Phenotypic and genomic analysis of bacteria from war wounds in Dnipro, Ukraine.

Abstract

Objectives: To better understand the source and potential transmission routes of antibiotic-resistant bacteria infecting injured service members in Ukraine.

Methods: Phenotypic and genomic characterizations were performed on 11 Gram-negative pathogens cultured from war wounds at an intermediate evacuation hospital in Dnipro.

Results: The analysis revealed both susceptible and extensively drug-resistant strains present in cultures, including high-risk global clones carrying carbapenemases.

Conclusions: Globally distributed carbapenemase-producing lineages are being acquired early in the medical evacuation process.