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Intensity of rainfall and severity of melioidosis, Australia

Currie, Bart J. and Jacups, Susan P. (2003). Intensity of rainfall and severity of melioidosis, Australia. Emerging Infectious Diseases,9(12):1538-1542.

Document type: Journal Article
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Title Intensity of rainfall and severity of melioidosis, Australia
Author Currie, Bart J.
Jacups, Susan P.
Journal Name Emerging Infectious Diseases
Publication Date 2003
Volume Number 9
Issue Number 12
ISSN 1080-6059   (check CDU catalogue open catalogue search in new window)
Start Page 1538
End Page 1542
Total Pages 5
Place of Publication Atlanta, United States
Publisher U.S. Department of Health and Human Services, Centers for Disease Control and Prevention
Field of Research 0605 - Microbiology
0799 - Other Agricultural and Veterinary Sciences
1108 - Medical Microbiology
HERDC Category C1 - Journal Article (DEST)
Abstract In a 12-year prospective study of 318 culture-confirmed cases of melioidosis from the Top End of the Northern Territory of Australia, rainfall data for individual patient locations were correlated with patient risk factors, clinical parameters, and outcomes. Median rainfall in the 14 days before admission was highest (211 mm) for those dying with melioidosis, in comparison to 110 mm for those surviving (p=0.0002). Median 14-day rainfall was also significantly higher for those with pneumonia. On univariate analysis, a prior 14-day rainfall of 125 mm was significantly correlated with pneumonia (odds ratio [OR] 1.70 [confidence interval [CI] 1.09 to 2.65]), bacteremia (OR 1.93 [CI 1.24 to 3.02]), septic shock (OR 1.94 [CI 1.14 to 3.29]), and death (OR 2.50 [CI 1.36 to 4.57]). On multivariate analysis, rainfall in the 14 days before admission was an independent risk factor for pneumonia (p=0.023), bacteremic pneumonia (p=0.001), septic shock (p=0.005), and death (p<0.0001). Heavy monsoonal rains and winds may cause a shift towards inhalation of Burkholderia pseudomallei.
Keywords melioidosis
rainfall
Northern Territory
DOI http://dx.doi.org/10.3201/eid0912.020750   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)


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