Nosocomial Pneumonia in Georgia: A Study of Extended Spectrum Beta-Lactamase (ESBL)-Producing Versus Non-extended ESBL Gram-Negative Bacterial Profiles.

Background: Nosocomial pneumonia is a significant healthcare challenge, particularly in the face of rising antimicrobial resistance among Gram-negative bacteria. The production of extended spectrum beta-lactamase (ESBL) exacerbates treatment complexities.

Aim: This study investigates the prevalence and resistance patterns of ESBL-producing and non-ESBL Gram-negative bacteria in nosocomial pneumonia cases in Georgian hospitals to inform antibiotic stewardship and treatment strategies.

[Cases of legionellosis infection in Tbilisi].

The epidemic outbreak of Legionella infection at two industrial enterprises during the period of July-August 1988 is described. The results of the epidemiological study, the clinical course and the serological diagnosis of the outbreak are presented. For the first time in the USSR a new form of the disease has been described at the territory of Georgia.

[Microcalorimetric study of intact nucleoproteins].

It has been shown that melting of native chromatin complex in tissues and cells is a one stage process with transition parameters Tm = 82 +/- 1 degrees C, delta Tm = 6 degrees C and Qm = (24 +/- 3) cal/g DNA. A conclusion is made that the difference in melting temperatures of chromatin complex and DNA, which is 12 cal/g DNA, corresponds to the melting of secondary and tertiary structures of chromatin. It is shown the destruction of significant part of the secondary and tertiary structures of chromatin by the chromatin complex isolation from tissues and cells.

[Heat denaturation of crystalline and dissolved leghemoglobin].

Heat transitions in crystals of leghemoglobin (LH) are studied by means of scanning microcalorimetry and microscopy. It has been found that LH crystals do not melt and their loss of crystal lattice is due to the denaturation of protein globules inside the crystal. Peculiarities of the crystal state (as compared to the solution) are shown in an increase in the cooperative character of heat transition and relaxation time of the system.