**Escalating Threat: Drug-Resistant Infections Surge Amid Ukraine Conflict**

Fri Feb 28 2025 22:52:34 GMT+0200 (Eastern European Standard Time)
**Escalating Threat: Drug-Resistant Infections Surge Amid Ukraine Conflict**

**The war in Ukraine exacerbates the spread of antimicrobial resistance**


**Infection management becomes increasingly challenging as conflict continues to overwhelm medical facilities.**

Amidst the ongoing turmoil in Ukraine, the country faces a parallel crisis: the rapid rise of drug-resistant infections, a phenomenon that has become alarmingly pronounced in war-torn regions. Pte Oleksander Bezverkhny is a poignant example of this harsh reality. After suffering devastating injuries in combat, including severe abdominal trauma and subsequent amputations, his situation worsened due to infections resistant to standard antibiotics.

Antimicrobial resistance (AMR) refers to the ability of bacteria to withstand treatment, rendering extensive use of antibiotics futile. While this global health issue claimed approximately 1.4 million lives from AMR infections in 2021, the ongoing conflict in Ukraine has intensified its spread among the wounded. Dr. Andriy Strokan of Feofaniya Hospital reports that over 80% of patients there show signs of these resilient infections—a trend alarming for the already strained medical infrastructure.

As medical professionals struggle to maintain stringent hygiene measures amidst escalating patient numbers, AMR bacteria proliferates. The war has overwhelmed facilities, forcing clinics like Mechnikov Hospital to expand their capacity at an unsustainable rate, thereby increasing the risk of spreading multi-drug resistant pathogens. Essential staff have either fled or joined military ranks, exacerbating the staff-to-patient ratios and making strict hygiene practices near impossible.

Wounded soldiers, often transported through multiple medical facilities, contribute to the spread of various AMR strains, compounding the threat. This differs significantly from previous conflicts, as patients are moving between facilities without the possibility of centralized treatment protocols. Dr. Volodymyr Dubyna underscored the pressing need for systematic patient transfer methods, similar to those seen during the Afghanistan War, which are currently impractical in Ukraine.

With each vulnerable patient that enters the hospital system, conditions worsen for infection control, and isolation of AMR cases typically remains unmanageable. As a result, critically ill patients require costly reserve antibiotics, further perpetuating the cycle of resistance as bacteria continue to adapt. “We are caught in a balancing act,” explains Dr. Strokan. "While we strive to save lives, we are also cautious not to create further resistant bacteria."

For Pte Bezverkhny, who has endured over a year of treatment and numerous surgeries, the prognosis has improved thanks to donations of specialized antibiotics. Nevertheless, the struggle continues, not just for him, but for countless others who face the daunting challenge of drug-resistant infections under dire circumstances of war. The situation remains precarious, and urgent solutions are needed to combat the dual crises of war injuries and drug resistance in Ukraine.

**End of Article**

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