Expert warns on antibiotic resistance

Bulgaria continues struggling with antibiotic resistance and healthcare facility infections without an approved national containment strategy, according to Professor Iva Hristova, who directs the National Center for Infectious and Parasitic Diseases. The bacterium Klebsiella pneumoniae poses particular concern as it spreads within hospital settings, causing pneumonia, surgical complications, meningitis and sepsis among patients with compromised immune systems.

Medical institutions significantly underreport infection rates, with many facilities concealing cases or failing to diagnose them properly, Hristova stated. Patients frequently depart hospitals unaware they carry resistant bacteria that survive on surfaces and require intensive disinfection protocols. Electronic prescription systems have reduced antibiotic consumption by approximately 20 percent, yet misuse remains widespread, particularly for viral conditions that cannot respond to such medications.

Strategic antibiotics prove unavailable domestically because pharmaceutical suppliers consider the market insufficiently profitable. Hristova emphasized the necessity of adopting prevention protocols and restricting certain antibiotic applications to slow resistance development, noting that multidrug-resistant infections cause more than 35,000 annual fatalities across Europe.

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