Effectiveness of an antimicrobial treatment scheme in a confined glanders outbreak View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2012-11-07

AUTHORS

Muhammad Saqib, Ghulam Muhammad, Abeera Naureen, Muhammad H Hussain, M Nadeem Asi, M Khalid Mansoor, Mehdi Toufeer, Iahtasham Khan, Heinrich Neubauer, Lisa D Sprague

ABSTRACT

BACKGROUND: Glanders is a contagious and fatal zoonotic disease of solipeds caused by the Gram-negative bacterium Burkholderia (B.) mallei. Although regulations call for culling of diseased animals, certain situations e.g. wild life conservation, highly valuable breeding stock, could benefit from effective treatment schemes and post-exposure prophylaxis. RESULTS: Twenty three culture positive glanderous horses were successfully treated during a confined outbreak by applying a treatment protocol of 12 weeks duration based on the parenteral administration of enrofloxacin and trimethoprim plus sulfadiazine, followed by the oral administration of doxycycline. Induction of immunosupression in six randomly chosen horses after completion of treatment did not lead to recrudescence of disease. CONCLUSION: This study demonstrates that long term treatment of glanderous horses with a combination of various antibiotics seems to eliminate the agent from the organism. However, more studies are needed to test the effectiveness of this treatment regime on B. mallei strains from different endemic regions. Due to its cost and duration, this treatment can only be an option in certain situations and should not replace the current "testing and culling" policy, in conjunction with adequate compensation to prevent spreading of disease. More... »

PAGES

214-214

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1746-6148-8-214

DOI

http://dx.doi.org/10.1186/1746-6148-8-214

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1013476716

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23134717


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