Evidence map›Paper›PMID 34029325›Full record

ArticlePLoS neglected tropical diseases2021

Geographical distribution of Burkholderia pseudomallei in soil in Myanmar.

Myo Maung Maung Swe, Mo Mo Win, Joshua Cohen, Aung Pyae Phyo, Htet Naing Lin, Kyaw Soe, Premjit Amorncha, Thin Thin Wah, Kyi Kyi Nyein Win, Clare Ling and 4 more

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Detection ofFrontiers in public health · 2023
    Article
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  10. Article
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

14 authors.

Myo Maung Maung SweMyanmar Oxford Clinical Research Unit, Yangon, Myanmar.ORCID 0000-0002-6044-8718
Mo Mo WinDepartment of Medical Research, Ministry of Health and Sports, Yangon, Myanmar.
Joshua CohenMyanmar Oxford Clinical Research Unit, Yangon, Myanmar.ORCID 0000-0003-2068-0421
Aung Pyae PhyoMyanmar Oxford Clinical Research Unit, Yangon, Myanmar.ORCID 0000-0002-0383-9624
Htet Naing LinMyanmar Oxford Clinical Research Unit, Yangon, Myanmar.ORCID 0000-0002-5628-647X
Kyaw SoeMyanmar Oxford Clinical Research Unit, Yangon, Myanmar.
Premjit AmornchaMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University Bangkok, Thailand.
Thin Thin WahDepartment of Medical Research, Ministry of Health and Sports, Yangon, Myanmar.
Kyi Kyi Nyein WinDepartment of Medical Research, Ministry of Health and Sports, Yangon, Myanmar.
Clare LingCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, United Kingdom.
Daniel M ParkerDepartment of Population Health and Disease Prevention Program in Public Health, University of California, Irvine, CA, United States of America.ORCID 0000-0002-5352-7338
David A B DanceCentre for Tropical Medicine and Global Health, University of Oxford, Oxford, United Kingdom.ORCID 0000-0001-9189-7244
Elizabeth A AshleyMyanmar Oxford Clinical Research Unit, Yangon, Myanmar.ORCID 0000-0002-7620-4822
Frank SmithuisMyanmar Oxford Clinical Research Unit, Yangon, Myanmar.

Funding

Wellcome Trust 106698
6 · The paper itself

Abstract

backgroundBurkholderia pseudomallei is a Gram-negative bacterium found in soil and water in many tropical countries. It causes melioidosis, a potentially fatal infection first described in 1911 in Myanmar. Melioidosis is a common cause of sepsis and death in South and South-east Asia, but it is rarely diagnosed in Myanmar. We conducted a nationwide soil study to identify areas where B. pseudomallei is present. METHODOLOGY/PRINCIPAL

findingsWe collected soil samples from 387 locations in all 15 states and regions of Myanmar between September 2017 and June 2019. At each site, three samples were taken at each of three different depths (30, 60 and 90 cm) and were cultured for B. pseudomallei separately, along with a pooled sample from each site (i.e. 10 cultures per site). We used a negative binomial regression model to assess associations between isolation of B. pseudomallei and environmental factors (season, soil depth, soil type, land use and climate zones). B. pseudomallei was isolated in 7 of 15 states and regions. Of the 387 sites, 31 (8%) had one or more positive samples and of the 3,870 samples cultured, 103 (2.7%) tested positive for B. pseudomallei. B. pseudomallei was isolated more frequently during the monsoon season [RR-2.28 (95% CI: 0.70-7.38)] and less in the hot dry season [RR-0.70 (95% CI: 0.19-2.56)] compared to the cool dry season, and in the tropical monsoon climate zone [RR-2.26; 95% CI (0.21-6.21)] compared to the tropical dry winter climate zone. However, these associations were not statistically significant. B. pseudomallei was detected at all three depths and from various soil types (clay, silt and sand). Isolation was higher in agricultural land (2.2%), pasture land (8.5%) and disused land (5.8%) than in residential land (0.4%), but these differences were also not significant. CONCLUSION/SIGNIFICANCE: This study confirms a widespread distribution of B. pseudomallei in Myanmar. Clinical studies should follow to obtain a better picture of the burden of melioidosis in Myanmar.

Indexed as

Soil MicrobiologyBurkholderia pseudomalleiGeographyHumansMelioidosisMyanmar

Identifiers

PMID34029325
PMCPMC8143414

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.