id	sid	tid	token	lemma	pos
gs-4266	1	1	fullpdf070412025.pdf	fullpdf070412025.pdf	ADJ
gs-4266	1	2	modern	modern	ADJ
gs-4266	1	3	aspects	aspect	NOUN
gs-4266	1	4	of	of	ADP
gs-4266	1	5	managing	manage	VERB
gs-4266	1	6	septic	septic	ADJ
gs-4266	1	7	shock	shock	NOUN
gs-4266	1	8	caused	cause	VERB
gs-4266	1	9	by	by	ADP
gs-4266	1	10	resistant	resistant	ADJ
gs-4266	1	11	pathogens	pathogen	NOUN
gs-4266	1	12	(	(	PUNCT
gs-4266	1	13	clinical	clinical	ADJ
gs-4266	1	14	case	case	NOUN
gs-4266	1	15	presentation	presentation	NOUN
gs-4266	1	16	)	)	PUNCT
gs-4266	1	17	ivlita	ivlita	PROPN
gs-4266	1	18	khvedelidze1	khvedelidze1	PROPN
gs-4266	1	19	,	,	PUNCT
gs-4266	1	20	nino	nino	PROPN
gs-4266	1	21	vardidze2	vardidze2	ADP
gs-4266	1	22	1	1	X
gs-4266	1	23	.	.	PUNCT
gs-4266	1	24	department	department	NOUN
gs-4266	1	25	reanimation	reanimation	NOUN
gs-4266	1	26	,	,	PUNCT
gs-4266	1	27	the	the	DET
gs-4266	1	28	first	first	ADJ
gs-4266	1	29	university	university	NOUN
gs-4266	1	30	clinic	clinic	NOUN
gs-4266	1	31	,	,	PUNCT
gs-4266	1	32	tbilisi	tbilisi	PROPN
gs-4266	1	33	state	state	PROPN
gs-4266	1	34	medical	medical	PROPN
gs-4266	1	35	university	university	PROPN
gs-4266	1	36	tbilisi	tbilisi	PROPN
gs-4266	1	37	,	,	PUNCT
gs-4266	1	38	georgia	georgia	PROPN
gs-4266	1	39	;	;	PUNCT
gs-4266	1	40	2	2	X
gs-4266	1	41	.	.	X
gs-4266	1	42	department	department	NOUN
gs-4266	1	43	of	of	ADP
gs-4266	1	44	epidemiology	epidemiology	NOUN
gs-4266	1	45	and	and	CCONJ
gs-4266	1	46	infection	infection	NOUN
gs-4266	1	47	control	control	NOUN
gs-4266	1	48	,	,	PUNCT
gs-4266	1	49	the	the	DET
gs-4266	1	50	first	first	ADJ
gs-4266	1	51	university	university	NOUN
gs-4266	1	52	clinic	clinic	NOUN
gs-4266	1	53	,	,	PUNCT
gs-4266	1	54	tbilisi	tbilisi	PROPN
gs-4266	1	55	state	state	PROPN
gs-4266	1	56	medical	medical	PROPN
gs-4266	1	57	university	university	PROPN
gs-4266	1	58	tbilisi	tbilisi	PROPN
gs-4266	1	59	,	,	PUNCT
gs-4266	1	60	georgia	georgia	PROPN
gs-4266	1	61	septic	septic	ADJ
gs-4266	1	62	shock	shock	NOUN
gs-4266	1	63	represents	represent	VERB
gs-4266	1	64	the	the	DET
gs-4266	1	65	most	most	ADV
gs-4266	1	66	severe	severe	ADJ
gs-4266	1	67	clinical	clinical	ADJ
gs-4266	1	68	manifestation	manifestation	NOUN
gs-4266	1	69	of	of	ADP
gs-4266	1	70	sepsis	sepsis	NOUN
gs-4266	1	71	,	,	PUNCT
gs-4266	1	72	characterized	characterize	VERB
gs-4266	1	73	by	by	ADP
gs-4266	1	74	systemic	systemic	ADJ
