Evidence map›Paper›PMID 41723801›Full record

ReviewInfection2026

Human infections caused by pathogenic Burkholderia: current clinical challenges and future perspectives.

Helal F Hetta, Zinab Alatawi, Salwa Q Bukhari, Hisham Ibrahim M Barnawi, Abdelazeem M Algammal, El-Sayed Hemdan Eissa, Mohammad Al Masri, Yasmin N Ramadan

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In one paragraph

Review in Infection, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Helal F HettaDivision of Microbiology, Immunology and Biotechnology, Department of Natural Products and Alternative Medicine, Faculty of Pharmacy, University of Tabuk, Tabuk, 71491, Saudi Arabia. hhussen@ut.edu.sa.ORCID http://orcid.org/0000-0001-8541-7304
Zinab AlatawiDepartment of Family and Community Medicine, Faculty of Medicine, University of Tabuk, Tabuk, 47512, Saudi Arabia.
Salwa Q BukhariDepartment of Radiology, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia.ORCID http://orcid.org/0000-0002-8025-5454
Hisham Ibrahim M BarnawiDepartment of Community Medicine and Pilgrim Healthcare, Umm Alqura University, Makkah, 24382, Saudi Arabia.
Abdelazeem M AlgammalDepartment of Bacteriology, Immunology and Mycology, Faculty of Veterinary Medicine, Suez Canal University, Ismailia, 41522, Egypt.
El-Sayed Hemdan EissaFish Research Centre, Faculty of Environmental Agricultural Sciences, Arish University, El‑Arish, Egypt.
Mohammad Al MasriFaculty of Allied Medical Sciences, Hourani Center for Applied Scientific Research, Al-Ahliyya Amman University, Amman, Jordan.ORCID http://orcid.org/0009-0008-4992-9589
Yasmin N RamadanDepartment of Microbiology and Immunology, Faculty of Pharmacy, Assiut University, Assiut, 71515, Egypt.ORCID http://orcid.org/0009-0008-7374-9334

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe genus Burkholderia comprises diverse environmental bacteria, although only a limited number of species are clinically significant. Among these, Burkholderia mallei, Burkholderia pseudomallei, and the Burkholderia cepacia complex (Bcc) are the primary human pathogens associated with severe infections. This review aims to synthesize current knowledge on these species, focusing on their epidemiology, pathogenicity, diagnostic approaches, and treatment challenges, while identifying key gaps and future research directions.

methodsA narrative synthesis of the literature was conducted, integrating findings from microbiological, clinical, and genomic studies addressing major pathogenic Burkholderia species and their management.

resultsB. mallei causes glanders, a zoonotic infection transmitted through contact with infected animals. B. pseudomallei, an environmental organism endemic to tropical and subtropical regions, causes melioidosis, particularly in individuals with risk factors such as diabetes. The Bcc, comprising over 20 species, poses significant risks in patients with cystic fibrosis and chronic granulomatous disease, where it may lead to severe outcomes including "cepacia syndrome" and nosocomial outbreaks linked to contaminated medical products. Pathogenic Burkholderia species exhibit highly dynamic genomes shaped by horizontal gene transfer, contributing to virulence and intrinsic resistance to multiple antimicrobials, including polymyxins and many β-lactams. Advances in laboratory diagnosis include the use of molecular techniques, mass spectrometry, and whole-genome sequencing alongside conventional methods. Treatment remains challenging due to multidrug resistance, often requiring prolonged and intensive therapeutic regimens.

conclusionsClinically significant Burkholderia species present substantial diagnostic and therapeutic challenges due to their virulence and intrinsic antimicrobial resistance. Improved diagnostic strategies, optimized treatment protocols, and further research into prevention and control measures are essential to mitigate their clinical impact.

Indexed as

BurkholderiaBurkholderia InfectionsAnimalsAnti-Bacterial AgentsBurkholderia cepacia complexBurkholderia malleiBurkholderia pseudomalleiGlandersHumansMelioidosisAnti-Bacterial AgentsCepacia syndromeGenus BurkholderiaGlandersHuman diseasesMelioidosis

Identifiers

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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.