Towson State University 9 v The Apprentice School 39       Towson State University 34 v University of Maryland / Baltimore County 27       Towson State University 3 v Rowan University 41       University of South Florida 27 v University of Connecticut 15       Virginia Military Institute 33 v Bridgewater College 12       Virginia Military Institute 42 v Hampden-Sydney College 6       Virginia Military Institute 36 v Longwood University 18       University of North Texas 4 v Middle Tennessee State University 59       University of Texas at Arlington 24 v Marion Military Institute 31       University of Maryland / Baltimore County 20 v Wayne State College 42       

WRESTLING MRSA - PREVENTION AND TREATMENT

10/04/2008 -

PREVENTION AND TREATMENT PROTOCOL

By Dr Robert Hines

Pre-Season

1.education of trainers,coaches,wrestlers on:


-proper hygene


-what mrsa looks like(spider bite,ingrown hairs)


-no body shaving


-mat,weights,equipment wipe down daily(sanavax)






Start of Season


1. no wrestlers leaves work-out without showering with soap and shampoo


2. wash clothes and gear daily


3. no shared gear,razors,towels,etc


4. wipe down mats,bikes,weights daily(remove tape and other absorbant material from bikes and weight equipment)


5. complete wipe down of lockers at beginning of season and again with first outbreak of mrsa






Treatment of Suspected MRSA


1. must have a high index of suspicion( assume that infections are MRSA)


2. cultures all wounds


3.once first MRSA infection documented; all wrestlers and staff will swab each nostril with mupirocin ointment prior to every practice


4.any and all lesions that suspicious will be treated with Bactrim DS two tablets twice daily for 2 weeks, if allergic start doxycycline 100 mg twice daily for 2 weeks, may add rifampin 600mg daily if clinical response slow


5.MRSA may abcess quickly, drain these early


6.wrestlers who are infected are barred from the room and workout equipment untill cleared by team physician and should shower with phisohex soap daily for one week


7.lesions that dont respond or progress may need hospitalization and Vanco IV 15mg/kg q12hrs,poss incision and drainage






Dr. Robert Hines is a board certified sports medicine orthopedic surgeon with Oklahoma Sports Science and Orthopedics in Oklahoma City. He is the team orthopedic surgeon for the University of Oklahoma wrestling team and serves as an orthopedic consultant for the NCWA, Sunkist kids wrestling team and USA wrestling. He was the Olympic team physician for wrestling 2008 Beijing, China.
E-mail rfh@okss.com