Emergence of Melioidosis in Indonesia and Today’s Challenges
A recent modeling study estimated that there could be as many as 20,000 human melioidosis cases per year in Indonesia, with around 10,000 potential deaths annually. Nonetheless, the true burden of melioidosis in Indonesia is still unknown. The Indonesia Melioidosis Network was formed during the firs...
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MDPI AG
2018-03-01
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Series: | Tropical Medicine and Infectious Disease |
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Online Access: | http://www.mdpi.com/2414-6366/3/1/32 |
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English |
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author |
Patricia M. Tauran Sri Wahyunie Farahanna Saad Andaru Dahesihdewi Mahrany Graciella Munawir Muhammad Delly Chipta Lestari Aryati Aryati Ida Parwati Tonny Loho Dewi Indah Noviana Pratiwi Vivi Keumala Mutiawati Ricke Loesnihari Dewi Anggraini Siwipeni Irmawanti Rahayu Wahyu Nawang Wulan Ungke Antonjaya David A. B. Dance Bart J. Currie Direk Limmathuthurotsakul Mansyur Arif Abu Tholib Aman Ni Nyoman Sri Budayanti Diah Iskandriati |
spellingShingle |
Patricia M. Tauran Sri Wahyunie Farahanna Saad Andaru Dahesihdewi Mahrany Graciella Munawir Muhammad Delly Chipta Lestari Aryati Aryati Ida Parwati Tonny Loho Dewi Indah Noviana Pratiwi Vivi Keumala Mutiawati Ricke Loesnihari Dewi Anggraini Siwipeni Irmawanti Rahayu Wahyu Nawang Wulan Ungke Antonjaya David A. B. Dance Bart J. Currie Direk Limmathuthurotsakul Mansyur Arif Abu Tholib Aman Ni Nyoman Sri Budayanti Diah Iskandriati Emergence of Melioidosis in Indonesia and Today’s Challenges Tropical Medicine and Infectious Disease Burkholderia pseudomallei melioidosis Indonesia |
author_facet |
Patricia M. Tauran Sri Wahyunie Farahanna Saad Andaru Dahesihdewi Mahrany Graciella Munawir Muhammad Delly Chipta Lestari Aryati Aryati Ida Parwati Tonny Loho Dewi Indah Noviana Pratiwi Vivi Keumala Mutiawati Ricke Loesnihari Dewi Anggraini Siwipeni Irmawanti Rahayu Wahyu Nawang Wulan Ungke Antonjaya David A. B. Dance Bart J. Currie Direk Limmathuthurotsakul Mansyur Arif Abu Tholib Aman Ni Nyoman Sri Budayanti Diah Iskandriati |
author_sort |
Patricia M. Tauran |
title |
Emergence of Melioidosis in Indonesia and Today’s Challenges |
title_short |
Emergence of Melioidosis in Indonesia and Today’s Challenges |
title_full |
Emergence of Melioidosis in Indonesia and Today’s Challenges |
title_fullStr |
Emergence of Melioidosis in Indonesia and Today’s Challenges |
title_full_unstemmed |
Emergence of Melioidosis in Indonesia and Today’s Challenges |
title_sort |
emergence of melioidosis in indonesia and today’s challenges |
publisher |
MDPI AG |
series |
Tropical Medicine and Infectious Disease |
issn |
2414-6366 |
publishDate |
2018-03-01 |
description |
A recent modeling study estimated that there could be as many as 20,000 human melioidosis cases per year in Indonesia, with around 10,000 potential deaths annually. Nonetheless, the true burden of melioidosis in Indonesia is still unknown. The Indonesia Melioidosis Network was formed during the first melioidosis workshop in 2017. Here, we reviewed 101 melioidosis cases (99 human and two animal cases) previously reported and described an additional 45 human melioidosis cases. All 146 culture-confirmed cases were found in Sumatra (n = 15), Java (n = 104), Kalimantan (n = 15), Sulawesi (n = 11) and Nusa Tenggara (n = 1). Misidentification of Burkholderia pseudomallei was not uncommon, and most cases were only recently identified. We also evaluated clinical manifestations and outcome of recent culture-confirmed cases between 2012 and 2017 (n = 42). Overall, 15 (36%) cases were children (age <15 years) and 27 (64%) were adults (age ≥15 years). The overall mortality was 43% (18/42). We conducted a survey and found that 57% (327/548) of healthcare workers had never heard of melioidosis. In conclusion, melioidosis is endemic throughout Indonesia and associated with high mortality. We propose that top priorities are increasing awareness of melioidosis amongst all healthcare workers, increasing the use of bacterial culture, and ensuring accurate identification of B. pseudomalleiand diagnosis of melioidosis. |
topic |
Burkholderia pseudomallei melioidosis Indonesia |
url |
http://www.mdpi.com/2414-6366/3/1/32 |
work_keys_str_mv |
