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Global Burden and Challenges of Melioidosis
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Melioidosis in Brunei Darussalam

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Department of Orthopaedics, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan BG 1710, Negara Brunei Darussalam
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Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan BG 1710, Negara Brunei Darussalam
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Author to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2018, 3(1), 20; https://doi.org/10.3390/tropicalmed3010020
Received: 30 January 2018 / Revised: 11 February 2018 / Accepted: 14 February 2018 / Published: 19 February 2018
(This article belongs to the Special Issue Global Burden and Challenges of Melioidosis)
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. View Full-Text
Keywords: melioidosis; Burkholderia pseudomallei; epidemiology; diagnosis; treatment melioidosis; Burkholderia pseudomallei; epidemiology; diagnosis; treatment
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Pande, K.; Abd Kadir, K.A.; Asli, R.; Chong, V.H. Melioidosis in Brunei Darussalam. Trop. Med. Infect. Dis. 2018, 3, 20.

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