Akhvlediani T, Akhvlediani N, Kuchuloria T
Georgian Research and Education Group (GREG), Tbilisi, Georgia.
Georgian Med News. 2016 Sep(258):80-84.
Health care associated infections are the most frequent adverse event accompanying healthcare delivery worldwide. Of these, respiratory tract infections, including ventilator-associated pneumonia (VAP), have been recognized as the most common infections in acute hospitals. Sparse anecdotal and epidemiologic data from intensive care units (ICU) and infectious diseases physicians, as well as several publications in this field, suggest that the etiology of VAP in Georgia is most likely Klebsiella pneumoniae. This review article discusses the challenges of infection control in the Georgian health care system, with a focus on VAP. We present the most significant risk factors as well as potential strategies to remediate infection control practices and reduce the prevalence of VAP.
医疗保健相关感染是全球医疗服务中最常见的不良事件。其中，呼吸道感染，包括呼吸机相关性肺炎（VAP），已被确认为急性医院中最常见的感染。来自重症监护病房（ICU）和传染病医生的少量轶事性和流行病学数据，以及该领域的几篇出版物表明，格鲁吉亚VAP的病因很可能是肺炎克雷伯菌。这篇综述文章讨论了格鲁吉亚医疗保健系统中感染控制的挑战，重点是VAP。我们介绍了最重要的风险因素以及改进感染控制措施和降低VAP患病率的潜在策略。
