Melioidosis (Burkholderia pseudomallei infection) has yet to be demonstrated systematically in Bangladesh. A prospective, cross-sectional serological survey was conducted in 2010 at six Bangladeshi hospitals. Age, gender, occupation and residential address were recorded. Of 1244 patients, 359 (28.9%) were positive for B. pseudomallei by indirect haemagglutination assay. Farmers had an increased risk of seropositivity (risk ratio = 1.4, 95% CI 1.01.8; p = 0.03). There was no clear geographic clustering of seropositives. Melioidosis should be considered as a possible cause of febrile illness in Bangladesh. Further studies are needed to establish the incidence of clinical disease and distribution of environmental risk.
Rapeephan R Maude, Richard J Maude, Aniruddha Ghose, Md Robed Amin, Md Belalul Islam, Mohammad Ali, Md Shafiqul Bari, Md Ishaque Majumder, Vanaporn Wuthiekanan, Arjen M Dondorp, Robin L Bailey, Nicholas PJ Day, M Abul Faiz. (2012). Seroepidemiological surveillance of Burkholderia pseudomallei in Bangladesh. Transactions of The Royal Society of Tropical Medicine and Hygiene, 106(9)