (combs, unwashed clothes, showers, pool areas, etc. • Cats are common carrier Ringworm Diagnosis SKIN - Ringworm appears as itchy, red, raised, scaly patches that may blister & ooze. Patches often have sharply-defined edges. They are often redder around the outside with normal skin tone in the center. This may give the appearance of a ring. TOE NAILS - become discolored, thick, uneven, and may even crumble Scalp/Beard – dry, scaly, bald patches Ringworm Treatment • Topical cream is 1st line therapy • Lotrimin • Lamsil • Tinactin • Dosing/Time – 2x/day; minimum 7-14 days • Severe/Refractory Cases – oral medication for up to 6 weeks • Usually non-contagious state within 24-48 hours following treatment MRSA (Methicillin-Resistant S. Aureus) • What Is It: Is an infection strain of bacteria that has become resistant to synthetic penicillins and other antibiotics. MRSA grows readily on human skin and mucous membranes • Prevalence: - Often seen in locker rooms, enclosed populations like nursing homes, military bases, hospitals, etc. • Diagnosis: Often seen as moist lesion, reddish • Treatment: Antibiotics (Bactrim/Septra;Vancomycin is drug of choice in hospital) • Prevention: avoid skin-to-skin contact, proper hygeine, wounds cleaned & covered. Coach/Wrestler Responsibility • Communication w/parents • See a physician/notify officials • Practice/preach good hygiene/hand washing/showering • Wash clothes after every practice/event • Covering infection/wound • Avoid sharing towels, hair brushes, headgear, etc. • Avoid touching pets w/bald spots • Use of sandals in the showers • Antibacterial soap (not for fungus) Officials Responsibility • Require notification by wrestlers/coaches at weigh-ins, prior to dual/match, etc. • Follow the rules; not allowed to wrestle,…better safe than sorry, i.e.,wrestlers must have written permission from physician to wrestle • Take it serious • Weigh-in inspections • Be thorough • No allowances/slack Summary • Many different types of skin infections • Skin infections can be bacterial, viral, or fungus • Ringworm is most common skin infection seen in wrestlers and is caused by fungus • Ringworm may be visible on the skin but can appear in many other areas not noticeable • MRSA bacterial skin infections are most serious • Follow the rule book….error on the side of caution…..take it serious.