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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