gs-4266	1	75	infection	infection	NOUN
gs-4266	1	76	,	,	PUNCT
gs-4266	1	77	hemodynamic	hemodynamic	ADJ
gs-4266	1	78	instability	instability	NOUN
gs-4266	1	79	,	,	PUNCT
gs-4266	1	80	microcirculatory	microcirculatory	ADJ
gs-4266	1	81	dysfunction	dysfunction	NOUN
gs-4266	1	82	,	,	PUNCT
gs-4266	1	83	and	and	CCONJ
gs-4266	1	84	multiple	multiple	ADJ
gs-4266	1	85	organ	organ	NOUN
gs-4266	1	86	failure	failure	NOUN
gs-4266	1	87	.	.	PUNCT
gs-4266	2	1	mortality	mortality	NOUN
gs-4266	2	2	rates	rate	NOUN
gs-4266	2	3	range	range	VERB
gs-4266	2	4	between	between	ADP
gs-4266	2	5	30	30	NUM
gs-4266	2	6	%	%	NOUN
gs-4266	2	7	and	and	CCONJ
gs-4266	2	8	40	40	NUM
gs-4266	2	9	%	%	NOUN
gs-4266	2	10	,	,	PUNCT
gs-4266	2	11	with	with	ADP
gs-4266	2	12	resistant	resistant	ADJ
gs-4266	2	13	pathogens	pathogen	NOUN
gs-4266	2	14	significantly	significantly	ADV
gs-4266	2	15	complicating	complicate	VERB
gs-4266	2	16	therapeutic	therapeutic	ADJ
gs-4266	2	17	management	management	NOUN
gs-4266	2	18	and	and	CCONJ
gs-4266	2	19	worsening	worsen	VERB
gs-4266	2	20	patient	patient	ADJ
gs-4266	2	21	outcomes	outcome	NOUN
gs-4266	2	22	.	.	PUNCT
gs-4266	3	1	multidrug	multidrug	NOUN
gs-4266	3	2	-	-	PUNCT
gs-4266	3	3	resistant	resistant	ADJ
gs-4266	3	4	(	(	PUNCT
gs-4266	3	5	mdr	mdr	NOUN
gs-4266	3	6	)	)	PUNCT
gs-4266	3	7	,	,	PUNCT
gs-4266	3	8	extensively	extensively	ADV
gs-4266	3	9	drug	drug	NOUN
gs-4266	3	10	-	-	PUNCT
gs-4266	3	11	resistant	resistant	ADJ
gs-4266	3	12	(	(	PUNCT
gs-4266	3	13	xdr	xdr	PROPN
gs-4266	3	14	)	)	PUNCT
gs-4266	3	15	,	,	PUNCT
gs-4266	3	16	and	and	CCONJ
gs-4266	3	17	pandrug	pandrug	NOUN
gs-4266	3	18	-	-	ADJ
gs-4266	3	19	resistant	resistant	ADJ
gs-4266	3	20	(	(	PUNCT
gs-4266	3	21	pdr	pdr	NOUN
gs-4266	3	22	)	)	PUNCT
gs-4266	3	23	bacteria	bacteria	NOUN
gs-4266	3	24	,	,	PUNCT
gs-4266	3	25	particularly	particularly	ADV
gs-4266	3	26	gram	gram	NOUN
gs-4266	3	27	-	-	PUNCT
gs-4266	3	28	negative	negative	ADJ
gs-4266	3	29	species	specie	NOUN
gs-4266	3	30	such	such	ADJ
gs-4266	3	31	as	as	ADP
gs-4266	3	32	klebsiella	klebsiella	NOUN
gs-4266	3	33	pneumoniae	pneumoniae	NOUN
gs-4266	3	34	,	,	PUNCT
gs-4266	3	35	pseudomonas	pseudomona	NOUN
gs-4266	3	36	aeruginosa	aeruginosa	NOUN
gs-4266	3	37	,	,	PUNCT
gs-4266	3	38	and	and	CCONJ
gs-4266	3	39	acinetobacter	acinetobacter	ADV
gs-4266	3	40	baumanii	baumanii	NOUN
gs-4266	3	41	,	,	PUNCT
gs-4266	3	42	pose	pose	VERB
