Abstract

To better understand the source and potential transmission routes of antibiotic-resistant bacteria infecting injured service members in Ukraine. Phenotypic and genomic characterizations were performed on 11 Gram-negative pathogens cultured from war wounds at an intermediate evacuation hospital in Dnipro. The analysis revealed both susceptible and extensively drug-resistant strains present in cultures, including high-risk global clones carrying carbapenemases. Globally distributed carbapenemase-producing lineages are being acquired early in the medical evacuation process.

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