Lack of Drug Regulation in Ukraine
For decades, Ukraine has been known for its unregulated antibiotic use, a problem exacerbated by the war. Broad-spectrum antibiotics are sold without prescriptions, leading to widespread misuse.
Ukrainian doctors frequently prescribe low-dose antibiotics for weeks or months, a practice experts say is ineffective—it does not eliminate pathogens but instead strengthens their resistance.
said Olena Moshynets, a microbiologist at the Ukrainian National Academy of Sciences’ Institute of Molecular Biology and Genetics, adding
We don’t have a complete picture of the resistance genes present in Ukraine or how the war is affecting genetic patterns.
the microbiologist also noted that it is also unclear where exactly Ukrainian patients are acquiring these infections.
Some studies suggest that regional hospitals are hotspots, overwhelmed by both war casualties and civilian patients.
Normally, patients with resistant infections typically require private rooms and dedicated medical staff, but in Ukraine, this is impossible.
Hundreds of patients arrive every day. We treat them in hallways and basements,
said Dmytro Stepanskyi, a physician and microbiologist at Dnipro State Medical University. To improve care, the WHO and other organizations have donated automated blood culture analyzers and other rapid microbial identification tools—but these are only partial solutions.
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