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DETECTION OF BURKHOLDERIA PSEUDOMALLEI FROM POST-FLOOD SOIL SAMPLES IN KELANTAN, MALAYSIA
Abstract:
Burkholderia pseudomallei is an important causative organism of fatal community bacteremia especially in Southeast Asia and northern Australia. Outbreaks of melioidosis have been reported post-floods and -typhoons. A cross sectional study was conducted in January 2015, following a major flood in Kelantan, Malaysia to detect presence of B. pseudomallei from soil. A total of 89 soil samples were cultured for B. pseudomallei on Ashdown agar. Putative colonies underwent further staining and biochemical testing prior to confirmation by PCR. Rate of detection was 1%, although low, it nevertheless indicated a risk for melioidosis among flood victims in Kelantan. Flood affected individuals should be made aware of symptoms of melioidosis and healthcare providers must have a high index of suspicion of patients presenting with fever. Such subjects should be screened for the possibility of melioidosis and given prompt treatment to avoid preventable death.
Insights
Burkholderia pseudomallei, a cause of fatal melioidosis, was detected in soil samples after a major flood in Kelantan, Malaysia. This finding highlights the ongoing risk of melioidosis for flood victims in the region.
Area of Science:
- Microbiology
- Infectious Diseases
- Environmental Health
Background:
- Melioidosis, caused by Burkholderia pseudomallei, is a significant cause of fatal community-acquired bacteremia, particularly in Southeast Asia and Northern Australia.
- Outbreaks of melioidosis are frequently associated with environmental events like floods and typhoons.
- Burkholderia pseudomallei is a soil-dwelling bacterium, posing an environmental risk.
Purpose of the Study:
- To investigate the presence of Burkholderia pseudomallei in soil samples following a major flood event.
- To assess the environmental risk of melioidosis transmission to the community in Kelantan, Malaysia.
Main Methods:
- A cross-sectional study was conducted in January 2015 in Kelantan, Malaysia.
- Eighty-nine soil samples were collected and cultured for Burkholderia pseudomallei using Ashdown agar.
- Putative colonies were subjected to staining, biochemical testing, and Polymerase Chain Reaction (PCR) for confirmation.
Main Results:
- Burkholderia pseudomallei was detected in 1% of the analyzed soil samples.
- Despite the low detection rate, the presence of the bacterium confirmed environmental contamination post-flood.
Conclusions:
- The study indicates a persistent risk of melioidosis for flood-affected populations in Kelantan.
- Increased awareness of melioidosis symptoms among the public and a high index of suspicion by healthcare providers are crucial.
- Prompt screening and treatment of suspected cases are essential to prevent mortality.
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