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Skin/Soft Tissue Infections
Issues/Topics
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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
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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”
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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.