Outbreak of melioidosis and leptospirosis co-infection following a rescue operation

We analyzed the epidemiological data of all people who were involved in the search and rescue operation in Lubuk Yu, a natural recreational forest with waterfall and stream. The hospital admission records of the cases who fulfilled the case definition and the environmental samples result taken at Lu...

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Main Authors:	Mohamed, Mohamed Sapian, M. T., Khairi, How, Soon Hin, Ramalingam, Rajalingam, Abdul Karim, Sahhir, Abdul Rahman, Norazah, Verasahib, Khebir, Ab Rahman, Jamalludin
Format:	Article
Language:	English
Published:	Malaysian Medical Associations 2012
Subjects:	R Medicine (General)
Online Access:	http://irep.iium.edu.my/29198/ http://irep.iium.edu.my/29198/ http://irep.iium.edu.my/29198/1/outbreak.pdf

id	iium-29198
recordtype	eprints
spelling	iium-291982016-03-10T02:11:58Z http://irep.iium.edu.my/29198/ Outbreak of melioidosis and leptospirosis co-infection following a rescue operation Mohamed, Mohamed Sapian M. T., Khairi How, Soon Hin Ramalingam, Rajalingam Abdul Karim, Sahhir Abdul Rahman, Norazah Verasahib, Khebir Ab Rahman, Jamalludin R Medicine (General) We analyzed the epidemiological data of all people who were involved in the search and rescue operation in Lubuk Yu, a natural recreational forest with waterfall and stream. The hospital admission records of the cases who fulfilled the case definition and the environmental samples result taken at Lubuk Yu recreational area were studied. 153 people were exposed to this outbreak, 85 (55.5%) were professional rescuers from various government agencies and 68 (44.5%) were villagers. 21 fulfilled the case definition. Ten cases were confirmed melioidosis, six melioidosis alone and four coinfected with leptospirosis. There were eight deaths in this outbreak, seven were villagers and one professional rescuer. Overall case fatality was 70%. All confirmed melioidosis cases and seven who died had diabetes mellitus. The morbidity rate were higher among the villagers, 23.5% compared to professional rescuers, 5.9%. The case fatality rate were also higher in this group which was 100% compared to 33.3% in professional rescuers. The soil and water samples in Lubuk Yu recreational area were positive for leptospira and Burkholderia pseudomallei. The presence of co-infection and co-morbidities especially diabetes mellitus among the exposed led to the high mortality in this outbreak hence a high index of suspicion is important among the healthcare professionals in the management of melioidosis cases. To avoid similar incident in future, search and rescue operation should be only conducted by professional rescuers with appropriate personal protective equipment. A register of rescuers should be maintained for surveillance and follow up if necessary. Malaysian Medical Associations 2012-06 Article PeerReviewed application/pdf en http://irep.iium.edu.my/29198/1/outbreak.pdf Mohamed, Mohamed Sapian and M. T., Khairi and How, Soon Hin and Ramalingam, Rajalingam and Abdul Karim, Sahhir and Abdul Rahman, Norazah and Verasahib, Khebir and Ab Rahman, Jamalludin (2012) Outbreak of melioidosis and leptospirosis co-infection following a rescue operation. Medical Journal of Malaysia, 67 (3). pp. 293-297. ISSN 0300-5283 http://www.e-mjm.org/2012/v67n3/Melioidosis-and-Leptospirosis.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Mohamed, Mohamed Sapian M. T., Khairi How, Soon Hin Ramalingam, Rajalingam Abdul Karim, Sahhir Abdul Rahman, Norazah Verasahib, Khebir Ab Rahman, Jamalludin Outbreak of melioidosis and leptospirosis co-infection following a rescue operation
description	We analyzed the epidemiological data of all people who were involved in the search and rescue operation in Lubuk Yu, a natural recreational forest with waterfall and stream. The hospital admission records of the cases who fulfilled the case definition and the environmental samples result taken at Lubuk Yu recreational area were studied. 153 people were exposed to this outbreak, 85 (55.5%) were professional rescuers from various government agencies and 68 (44.5%) were villagers. 21 fulfilled the case definition. Ten cases were confirmed melioidosis, six melioidosis alone and four coinfected with leptospirosis. There were eight deaths in this outbreak, seven were villagers and one professional rescuer. Overall case fatality was 70%. All confirmed melioidosis cases and seven who died had diabetes mellitus. The morbidity rate were higher among the villagers, 23.5% compared to professional rescuers, 5.9%. The case fatality rate were also higher in this group which was 100% compared to 33.3% in professional rescuers. The soil and water samples in Lubuk Yu recreational area were positive for leptospira and Burkholderia pseudomallei. The presence of co-infection and co-morbidities especially diabetes mellitus among the exposed led to the high mortality in this outbreak hence a high index of suspicion is important among the healthcare professionals in the management of melioidosis cases. To avoid similar incident in future, search and rescue operation should be only conducted by professional rescuers with appropriate personal protective equipment. A register of rescuers should be maintained for surveillance and follow up if necessary.
format	Article
author	Mohamed, Mohamed Sapian M. T., Khairi How, Soon Hin Ramalingam, Rajalingam Abdul Karim, Sahhir Abdul Rahman, Norazah Verasahib, Khebir Ab Rahman, Jamalludin
author_facet	Mohamed, Mohamed Sapian M. T., Khairi How, Soon Hin Ramalingam, Rajalingam Abdul Karim, Sahhir Abdul Rahman, Norazah Verasahib, Khebir Ab Rahman, Jamalludin
author_sort	Mohamed, Mohamed Sapian
title	Outbreak of melioidosis and leptospirosis co-infection following a rescue operation
title_short	Outbreak of melioidosis and leptospirosis co-infection following a rescue operation
title_full	Outbreak of melioidosis and leptospirosis co-infection following a rescue operation
title_fullStr	Outbreak of melioidosis and leptospirosis co-infection following a rescue operation
title_full_unstemmed	Outbreak of melioidosis and leptospirosis co-infection following a rescue operation
title_sort	outbreak of melioidosis and leptospirosis co-infection following a rescue operation
publisher	Malaysian Medical Associations
publishDate	2012
url	http://irep.iium.edu.my/29198/ http://irep.iium.edu.my/29198/ http://irep.iium.edu.my/29198/1/outbreak.pdf
first_indexed	2023-09-18T20:42:50Z
last_indexed	2023-09-18T20:42:50Z
_version_	1777409480147861504

Outbreak of melioidosis and leptospirosis co-infection following a rescue operation

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