Urbieta-Mancisidor Josu, Treviño-Theriot Jesús-Martín
Department of Internal Medicine, Santa Marina Hospitale, Bilbao, Spain.
Balmaseda Primary Health Care Centre, Balmaseda, Spain.
Eur J Case Rep Intern Med. 2025 Apr 2;12(4):005338. doi: 10.12890/2025_005338. eCollection 2025.
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 and 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 and , 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.
Multidrug-resistant (MDR) bacterial infections are frequent among displaced populations from conflict zones, presenting significant clinical challenges.Effective management requires multidisciplinary teamwork, stringent infection control measures and rational use of antibiotics.Enhanced international cooperation and surveillance systems are essential to combating antimicrobial resistance in crisis contexts.
2022年爆发的俄乌战争引发了大规模人道主义危机，数百万人流离失所。这种人口外流带来了重大的医疗挑战，包括耐多药（MDR）细菌引起的感染传播。医疗服务中断、抗菌药物使用不当和环境污染等因素导致细菌耐药性增加。在此背景下，2023年一名86岁的乌克兰移民在一家西班牙医院接受治疗，其严重感染并发耐多药细菌。住院期间，鉴定出了复杂的耐药菌株 和 。治疗以培养结果为指导，尽管感染多次复发。一项文献综述表明，流离失所的乌克兰人感染通常涉及革兰氏阴性菌，如 和 ，这些细菌往往表现出高耐药水平。这凸显了实施感染控制策略、改善抗生素管理和加强流行病学监测的迫切需求。此外，它强调了在冲突和大规模流离失所期间，国际合作和联网努力在管理抗菌药物耐药性方面的重要性。
耐多药（MDR）细菌感染在冲突地区的流离失所人群中很常见，带来了重大的临床挑战。有效的管理需要多学科团队合作、严格的感染控制措施和合理使用抗生素。加强国际合作和监测系统对于在危机情况下对抗抗菌药物耐药性至关重要。
