EC Pulmonology and Respiratory Medicine

Research Article Volume 13 Issue 2 - 2024

Epidemiology and Risk Factors of Hospital-Acquired Pneumonia in Tertiary Pediatric Hospital, Tbilisi, Georgia

Natia Chkhaidze1,2*, Maia Kherkheulidze1,3, Paata Imnadze4, Lile Malania4, Ivane Chkhaidze1,2 and Tamar Uguzashvili5

1Assistant Professor (Former), Laboratory of Lung Inflammation, Department of Pathobiology, College of Veterinary Medicine, Auburn University, Auburn, Alabama, United States

2Iashvili Central Children Hospital, Tbilisi, Georgia

3Zhvania Pediatric Academic Clinic, Tbilisi, Georgia

4National Center for Disease Control and Public Health, Tbilisi, Georgia

5Sabuko, Tbilisi, Georgia

*Corresponding Author: Natia Chkhaidze, Department of Pediatric, Tbilisi State Medical University, 33 Vazha Pshavela Ave, Tbilisi, Georgia and Department of Respiratory Medicine, Iashvili Central Children Hospital, 2/6 Ljubljana Street, Tbilisi, Georgia.
Received: April 30, 2024; Published:May 14, 2024

Introduction: Hospital-acquired pneumonia (HAP) is one of the most common complications among hospitalized children. This study aimed to determine the epidemiology and risk factors of HAP in the tertiary pediatric hospital in Tbilisi, Georgia.

Methods: The study included pediatric patients admitted to the Iashvili Central Children's Hospital from March 2023 to January 2024. The following data were recorded: age, sex, hospital ward, and risk factors, including comorbid disease, Hb<10 g/dL, pH<7.35, invasive techniques, surgery, hospital admission in the previous month, and interval from admission to presentation of HAP.

Results: The study was performed on 36 patients with a median age of 36 months. Most of the patients (58%) were males. The most common causes of the admission were upper respiratory tract infection (9 patients, 25%), fever (7 patients, 19%), and bronchitis (5 patients, 14%). Seventeen patients (47%) had histories of hospitalizations within the last 30 days. Most cases (20 out of 36) were late-onset HAP. The median time of HAP onset was 8 days. The median length of the hospital stay was 17 days. Twenty-two out of 36 patients experienced a prolonged length of hospital stay of more than ten days. Most of the patients (24 patients, 67%) had comorbidities. The most frequent comorbidities were developmental delay (6 patients) and epilepsy (5 patients). Logistic regression showed a significant relationship between HAP and the presence of comorbidities, prior hospitalization, prolonged hospitalization and anemia.

Conclusion: Early identification of risk factors may be useful in identifying patients at high risk of HAP development.

 Keywords: Nosocomial Infections; Hospital-Acquired Pneumonia; Epidemiology; Risk Factors; Georgia

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Natia Chkhaidze., et al. "Epidemiology and Risk Factors of Hospital-Acquired Pneumonia in Tertiary Pediatric Hospital, Tbilisi, Georgia". EC Pulmonology and Respiratory Medicine  13.2 (2024): 01-09.