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Oct 01, 2022;52 (10): 29-34.

Melioidosis: Emerging beyond endemic areas.

Dorothy Borton
Author Information
  1. Dorothy Borton: Dorothy Borton is an independent infection prevention consultant based in Philadelphia, Pa.
PMID: 36129502 DOI: 10.1097/01.NURSE.0000872460.50198.39

Abstract

ABSTRACT: Recent cases suggest that melioidosis, an infection caused by Burkholderia pseudomallei, is an emerging infectious disease. Nurses have a key role in the care of patients with melioidosis. This article provides an overview of the epidemiology, clinical presentation, diagnosis, treatment, and prevention of melioidosis, and discusses unusual, non-travel-related cases of melioidosis.

References

  1. Centers for Disease Control and Prevention. Melioidosis.2022. www.cdc.gov/melioidosis/index.html .
  2. Currie BJ. Melioidosis: an important cause of pneumonia in residents of and travelers returned from endemic regions. Eur Respir J . 2003;22:542–550. https://erj.ersjournals.com/content/erj/22/3/542.full.pdf .
  3. Wiersinga WJ, Virk HS, Torres AG, et al. Melioidosis. Nat Rev Dis Primers . 2018;4:17107. doi:10.1038/nrdp.2017.107.
  4. Chang AC, Currie BJ. Melioidosis: epidemiology, pathology, and management. Clin Microbiol Rev . 2005;18(2):383–416. doi:10.1128/CMR.18.2.383-416.2005.
  5. Centers for Disease Control and Prevention. Yellow Book 2020. Travel-related infectious diseases: melioidosis. https://wwwnc.cdc.gov/travel/yellowbook/2020/travel-related-infectious-diseases/melioidosis .
  6. Gassiep I, Armstrong M, Norton R. Human melioidosis. Clin Microbiol Rev . 2020;33(2):e00006–19. doi:10.1128/CMR.00006-19.
  7. Centers for Disease Control and Prevention. Melioidosis, Risk of exposure. 2022. www.cdc.gov/melioidosis/exposure/index.html .
  8. CDC Health Alert Network (HAN) HAN00470. Melioidosis locally endemic in areas of Mississippi Gulf coast after Burkholderia pseudomallei isolated in soil and water and linked to two cases-Mississippi, 2020 and 2022. 2022. https://www.emergency.cdc.gov/han/2022/han00470.asp
  9. Centers for Disease Control and Prevention. Imported melioidosis–South Florida, 2005. MMWR . 2006;55(32):873–876. www.cdc.gov/mmwr/preview/mmwrhtml/mm5532a1.htm .
  10. Benoit TJ, Blaney DD, Gee JE, et al. Melioidosis cases and selected reports of occupational exposures to Burkholderia pseudomallei —United States, 2008-2013. MMWR Surveill Summ . 2015;64(5):1–9. www.cdc.gov/mmwr/pdf/ss/ss6405.pdf .
  11. CDC Health Alert Network (HAN) HAN0044. Multistate investigation of non-travel associated Burkholderia pseudomallei infections (melioidosis) in three patients: Georgia, Kansas, and Minnesota – 2021. www.emergency.cdc.gov/han/2021/han00444.asp .
  12. CDC Health Alert Network (HAN) HAN00448. New case identified: multistate investigation of non-travel associated Burkholderia pseudomallei infections (melioidosis) in four patients: Georgia, Kansas, Minnesota, and Texas – 2021. www.emergency.cdc.gov/han/2021/han00448.asp .
  13. Centers for Disease Control and Prevention. Lab Alert: Burkholderia pseudomallei in Southwestern United States. 2020. www.cdc.gov/csels/dls/locs/2020/burkholderia_pseudomallei_in_Southwestern_us.html .
  14. Centers for Disease Control and Prevention. Lab Alert: Clinical laboratory Burkholderia pseudomallei notification. 2021. www.cdc.gov/csels/dls/locs/2021/07-01-2021-lab-alert-Clinical_Laboratory_Burkholderia_pseudomallei_Notification_1.html .
  15. CDC Health Alert Network (HAN) HAN Update 455: Source Implicated in Fatal Case in Georgia: multistate outbreak of non-travel associated Burkholderia pseudomallei infections (melioidosis) in four patients: Georgia, Kansas, Minnesota, and Texas – 2021. 2021. https://emergency.cdc.gov/han/2021/han00455.asp .
  16. Centers for Disease Control and Prevention. Update multistate outbreak of melioidosis. 2021. www.cdc.gov/melioidosis/outbreak/2021/index.html .
