A case of human melioidosis originating in south‐west Western Australia

Golledge, C.L.; Chin, Weng Soon; Tribe, Anthony E; Condon, Robert J; Ashdown, Leslie R.

doi:10.5694/j.1326-5377.1992.tb137192.x

Cited by 29 publications

(21 citation statements)

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“…However, confirmation of B. pseudomallei by specific identification methods was not reported. 3 represents Chittering, southwest Western Australia, where B. pseudomallei was isolated and confirmed from a single soil specimen in 1980, following the outbreak of melioidosis in animals [17], [38]. There has been no evidence of environmental B. pseudomallei in southwest Western Australia since then.…”

Section: Resultsmentioning

confidence: 99%

Systematic Review and Consensus Guidelines for Environmental Sampling of Burkholderia pseudomallei

et al. 2013

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Background Burkholderia pseudomallei, a Tier 1 Select Agent and the cause of melioidosis, is a Gram-negative bacillus present in the environment in many tropical countries. Defining the global pattern of B. pseudomallei distribution underpins efforts to prevent infection, and is dependent upon robust environmental sampling methodology. Our objective was to review the literature on the detection of environmental B. pseudomallei, update the risk map for melioidosis, and propose international consensus guidelines for soil sampling.Methods/Principal FindingsAn international working party (Detection of Environmental Burkholderia pseudomallei Working Party (DEBWorP)) was formed during the VIth World Melioidosis Congress in 2010. PubMed (January 1912 to December 2011) was searched using the following MeSH terms: pseudomallei or melioidosis. Bibliographies were hand-searched for secondary references. The reported geographical distribution of B. pseudomallei in the environment was mapped and categorized as definite, probable, or possible. The methodology used for detecting environmental B. pseudomallei was extracted and collated. We found that global coverage was patchy, with a lack of studies in many areas where melioidosis is suspected to occur. The sampling strategies and bacterial identification methods used were highly variable, and not all were robust. We developed consensus guidelines with the goals of reducing the probability of false-negative results, and the provision of affordable and ‘low-tech’ methodology that is applicable in both developed and developing countries.Conclusions/SignificanceThe proposed consensus guidelines provide the basis for the development of an accurate and comprehensive global map of environmental B. pseudomallei.

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Section: Resultsmentioning

confidence: 99%

Systematic Review and Consensus Guidelines for Environmental Sampling of Burkholderia pseudomallei

et al. 2013

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“…Clonal cluster IV consists of 3 isolates from an outbreak of melioidosis involving hobby farms in a temperate location in southwest Western Australia. This outbreak spanned 25 years and was attributed to possible importation of an infected animal into a region not endemic for melioidosis[15,16]. Clonal cluster V is 6 isolates from an outbreak of melioidosis in a remote Northern Territory indigenous community.…”

Section: Methodsmentioning

confidence: 99%

Using BOX-PCR to exclude a clonal outbreak of melioidosis

et al. 2007

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Background: Although melioidosis in endemic regions is usually caused by a diverse range of Burkholderia pseudomallei strains, clonal outbreaks from contaminated potable water have been described. Furthermore B. pseudomallei is classified as a CDC Group B bioterrorism agent. Ribotyping, pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing (MLST) have been used to identify genetically related B. pseudomallei isolates, but they are time consuming and technically challenging for many laboratories.

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“…Cases have been found in non‐endemic areas in tourists returning from holiday in endemic areas 4 . Moreover, the traditional tropical boundaries may be moving to temperate areas with a case reported in south‐western Western Australia and persistence of the organism in the soil in this region 5 . Melioidosis is not endemic in Brisbane, with both cases treated in Brisbane being contracted in North Queensland.…”

Section: Discussionmentioning

confidence: 99%