gs-4266	3	43	critical	critical	ADJ
gs-4266	3	44	challenges	challenge	NOUN
gs-4266	3	45	in	in	ADP
gs-4266	3	46	clinical	clinical	ADJ
gs-4266	3	47	practice	practice	NOUN
gs-4266	3	48	.	.	PUNCT
gs-4266	4	1	this	this	DET
gs-4266	4	2	report	report	NOUN
gs-4266	4	3	presents	present	VERB
gs-4266	4	4	the	the	DET
gs-4266	4	5	clinical	clinical	ADJ
gs-4266	4	6	case	case	NOUN
gs-4266	4	7	of	of	ADP
gs-4266	4	8	a	a	DET
gs-4266	4	9	31	31	NUM
gs-4266	4	10	-	-	PUNCT
gs-4266	4	11	year	year	NOUN
gs-4266	4	12	-	-	PUNCT
gs-4266	4	13	old	old	ADJ
gs-4266	4	14	male	male	ADJ
gs-4266	4	15	patient	patient	NOUN
gs-4266	4	16	with	with	ADP
gs-4266	4	17	septic	septic	ADJ
gs-4266	4	18	shock	shock	NOUN
gs-4266	4	19	caused	cause	VERB
gs-4266	4	20	by	by	ADP
gs-4266	4	21	pandrugresistant	pandrugresistant	NOUN
gs-4266	4	22	klebsiella	klebsiella	PROPN
gs-4266	4	23	pneumoniae	pneumoniae	ADJ
gs-4266	4	24	.	.	PUNCT
gs-4266	5	1	the	the	DET
gs-4266	5	2	patient	patient	NOUN
gs-4266	5	3	had	have	AUX
gs-4266	5	4	been	be	AUX
gs-4266	5	5	transferred	transfer	VERB
gs-4266	5	6	from	from	ADP
gs-4266	5	7	turkey	turkey	NOUN
gs-4266	5	8	after	after	ADP
gs-4266	5	9	a	a	DET
gs-4266	5	10	month	month	NOUN
gs-4266	5	11	of	of	ADP
gs-4266	5	12	rehabilitation	rehabilitation	NOUN
gs-4266	5	13	.	.	PUNCT
gs-4266	6	1	upon	upon	SCONJ
gs-4266	6	2	admission	admission	NOUN
gs-4266	6	3	,	,	PUNCT
gs-4266	6	4	the	the	DET
gs-4266	6	5	patient	patient	NOUN
gs-4266	6	6	's	's	PART
gs-4266	6	7	condition	condition	NOUN
gs-4266	6	8	was	be	AUX
gs-4266	6	9	severe	severe	ADJ
gs-4266	6	10	,	,	PUNCT
gs-4266	6	11	involving	involve	VERB
gs-4266	6	12	hypoxic	hypoxic	ADJ
gs-4266	6	13	brain	brain	NOUN
gs-4266	6	14	injury	injury	NOUN
gs-4266	6	15	,	,	PUNCT
gs-4266	6	16	coma	coma	NOUN
gs-4266	6	17	,	,	PUNCT
gs-4266	6	18	and	and	CCONJ
gs-4266	6	19	multiple	multiple	ADJ
gs-4266	6	20	pressure	pressure	NOUN
gs-4266	6	21	ulcers	ulcer	NOUN
gs-4266	6	22	.	.	PUNCT
gs-4266	7	1	he	he	PRON
gs-4266	7	2	was	be	AUX
gs-4266	7	3	mechanically	mechanically	ADV
gs-4266	7	4	ventilated	ventilate	VERB
gs-4266	7	5	via	via	ADP
gs-4266	7	6	tracheostomy	tracheostomy	NOUN
gs-4266	7	7	and	and	CCONJ
gs-4266	7	8	exhibited	exhibit	VERB
gs-4266	7	9	signs	sign	NOUN
gs-4266	7	10	of	of	ADP
gs-4266	7	11	sepsis	sepsis	NOUN
gs-4266	7	12	with	with	ADP
gs-4266	7	13	multi	multi	ADJ
gs-4266	7	14	-	-	ADJ
gs-4266	7	15	organ	organ	ADJ