  17. Centers for Disease Control and Prevention. Public Health Matters Blog. Other diseases did not rest. Protecting Health in 2020: NCEZID Progress Report. 2021. https://blogs.cdc.gov/publichealthmatters/2021/03/ncezid-progress/ .
  18. Cossaboom CM, Marinova-Petkova A, Strysko J, et al. Melioidosis in a resident of Texas with no recent travel history, United States. Emerg Infect Dis . 2020;26(6):1295–1299. doi:10.3201/eid2606.190975.
  19. Lima RX, Rolim DB. Melioidosis in children, Brazil, 1989-2019. Emerg Infect Dis . 2021;27(6):1705–1708. doi:10.3201/eid2706.200154.
  20. Centers for Disease Control and Prevention. Melioidosis, Transmission. www.cdc.gov/melioidosis/transmission/index.html .
  21. Limmathurotsakul D, Wongsuvan G, Aanensen D, et al. Melioidosis caused by Burkholderia pseudomallei in drinking water, Thailand, 2012. Emerg Infect Dis . 2014;20(2):265–268. doi:10.3201/eid2002.121891.
  22. Centers for Disease Control and Prevention. Glanders. 2017. www.cdc.gov/glanders/ .
  23. Melot B, Bastian S, Dournon N, et al. Three new cases of melioidosis, Guadeloupe, French West Indies. Emerg Infect Dis . 2020;26(3):617–619. doi:10.3201/eid2603.190718.
  24. CDC and USDA. Federal Select Agent Program. FAQ: Select agents and toxins. www.selectagents.gov/compliance/faq/sat.htm .
  25. CDC. Federal Select Agent Program. Select agents and toxins list. www.selectagents.gov/sat/list.htm .
  26. CDC and USDA. Federal Select Agent Program. Select agents and toxins. www.selectagents.gov/sat/index.htm .
  27. CDC and USDA. Federal Select Agent Program. Occupation Health Program: Appendix 1: List of Tier 1 BSAT. www.selectagents.gov/compliance/guidance/occupational-health/appendix-1.htm .
  28. CDC. National Notifiable Diseases Surveillance System (NNDSS). Melioidosis ( Burkholderia pseudomallei ) 2012 case definition. https://ndc.services.cdc.gov/case-definitions/melioidosis-2012/ .
  29. Centers for Disease Control and Prevention. Melioidosis. The threat. www.cdc.gov/melioidosis/bioterrorism/threat.html .
  30. Centers for Disease Control and Prevention. Melioidosis. Public health response activities. 2017. www.cdc.gov/melioidosis/bioterrorism-response-planning/public-health-response-activities.html .
  31. Centers for Disease Control and Prevention. Melioidosis. Healthcare response activities. 2017. www.cdc.gov/melioidosis/bioterrorism-response-planning/healthcare-response-activities.html .
  32. Guendel I, Ekpo L, Hinkle MK, et al. Melioidosis after Hurricanes Irma and Maria, St. Thomas/St. John District, US Virgin Islands, October 2017. Emerg Infect Dis . 2019;25(10):1952–1955. doi:10.3201/eid2510.180959.
  33. Su H-P, Chou C-Y, Tzeng S-C, et al. Possible typhoon-related melioidosis epidemic, Taiwan, 2005. Emerg Infect Dis . 2007;13(11):1795–1797. doi:10.3201/eid1311.061461.
  34. Hogan C, Wilmer A, Badawi M, et al. Melioidosis in Trinidad and Tobago. Emerg Infect Dis . 2015;21(5):902–904. doi:10.3201/eid2105.141610.
  35. Cheng JW, Hayden MK, Singh K, et al. Burkholderia pseudomallei infection in US traveler returning from Mexico, 2014. Emerg Infect Dis . 2015;21(10):1884–1885. doi:10.3201/eid2110.150815.
  36. Currie BJ, Price EP, Mayo M, et al. Use of whole-genome sequencing to link Burkholderia pseudomallei from air sampling to mediastinal melioidosis, Australia. Emerg Infect Dis . 2015;21(11):2052–2054. doi:10.3201/eid2111.141802.
  37. Currie BJ, Jacups SP. Intensity of rainfall and severity of melioidosis, Australia. Emerg Infect Dis . 2003;9(12):1538–1542. doi:10.3201/eid0912.020750.
  38. Liu X, Pang L, Sim SH, et al. Association of melioidosis incidence with rainfall and humidity, Singapore, 2003-2012. Emerg Infect Dis . 2015;21(1):159–162. doi:10.3201/eid2101.140042.
  39. Mavrouli M, Mavroulis S, Lekkas E, Tsakris A. Respiratory infections following earthquake-induced tsunamis: transmission risk factors and lessons learned for disaster risk management. Int J Environ Res Public Health . 2021;18(9):4952. doi:10.3390/ijerph18094952.
