Maryn McKenna

Journalist and Author

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MRSA and sports — and a sportswriter

February 17, 2009 By Maryn Leave a Comment

Chris Harry, NFL beat reporter and blogger at the Orlando Sentinel, recently covered the Superbowl in Tampa — and, possibly coincidentally, developed a MRSA infection of his own that required three surgeries and IV antibiotics, including a PIC line.

He writes about the experience here.

We’ve talked in the past about the unique affinity that MRSA seems to have for both student and pro athletes, including the disputed role of artificial turf (check the comments under the “pro athletes” post for more on that). As a reminder, the CDC has posted specific recommendations for schools, athletic trainers and parents in an attempt to reduce MRSA among student athletes.

Filed Under: MRSA, sports

MRSA in kid athletes – simple but not easy

February 5, 2009 By Maryn Leave a Comment

It’s been almost a week since this came out — told you there had been a lot of research released — but I wanted to make sure everyone saw it: The Centers for Disease Control and Prevention released results of an investigation into an outbreak of MRSA on a high school football team in Brooklyn, NY. (My home town, in case anyone cares. But it must have gotten gentrified, since the only organized activities I remember were somewhat less, umm, licit.)

Out of 59 players who attended a pre-season training camp where they practiced all day and bunked in the gym at night, 6 had MRSA skin abscesses (4 confirmed by culture, 2 suspected). The four confirmed cases all began as a pustule or blister that the kids ignored until the infections blew up; three of them subsequently needed the abscesses surgically incised and drained and also took antibiotics.

So, this will sound like not a big deal, right? Fifty-nine kids, 6 infections, attack rate of 11.8%, no one harmed in the long term. Well, in one sense, yes. On the other hand, without sounding like a Cassandra, there have been plenty of sports infections that did not turn out to be so minor: Kellen Winslow, Kenny George, Brandon Noble, Ricky Lannetti. (And if you’ll stay tuned til this book is published, there will be an entire chapter on MRSA and sports, both amateur and pro, and the story of a teen athlete who almost died of invasive MRSA following what looked like an innocuous minor infection.)

The difficult thing here is that the steps for preventing such infections — or, at least, vastly reducing their likelihood — are simple: Washing hands, showering after practice, not sharing towels or razors, keeping uniforms and gear clean, and keeping on top of what look like minor abrasions and bug bites. But, as this investigation demonstrates, it’s not so easy to get kids to take those things seriously:

The school had supplied antibacterial soap in pump dispensers in the showers; however, several players brought their own soap. Players supplied their own towels. Players reported that they usually left their towels on their cots or on the floor when not in use. The school offered a daily laundry service for uniforms and towels during the camp; however, most players did not have their towels washed and wore their uniforms two or three times between launderings. Players often remained in sweat-soaked clothes between the morning and afternoon practices. (MMWR Jan.30, 2009. 58(03);52-55)

As with hospital infections, where the simple act of handwashing remains one of the most difficult tasks to accomplish, the steps that could prevent MRSA among kid athletes are not complex. What is challenging is getting the kids to understand — over-against the hypermasculinity of sports, where it’s cool to be sweaty, dirty and banged-up — how important it is to perform those steps: routinely, thoughtfully, time after time after time.

Filed Under: CDC, MRSA, sports

MRSA in sports

October 21, 2008 By Maryn Leave a Comment

I am possibly the most sports-impaired person on the planet (a consequence of growing up with the lovely but impenetrable game of cricket), but even I noticed these stories recently.

  • University of North Carolina-Asheville basketball center Kenny George has lost part of his right foot to amputation as the result of a staph infection.
  • Cleveland Browns tight end Kellen Winslow has emotionally gone public — to the displeasure of his coaches — with the news that he was hospitalized for three days for a staph infection. Winslow has been struggling with MRSA since 2005, when he had a motorbike accident, had surgery, and developed a post-surgical infection. Four other Browns players — Braylon Edwards, Joe Jurevicius, LeCharles Bentley and Brian Russell — have had MRSA as well.

MRSA in sports is not new news, but the prominence of some of its victims has brought great attention to the bug: For instance, Redskins defensive tackle Brandon Noble, who was sidelined for a season, and eventually ended his career, over a MRSA infection following arthroscopic knee surgery. And it is not limited to pro players: Lycoming College senior Ricky Lanetti died in 2003 from an overwhelming MRSA infection that began as a pimple-like “spider bite” lesion.

There has been so much concern about MRSA among schools and parents that the CDC has issued specific advice for sports programs. Some of the reasons why athletes may be vulnerable are well-understood: They work in crowded conditions, they undergo a lot of skin-to-skin contact, they are likely to get scraped and injured, and they may not get clean immediately (especially high school players — does anyone shower after high school sports any more?).

But some factors, such as the role of artificial turf, are still murky. An investigation of eight MRSA infections among the St. Louis Rams in the 2003 season (first author Sophia Kazakova) found that linemen and linebackers were more likely to develop MRSA, possibly because they ended up with more turf abrasions. On the other hand, an investigation of 10 infections among players at Sacred Heart University in Connecticut (first author Elizabeth Begier) found that, while turf burns played a role, a contaminated team whirlpool — and sharing razors for shaving body hair — did too.

Filed Under: basketball, CDC, community, football, MRSA, schools, sports

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