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. 2012 Sep;106(9):576-8.
doi: 10.1016/j.trstmh.2012.06.003. Epub 2012 Jul 15.

Seroepidemiological surveillance of Burkholderia pseudomallei in Bangladesh

Rapeephan R Maude  1 , Richard J Maude, Aniruddha Ghose, Md Robed Amin, Md Belalul Islam, Mohammad Ali, Md Shafiqul Bari, Md Ishaque Majumder, Vanaporn Wuthiekanan, Arjen M Dondorp, Robin L Bailey, Nicholas P J Day, M Abul Faiz
Affiliations

Seroepidemiological surveillance of Burkholderia pseudomallei in Bangladesh

Rapeephan R Maude et al. Trans R Soc Trop Med Hyg. 2012 Sep.

Abstract

Melioidosis (Burkholderia pseudomallei infection) has yet to be demonstrated systematically in Bangladesh. A prospective, cross-sectional serological survey was conducted in 2010 at six Bangladeshi hospitals. Age, gender, occupation and residential address were recorded. Of 1244 patients, 359 (28.9%) were positive for B. pseudomallei by indirect haemagglutination assay. Farmers had an increased risk of seropositivity (risk ratio=1.4, 95% CI 1.0-1.8; p=0.03). There was no clear geographic clustering of seropositives. Melioidosis should be considered as a possible cause of febrile illness in Bangladesh. Further studies are needed to establish the incidence of clinical disease and distribution of environmental risk.

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