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Laklaeng SN, Phu DH, Songsri J, Wisessombat S, Mala W, Senghoi W, Phothaworn P, Nuinoon M, Wongtawan T, Klangbud WK. A systematic review and meta-analysis of the global prevalence and relationships among Burkholderia pseudomallei sequence types isolated from humans, animals, and the environment. Vet World 2024; 17:26-36. [PMID: 38406370 PMCID: PMC10884566 DOI: 10.14202/vetworld.2024.26-36] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 12/08/2023] [Indexed: 02/27/2024] Open
Abstract
Background and Aim Burkholderia pseudomallei, a highly pathogenic bacterium responsible for melioidosis, exhibits ecological ubiquity and thrives within soil and water reservoirs, posing significant infection risks to humans and animals through direct contact. The aim of this study was to elucidate the genetic diversity and prevalence patterns of B. pseudomallei sequence types (STs) across a global spectrum and to understand the relationships between strains isolated from different sources. Materials and Methods We performed a systematic review and meta-analysis in this study. Extensive research was carried out across three comprehensive databases, including PubMed, Scopus, and ScienceDirect with data collected from 1924 to 2023. Results A total of 40 carefully selected articles contributed 2737 B. pseudomallei isolates attributed to 729 distinct STs and were incorporated into the systematic review. Among these, ST46 emerged as the most prominent, featuring in 35% of the articles and demonstrating a dominant prevalence, particularly within Southeast Asia. Moreover, ST51 consistently appeared across human, animal, and environmental studies. Subsequently, we performed a meta-analysis, focusing on nine specific STs: ST46, ST51, ST54, ST70, ST84, ST109, ST289, ST325, and ST376. Surprisingly, no statistically significant differences in their pooled prevalence proportions were observed across these compartments for ST46, ST70, ST289, ST325, and ST376 (all p > 0.69). Conversely, the remaining STs, including ST51, ST54, ST84, and ST109, displayed notable variations in their prevalence among the three domains (all p < 0.04). Notably, the pooled prevalence of ST51 in animals and environmental samples surpassed that found in human isolates (p < 0.01). Conclusion To the best of our knowledge, this study is the first systematic review and meta-analysis to investigate the intricate relationships between STs and their sources and contributes significantly to our understanding of B. pseudomallei diversity within the One Health framework.
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Affiliation(s)
- Sa-ngob Laklaeng
- College of Graduate Studies, Walailak University, Nakhon Si Thammarat 80160, Thailand
| | - Doan Hoang Phu
- College of Graduate Studies, Walailak University, Nakhon Si Thammarat 80160, Thailand
- Faculty of Animal Science and Veterinary Medicine, Nong Lam University, Ho Chi Minh City 70000, Vietnam
| | - Jirarat Songsri
- Center of Excellence in Research for Melioidosis and Microorganisms, Walailak University, Nakhon Si Thammarat 80160, Thailand
- Department of Medical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand
| | - Sueptrakool Wisessombat
- Center of Excellence in Research for Melioidosis and Microorganisms, Walailak University, Nakhon Si Thammarat 80160, Thailand
- Department of Medical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand
| | - Wanida Mala
- Center of Excellence in Research for Melioidosis and Microorganisms, Walailak University, Nakhon Si Thammarat 80160, Thailand
- Department of Medical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand
| | - Wilaiwan Senghoi
- Center of Excellence in Research for Melioidosis and Microorganisms, Walailak University, Nakhon Si Thammarat 80160, Thailand
- Department of Medical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand
| | - Preeda Phothaworn
- Center of Excellence in Research for Melioidosis and Microorganisms, Walailak University, Nakhon Si Thammarat 80160, Thailand
- Department of Medical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand
| | - Manit Nuinoon
- Department of Medical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand
| | - Tuempong Wongtawan
- Akkhraratchakumari Veterinary College, Walailak University, Nakhon Si Thammarat 80160, Thailand
| | - Wiyada Kwanhian Klangbud
- Center of Excellence in Research for Melioidosis and Microorganisms, Walailak University, Nakhon Si Thammarat 80160, Thailand
- Department of Medical Technology, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80160, Thailand
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Petras JK, Elrod MG, Ty MC, Dawson P, O'Laughlin K, Gee JE, Hanson J, Boutwell C, Ainsworth G, Beesley CA, Saile E, Tiller R, Gulvik CA, Ware D, Sokol T, Balsamo G, Taylor K, Salzer JS, Bower WA, Weiner ZP, Negrón ME, Hoffmaster AR, Byers P. Locally Acquired Melioidosis Linked to Environment - Mississippi, 2020-2023. N Engl J Med 2023; 389:2355-2362. [PMID: 38118023 PMCID: PMC10773590 DOI: 10.1056/nejmoa2306448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2023]
Abstract
Melioidosis, caused by Burkholderia pseudomallei, is a rare but potentially fatal bacterial disease endemic to tropical and subtropical regions worldwide. It is typically acquired through contact with contaminated soil or fresh water. Before this investigation, B. pseudomallei was not known to have been isolated from the environment in the continental United States. Here, we report on three patients living in the same Mississippi Gulf Coast county who presented with melioidosis within a 3-year period. They were infected by the same Western Hemisphere B. pseudomallei strain that was discovered in three environmental samples collected from the property of one of the patients. These findings indicate local acquisition of melioidosis from the environment in the Mississippi Gulf Coast region.
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Affiliation(s)
- Julia K Petras
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Mindy G Elrod
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Maureen C Ty
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Patrick Dawson
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Kevin O'Laughlin
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Jay E Gee
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Jennifer Hanson
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Carla Boutwell
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Gail Ainsworth
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Cari A Beesley
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Elke Saile
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Rebekah Tiller
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Christopher A Gulvik
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Daphne Ware
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Theresa Sokol
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Gary Balsamo
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Kathryn Taylor
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Johanna S Salzer
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - William A Bower
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Zachary P Weiner
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - María E Negrón
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Alex R Hoffmaster
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
| | - Paul Byers
- From the Centers for Disease Control and Prevention, Atlanta (J.K.P., M.G.E., M.C.T., P.D., K.O., J.E.G., C.A.B., E.S., R.T., C.A.G., J.S.S., W.A.B., Z.P.W., M.E.N., A.R.H.); the Mississippi State Department of Health, Jackson (J.H., C.B., G.A., D.W., K.T., P.B.); the Arizona Department of Health Services, Phoenix (C.A.B.); and the Louisiana Department of Health, Baton Rouge (T.S., G.B.)
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