Evidence map›Paper›PMID 38805481›Full record

ArticlePLoS neglected tropical diseases2024

Epidemiology and genetic diversity of Burkholderia pseudomallei from Riau Province, Indonesia.

Dewi Anggraini, Fajri Marindra Siregar, Dani Rosdiana, Rahmat Azhari Kemal, Indra Yovi, Zhana Daisya Triani, Novira Jasmin, Norsila Dwijelita, Jessica R Webb, Mark Mayo and 2 more

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Review
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

12 authors.

Dewi AnggrainiDepartment of Microbiology, Faculty of Medicine, Universitas Riau, Pekanbaru, Indonesia.ORCID 0000-0001-7507-2445
Fajri Marindra SiregarArifin Achmad General Hospital, Riau Province, Pekanbaru, Indonesia.
Dani RosdianaArifin Achmad General Hospital, Riau Province, Pekanbaru, Indonesia.
Rahmat Azhari KemalArifin Achmad General Hospital, Riau Province, Pekanbaru, Indonesia.
Indra YoviArifin Achmad General Hospital, Riau Province, Pekanbaru, Indonesia.
Zhana Daisya TrianiArifin Achmad General Hospital, Riau Province, Pekanbaru, Indonesia.
Novira JasminDepartment of Microbiology, Faculty of Medicine, Universitas Riau, Pekanbaru, Indonesia.
Norsila DwijelitaDepartment of Microbiology, Faculty of Medicine, Universitas Riau, Pekanbaru, Indonesia.
Jessica R WebbGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Mark MayoGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Mirjam KaestliGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.
Bart J CurrieGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.

Funding

DIPA Universitas Riau (DA,DR,IY)
6 · The paper itself

Abstract

Melioidosis is a bacterial infection caused by Burkholderia pseudomallei, that is common in tropical and subtropical countries including Southeast Asia and Northern Australia. The magnitude of undiagnosed and untreated melioidosis across the country remains unclear. Given its proximity to regions with high infection rates, Riau Province on Sumatera Island is anticipated to have endemic melioidosis. This study reports retrospectively collected data on 68 culture-confirmed melioidosis cases from two hospitals in Riau Province between January 1, 2009, and December 31, 2021, with full clinical data available on 41 cases. We also describe whole genome sequencing and genotypic analysis of six isolates of B. pseudomallei. The mean age of the melioidosis patients was 49.1 (SD 11.5) years, 85% were male and the most common risk factor was diabetes mellitus (78%). Pulmonary infection was the most common presentation (39%), and overall mortality was 41%. Lung as a focal infection (aOR: 6.43; 95% CI: 1.13-36.59, p = 0.036) and bacteremia (aOR: 15.21; 95% CI: 2.59-89.31, p = 0.003) were significantly associated with death. Multilocus sequence typing analysis conducted on six B.pseudomallei genomes identified three sequence types (STs), namely novel ST1794 (n = 3), ST46 (n = 2), and ST289 (n = 1). A phylogenetic tree of Riau B. pseudomallei whole genome sequences with a global dataset of genomes clearly distinguished the genomes of B. pseudomallei in Indonesia from the ancestral Australian clade and classified them within the Asian clade. This study expands the known presence of B. pseudomallei within Indonesia and confirms that Indonesian B. pseudomallei are genetically linked to those in the rest of Southeast Asia. It is anticipated that melioidosis will be found in other locations across Indonesia as laboratory capacities improve and standardized protocols for detecting and confirming suspected cases of melioidosis are more widely implemented.

Indexed as

Burkholderia pseudomalleiGenetic VariationMelioidosisWhole Genome SequencingAdultAgedFemaleGenotypeHumansIndonesiaMaleMiddle AgedPhylogenyRetrospective StudiesRisk Factors

Identifiers

PMID38805481
PMCPMC11161056

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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.