Challenges in managing multidrug-resistant infections among refugees: clinical experience during the Ukrainian war
The war in Ukraine, initiated in 2022, triggered a massive humanitarian crisis with millions displaced. This population exodus posed significant healthcare challenges, including the spread of infections caused by multidrug-resistant (MDR) bacteria. Factors such as disrupted healthcare services, inap...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SMC MEDIA SRL
2025-04-01
|
| Series: | European Journal of Case Reports in Internal Medicine |
| Subjects: | |
| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/5338 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850261908207173632 |
|---|---|
| author | Josu Urbieta-Mancisidor Jesús-Martín Treviño-Theriot |
| author_facet | Josu Urbieta-Mancisidor Jesús-Martín Treviño-Theriot |
| author_sort | Josu Urbieta-Mancisidor |
| collection | DOAJ |
| description | The war in Ukraine, initiated in 2022, triggered a massive humanitarian crisis with millions displaced. This population exodus posed significant healthcare challenges, including the spread of infections caused by multidrug-resistant (MDR) bacteria. Factors such as disrupted healthcare services, inappropriate antimicrobial use and environmental contamination contributed to increased bacterial resistance.
In this context, in 2023 an 86-year-old Ukrainian migrant was treated in a Spanish hospital for severe infections complicated by MDR bacteria. During hospitalisation, complex resistant strains of Pseudomonas aeruginosa and Klebsiella pneumoniae were identified. Treatment was guided by culture results, though infections recurred multiple times.
A literature review indicated that infections among displaced Ukrainians commonly involve Gram-negative bacteria such as P. aeruginosa and K. pneumoniae, often exhibiting high resistance levels. This underscores the urgent need for infection control strategies, improved antibiotic stewardship and enhanced epidemiological surveillance. Additionally, it highlights the importance of international cooperation and networked efforts in managing antimicrobial resistance during conflicts and mass displacement. |
| format | Article |
| id | doaj-art-fbcfd343d33746edac4f6398df292a2a |
| institution | OA Journals |
| issn | 2284-2594 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj-art-fbcfd343d33746edac4f6398df292a2a2025-08-20T01:55:18ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942025-04-0110.12890/2025_0053384873Challenges in managing multidrug-resistant infections among refugees: clinical experience during the Ukrainian warJosu Urbieta-Mancisidor0Jesús-Martín Treviño-Theriot1Department of Internal Medicine, Santa Marina Hospitale, Bilbao, SpainBalmaseda Primary Health Care Centre, Balmaseda, SpainThe war in Ukraine, initiated in 2022, triggered a massive humanitarian crisis with millions displaced. This population exodus posed significant healthcare challenges, including the spread of infections caused by multidrug-resistant (MDR) bacteria. Factors such as disrupted healthcare services, inappropriate antimicrobial use and environmental contamination contributed to increased bacterial resistance. In this context, in 2023 an 86-year-old Ukrainian migrant was treated in a Spanish hospital for severe infections complicated by MDR bacteria. During hospitalisation, complex resistant strains of Pseudomonas aeruginosa and Klebsiella pneumoniae were identified. Treatment was guided by culture results, though infections recurred multiple times. A literature review indicated that infections among displaced Ukrainians commonly involve Gram-negative bacteria such as P. aeruginosa and K. pneumoniae, often exhibiting high resistance levels. This underscores the urgent need for infection control strategies, improved antibiotic stewardship and enhanced epidemiological surveillance. Additionally, it highlights the importance of international cooperation and networked efforts in managing antimicrobial resistance during conflicts and mass displacement.https://www.ejcrim.com/index.php/EJCRIM/article/view/5338antimicrobial resistancerefugeespseudomonas aeruginosaklebsiella pneumoniaewounds and injuriesconflict-related infections |
| spellingShingle | Josu Urbieta-Mancisidor Jesús-Martín Treviño-Theriot Challenges in managing multidrug-resistant infections among refugees: clinical experience during the Ukrainian war European Journal of Case Reports in Internal Medicine antimicrobial resistance refugees pseudomonas aeruginosa klebsiella pneumoniae wounds and injuries conflict-related infections |
| title | Challenges in managing multidrug-resistant infections among refugees: clinical experience during the Ukrainian war |
| title_full | Challenges in managing multidrug-resistant infections among refugees: clinical experience during the Ukrainian war |
| title_fullStr | Challenges in managing multidrug-resistant infections among refugees: clinical experience during the Ukrainian war |
| title_full_unstemmed | Challenges in managing multidrug-resistant infections among refugees: clinical experience during the Ukrainian war |
| title_short | Challenges in managing multidrug-resistant infections among refugees: clinical experience during the Ukrainian war |
| title_sort | challenges in managing multidrug resistant infections among refugees clinical experience during the ukrainian war |
| topic | antimicrobial resistance refugees pseudomonas aeruginosa klebsiella pneumoniae wounds and injuries conflict-related infections |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/5338 |
| work_keys_str_mv | AT josuurbietamancisidor challengesinmanagingmultidrugresistantinfectionsamongrefugeesclinicalexperienceduringtheukrainianwar AT jesusmartintrevinotheriot challengesinmanagingmultidrugresistantinfectionsamongrefugeesclinicalexperienceduringtheukrainianwar |