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Global Health Economics and
            Sustainability
                                                                              Peace and quality health is entrepreneurship



            Table 3. Databases used to retrieve literature and the number   supporting hematological, serological, renal function, and
            of articles retrieved                              electrolyte tests, as well as evaluations of cardiovascular and
                                                               musculoskeletal health (Bakken et al., 2016).
            Type of article source   Number of literature retrieved
            Academic database                                    Blood culture and sensitivity tests are used to identify
             PubMed                           181              systemic infections in athletes and football players. Blood
                                                               cultures are typically requested for patients suspected
             Google Scholar                    42              of having systemic infections or sepsis (Go  et al., 2022;
             Web of Science                    25              Hosseinpour  et al., 2022). Depending on the type of
             Scopus                            19              infection, blood or other cultures can accurately identify
             ScienceDirect                     10              the specific microorganism responsible (Go  et al., 2022;
             Semantic Scholar                  9               Papavarnavas et al., 2022).
             Index Copernicus International    2               4. Discussion
             Total                            248
            Books                                              The literature revealed that sports-accidental infections
             Bible quotes                      1               are transmitted through various pathways, including
                                                               direct  contact, fecal-oral routes, airborne  or infected
             Academic books                    17              droplets, and exposure to contaminated sources. Other
             Total                             18              transmission modes, such as sexually transmitted
            News websites                      35              infections, although not explicitly mentioned, fall under
            Blog posts                         4               contact transmission and source exposure (Figure  4B).
            Magazine                           1               The most common route through which athletes contract
            WHO websites                       6               blood-borne pathogens is through direct contact during
            Unpublished literature             1               sports activities (Bauer et  al., 2022; Kolören & Dubey,
                                                               2020; McGrew, 2023; Mak  et  al., 2022). The most
            Source: Adapted from Ben Pulle’s Peace Designs and Writing, created   frequently observed infections among athletes include
            using Microsoft Word Office 2021.
            Note: Thirty-nine journal articles were retrieved from two or more   skin infections, URTIs, blood-borne infections, and
            databases. Therefore, when calculating the total number of journal   fecal-oral infections (Figure 4).
            articles, the figure would be 287 instead of 248. This duplication applies
            to articles with unavailable full texts on certain databases but retrieved   The findings on the common types of infections among
            from others. For example, two journals initially retrieved from PubMed   athletes and their modes of transmission align with the
            and Google Scholar were also accessed from the WHO website.   principle of the One Health approach (Ghai et al., 2022;
                                                               Mackenzie & Jeggo, 2019) and the WHO’s definition of
            substances, such as pneumococcal C-polysaccharide, in   health (Armitage, 2023; Oleribe  et al., 2018; Schramme,
            the presence of Ca , underscores its role in the immune   2023). These frameworks highlight that athletes can be
                           2+
            response (Bhattacharya & Munshi, 2023). These functions   infected through various routes and that multiple forms
            contribute to the tertiary prevention of diseases affecting   of infections, termed sports-accidental infections, can be
            athletes (Mercurio et al., 2017).                  diagnosed  in  this  population.  These  results  address  the

              A study investigated the association between metabolic   first objective of this study by demonstrating why the One
            syndrome in children and the inflammatory response using   Health approach is applicable in this context.
            CRP. CRP, known as a nonspecific marker of inflammation,   Preventing sports-accidental infections during sporting
            was measured for its reliability as a marker for inflammation   activities  is  important,  as  sports  events  contribute  to
            in children and adolescents with metabolic syndrome. The   economic development but can also serve as vectors
            results established a linkage between metabolic syndrome   for disease transmission. The importance of preventing
            and elevated CRP levels compared to healthy children   infections during sporting activities was emphasized by the
            (Podeanu et al., 2023).                            second objective of the study. It found that in the WHO’s
              Numerous diagnostic tests are available to help   definition  of  health,  inclusive  environmental  factors
            physicians or health professionals confirm sports-accidental   support the importance of infection prevention in sports
            infections (Table 3). These include urine and stool routine   settings. For example, studies on Pseudomonas aeruginosa
            examinations, sputum tests for acid–fast bacilli, skin   quorum-sensing mechanisms illustrate how immunity
            snips or scrapings for wet preparations, staining, culture   in the intestinal and respiratory tracts can be influenced
            and sensitivity, rapid diagnostic tests, and molecular   (Muggeo et al., 2023; Singh et al., 2023). Athletes with skin
            investigations. Blood tests are particularly versatile,   infections may experience disfigurement, stigmatization,


            Volume 3 Issue 1 (2025)                         24                       https://doi.org/10.36922/ghes.2904
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