gs-4266	7	16	involvement	involvement	NOUN
gs-4266	7	17	.	.	PUNCT
gs-4266	8	1	initial	initial	ADJ
gs-4266	8	2	empirical	empirical	ADJ
gs-4266	8	3	therapy	therapy	NOUN
gs-4266	8	4	included	include	VERB
gs-4266	8	5	piperacillintazobactam	piperacillintazobactam	NOUN
gs-4266	8	6	and	and	CCONJ
gs-4266	8	7	amikacin	amikacin	PROPN
gs-4266	8	8	,	,	PUNCT
gs-4266	8	9	later	later	ADV
gs-4266	8	10	adjusted	adjust	VERB
gs-4266	8	11	based	base	VERB
gs-4266	8	12	on	on	ADP
gs-4266	8	13	microbiological	microbiological	ADJ
gs-4266	8	14	results	result	NOUN
gs-4266	8	15	.	.	PUNCT
gs-4266	9	1	cultures	culture	NOUN
gs-4266	9	2	revealed	reveal	VERB
gs-4266	9	3	pandrugresistant	pandrugresistant	NOUN
gs-4266	9	4	klebsiella	klebsiella	NOUN
gs-4266	9	5	pneumoniae	pneumoniae	ADJ
gs-4266	9	6	in	in	ADP
gs-4266	9	7	blood	blood	NOUN
gs-4266	9	8	and	and	CCONJ
gs-4266	9	9	multidrug	multidrug	NOUN
gs-4266	9	10	-	-	PUNCT
gs-4266	9	11	sensitive	sensitive	ADJ
gs-4266	9	12	pseudomonas	pseudomona	NOUN
gs-4266	9	13	aeruginosa	aeruginosa	NOUN
gs-4266	9	14	in	in	ADP
gs-4266	9	15	urine	urine	NOUN
gs-4266	9	16	,	,	PUNCT
gs-4266	9	17	sputum	sputum	NOUN
gs-4266	9	18	,	,	PUNCT
gs-4266	9	19	and	and	CCONJ
gs-4266	9	20	pressure	pressure	NOUN
gs-4266	9	21	ulcer	ulcer	NOUN
gs-4266	9	22	samples	sample	NOUN
gs-4266	9	23	,	,	PUNCT
gs-4266	9	24	all	all	PRON
gs-4266	9	25	of	of	ADP
gs-4266	9	26	which	which	PRON
gs-4266	9	27	were	be	AUX
gs-4266	9	28	susceptible	susceptible	ADJ
gs-4266	9	29	to	to	PART
gs-4266	9	30	colistin	colistin	VERB
gs-4266	9	31	.	.	PUNCT
gs-4266	10	1	therapy	therapy	NOUN
gs-4266	10	2	was	be	AUX
gs-4266	10	3	tailored	tailor	VERB
gs-4266	10	4	accordingly	accordingly	ADV
gs-4266	10	5	,	,	PUNCT
gs-4266	10	6	with	with	ADP
gs-4266	10	7	prolonged	prolonged	ADJ
gs-4266	10	8	infusion	infusion	NOUN
gs-4266	10	9	of	of	ADP
gs-4266	10	10	beta	beta	NOUN
gs-4266	10	11	-	-	PUNCT
gs-4266	10	12	lactams	lactam	NOUN
gs-4266	10	13	and	and	CCONJ
gs-4266	10	14	the	the	DET
gs-4266	10	15	addition	addition	NOUN
gs-4266	10	16	of	of	ADP
gs-4266	10	17	colistin	colistin	PROPN
gs-4266	10	18	.	.	PUNCT
gs-4266	11	1	strict	strict	ADJ
gs-4266	11	2	infection	infection	NOUN
gs-4266	11	3	control	control	NOUN
gs-4266	11	4	measures	measure	NOUN
gs-4266	11	5	including	include	VERB
gs-4266	11	6	patient	patient	ADJ
gs-4266	11	7	isolation	isolation	NOUN
gs-4266	11	8	,	,	PUNCT
