This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of impetigo in athletes

Kafchinski, Lisa

English

University of Missouri: MOspace

Impetigo in Athletes Page 1 of 2    11.20.08 Impetigo in Athletes Background  1. Sports with close skin-to-skin contact:  o Football  o Wrestling  o Rugby  o Hockey  o Basketball  2. No definitive evidence that sports equipment is a reservoir   Pathophysiology  1. Pathology of disease  o Staphylococci sp.  o Streptococci sp. 2. Incidence, prevalence  o 2003-2004-accounted for 14.2% of skin infections in men's NCAA wrestling  3. Risk factors  o Skin trauma  Diagnostics  1. Physical exam  o Well defined erythematous, yellow, crusted lesions o Common locations:   Extremities  Head  Neck 2. Laboratory evaluation  o Culture and sensitivity if suspicious of MRSA  Differential Diagnosis  1. Herpes gladiatorum 2. Tinea corporis gladiatorum  3. Acne  4. Atopic dermatitis  5. Molluscum contagiosum  Therapeutics  1. Topical antibiotics  o Mupirocin 2% apply BID x 7 days   Topical antibiotic of choice7 o Oral antibiotics   Dicloxacillin 500mg PO TID x 10 days (SOR: A)8  Cephalexin 500mg PO TID x 10 days (SOR: A)8  Erythromycin for athletes with PCN allergies 2. Further Management  o Return to play after 24 hours of antibiotic treatment    Impetigo in Athletes Page 2 of 2    11.20.08 Prevention/Decolonization  1. Mupirocin ointment to nares BID for 1 week is noted in literature  2. Not routinely recommended  2008-2009 NCAA Sports Medicine Handbook 1. Bacterial Infections (Furuncles, Carbuncles, Folliculitis, Impetigo, Cellulitis or Erysipelas, Staphylococcal disease, MRSA)  o Wrestler must have been without any new skin lesion for 48 hours before the meet or tournament.  o Wrestler must have no moist, exudative or purulent lesions at meet or tournament time.  o Gram stain of exudate from questionable lesions (if available).  o Active purulent lesions shall not be covered to allow participation.  o See above criteria when making decisions for participation status.  References 1. Adams BB. Dermatologic disorders of the athlete. Sports Med. 2002; 32(5):309-21. 2. Adams BB. Skin infections in athletes. Dermatol Nurs. 2008 Feb; 20(1):39-44. 3. Agel J, Ransone J, Dick R, Oppliger R, Marshall S. Descriptive Epidemiology of Collegiate Men's Wrestling Injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 Through 2003–2004. J Athl Train. 2007 Apr–Jun; 42(2): 303–310. 4. Klossner D, ed. 2008-2009 NCAA Sports Medicine Handbook; July 2008. 5. Beck CK. Infectious diseases in sports. Med Sci Sports Exerc. 2000 Jul; 32(7 Suppl):S431-8. Review. 6. Johnson R. Herpes gladiatorum and other skin diseases. Clin Sports Med. 2004 Jul; 23(3):473-84, x. Review. 7. Stevens DL, Bisno AL, Chambers HF, Everett ED, Dellinger P, Goldstein EJ, et al. Practice guidelines for the diagnosis and management of skin and soft-tissue infections. Clin Infect Dis 2005 Nov 15; 41(10):1373-406. 8. Cole C, Gazewood J. Diagnosis and treatment of impetigo. Am Fam Physician. 2007 Mar 15; 75(6):859-64.   Author:  Lisa Kafchinski, RN, University of Nevada Reno FPRP  Editor:  Carol Scott, MD, University of Nevada Reno FPRP 

Impetigo in athletes

https://mospace.umsystem.edu/xmlui/bitstream/10355/13734/1/ImpetigoAthletes.pdf

Impetigo in athletes

Abstract

Similar works

Full text

Available Versions

University of Missouri: MOspace