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Akpay Sh. Sarybaev , Kyrgyz Thoracic Society, Bishkek, Kyrgyzstan

Lower R espiratory Tract I nfections in Kyrgyzstan: peculiarities at high altitude regions and the place of Kyrgyz Thoracic Society in solution of the problem. Akpay Sh. Sarybaev , Kyrgyz Thoracic Society, Bishkek, Kyrgyzstan.

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Akpay Sh. Sarybaev , Kyrgyz Thoracic Society, Bishkek, Kyrgyzstan

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  1. Lower Respiratory Tract Infections in Kyrgyzstan: peculiarities at high altitude regions and the place of Kyrgyz Thoracic Society in solution of the problem Akpay Sh. Sarybaev, Kyrgyz Thoracic Society, Bishkek, Kyrgyzstan

  2. Estimated Number of Permanent High Altitude Residents and Annual High Altitude Visitors Worldwide at high altitudes (above 2,439 m)

  3. Mean altitude of Kyrgyzstans territory is 2750 м above see level Total number of population in Kyrgyzstan is 5,000,000

  4. Estimated number of population living at different altitudes in Kyrgyzstan

  5. High altitude plateau Sary-Tash (3100 m)

  6. Ak-Say plateau (3600 м above see level)

  7. Morbidity of Lower Respiratory Tract Infections in Kyrgyzstan (per 100 000 population)

  8. Mortality in Lower Respiratory Tract Infections in Kyrgyzstan (per 100 000 population)

  9. Bronchitis/emphysema/asthma per 100 000 people

  10. Standardized mortality index from COPD in Kyrgyzstan (per 100 000 population)

  11. Rate of Use different Antibacterial Drugs for Treatment of Lower Respiratory Tract Infections in High altitude Hospitals(Sooronbaev T. et al., 2002) • Gentamicin - 29,3% (!) • Ampicillin- 13,3% • Biseptol - 30,6% (!) • Cefaclor - 5,3% • Rifampicin - 10,6% • Metronidazole - 5,8% • Kanamycine - 4% • Gentamicin + Biseptol - 18,8% (!) • Amoxicillin - 1,3% • Rifampicin + Biseptol - 9,3%

  12. CONCLUSION The Morbidity and the Mortality from Lower Respiratory Tract Infections at High Altitude Region of Kyrgyzstan are very high compared by low altitude regions Main problem of LRTI in high altitude region of Kyrgyzstan is the absence of date about antibiotic resistance and bacterilogical laboratories. The important problem for LRTI in High Altitude Regions of Kyrgyzstan is inadequate treatment .

  13. CONCLUSION The level of knowledge of physicians in high altitude hospitals about modern Diagnosis and Management of LRTI is very low and insufficiency .

  14. CONCLUSION We need to continue high altitude medical researches on order to solve the problem of LRTI in Kyrgyzstan. We should improve education and training of family phyicians from high altitude regions We should adapt modern guidelines on respiratory diseases especially on LRTI for our local conditions, issue them and distribute them among family doctors from high-mountainous regions

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