Evidence map›Paper›PMID 29388572›Full record

ReviewNature reviews. Disease primers2018

Melioidosis.

W Joost Wiersinga, Harjeet S Virk, Alfredo G Torres, Bart J Currie, Sharon J Peacock, David A B Dance, Direk Limmathurotsakul

Open access · bronzeAbstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 428 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
428citing papers in PubMed, 4 pooled it
38.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

428 citing papers in PubMed, 4 syntheses or guidelines pooled it, 638 citations in OpenAlex.

  1. Travel-Associated Melioidosis in Non-Endemic Regions: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2025
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368 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 6 countries.

W Joost WiersingaDepartment of Medicine, Division of Infectious Diseases, Academic Medical Center, Meibergdreef 9, Rm. G2-132, 1105 AZ Amsterdam, The Netherlands.
Harjeet S VirkCentre for Experimental and Molecular Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Alfredo G TorresDepartment of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas, USA.
Bart J CurrieMenzies School of Health Research, Charles Darwin University and Royal Darwin Hospital, Darwin, Australia.
Sharon J PeacockFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
David A B DanceFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Direk LimmathurotsakulCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.
Academic Medical Center · NLLondon School of Hygiene & Tropical Medicine · GBMahidol Oxford Tropical Medicine Research Unit · THRoyal Darwin Hospital · AUThe University of Texas Medical Branch at Galveston · US

Funding

Glycoconjugate Nanoparticle Vaccines Against Burkholderia InfectionsR01AI126601 · NIAID · UNIVERSITY OF TEXAS MED BR GALVESTON · PI TORRES, ALFREDO G · 2016 to 2020
$2.1M
NIAID NIH HHS R01 AI126601Wellcome Trust
6 · The paper itself

Abstract

Burkholderia pseudomallei is a Gram-negative environmental bacterium and the aetiological agent of melioidosis, a life-threatening infection that is estimated to account for ∼89,000 deaths per year worldwide. Diabetes mellitus is a major risk factor for melioidosis, and the global diabetes pandemic could increase the number of fatalities caused by melioidosis. Melioidosis is endemic across tropical areas, especially in southeast Asia and northern Australia. Disease manifestations can range from acute septicaemia to chronic infection, as the facultative intracellular lifestyle and virulence factors of B. pseudomallei promote survival and persistence of the pathogen within a broad range of cells, and the bacteria can manipulate the host's immune responses and signalling pathways to escape surveillance. The majority of patients present with sepsis, but specific clinical presentations and their severity vary depending on the route of bacterial entry (skin penetration, inhalation or ingestion), host immune function and bacterial strain and load. Diagnosis is based on clinical and epidemiological features as well as bacterial culture. Treatment requires long-term intravenous and oral antibiotic courses. Delays in treatment due to difficulties in clinical recognition and laboratory diagnosis often lead to poor outcomes and mortality can exceed 40% in some regions. Research into B. pseudomallei is increasing, owing to the biothreat potential of this pathogen and increasing awareness of the disease and its burden; however, better diagnostic tests are needed to improve early confirmation of diagnosis, which would enable better therapeutic efficacy and survival.

Indexed as

Amoxicillin-Potassium Clavulanate CombinationAnti-Bacterial AgentsBurkholderia pseudomalleiCeftazidimeDisease EradicationGlobal Burden of DiseaseHumansImipenemImmunotherapy, ActiveMelioidosisMeropenemRisk FactorsAmoxicillin-Potassium Clavulanate CombinationAnti-Bacterial AgentsCeftazidimeImipenemMeropenem

Identifiers

PMID29388572
PMCPMC6456913
OpenAlexW4211093779

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.