Ploenchan Chetchotisakd, Wirongrong Chierakul, Wipada Chaowagul, Siriluck Anunnatsiri, Kriangsak Phimda, Piroon Mootsikapun, Seksan Chaisuksant, Jiraporn Pilaikul, Bandit Thinkhamrop, Sunchai Phiphitaporn, Wattanachai Susaengrat, Chalongchai Toondee, Surasakdi Wongrattanacheewin, Vanaporn Wuthiekanun, Narisara Chantratita, Janjira Thaipadungpanit, Nicholas P Day, Direk Limmathurotsakul, Sharon J Peacock
BACKGROUND: Melioidosis, an infectious disease caused by the Gram-negative bacillus Burkholderia pseudomallei, is difficult to cure. Antimicrobial treatment comprises intravenous drugs for at least 10 days, followed by oral drugs for at least 12 weeks. The standard oral regimen based on trial evidence is trimethoprim-sulfamethoxaxole (TMP-SMX) plus doxycycline. This regimen is used in Thailand but is associated with side-effects and poor adherence by patients, and TMP-SMX alone is recommended in Australia...
March 1, 2014: Lancet