gs-4266	11	9	invasive	invasive	ADJ
gs-4266	11	10	device	device	NOUN
gs-4266	11	11	replacement	replacement	NOUN
gs-4266	11	12	,	,	PUNCT
gs-4266	11	13	hand	hand	NOUN
gs-4266	11	14	hygiene	hygiene	NOUN
gs-4266	11	15	protocols	protocol	NOUN
gs-4266	11	16	,	,	PUNCT
gs-4266	11	17	and	and	CCONJ
gs-4266	11	18	environmental	environmental	ADJ
gs-4266	11	19	disinfection	disinfection	NOUN
gs-4266	11	20	were	be	AUX
gs-4266	11	21	implemented	implement	VERB
gs-4266	11	22	to	to	PART
gs-4266	11	23	prevent	prevent	VERB
gs-4266	11	24	nosocomial	nosocomial	ADJ
gs-4266	11	25	spread	spread	NOUN
gs-4266	11	26	.	.	PUNCT
gs-4266	12	1	following	follow	VERB
gs-4266	12	2	targeted	targeted	ADJ
gs-4266	12	3	treatment	treatment	NOUN
gs-4266	12	4	,	,	PUNCT
gs-4266	12	5	the	the	DET
gs-4266	12	6	patient	patient	NOUN
gs-4266	12	7	showed	show	VERB
gs-4266	12	8	significant	significant	ADJ
gs-4266	12	9	clinical	clinical	ADJ
gs-4266	12	10	improvement	improvement	NOUN
gs-4266	12	11	:	:	PUNCT
gs-4266	12	12	stabilization	stabilization	NOUN
gs-4266	12	13	of	of	ADP
gs-4266	12	14	hemodynamics	hemodynamic	NOUN
gs-4266	12	15	,	,	PUNCT
gs-4266	12	16	cessation	cessation	NOUN
gs-4266	12	17	of	of	ADP
gs-4266	12	18	vasopressor	vasopressor	NOUN
gs-4266	12	19	support	support	NOUN
gs-4266	12	20	,	,	PUNCT
gs-4266	12	21	normalization	normalization	NOUN
gs-4266	12	22	of	of	ADP
gs-4266	12	23	temperature	temperature	NOUN
gs-4266	12	24	,	,	PUNCT
gs-4266	12	25	and	and	CCONJ
gs-4266	12	26	neurological	neurological	ADJ
gs-4266	12	27	recovery	recovery	NOUN
gs-4266	12	28	.	.	PUNCT
gs-4266	13	1	these	these	DET
gs-4266	13	2	outcomes	outcome	NOUN
gs-4266	13	3	underscore	underscore	VERB
gs-4266	13	4	the	the	DET
gs-4266	13	5	importance	importance	NOUN
gs-4266	13	6	of	of	ADP
gs-4266	13	7	timely	timely	ADJ
gs-4266	13	8	microbiological	microbiological	ADJ
gs-4266	13	9	diagnosis	diagnosis	NOUN
gs-4266	13	10	,	,	PUNCT
gs-4266	13	11	antibiotic	antibiotic	ADJ
gs-4266	13	12	stewardship	stewardship	NOUN
gs-4266	13	13	,	,	PUNCT
gs-4266	13	14	and	and	CCONJ
gs-4266	13	15	comprehensive	comprehensive	ADJ
gs-4266	13	16	infection	infection	NOUN
gs-4266	13	17	control	control	NOUN
gs-4266	13	18	in	in	ADP
gs-4266	13	19	managing	manage	VERB
gs-4266	13	20	septic	septic	ADJ
gs-4266	13	21	shock	shock	NOUN
gs-4266	13	22	caused	cause	VERB
gs-4266	13	23	by	by	ADP
gs-4266	13	24	resistant	resistant	ADJ