  40. Chierakul W, Winothai W, Wattanawaitunechai C, et al. Melioidosis in 6 tsunami survivors in southern Thailand. Clin Infect Dis . 2005;41(7):982–990. doi:10.1086/432942.
  41. Zehnder AM, Hawkins MG, Koski MA, et al. Burkholderia pseudomallei isolates in 2 pet iguanas, California, USA. Emerg Infect Dis . 2014;20(2):304–306. doi:10.3201/eid2002.131314.
  42. Hellebuyck T, Wattiau P, Boyen F, et al. Isolation of Burkholderia pseudomallei from a pet green iguana, Belgium. Emerg Infect Dis . 2018;24(12):2331–2333. doi:10.3201/eid2412.171661.
  43. Dawson P, Duwell MM, Elrod MG, et al. Human melioidosis caused by novel transmission of Burkholderia pseudomallei from freshwater home aquarium, United States. 2021. https://wwwnc.cdc.gov/eid/article/27/12/21-1756_article .
  44. Peacock SJ, Schweizer HP, Dance D, et al. Management of accidental laboratory exposure to Burkholderia pseudomallei and B. mallei [online report]. Emerg Infect Dis . 2008. https://wwwnc.cdc.gov/eid/article/14/7/07-1501_article .
  45. CDC Health Alert Network (HAN). HAN Health Update (HAN 00456): Source identified and case definition established: multistate investigation of non-travel associated Burkholderia pseudomallei infections (melioidosis) in four patients: Georgia, Kansas, Minnesota, and Texas – 2021. https://emergency.cdc.gov/han/2021/han00456.asp .
  46. Gee JE, Bower WA, Kunkel A, et al. Multistate outbreak of melioidosis associated with imported aromatherapy spray. N Engl J Med . 2022;386(9):861–868. doi:10.1056/NEJMoa2116130.
  47. Centers for Disease Control and Prevention. Melioidosis, Signs and symptoms. 2021. www.cdc.gov/melioidosis/symptoms/index.html .
  48. Centers for Disease Control and Prevention. Melioidosis, Healthcare workers. 2021. www.cdc.gov/melioidosis/health-care-workers/index.html .
  49. Hoffmaster AR, AuCoin D, Baccam P, et al. Melioidosis diagnostic workshop, 2013. Emerg Infect Dis . 2015;21(2):e141045. https://wwwnc.cdc.gov/eid/article/21/2/14-1045_article .
  50. Centers for Disease Control and Prevention. Biosafety in Microbiological and Biomedical Laboratories, 6th edition . 2020. www.cdc.gov/labs/pdf/SF__19_308133-A_BMBL6_00-BOOK-WEB-final-3.pdf .
  51. Wu B, Tong X, He H, et al. Misidentification of Burkholderia pseudomallei , China. Emerg Infect Dis . 2021;27(3):964–966. doi:10.3201/eid2703.191769.
  52. Centers for Disease Control and Prevention. Melioidosis, Treatment. 2021. www.cdc.gov/melioidosis/treatment/index.html .
  53. Lipsitz R, Garges S, Aurigemma R, et al. Workshop on treatment of and postexposure prophylaxis for Burkholderia pseudomallei and B. mallei Infection, 2010. Emerg Infect Dis . 2012;18(12):e2. doi:10.3201/eid1812.120638.
  54. Sullivan RP, Marshall CS, Anstey NM, Ward L, Currie BJ. 2020 Review and revision of the 2015 Darwin melioidosis treatment guideline; paradigm drift not shift. PLoS Negl Trop Dis . 2020;14(9):e0008659. https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0008659 .
  55. Centers for Disease Control and Prevention. Melioidosis, Prevention. 2021. www.cdc.gov/melioidosis/prevention/index.html .
  56. Pang L, Harris P, Seiler RL, et al. Melioidosis, Singapore, 2003-2014. Emerg Infect Dis . 2018;24(1):140–143. doi:10.3201/eid2401.161449.
  57. Centers for Disease Control and Prevention. Standard precautions for all patient care. 2016. https://cdc.gov/infectioncontrol/basics/standard-precautions.html .
  58. United States Department of State. Before you go. 2022. https://travel.state.gov/content/travel/en/international-travel/before-you-go.html .
  59. Centers for Disease Control and Prevention. About antibiotic use. 2021. www.cdc.gov/antibiotic-use/about.html .

MeSH Term

Burkholderia pseudomallei
Communicable Diseases, Emerging
Humans
Melioidosis
Journal Article Review
Article has an altmetric score of 1

Word Cloud

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