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. 2013 Sep;5(5):423–437. doi: 10.1177/1941738113481179

Table 1.

Guidelines for return to competition for cutaneous infections in wrestlers64,65

Condition National Collegiate Athletic Association National Federation of State High School Associations
Herpes gladiatorum No new lesions for 72 hours before the examination No new vesicle formation and no swollen lymph nodes near the affected area
Resolution of all systemic symptoms in primary cases Lesions must be well healed with well-adherent scabs
All lesions must be dry and covered by a firm adherent crust; moist, active lesions cannot be covered to allow participation If antiviral therapy used, withhold from wrestling for 5 days
Treatment with appropriate systemic antiviral therapy for at least 120 hours before and at the time of competition
Bacterial skin and soft tissue infections Completed 72 hours of antibiotic therapy Completed 72 hours of antibiotic therapy
No moist or draining lesions No moist or draining lesions, and lesion should have a well-adherent scab
No new skin lesions for 48 hours before competition Lesions should be covered with a bio-occlusive dressing until completely healed
Moist or draining lesions cannot be covered for participation
Tinea gladiatorum A minimum of 72 hours of topical antifungal therapy for tinea corporis A minimum of 72 hours of systemic or topical antifungal therapy for tinea corporis
A minimum of 2 weeks of systemic antifungal therapy for tinea capitis No specific recommendation for tinea capitis
Lesions can be covered with a bio-occlusive dressing for return to competition after a period of adequate pharmacotherapy Lesions can be covered with a bio-occlusive dressing for return to competition after a period of adequate pharmacotherapy
Varicella zoster virus Lesions must be covered with a firm adherent crust Primary outbreaks require 10-14 days of systemic antiviral medication
No evidence of secondary bacterial infection Secondary outbreaks require 5 days of systemic antiviral medication
Lesions must be scabbed over with no discharge
No new lesions in preceding 48 hours
Molluscum contagiosum Lesions must be curetted or removed Lesions should be covered if prone to bleeding
Solitary or locally clustered lesions can be covered with a gas-permeable membrane and tape
Verruca vulgaris Lesions must be “adequately covered” or curetted Lesions should be covered if prone to bleeding
Facial lesions can be covered with a mask
Scabies A negative microscopic skin prep before return to competition
Pediculosis Appropriate pharmacotherapy and completeness of response confirmed by examination