Bryan Youth Wrestling will follow the NSAA rules concerning Communicable Skin Disease.

In a nutshell, if you suspect a skin disease and are going to the doctor to have any diagnosis/treatment completed, print off this form (Form URL  http://www.nsaahome.org/textfile/wrest/wrskin.pdf) and take it to the doctor to have them fill it out. This needs to be done even if the suspected condition is not communicable.

Make a copy of the completed form and give it to Michelle and keep the original. Present the copy of the completed form during weigh-ins.

Documentation of Communicable Skin Disease

1. NFHS Rule 4-2-3 states: If a participant is suspected by the referee or coach of having a communicable skin disease or any other condition that makes participation appear inadvisable, the coach shall provide current written documentation from a physician stating that the suspected disease or condition is not communicable and that the athlete's participation would not be harmful to any opponent. This document shall be furnished at the weigh-in for the dual meet or tournament or prior to competition in the dual meet or tournament. The only exception would be if a designated, on-site meet physician is present and is able to examine the wrestler immediately after the weigh-in. Covering a communicable condition shall not be considered acceptable and does not make the wrestler eligible to participate

2. NFHS Rule 4-2-4 states: If a designated, on-site meet physician is present, he/she may overrule the diagnosis of the physician signing the physician's release form for a wrestler to participate with a particular skin condition.

3. Use the current NSAA Physician Release for Wrestler to Participate with Skin Lesion form for documentation of a communicable skin disease for each wrestler.

4. The skin lesion form is considered current if it is within 14 days from being checked and documented.

Below are some treatment guidelines that suggest MINIMUM TREATMENT before return to wrestling:

• Bacterial Diseases (impetigo, boils): To be considered non-contagious, all lesions must be scabbed over with no oozing or discharge and no new lesions should have occurred in the preceding 48 hours. Oral antibiotic for three days is considered a minimum to achieve that status. If new lesions continue to develop or drain after 72 hours, CA-MRSA (Community Associated Methicillin Resistant Staphylococcus Aureus) should be considered and minimum oral antibiotics should be extended to 10 days before returning the athlete to competition or until all lesions are scabbed over, whichever occurs last.
• Herpetic Lesions (Simplex, fever blisters/cold sores, Zoster, Gladiatorum): To be considered non-contagious, all lesions must be scabbed over with no oozing or discharge and no new lesions should have occurred in the preceding 48 hours. For primary (first episode of Herpes Gladiatorum), wrestlers should be treated and not allowed to compete for a minimum of 10 days. If general body signs and symptoms like fever and swollen lymph nodes are present, that minimum period of treatment should be extended to 14 days. Recurrent outbreaks require a minimum of 120 hours or full five days of oral anti-viral treatment, again so long as no new lesions have developed and all lesions are scabbed over.
• Tinea Lesions (ringworm scalp, skin): Oral or topical treatment for 72 hours on skin and 14 days on scalp.
• Scabies, Head Lice: 24 hours after appropriate topical management.
• Conjunctivitis (Pink Eye): 24 hours of topical or oral medication and no discharge.
• Molluscum Contagiosum: 24 hours after curettage.

Form URL  http://www.nsaahome.org/textfile/wrest/wrskin.pdf