Certified athletic trainers' knowledge of methicillin-resistant Staphylococcus aureus and common disinfectants.

CONTEXT: Methicillin-resistant Staphylococcus aureus (MRSA) infections are increasingly common in athletic settings. The MRSA knowledge and infection-control practices of certified athletic trainers (ATs) and the cleanliness of the athletic training room are important factors in preventing MRSA infections.

OBJECTIVE

To assess knowledge of MRSA and the use of common disinfectants among ATs and to explore their infection-control practices.

DESIGN

Cross-sectional study.

SETTING

High school and collegiate athletic training rooms.

PATIENTS OR OTHER

PARTICIPANTS

A total of 163 ATs from National Collegiate Athletic Association Divisions I, II, and III and high schools, representing all 10 National Athletic Trainers' Association districts.

MAIN OUTCOME MEASURE(S): Frequencies, analyses of variance, and χ(2) tests were used to assess current practices and opinions and relationships between factors.

RESULTS

Methicillin-resistant Staphylococcus aureus was perceived as a national problem by 92% of respondents; 57% perceived MRSA as a problem in their practice setting. Most respondents had treated general infections (88%), staphylococcal infections (75%), and MRSA infections (57%). Male sex was associated with treating all 3 types of infections (χ(2) test, P < .05). Noncurriculum education was associated with a lack of recognition of environmental issues as risk factors and with the use of isopropyl alcohol for disinfection (χ(2) test, P < .05). For example, 10% of respondents did not recognize that contaminated whirlpools can be a source of MRSA infection. Respondents also incorrectly identified effective cleaning solutions. Thirty percent of respondents cleaned their hands frequently or sometimes before treating each athlete and 35% cleaned their hands sometimes, occasionally, or never after seeing each athlete.

CONCLUSIONS

The majority of ATs were informed about MRSA and made correct disinfection choices. However, improvements are still needed, and not all ATs were using proper disinfection practices.