{"id":2638,"date":"2012-03-23T04:37:03","date_gmt":"2012-03-23T03:37:03","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=2638"},"modified":"2012-03-23T14:01:23","modified_gmt":"2012-03-23T13:01:23","slug":"wounds-in-rugby-its-a-dirty-old-game","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2012\/03\/23\/wounds-in-rugby-its-a-dirty-old-game\/","title":{"rendered":"Wounds in Rugby &#8211; IT\u2019S A DIRTY OLD GAME"},"content":{"rendered":"<h4><span style=\"color: #008000\">The UK trainee perspective<\/span> <span style=\"color: #ff6600\"><em>(The BJSM blog features the trainee perspective every two weeks)*<\/em><\/span><\/h4>\n<h2>Guest blog by Dr Dee Clark<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-2639 alignright\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2012\/03\/Dirty-rugby.jpg\" alt=\"\" width=\"243\" height=\"208\" \/><\/p>\n<p>Over the time I have worked with Rugby Union teams, I have come across a number of methods for players dealing with their own skin \u201cwounds\u201d. \u00a0These have ranged from use of safety pins, sewing needles (\u201csterilised\u201d in a flame or just \u201coff the shelf\u201d) through to complicated use of homemade vacuum devices to draw out pus.\u00a0 Whilst this has been an educational experience (!), in my role as a team medic, and particularly as an ex nurse, it fills my heart with dread when presented with the aftermath of the self-treated or ignored wound.\u00a0 What often starts off as a relatively innocuous complaint, can lead to loss of training time, game time and even hospital admission.<\/p>\n<p>Rugby is played on dirty surfaces.\u00a0 Training facilities can hide potential for infection disaster. The sharing of washing and drying areas and materials as well as the constant comings and goings of those being treated in physio and medical rooms have the potential to wipe out a team. \u00a0Despite this, basic hygiene and common sense are often not employed in a strategy aimed at keeping players fit and healthy to play.<\/p>\n<p>&nbsp;<\/p>\n<p>In one season we carried out an audit after noticing recurrent skin infections.\u00a0 It was shown that in the first half of the season 11 players from the squad needed formal treatment (antibiotics\/ minor surgical procedures), with 6 losing training days and 3 losing game time.\u00a0 Further investigation led us to link the rise with a change in training facility where cleanliness had been an issue. After changing this facility, our infection rate decreased dramatically.<\/p>\n<p><strong><span style=\"color: #008000\">What we did to change things!<\/span><\/strong><\/p>\n<p>We reviewed facility cleaning arrangements, talked to the players about general hygiene including towel sharing, reporting of wounds, covering abrasions etc, installed more hand gel dispensers and instigated more stringent cleaning processes for physio and medical rooms.<\/p>\n<p>Staff and players were encouraged to use hand gel and to wash their hands with greater frequency. Players were encouraged to report skin breaks at an early stage and were discouraged from self-treatment.<\/p>\n<p>Sometimes, being swept up in the search for that extra 1% to make us bigger, better, stronger and faster than the others, can cause us to forget the basics.\u00a0 After all, an ounce of prevention is worth a pound of cure.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u00a0Articles of interest<\/strong><\/p>\n<p><a href=\"http:\/\/bjsm.bmj.com\/content\/38\/3\/314.abstract?sid=7b0937d6-54f8-44fe-9389-bc19b201a6d2\" target=\"_blank\">Hayton MJ,\u00a0Stevenson HI and\u00a0Jones CD et al. \u00a0(2004)\u00a0<em>The management of facial injuries in rugby union<\/em>,\u00a0<abbr title=\"British Journal of Sports Medicine\">Br J Sports Med<\/abbr>;38:314-317\u00a0<\/a><\/p>\n<p>Stacey A and Atkins B (2000) <em>Infectious diseases in rugby players: incidence, treatment and prevention, <\/em>Sports Med Mar; 29 (3) 211-220<\/p>\n<p>Horgan M and Bergin C,\u00a0 <em>IRB Policy on Hygiene, Infection control and Prevention of infection<\/em><\/p>\n<p><em>\u00a0<\/em>Goodman R et al (1994), <em>Infectious diseases in competitive sport<\/em>, JAMA Mar; 271 (11) 862-867<\/p>\n<p>&nbsp;<\/p>\n<p>***********************************************************<\/p>\n<p><em><strong>Dr Dee Clark<\/strong> is a Sport and Exercise Medicine Registrar and GP in the North West.<\/em><\/p>\n<p><em><strong>Dr James Thing<\/strong> co-ordinates \u201cSport and Exercise Medicine: The UK Trainee Perspective\u201d which runs every two weeks.<\/em><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The UK trainee perspective (The BJSM blog features the trainee perspective every two weeks)* Guest blog by Dr Dee Clark Over the time I have worked with Rugby Union teams, I have come across a number of methods for players dealing with their own skin \u201cwounds\u201d. \u00a0These have ranged from use of safety pins, sewing [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2012\/03\/23\/wounds-in-rugby-its-a-dirty-old-game\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[188,2552],"tags":[2835,1757,2834,2833],"class_list":["post-2638","post","type-post","status-publish","format-standard","hentry","category-guest-posts","category-sem-registrars","tag-implementation","tag-rugby","tag-skin-infections","tag-wounds"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Wounds in Rugby - IT\u2019S A DIRTY OLD GAME - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2012\/03\/23\/wounds-in-rugby-its-a-dirty-old-game\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Wounds in Rugby - IT\u2019S A DIRTY OLD GAME - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"The UK trainee perspective (The BJSM blog features the trainee perspective every two weeks)* Guest blog by Dr Dee Clark Over the time I have worked with Rugby Union teams, I have come across a number of methods for players dealing with their own skin \u201cwounds\u201d. \u00a0These have ranged from use of safety pins, sewing [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bjsm\/2012\/03\/23\/wounds-in-rugby-its-a-dirty-old-game\/\" \/>\n<meta property=\"og:site_name\" content=\"BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"article:published_time\" content=\"2012-03-23T03:37:03+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2012-03-23T13:01:23+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2012\/03\/Dirty-rugby.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2012\\\/03\\\/23\\\/wounds-in-rugby-its-a-dirty-old-game\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/2012\\\/03\\\/23\\\/wounds-in-rugby-its-a-dirty-old-game\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bjsm\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Wounds in Rugby &#8211; 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