Page 126 - Athletic Health Handbook
P. 126
TEAM PHYSICIAN’S CORNER

METHICILLIN-RESISTANT
STAPHYLOCOCCUS AUREUS
SKIN INFECTIONS IN ATHLETES

MATTHEW J. MATAVA, MD OUTBREAKS OF CUTANEOUS SKIN INFEC-
TION among participants in contact sports have been recognized by
C. DAVID GEIER, JR., MD
From the Department of Orthopaedic Surgery, the medical community and are now well-documented. These infections
Washington University School of Medicine have been described primarily in football players, wrestlers, rugby players,
St. Louis, Missouri and fencers.

Most reported infections have been caused by Staphylococcus aureus,
Streptococcus pyogenes, or herpes simplex. Staphylococcal infections are
most prevalent in those sports where skin and soft-tissue injuries act as an
entry portal to bacterial transmission. These infections are typically respon-
sive to a variety of well-known antibiotic agents such as methicillin and
oxacillin. However, outbreaks of methicillin-resistant Staphylococcal
aureus (MRSA) infections have been recognized in recent years. Initially,
these resistant infections were noted in hospital and nursing home settings

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