gs-4266	13	25	pathogens	pathogen	NOUN
gs-4266	13	26	.	.	PUNCT
gs-4266	14	1	in	in	ADP
gs-4266	14	2	conclusion	conclusion	NOUN
gs-4266	14	3	,	,	PUNCT
gs-4266	14	4	the	the	DET
gs-4266	14	5	rise	rise	NOUN
gs-4266	14	6	of	of	ADP
gs-4266	14	7	pandrug	pandrug	NOUN
gs-4266	14	8	-	-	PUNCT
gs-4266	14	9	resistant	resistant	ADJ
gs-4266	14	10	organisms	organism	NOUN
gs-4266	14	11	severely	severely	ADV
gs-4266	14	12	limits	limit	VERB
gs-4266	14	13	available	available	ADJ
gs-4266	14	14	antibiotic	antibiotic	ADJ
gs-4266	14	15	options	option	NOUN
gs-4266	14	16	and	and	CCONJ
gs-4266	14	17	increases	increase	VERB
gs-4266	14	18	the	the	DET
gs-4266	14	19	mortality	mortality	NOUN
gs-4266	14	20	risk	risk	NOUN
gs-4266	14	21	for	for	ADP
gs-4266	14	22	septic	septic	ADJ
gs-4266	14	23	shock	shock	NOUN
gs-4266	14	24	patients	patient	NOUN
gs-4266	14	25	.	.	PUNCT
gs-4266	15	1	however	however	ADV
gs-4266	15	2	,	,	PUNCT
gs-4266	15	3	integrative	integrative	ADJ
gs-4266	15	4	management	management	NOUN
gs-4266	15	5	strategies	strategy	NOUN
gs-4266	15	6	,	,	PUNCT
gs-4266	15	7	combining	combine	VERB
gs-4266	15	8	precise	precise	ADJ
gs-4266	15	9	antimicrobial	antimicrobial	ADJ
gs-4266	15	10	therapy	therapy	NOUN
gs-4266	15	11	,	,	PUNCT
gs-4266	15	12	rigorous	rigorous	ADJ
gs-4266	15	13	infection	infection	NOUN
gs-4266	15	14	control	control	NOUN
gs-4266	15	15	,	,	PUNCT
gs-4266	15	16	and	and	CCONJ
gs-4266	15	17	multidisciplinary	multidisciplinary	ADJ
gs-4266	15	18	care	care	NOUN
gs-4266	15	19	,	,	PUNCT
gs-4266	15	20	can	can	AUX
gs-4266	15	21	improve	improve	VERB
gs-4266	15	22	prognosis	prognosis	NOUN
gs-4266	15	23	even	even	ADV
gs-4266	15	24	in	in	ADP
gs-4266	15	25	the	the	DET
gs-4266	15	26	face	face	NOUN
gs-4266	15	27	of	of	ADP
gs-4266	15	28	highly	highly	ADV
gs-4266	15	29	resistant	resistant	ADJ
gs-4266	15	30	infections	infection	NOUN
gs-4266	15	31	.	.	PUNCT
gs-4266	16	1	keywords	keyword	NOUN
gs-4266	16	2	:	:	PUNCT
gs-4266	16	3	septic	septic	ADJ
gs-4266	16	4	shock	shock	NOUN
gs-4266	16	5	,	,	PUNCT
gs-4266	16	6	antibiotic	antibiotic	ADJ
gs-4266	16	7	resistance	resistance	NOUN
gs-4266	16	8	,	,	PUNCT
gs-4266	16	9	pdr	pdr	PROPN
gs-4266	16	10	pathogens	pathogen	NOUN
gs-4266	16	11	,	,	PUNCT
gs-4266	16	12	infection	infection	NOUN
gs-4266	16	13	control	control	NOUN
gs-4266	16	14	,	,	PUNCT
gs-4266	16	15	klebsiella	klebsiella	PROPN
gs-4266	16	16	pneumoniae	pneumoniae	ADJ