Abstract

(1) Background: Burkholderia pseudomallei is an environmentally mediated saprophytic pathogen that can cause severe disease in humans. It is well known that B. pseudomallei survives in tropical moist soil environments worldwide, but melioidosis is gaining recognition as a public and veterinary health issue in Vietnam. The contribution of animals to human disease is unknown, necessitating further investigation. (2) Methods: Swine sera were collected from two populations, one grazing and one commercially farmed, from three provinces in Vietnam. ELISAs utilizing B. pseudomallei capsular polysaccharide (CPS), outer polysaccharide (OPS), and Hcp1 protein were used to screen serum samples. Positive samples were mapped to the commune level. Seroprevalence calculations and pig population estimates were used to approximate number of swine exposures per commune. (3) Results: Grazing pigs from Hoa Binh had significantly higher seropositivity levels (11.4%, 95% CI: 9.7–13.1) compared to farmed pigs from Ha Tinh and Nghe An (4%, 95% CI: 3.3–4.7). Average swine seropositivity rates were ~6.3% (95% CI: 5–7.9), higher than previously identified in Vietnam (~0.88%). (4) Conclusions: Initial serological sampling identified a significant number of seropositive and potential melioidosis infections occurring in swine in Vietnam. This work is a critical step in understanding the role swine may play in the epidemiology of human melioidosis in Vietnam.

Highlights

  • Burkholderia pseudomallei is a dangerous Gram-negative bacterium that causes melioidosis [1,2].Melioidosis is a neglected tropical disease that has been well-studied in Thailand and Australia but is believed to be endemic in tropical regions globally, including Vietnam [3,4,5]

  • Of the samples passing the cutoff in the capsular polysaccharide (CPS) ELISA, 5/23 were from Ha Tinh and the remaining 18/23 samples were from Hoa Binh (Figure 1E)

  • The outer polysaccharide (OPS) was run in tandem with the CPS ELISA and in duplicate with the same

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Summary

Introduction

Burkholderia pseudomallei is a dangerous Gram-negative bacterium that causes melioidosis [1,2]. Melioidosis is a neglected tropical disease that has been well-studied in Thailand and Australia but is believed to be endemic in tropical regions globally, including Vietnam [3,4,5]. The organism can cause serious diseases in humans and animal models, predisposing conditions such as diabetes and alcoholism are usually prerequisite for acute and chronic disease in humans [6,7]. Res. Public Health 2020, 17, 5203; doi:10.3390/ijerph17145203 www.mdpi.com/journal/ijerph

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