Infections
Serious New NHL Foe
By John Glennon
Staff Writer
Hockey teams are accustomed to seeing players fall by the wayside
because of broken bones, sprained ligaments or torn tendons.
But a malady of a different sort has sidelined a handful of the
game's more prominent names this season.
Infections that began as simple cuts or irritations have turned
far more dangerous, forcing Toronto's Ed Belfour to the bench,
Boston's Joe Thornton to the operating table and Toronto's Mikael
Renberg to the point that amputation was considered.
The latest casualty was Detroit's Darren McCarty, who just days
ago went on injured reserve for 2-3 weeks after suffering an infection
in his elbow.
The serious consequences of infection are no surprise to Predators
Coach Barry Trotz, who once had to undergo emergency surgery for
an ankle infection. Nor do they come as news to veteran Predators
defenseman Bill Houlder, who once saw San Jose teammate Gary Suter's
tricep muscle nearly eaten away by infection.
But this year's batch of bad news certainly has opened players'
eyes to the implications of infection.
''It's just like anything in that you don't pay much attention
to it until it's something serious,'' Predators defenseman Cale
Hulse said. ''But it seems to have popped up a lot this year for
some reason.
''Before, you might be wiping the snow off your skate, cut your
finger and not even think about it. But now you're definitely
thinking about covering it up right away.''
It's no surprise that NHL locker rooms, home to two dozen sweating
men and their equipment a couple of times per day, can be breeding
ground for all kinds of bacteria.
Trainers and equipment managers do their best to sterilize the
environment - sanitizing bathrooms, cleaning wounds and washing
uniforms and equipment. But sometimes it's not enough.
Players are often tripped up by what seem to see the most innocent
difficulties. Belfour missed four games this season when he cut
his hand on the buckle of his goalie pad and the sore became infected.
That was nothing compared to the plight of his teammate, Renberg,
who sliced open his hand while tying skates during a Toronto road
trip. Bacteria, possibly from Renberg's gloves, entered the wound
and he eventually had to be rushed to a Vancouver hospital.
Reports said doctors considered amputating Renberg's hand because
the infection had become so severe, but the Maple Leafs' right
wing later downplayed the situation.
''There has been too much made of that,'' he said. ''But I was
scared. The doctors couldn't give me the answers I wanted right
away. I know if I'd come in a day later, it might have been much
worse.''
Most of the problems are staph infections, caused by the staphylococcus
aureus bacteria that's commonly found living on the skin of many
people. When it enters the body, usually through an open cut or
break in the skin, it can lead to problems as simple as boils
or abscesses, or to serious conditions like food poisoning, toxic-shock
syndrome and pneumonia, among others.
Hockey players have battled the bacteria for decades. Trotz,
for instance, can recall a frightening incident from his playing
days.
A small cut on his ankle, repeatedly irritated by Trotz's sockless
skates, turned into a serious enough infection that a doctor drained
the swollen wound.
''He said if it came back, we'd have to take the next step,''
Trotz said. ''The next day, it swelled right back up again, so
I went to see him. He looked at it and said, 'Can you be at the
hospital by one o'clock?' ''
Trotz underwent an operation in which doctors scraped his ankle
bone to remove the infection. He took antibiotics the next two
months to complete the healing process.
Dan Redmond, head athletic trainer for the Predators, said conditions
surrounding players these days are far better than they were in
the past.
''Obviously, there's a lot of sweaty guys with equipment, and
you've got them on buses and planes together,'' he said. ''But
we clean and sanitize showers regularly, and their practice gear
gets washed every day.
''I think one of the biggest things now is that their equipment
[shoulder pads, shin pads, etc.] gets washed on a pretty regular
basis now, too. In the old days, they didn't wash that as much.
And you see guys turning their equipment over a lot more these
days, instead of keeping one pair of gloves for 10 years or something
like that.''
Drugs, for instance, weren't enough to turn around the infection
of Boston's Thornton, one that began as a simple split elbow in
late December. He wound up missing almost two weeks of the season
in January, spending six days in the hospital and undergoing surgery
to clean the elbow. Thornton was forced to sleep with his arm
propped straight in the air, allowing the infection to drain out.
''You hear all those horror stories, but you never believe that
it could happen to you,'' Thornton said. ''It is pretty scary
because you don't know what's going to happen.
''It's out of your control. It was a little weird.''
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