Medical Checks for Professional Football Players in Franceville, Gabon

The Aim of the Study: To describe the clinical and non-clinical characteristics of Gabon footballers in the Haut-Ogooue Polyclinic in Franceville, Gabon, during visits, to assess whether they are not contraceptive to sports. Patients and Methods: A descriptive and analytical cross-sectional study was conducted in the city of Franceville, Gabon, in May 2022. The first and second divisions of footballers were subjected to medical examinations to determine whether they had any contraindications for playing sports, including clinical examinations, rest electrocardiograms (ECG), rest cardiac ultrasounds, chest X-rays, Rick-Dickson and biological checks. Results: The average age of 88 footballers (22–25 years) was 23 years. Blood pressure (BP) is abnormal in 19% of players, and alcohol and tobacco consumption is reported in 70% and 30%, respectively. Exercise adaptation was also closely associated with age (P = 0.00137724; P = 0.008974301), football position (P = 0.009957548; P = 0.006646182) and alcohol consumption (P = 0.000531971). Electrical and biological changes were 16% and 86.79%, respectively. Sinus bradycardia and first-degree atrioventricular block are the most common ECG abnormalities. Metabolic, inflammatory, infectious, electrolyte and anaemia syndromes were found in 22.64%, 24.53%, 19.81%, 7.55% and 12.26%, respectively. Midfielders and defenders have shown the greatest changes in biological parameters. Conclusion: Medical checks are essential to determine if sports are contraindicated, as they can help identify physiological and pathological conditions and improve the monitoring of athletes

Bacteriological profile and antibiotic sensitivity of pus isolates in patients at Regional Hospital Center of Franceville in Gabon

Background:Bacterial resistance to antibiotics is a public health problem, it is a threat to the future. It compromises the effectiveness of antibiotic treatment and is constantly increasing worldwide. This work has been highlighted by the profile and sensitivity of pyogenic bacteria isolated at Franceville Regional Hospital Center. Methods:Effective antibiotic strategy, suppurations from the wounds of 530 patients were collected and analyzed. Biochemical identification of isolated bacterial strains was performed with Api 10s galleries and verified using Vitek-2 system. The Kirby-Bauer technic was used to perform the antibiogram. Five antibiotics were first tested in a simple way and then combined in pairs. Results:360 samples showed bacterial strains and 170 were sterile cultures. 360 microorganisms were isolated, of which 230 strains came from hospitalization surgery, 110 from minor surgery and 20 from medicine.The bacterial families identified are Enterobacteriaceae, Moraxellaceae, Pseudomonadaceae, Streptococcaceae and Xanthomonadaceae. Enterobacterizceae is the most common family with 64.69% and has revealed 7 genera Citrobacter, Enterobacter, Escherichia, Klebsiella, Serratia, Yersinia and Proteus 65% antibiotic sensitivity of simple antibiotics showed the best sensitivities with Ciprofloxacin and Ofloxacin a resistance rate 31.25%, 100% unlike Amoxicillin and Metronidazole. Ceftazidim was not very active on bacterial strains with a resistance rate of 93.75%. The interactions between antibiotics combined gave antagonistic, synergistic, indifferent and additive effects. The indifferent effect was much more observed (44 cases), in contrast to the additive effect which represented only 23 cases. The antagonic and synergistic effects were reported in 14 cases. Combined Amoxicillin and Metronidazole, Ceftazidim antibiotics showed good activity on bacterial strains, with good synergy and additive effect, or were not combined. Conclusion:The emergence of bacteria is major global problem multi-resistance. The rationalization of the prescription of antibiotics, especially Ofloxacin and Ciprofloxacin, and the optimization of bacteriological prescriptions are desirable in surgical services. However, rigor in dispensing pharmacies and the rational use of these antibiotics are essential to avoid the emergence of resistance phenomena