Clinical guideline for diagnosis and management of melioidosis
Melioidosis is an emerging infection in Brazil and neighbouring South American countries. The wide range of clinical presentations include severe community-acquired pneumonia, septicaemia, central nervous system infection and less severe soft tissue infection. Diagnosis depends heavily on the clinic...
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Universidade de São Paulo (USP)
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ftdoajarticles:oai:doaj.org/article:11c022e3fc5c41dcb7e072b423f7098f 2024-09-09T19:26:13+00:00 Clinical guideline for diagnosis and management of melioidosis Inglis Timothy J.J. Rolim Dionne B. Rodriguez Jorge L.N. 2006-01-01T00:00:00Z https://doaj.org/article/11c022e3fc5c41dcb7e072b423f7098f EN eng Universidade de São Paulo (USP) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652006000100001 https://doaj.org/toc/0036-4665 https://doaj.org/toc/1678-9946 0036-4665 1678-9946 https://doaj.org/article/11c022e3fc5c41dcb7e072b423f7098f Revista do Instituto de Medicina Tropical de São Paulo, Vol 48, Iss 1, Pp 1-4 (2006) Melioidosis Clinical guideline Diagnosis Antibiotics Burkholderia pseudomallei Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2006 ftdoajarticles 2024-08-05T17:49:30Z Melioidosis is an emerging infection in Brazil and neighbouring South American countries. The wide range of clinical presentations include severe community-acquired pneumonia, septicaemia, central nervous system infection and less severe soft tissue infection. Diagnosis depends heavily on the clinical microbiology laboratory for culture. Burkholderia pseudomallei, the bacterial cause of melioidosis, is easily cultured from blood, sputum and other clinical samples. However, B. pseudomallei can be difficult to identify reliably, and can be confused with closely related bacteria, some of which may be dismissed as insignificant culture contaminants. Serological tests can help to support a diagnosis of melioidosis, but by themselves do not provide a definitive diagnosis. The use of a laboratory discovery pathway can help reduce the risk of missing atypical B. pseudomallei isolates. Recommended antibiotic treatment for severe infection is either intravenous Ceftazidime or Meropenem for several weeks, followed by up to 20 weeks oral treatment with a combination of trimethoprim-sulphamethoxazole and doxycycline. Consistent use of diagnostic microbiology to confirm the diagnosis, and rigorous treatment of severe infection with the correct antibiotics in two stages; acute and eradication, will contribute to a reduction in mortality from melioidosis. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Directory of Open Access Journals: DOAJ Articles |
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English |
topic |
Melioidosis Clinical guideline Diagnosis Antibiotics Burkholderia pseudomallei Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Melioidosis Clinical guideline Diagnosis Antibiotics Burkholderia pseudomallei Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Inglis Timothy J.J. Rolim Dionne B. Rodriguez Jorge L.N. Clinical guideline for diagnosis and management of melioidosis |
topic_facet |
Melioidosis Clinical guideline Diagnosis Antibiotics Burkholderia pseudomallei Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Melioidosis is an emerging infection in Brazil and neighbouring South American countries. The wide range of clinical presentations include severe community-acquired pneumonia, septicaemia, central nervous system infection and less severe soft tissue infection. Diagnosis depends heavily on the clinical microbiology laboratory for culture. Burkholderia pseudomallei, the bacterial cause of melioidosis, is easily cultured from blood, sputum and other clinical samples. However, B. pseudomallei can be difficult to identify reliably, and can be confused with closely related bacteria, some of which may be dismissed as insignificant culture contaminants. Serological tests can help to support a diagnosis of melioidosis, but by themselves do not provide a definitive diagnosis. The use of a laboratory discovery pathway can help reduce the risk of missing atypical B. pseudomallei isolates. Recommended antibiotic treatment for severe infection is either intravenous Ceftazidime or Meropenem for several weeks, followed by up to 20 weeks oral treatment with a combination of trimethoprim-sulphamethoxazole and doxycycline. Consistent use of diagnostic microbiology to confirm the diagnosis, and rigorous treatment of severe infection with the correct antibiotics in two stages; acute and eradication, will contribute to a reduction in mortality from melioidosis. |
format |
Article in Journal/Newspaper |
author |
Inglis Timothy J.J. Rolim Dionne B. Rodriguez Jorge L.N. |
author_facet |
Inglis Timothy J.J. Rolim Dionne B. Rodriguez Jorge L.N. |
author_sort |
Inglis Timothy J.J. |
title |
Clinical guideline for diagnosis and management of melioidosis |
title_short |
Clinical guideline for diagnosis and management of melioidosis |
title_full |
Clinical guideline for diagnosis and management of melioidosis |
title_fullStr |
Clinical guideline for diagnosis and management of melioidosis |
title_full_unstemmed |
Clinical guideline for diagnosis and management of melioidosis |
title_sort |
clinical guideline for diagnosis and management of melioidosis |
publisher |
Universidade de São Paulo (USP) |
publishDate |
2006 |
url |
https://doaj.org/article/11c022e3fc5c41dcb7e072b423f7098f |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista do Instituto de Medicina Tropical de São Paulo, Vol 48, Iss 1, Pp 1-4 (2006) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652006000100001 https://doaj.org/toc/0036-4665 https://doaj.org/toc/1678-9946 0036-4665 1678-9946 https://doaj.org/article/11c022e3fc5c41dcb7e072b423f7098f |
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1809895871601442816 |