Disinfecting to Prevent the Transfer of MRSA & Other Skin Pathogens in Wrestling

History of Pathogens in Athletics Multiple infectious disease outbreaks in wrestling – –Bacteria – –Fungus – –Viruses Reported by outbreaks – Most disease transmissions during athletics are not reported Football and Wrestling most commonly associated with disease transmission in athletics High School Wrestling had one of the first documented deaths caused by MRSA

Reduce the Risks of Disease Transmission through…. PREVENTION

The Prevention Program Includes… Proper disinfection of wrestling mats Proper handling of blood Good hygiene practices among wrestlers

Hygiene Measures Shower after practice or competition Refrain from sharing equipment, towels, razors, water bottles Wash practice gear daily Athletes with rashes or other potentially infectious skin infections seek medical attention Do not pick, squeeze, scratch abrasions, rashes, etc. No practicing or competing with skin infections Hepatitis B Vaccination NEVER allow chemicals for cleaning or disinfection to be used on the skin

If you do not have personal hygiene rules written out and demand that your wrestlers follow them, stop here. The rest of this information will make very little difference.

Disinfecting your wrestling mat!

Choose a proper method Chemicals (LLD) UV-C Light (Sterilization)

Chemical Disinfectants Low Level Disinfectant (LLD) KenClean Kennedy Inc No Funk MC-8 Cliff Keen Whizzer Mueller Gym Multi-Surface Environmental Chem. Co

DESCENDING ORDER OF RESISTANCE TO GERMICIDAL CHEMICALS Sterilization BACTERIAL SPORES Bacillus Subtilis Clostridium Sporogenes MYCOBACTERIA HLD High Level Disinfection Mycobacterium Tuberculosis Var. Bovis ‘TB’ NONLIPID OR SMALL VIRUSES ILD Intermediate Level Poliovirus Coxsackie Virus Bacillus Subtilis Clostridium Sporogenes MYCOBACTERIA HLD High Level Disinfection Mycobacterium Tuberculosis Var. Bovis ‘TB’ NONLIPID OR SMALL VIRUSES ILD Intermediate Level Poliovirus Coxsackie Virus Hepatitis A Virus Hepatitis A Virus Rhinovirus ‘Common Cold’ Rhinovirus ‘Common Cold’ LLD Low Level Trichophyton Spp. ‘Nail Fungus’ (Chemicals) Cryptococcus Spp. Candida Spp. ‘Yeast’ Trichophyton Spp. ‘Nail Fungus’ (Chemicals) Cryptococcus Spp. Candida Spp. ‘Yeast’ Methicillin-resistant Staphylococcus aureus (MRSA) VEGETATIVE BACTERIA Pseudomonas Aeruginosa Staphylococcus Aureus ‘Staph’ Salmonella Choleraesuis ‘Gastroenteritis’ VEGETATIVE BACTERIA Pseudomonas Aeruginosa Staphylococcus Aureus ‘Staph’ Salmonella Choleraesuis ‘Gastroenteritis’ LIPID OR MEDIUM-SIZED VIRUSES Herpes Simplex Virus ‘Cold Sores’ Cytomegalovirus ‘CMV’ Respiratory Syncytial Virus ‘RSV’ Hepatitis B Virus ‘HBV’ Human Immunodeficiency Virus ‘HIV’ (Adapted From Bond & Favaro, 1991) LIPID OR MEDIUM-SIZED VIRUSES Herpes Simplex Virus ‘Cold Sores’ Cytomegalovirus ‘CMV’ Respiratory Syncytial Virus ‘RSV’ Hepatitis B Virus ‘HBV’ Human Immunodeficiency Virus ‘HIV’ (Adapted From Bond & Favaro, 1991)

Factors that can influence the disinfection process

Soil and the chemical can combine

Soil can precipitate out active chemical components (weaken the solution)

Hard Water Calcium and Magnesium (deactivate the solution)

Instructions for Chemical Use MIX Appropriately USE Appropriately READ and FOLLOW LABELS

UV-C Sterilization Made in USA

DESCENDING ORDER OF RESISTANCE TO GERMICIDAL CHEMICALS Sterilization BACTERIAL SPORES Bacillus Subtilis Clostridium Sporogenes MYCOBACTERIA HLD High Level Disinfection Mycobacterium Tuberculosis Var. Bovis ‘TB’ NONLIPID OR SMALL VIRUSES ILD Intermediate Level Poliovirus Coxsackie Virus Bacillus Subtilis Clostridium Sporogenes MYCOBACTERIA HLD High Level Disinfection Mycobacterium Tuberculosis Var. Bovis ‘TB’ NONLIPID OR SMALL VIRUSES ILD Intermediate Level Poliovirus Coxsackie Virus Hepatitis A Virus Hepatitis A Virus Rhinovirus ‘Common Cold’ Rhinovirus ‘Common Cold’ LLD Low Level Trichophyton Spp. ‘Nail Fungus’(Chemicals) Cryptococcus Spp. Candida Spp. ‘Yeast’ Trichophyton Spp. ‘Nail Fungus’(Chemicals) Cryptococcus Spp. Candida Spp. ‘Yeast’ Methicillin-resistant Staphylococcus aureus (MRSA) VEGETATIVE BACTERIA Pseudomonas Aeruginosa Staphylococcus Aureus ‘Staph’ Salmonella Choleraesuis ‘Gastroenteritis’ VEGETATIVE BACTERIA Pseudomonas Aeruginosa Staphylococcus Aureus ‘Staph’ Salmonella Choleraesuis ‘Gastroenteritis’ LIPID OR MEDIUM-SIZED VIRUSES Herpes Simplex Virus ‘Cold Sores’ Cytomegalovirus ‘CMV’ Respiratory Syncytial Virus ‘RSV’ Hepatitis B Virus ‘HBV’ Human Immunodeficiency Virus ‘HIV’ (Adapted From Bond & Favaro, 1991) LIPID OR MEDIUM-SIZED VIRUSES Herpes Simplex Virus ‘Cold Sores’ Cytomegalovirus ‘CMV’ Respiratory Syncytial Virus ‘RSV’ Hepatitis B Virus ‘HBV’ Human Immunodeficiency Virus ‘HIV’ (Adapted From Bond & Favaro, 1991)

Factors that can influence the sterilization process

Electrical extension cord is needed to reach all areas of the mat Lamps must be replaced annually

Kills all Germs, Viruses, and Fungi in <.25 Seconds Sterilize an entire mat in less that 5 minutes Easy to use, just plug in and pull “Green Clean” no use of chemicals

Good Hygiene Practices + Disinfected Mats = Reduced Risk for Disease Transmission or Death