Contagious Skin Conditions

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Contagious Skin Conditions

• Nicole Moss, LAT, ATC
• ISWA Sports Medicine Director

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Prevention, Causes, Symptoms and Treatment

• Bacterial Diseases
• Herpetic Lesions
• Tinea Lesions
• Scabies
• Molluscum Contagiosum

3
Bacterial Diseases Impetigo

• Red pimple like sores surrounded by red skin.
  Usually found on face, arms and legs. Often
  itchy.
• Sores ooze fluid and look crusty. Often look like
  they have been coated with honey or brown sugar.
• Sores increase in size and number.
• Treatment with antibiotics for a minimum 3 days
  and all lesions scabbed with no discharge
  required for practice/competition to resume

4
Bacterial Diseases Furuncle (Boil)

• Infection at hair follicle.
• Start as red tender pea-sized lumps that grow
  rapidly. May become as large as golf ball.
• May develop white or yellow centers as it fills
  with pus.
• Must drain to heal, cover with sterile dressings,
  and antibiotic cream.
• See a doctor if large, last longer than 2 weeks
  or on the face or near the spine. Will need
  cut/drain.

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Herpetic Lesions

• Gladiatorum (skin) approx 20-40 incident rate
  in Div 1 NCAA wrestlers
• Painful blisters most often on the face and neck
• Often accompanied by fever, swollen glands and
  malaise
• Treatment will include antiviral medication
• 1st outbreak minimum of 10-14 days of medication.
  Subsequent outbreaks require 5 days of medication
  before practice/competition resumes

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Herpetic Lesions

• Cold sores must be scabbed over with no oozing or
  discharge
• Must have no new lesions for 48 hours prior to
  return to practice/competition

7
Tinea Lesions Fungal Infection

• Tinea corporis (skin) flat skin lesions at any
  site except the scalp, beard or feet.
• These lesions may be dry and scaly or moist and
  crusty. As they enlarge, their centers heal,
  producing the classic ring-shaped appearance.
• Treatment with topical antifungal for a minimum
  of 3 days

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Tinea Lesions Capitas/Barbae

• Tinea capitas (scalp) barbae (beard) small,
  spreading papules (bumps) that may progress to
  inflamed, pus-filled lesions. Patchy hair loss
  with scaling may occur.
• Treatment with oral antifungal for 14 days
  required prior to return to practice/competition

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Scabies

• Scabies is an itchy, highly contagious skin
  condition caused by an infestation by the itch
  mite Sarcoptes scabiei.
• Direct skin-to-skin contact is the mode of
  transmission.
• A severe and relentless itch is the predominant
  symptom of scabies.
• Scabies produces a skin rash composed of small
  red bumps and blisters
• Treatment includes oral or topical scabicidal
  drugs for a minimum of 24 hours

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Molluscum Contagiosum

• Viral infection of the skin
• Spreads with direct skin to skin contact or
  contact with contaminated objects
• Firm painless flesh colored bumps that are
  constricted at the base and have a dimpled dome.
  
• Treatment is curettage or cryotherapy. May resume
  practice/competition after 24 hours.

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Conclusion

• Personal hygiene is most important factor in
  preventing the spread of disease. Athletes should
  shower immediately after every practice and
  competition. Encourage routine hand washing.
  Wash all practice clothing and towels daily.
  Dont share items such as towels and razors.
• Clean wrestling mats daily.
• Hold infected athletes from practice/competition
  until no longer contagious.
• Contact information
• Nicole Moss
• 317-919-2193
• nmoss_at_ecommunity.com

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Questions