Wednesday, September 13, 2023

Antimicrobial Resistance and the Ukrainian-Russian War

A joint CDC-Ukrainian Ministry of Health study, published on Dec 7 2023, examined rates of multiple-drug-resistant infections in 50 patients who acquired infections in Ukrainians hospitals in late 2022.


60% of these patients were infected by bacteria resistant to carbapenem antibiotics (high-end antimicrobials, generally used as a last resort when all else fails). 


The study also found that 14% of the 354 patients surveyed suffered from hospital-acquired infections. This can be compared to a 2016-17 EU-wide survey of 4,000 patients, which found a healthcare-associated infection rate of 5.5%, and a 6.2^% carbapenem-resistance rate.


"Worldwide, bacterial antimicrobial resistance is estimated to cause more deaths than HIV or malaria and is recognized as a leading global public health threat. In Ukraine, the confluence of high prewar rates of antimicrobial resistance, an increase in the prevalence of traumatic wounds and the war-related strain on health care facilities is leading to increased detection of multidrug-resistant organisms with spread into Europe," the study authors wrote in the Dec. 8 issue of the CDC publication Morbidity and Mortality Weekly Report.


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