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doaj-fc3e4ad0e31f4327825a45363b0d35b72020-11-24T22:58:01ZengMDPI AGTropical Medicine and Infectious Disease2414-63662018-03-01313210.3390/tropicalmed3010032tropicalmed3010032Emergence of Melioidosis in Indonesia and Today’s ChallengesPatricia M. Tauran0Sri Wahyunie1Farahanna Saad2Andaru Dahesihdewi3Mahrany Graciella4Munawir Muhammad5Delly Chipta Lestari6Aryati Aryati7Ida Parwati8Tonny Loho9Dewi Indah Noviana Pratiwi10Vivi Keumala Mutiawati11Ricke Loesnihari12Dewi Anggraini13Siwipeni Irmawanti Rahayu14Wahyu Nawang Wulan15Ungke Antonjaya16David A. B. Dance17Bart J. Currie18Direk Limmathuthurotsakul19Mansyur Arif20Abu Tholib Aman21Ni Nyoman Sri Budayanti22Diah Iskandriati23Department of Clinical Pathology, Faculty of Medicine, Universitas Hasanuddin/Dr. Wahidin Sudirohusodo Hospital, Makassar 90245, IndonesiaLaboratory of Clinical Pathology, Abdul Wahab Sjahranie Hospital, Samarinda 75123, IndonesiaLaboratory of Clinical Pathology, Tarakan Hospital, Jakarta10150, IndonesiaDepartment of Clinical Pathology, Faculty of Medicine, Universitas GadjahMada/Sardjito Hospital, Yogyakarta 55281, IndonesiaLaboratory of Clinical Pathology, Prof. Dr. WZ Johannes Hospital, Kupang 85112, IndonesiaDepartment of Microbiology, Faculty of Medicine, Universitas Hasanuddin/Hasanuddin University Hospital, Makassar 90245, IndonesiaDepartment of Microbiology, Faculty of Medicine, Universitas Indonesia/Cipto Mangunkusumo Hospital, Jakarta 10430, IndonesiaDepartment of Clinical Pathology, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo Hospital, Surabaya 60286, IndonesiaDepartment of Clinical Pathology, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung 40161, IndonesiaDepartment of Clinical Pathology, Faculty of Medicine, Universitas Indonesia/Cipto Mangunkusumo Hospital, Jakarta 10430, IndonesiaDepartment of Clinical Pathology, Faculty of Medicine, Universitas Lambung Mangkurat/Ulin Hospital, Banjarmasin 70233, IndonesiaLaboratory of Clinical Pathology, Dr. Zainoel Abidin Hospital, Banda Aceh 24415, IndonesiaDepartment of Clinical Pathology, Faculty of Medicine, Universitas Sumatera Utara/H. Adam Malik Hospital, North Sumatera 20136, IndonesiaLaboratory of Microbiology, Eka Hospital, Pekanbaru 28293, IndonesiaDepartment of Microbiology, Faculty of Medicine, Universitas Brawijaya/Saiful Anwar Hospital, Malang 65112, IndonesiaIndonesia Research Partnership on Infectious Diseases (INA-RESPOND), Jakarta 10560, IndonesiaIndonesia Research Partnership on Infectious Diseases (INA-RESPOND), Jakarta 10560, IndonesiaLao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, LaosTropical and Emerging Infectious Diseases Division, Menzies School of Health Research, Casuarina, Northern Territory 0811, AustraliaCentre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, Old Road Campus, University of Oxford, Oxford OX3 7FZ, UKDepartment of Clinical Pathology, Faculty of Medicine, Universitas Hasanuddin/Dr. Wahidin Sudirohusodo Hospital, Makassar 90245, IndonesiaIndonesia Research Partnership on Infectious Diseases (INA-RESPOND), Jakarta 10560, IndonesiaDepartment of Microbiology, Faculty of Medicine, Universitas Udayana/Sanglah Hospital, Bali 80113, IndonesiaPrimate Research Center, Bogor Agricultural University, Bogor 16151, IndonesiaA recent modeling study estimated that there could be as many as 20,000 human melioidosis cases per year in Indonesia, with around 10,000 potential deaths annually. Nonetheless, the true burden of melioidosis in Indonesia is still unknown. The Indonesia Melioidosis Network was formed during the first melioidosis workshop in 2017. Here, we reviewed 101 melioidosis cases (99 human and two animal cases) previously reported and described an additional 45 human melioidosis cases. All 146 culture-confirmed cases were found in Sumatra (n = 15), Java (n = 104), Kalimantan (n = 15), Sulawesi (n = 11) and Nusa Tenggara (n = 1). Misidentification of Burkholderia pseudomallei was not uncommon, and most cases were only recently identified. We also evaluated clinical manifestations and outcome of recent culture-confirmed cases between 2012 and 2017 (n = 42). Overall, 15 (36%) cases were children (age <15 years) and 27 (64%) were adults (age ≥15 years). The overall mortality was 43% (18/42). We conducted a survey and found that 57% (327/548) of healthcare workers had never heard of melioidosis. In conclusion, melioidosis is endemic throughout Indonesia and associated with high mortality. We propose that top priorities are increasing awareness of melioidosis amongst all healthcare workers, increasing the use of bacterial culture, and ensuring accurate identification of B. pseudomalleiand diagnosis of melioidosis.http://www.mdpi.com/2414-6366/3/1/32Burkholderia pseudomalleimelioidosisIndonesia |