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Increasing Incidence of Human Melioidosis in Northeast Thailand

Open access
Limmathurotsakul, Direk, Wongratanacheewin, Surasakdi, Teerawattanasook, Nittaya, Wongsuvan, Gumphol, Chaisuksant, Seksan, Chetchotisakd, Ploenchan, Chaowagul, Wipada, Day, Nicholas P.J., Peacock, Sharon J.·2010·The American Society of Tropical Medicine and Hygiene

Abstract

Melioidosis is a serious community-acquired infectious disease caused by the Gram-negative environmental bacterium Burkholderia pseudomallei. A prospective cohort study identified 2,243 patients admitted to Sappasithiprasong Hospital in northeast Thailand with culture-confirmed melioidosis between 1997 and 2006. These data were used to calculate an average incidence rate for the province of 12.7 cases of melioidosis per 100,000 people per year. Incidence increased incrementally from 8.0 (95% confidence interval [CI] = 7.2–10.0) in 2000 to 21.3 (95% CI = 19.2–23.6) in 2006 (P < 0.001; χ 2 test for trend). Male sex, age ≥ 45 years, and either known or undiagnosed diabetes were independent risk factors for melioidosis. The average mortality rate from melioidosis over the study period was 42.6%. The minimum estimated population mortality rate from melioidosis in 2006 was 8.63 per 100,000 people (95% CI = 7.33–10.11), the third most common cause of death from infectious diseases in northeast Thailand after human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) and tuberculosis.

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Metadata

Authors
Limmathurotsakul, D., Wongratanacheewin, S., Teerawattanasook, N., Wongsuvan, G., Chaisuksant, S., Chetchotisakd, P., Chaowagul, W., Day, N. P. J., & Peacock, S. J.
Venue
The American Society of Tropical Medicine and Hygiene
Published
2010-06
Volume
82
Issue
6
Pages
1113-1117
ISSN
  • 0002-9637 (ISSN-L)
  • 1476-1645
OpenAlex
W2149156757
Cited by
433
References
0
FWCI
16.14
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Increasing Incidence of Human Melioidosis in Northeast Thailand. https://app.cochat.ai/papers/10.4269/ajtmh.2010.10-0038
The paper
Limmathurotsakul, D., Wongratanacheewin, S., Teerawattanasook, N., Wongsuvan, G., Chaisuksant, S., Chetchotisakd, P., Chaowagul, W., Day, N. P. J., & Peacock, S. J. (2010). Increasing Incidence of Human Melioidosis in Northeast Thailand. The American Society of Tropical Medicine and Hygiene. https://doi.org/10.4269/ajtmh.2010.10-0038

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