Tropical Medicine and Infectious Disease (Feb 2018)

Melioidosis in Brunei Darussalam

  • Ketan Pande,
  • Khairul Azmi Abd Kadir,
  • Rosmonaliza Asli,
  • Vui Heng Chong

DOI
https://doi.org/10.3390/tropicalmed3010020
Journal volume & issue
Vol. 3, no. 1
p. 20

Abstract

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Melioidosis continues to be a major health care problem in Brunei Darussalam. The age of patients, gender distribution, risk factors, and clinical presentations are similar to those reported from other countries in the region. The incidence of melioidosis was high during the wet months and in the Temburong district, which has the highest annual rainfall. In spite of adequate facilities for diagnosis and treatment, the mortality remains high (27%). Women and those presenting with septic shock had higher mortality. There is a case for making melioidosis a notifiable disease in Brunei Darussalam. Coordinated efforts between policy-makers and various stakeholders are required to effectively combat the disease.

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