Sludge Watch ==> Staph infections rise among athletes

[Maureen Reilly]

Sludgewatch Admin:  Fertilization of playing fields with sewage sludges 
needs to be investigated in relation to these outbreaks.

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http://news.yahoo.com/s/ap/20061125/ap_on_sp_ot/infected_athletes
11/25/2006

Staph infections rise among athletes
By TOM WITHERS, AP Sports Writer

CLEVELAND - Brian Russell had no idea what hit him. A guy who routinely 
tackles 250-pound running backs head-on and occasionally gets pulverized by 
rampaging 350-pound NFL linemen for a living nearly saw his season end 
because of a microscopic germ. The
Cleveland Browns safety was flattened by a staph infection that hospitalized 
him during the preseason.

"I went from being in tiptop shape, to a few hours later, being knocked on 
my butt and having surgery," Russell said, recalling his scary scrape with a 
skin bacteria that's becoming harder for antibiotics such as penicillin to 
defeat.
"It happened just like that."

Stories like Russell's are becoming more common. Staph infections, in 
varying and sometimes deadly forms, are being reported in greater numbers 
across Ohio and nationwide as more virulent and resilient strains are 
infecting high school, college and professional athletes.

Football players, wrestlers and even fencers have contracted 
methicillin-resistant staphylococcus aureus, or MRSA, a serious superbug 
once isolated to hospitals and health-care settings that has found its way 
into locker rooms, weight rooms and athletic training facilities. Despite 
widely available information about the dangers of skin infections, staph has 
continued spreading.

"We don't know why," said Dr. Steve Gordon, the Cleveland Clinic's 
department chairman of infectious disease. "It's why we encourage everyone 
to practice proper hygiene, especially athletes who can be more at higher 
risk."

An alarming rise in cases in the general population and athletic community 
has led to the Centers for Disease Control and Prevention to issue warnings 
about the dangers of staph. The NCAA to educate athletes on hygiene and 
preventive measures.

NFL players are advised to frequently wash their hands with soap and water, 
to report skin lesions to their team's medical staff, to wash cuts with soap 
and water and apply the proper dressings daily.

Still, the problem has grown.

Since 2003, at least three NFL teams — the Browns, St. Louis Rams and 
Washington Redskins — have documented multiple cases of staph infections. 
Last summer, two Toronto Blue Jays players contracted staph, which prompted 
the club to have its clubhouse sterilized.

This fall, three high school football players in suburban Lakewood were 
hospitalized for staph infections. Their school was one of several in the 
Cleveland area that reported multiple staph cases this year. Health 
officials aren't sure if the cases were related.

But even before the strain started spreading, staph has long been a health 
hazard for athletes who share towels, whirlpools and common areas like 
locker rooms.

The bacteria is typically found in the nasal passages and on the skin of 
healthy people, but it is potentially deadly when it enters the body through 
scratches and scrapes.

Once inside, it can cause blood and joint infections, and pneumonia.

"I was in the most pain that I have ever felt ever in my life," said 
Cavaliers forward Drew Gooden, who contracted a staph infection in his right 
leg three years ago while with the
Orlando Magic. "I kept playing on it, thinking it was going to heal but the 
infection got worse and worse to the point where my leg swelled up and I 
couldn't bend my knee."

Athletes aren't alone as targets for staph.

A study this year funded by the Centers for Disease Control and Prevention 
found that more than 59 percent of all skin infections in U.S. emergency 
rooms have been caused by MRSA. The staph, which enters through lesions in 
the skin and grows best in damp areas, has confounded doctors and 
pharmacists looking for an antibiotic to fight it.

The proportion of infections due to MRSA ranged from 15 percent to as high 
as 74 percent in some hospitals, the study showed.

This summer, after five Redskins players were infected, the team had its 
practice facility sprayed with a sterilizing agent that controls the growth 
of bacteria and mold.

The club also installed new carpeting and painted the locker room, weight 
room, training room and other areas at Redskins Park in Ashburn, Va. In 
addition, benches in the locker room were replaced with individual wooden 
stools for each player, and a 15-year-old whirlpool bath was removed.

The team has had no incidents of staph since.

"The thing that I think is most important is educating the players what to 
look for, being smart about when you have an open skin lesion, don't be 
getting in common whirlpools and things like that. You've got to really 
clean them good after you get them," said Bubba Tyer, the Redskins' trainer 
for 35 years.

"In the old days, when we played on Astroturf when it was new, remember all 
the burns and everything we'd get? We'd always put a bottle of surgical 
scrub soap in the shower and let them shower with that," he said. "We've 
done things like that, and it's working out well so far."

MRSA is passed person-to-person through skin contact, and while its symptoms 
are normally mild, it can be fatal if left untreated.

In 2003, Ricky Lannetti, 21, a senior wide receiver at Lycoming College in 
Williamsport, Pa., died suddenly from a staph infection. Friends and 
teammates remembered him not feeling well leading up to his final game, but 
he didn't think anything was seriously wrong.

For Russell, a tender elbow at first seemed like nothing out of the 
ordinary. He figured it came from one of many blows taken and given during 
training camp and in an Aug. 26 preseason game on the artificial turf in 
Buffalo.

But as he relaxed at home during an evening a few days after facing the 
Bills, Russell complained to his wife, Leslie, that he was hurting more than 
normal.

"She was like, 'C'mon, get outta here, you get those (scratches) every 
day,'" he said.

"It didn't look like anything to worry about," she said.

But overnight, Russell's sore elbow became horribly swollen and he and 
Leslie knew something was wrong.

"In a couple hours, it blew up, Russell said. "It was real, real big. By the 
time they got me to the hospital, my arm was overrun by the infection."

While not an outbreak, the Browns' alarming rise in staph cases brought the 
club to request assistance from the Cleveland Clinic, its healthcare 
provider and a sponsor. The Clinic twice sent a team to examine the team's 
headquarters and indoor practice field house in Berea, Ohio.

The Clinic concluded the team was following proper procedure and CDC 
recommendations to prevent staph and that the five cases involving players 
were unrelated.

Russell's bout with staph was similar to what happened to teammates Ben 
Taylor and Braylon Edwards, who both had elbow scratches that became 
infected. Browns tight end Kellen Winslow and center LeCharles Bentley 
battled staph following knee surgeries.

Russell credited team trainer Marty Lauzon and the team's medical staff for 
making a quick diagnosis and getting him treatment.

"It was crazy," he said, rubbing his hand over the long incision scar on his 
right elbow. "Lucky for me our doctors recognized it immediately."

Russell, who has begun wearing long sleeves as protection and a precaution, 
will never look at a cut the same way.

"All I had was a sore elbow, something where you think you might have 
knocked it on a door or on a wall," he said. "It was a little abrasion that 
I've had thousands of times."

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