Athletic Facilities: MRSA Prevention and Control

Overview

MRSA spreads fast in athletic facilities, locker rooms, gyms and health clubs because of shared equipment and skin-to-skin contact.

Preventing the spread of MRSA in athletic facilities involves:

• Maintaining personal hygiene.
• Cleaning and disinfecting equipment and facilities.
• Following guidelines for wound care.

How it spreads

MRSA can spread through skin-to-skin contact and by touching contaminated surfaces (places where the germ may live). MRSA can spread in athletic facilities due to shared equipment and close physical contact among athletes.

Prevention steps and strategies

Cleaning and disinfecting

When to clean

• Always keep athletic facilities and shared equipment clean whether or not MRSA infections have occurred among the athletes.
• Clean shared equipment after each use and allow to dry before use.
• Repair or dispose of equipment and furniture with damaged surfaces that do not allow for adequate cleaning.
• Clean equipment according to manufacturers' instructions to make sure the cleaner will not harm the item.

How to clean

• Review cleaning measures and schedules with the cleaning service staff.
• Focus on surfaces that come into direct contact with people's bare skin each day.
• Cleaning with household bleach, detergent-based cleaners or Environmental Protection Agency (EPA)-registered detergents/disinfectants (List H) will remove MRSA from surfaces. The products effective against Staphylococcus aureus are sufficient to kill MRSA.

Clean safely

Cleaners and disinfectants can be irritating. Exposure to these chemicals cause health problems such as asthma and skin and eye irritation.

Before using, make sure you:

• Wear personal protective equipment such as gloves and eye protection.
• Follow the instruction labels on all cleaners and disinfectants, including household chlorine bleach. Make sure you use them in a safe and correct way. The label will tell you:
  • How to apply the cleaner or disinfectant.
  • If you need to clean the surface first before applying the disinfectant.
  • If it is safe for the surface. Some cleaners and disinfectants can damage some surfaces.
  • How long you need to leave it on the surface to be effective.
  • If you need to rinse the surface with water after using the cleaner or disinfectant.
• Dilute chlorine bleach in a safe and effective way. Dilution steps will vary depending on whether you are using commercial 5.25, 6.0, or 8.25% bleach. For products containing 5.25-6.0% bleach, use 1/4 cup of regular household bleach in 1 gallon of water. For products containing 8.25% bleach use 1 oz in a gallon of water for pre-cleaned surfaces.

Disinfectant spraying and fogging

There is little evidence that large-scale use of disinfectants will prevent MRSA infections better than a targeted approach of cleaning surfaces.

Protecting athletes

If you think an athlete has a skin infection

• Refer the infected athlete to a healthcare provider.
  • For athletes younger than 18, notify parents/guardians about the possible infection.
• Athletes with active infections or open wounds should not use public water facilities that aren't cleaned between uses. This includes whirlpools, therapy pools and swimming pools.
• Make sure supplies are available to comply with prevention measures:
  • Soap in showers and at sinks.
  • Bandages for covering wounds.
  • Alcohol-based hand rubs if soap and water are not available.
• Educate athletes about ways to prevent spreading the infection.

Prevent spread

• Make sure supplies are available:
  • Soap in showers and at sinks.
  • Bandages for covering wounds.
  • Alcohol-based hand rubs if soap and water are not available.
• Use gloves when caring for broken skin or possible infections. Perform hand hygiene before and after contact with the athlete.
  • Healthcare providers in athletic facilities should use Standard Precautions while providing care.
• Cover infected wounds on athletes with bandages to reduce the risks of spreading MRSA to other people and surfaces.

Exclude athletes from participation

• Exclude athletes from activities if wounds cannot be properly covered (i.e., covered with a bandage or dressing that will contain all drainage and remain intact throughout the activity).
  • A healthcare provider might exclude an athlete if the activity poses a risk to their health even if the infection is covered.
• Exclude athletes with active infections or open wounds from using water facilities until healed.

Why prevention is important

Preventing MRSA infections is crucial to the health and safety of athletes; it reduces the risk of outbreaks that can lead to more serious issues.

Making a plan

Athletic programs should have a plan in place for regular cleaning and disinfection of facilities and equipment. This includes educating staff and athletes on proper hygiene practices and having protocols for managing wounds and infections.

Treatment

If an infection is present, it is important to seek medical advice for treatment. MRSA infections often require specific antibiotics, and early treatment can prevent more serious problems.

Reporting

Report infections to a healthcare provider or a parent/guardian.

Resources