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Research ArticleOriginal Research

Incidence of Staphylococcus aureus Nasal Colonization and Soft Tissue Infection Among High School Football Players

Aaron Lear, Gary McCord, Jeffrey Peiffer, Richard R. Watkins, Arpan Parikh and Steven Warrington
The Journal of the American Board of Family Medicine July 2011, 24 (4) 429-435; DOI: https://doi.org/10.3122/jabfm.2011.04.100286
Aaron Lear
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Gary McCord
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Jeffrey Peiffer
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Richard R. Watkins
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Arpan Parikh
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Steven Warrington
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Article Figures & Data

Tables

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    Table 1.

    Student Characteristics

    Demographics
    Participation range per school (n)13–54
    Age range (years)14–18
    Age (mean years [SD])15.9 (1.1)
    Weight range (lb)115–306
    Weight (mean lb [SD])183 (39.3)
    MSSA colonization (n [%])44 (23)
    MRSA colonization0
    • MSSA, methicillin-susceptible Staphylococcus aureus; MRSA, methicillin-resistant Staphylococcus aureus.

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    Table 2.

    Infections Developed Over the Course of the Study

    Clinical DiagnosisWound Culture ResultTreatment
    DrugDose
    ImpetigoNot doneTMP/SMX DSBID × 7 days
    ImpetigoNot doneCephalexin500 mg BID × 7 days
    ImpetigoNot doneMupirocin topicalUnknown
    ImpetigoNot doneDoxycycline100 mg BID × 10 days
    RingwormNot doneNystatin topicalBID × 5 days
    Folliculitis barbaeMRSA negativeCephalexin500 mg BID × 7 days
    RingwormMRSA negativeMometasone topical 0.1% then clotrimazole topicalUnknown
    ImpetigoMRSA negativeUnknownUnknown
    ImpetigoMRSA negativeTMP/SMX DSBID × 7 days
    ImpetigoMRSA negativeTMP/SMX DSBID × 7 days
    • TMP/SMX, trimethoprim/sulfamethoxazole; MRSA, methicillin-resistant Staphylococcus aureus; BID, twice a day.

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    Table 3.

    Survey Results

    CharacteristicStudents (n [%])
    Medical history
        Skin infection during past year40 (21)
            Staph infection11 (6)
                MSSA11 (6)
                MRSA0
        History of MRSA3 (2)
        Hospitalization within the past year27 (14)
        Asthma23 (12)
        ADD9 (5)
        Acne36 (20)
        Diabetes0
        Other medical condition11 (6)
    Antibiotics within the past 3 months65 (34)
    Contacts with infection during last 6 months
        Friend with Staph infection20 (11)
        Teammate with Staph infection4 (2)
        Sibling with Staph infection3 (2)
        Other with Staph infection2 (1)
    Shave
        Face163 (88)
        Chest28 (15)
        Groin83 (45)
        Arms/legs9 (5)
    Position
        Offensive lineman65 (35)
        Defensive lineman73 (40)
        Quarterback16 (9)
        Wide receiver49 (26)
        Running back35 (19)
        Tight end21 (11)
        Defensive back57 (31)
        Linebacker53 (29)
    • Other medical condition included 4 students with allergies, one with asthma, one with hearing loss, one with a staphylococcal infection, one with a herniated disk, one with eye problems, one with an irregular heartbeat, and one with sickle cell trait.

    • Staph, staphylococcal; MSSA, methicillin-susceptible Staphylococcus aureus; MRSA, methicillin-resistant Staphylococcus aureus; ADD, attention deficit disorder.

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The Journal of the American Board of Family Medicine: 24 (4)
The Journal of the American Board of Family Medicine
Vol. 24, Issue 4
July-August 2011
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Incidence of Staphylococcus aureus Nasal Colonization and Soft Tissue Infection Among High School Football Players
Aaron Lear, Gary McCord, Jeffrey Peiffer, Richard R. Watkins, Arpan Parikh, Steven Warrington
The Journal of the American Board of Family Medicine Jul 2011, 24 (4) 429-435; DOI: 10.3122/jabfm.2011.04.100286

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Incidence of Staphylococcus aureus Nasal Colonization and Soft Tissue Infection Among High School Football Players
Aaron Lear, Gary McCord, Jeffrey Peiffer, Richard R. Watkins, Arpan Parikh, Steven Warrington
The Journal of the American Board of Family Medicine Jul 2011, 24 (4) 429-435; DOI: 10.3122/jabfm.2011.04.100286
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