Workshop on treatment of and postexposure prophylaxis for Burkholderia pseudomallei and B. mallei Infection, 2010

• Published in: Emerging infectious diseases Vol. 18; no. 12; p. e2
• Main Authors: Lipsitz, Rebecca, Garges, Susan, Aurigemma, Rosemarie, Baccam, Prasith, Blaney, David D, Cheng, Allen C, Currie, Bart J, Dance, David, Gee, Jay E, Larsen, Joseph, Limmathurotsakul, Direk, Morrow, Meredith G, Norton, Robert, O'Mara, Elizabeth, Peacock, Sharon J, Pesik, Nicki, Rogers, L Paige, Schweizer, Herbert P, Steinmetz, Ivo, Tan, Gladys, Tan, Patrick, Wiersinga, W Joost, Wuthiekanun, Vanaporn, Smith, Theresa L
• Format: Journal Article Conference Proceeding
• Language: English
• Published: United States Centers for Disease Control and Prevention 01.12.2012
• Subjects: Amoxicillin-Potassium Clavulanate Combination - administration & dosage; Animals; Anti-Bacterial Agents - administration & dosage; Burkholderia mallei; Burkholderia mallei - pathogenicity; Burkholderia pseudomallei; Burkholderia pseudomallei - pathogenicity; Ceftazidime - administration & dosage; Disease Models, Animal; Disease Susceptibility; drug therapy; glanders; Glanders - diagnosis; Glanders - drug therapy; Glanders - prevention & control; Humans; melioidosis; Melioidosis - diagnosis; Melioidosis - drug therapy; Melioidosis - prevention & control; Online Report; Post-Exposure Prophylaxis - methods; postexposure prophylaxis; Risk Factors; Thienamycins - administration & dosage; Trimethoprim, Sulfamethoxazole Drug Combination - administration & dosage
• ISSN: 1080-6040; 1080-6059
• DOI: 10.3201/eid1812.120638

The US Public Health Emergency Medical Countermeasures Enterprise convened subject matter experts at the 2010 HHS Burkholderia Workshop to develop consensus recommendations for postexposure prophylaxis against and treatment for Burkholderia pseudomallei and B. mallei infections, which cause melioidosis and glanders, respectively. Drugs recommended by consensus of the participants are ceftazidime or meropenem for initial intensive therapy, and trimethoprim/sulfamethoxazole or amoxicillin/clavulanic acid for eradication therapy. For postexposure prophylaxis, recommended drugs are trimethoprim/sulfamethoxazole or co-amoxiclav. To improve the timely diagnosis of melioidosis and glanders, further development and wide distribution of rapid diagnostic assays were also recommended. Standardized animal models and B. pseudomallei strains are needed for further development of therapeutic options. Training for laboratory technicians and physicians would facilitate better diagnosis and treatment options.