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:	Sapian, M, Khair, M T, How, Soon Hin, Rajalingam, R, Sahhir, K, Norazah, A, Khebir, V, Jamalludin, Ab Rahman
Format:	Article
Language:	English
Published:	Malaysian Medical Association 2012
Subjects:	R Medicine (General)
Online Access:	http://irep.iium.edu.my/49775/ http://irep.iium.edu.my/49775/ http://irep.iium.edu.my/49775/1/2012_Sapian.pdf

id	iium-49775
recordtype	eprints
spelling	iium-497752016-04-05T08:40:36Z http://irep.iium.edu.my/49775/ Outbreak of melioidosis and leptospirosis co-infection following a rescue operation. Sapian, M Khair, M T How, Soon Hin Rajalingam, R Sahhir, K Norazah, A Khebir, V Jamalludin, Ab Rahman 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 Association 2012-06 Article PeerReviewed application/pdf en http://irep.iium.edu.my/49775/1/2012_Sapian.pdf Sapian, M and Khair, M T and How, Soon Hin and Rajalingam, R and Sahhir, K and Norazah, A and Khebir, V and Jamalludin, Ab Rahman (2012) Outbreak of melioidosis and leptospirosis co-infection following a rescue operation. The Medical journal of Malaysia, 67 (3). pp. 293-297. ISSN 0300-5283 http://www.e-mjm.org/2012/v67n3/index.html
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) Sapian, M Khair, M T How, Soon Hin Rajalingam, R Sahhir, K Norazah, A Khebir, V Jamalludin, Ab Rahman 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	Sapian, M Khair, M T How, Soon Hin Rajalingam, R Sahhir, K Norazah, A Khebir, V Jamalludin, Ab Rahman
author_facet	Sapian, M Khair, M T How, Soon Hin Rajalingam, R Sahhir, K Norazah, A Khebir, V Jamalludin, Ab Rahman
author_sort	Sapian, M
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 Association
publishDate	2012
url	http://irep.iium.edu.my/49775/ http://irep.iium.edu.my/49775/ http://irep.iium.edu.my/49775/1/2012_Sapian.pdf
first_indexed	2023-09-18T21:10:20Z
last_indexed	2023-09-18T21:10:20Z
_version_	1777411210002563072

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

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