Public health impact of establishing the cause of bacterial infections in rural Asia

Trans R Soc Trop Med Hyg. 2008 Jan;102(1):5-6. doi: 10.1016/j.trstmh.2007.06.004. Epub 2007 Jul 9.


Recent studies delineating bacterial causes of fever in rural Asia indicate a major role for several previously under-recognized pathogens, including Rickettsia and Leptospira. The use of blood culture for the first time to investigate patients with febrile illness in rural Asia has also revealed some unexpected findings, e.g. Staphylococcus aureus is the major cause of bacteraemia in children aged <1 year in Laos. The spread of antimicrobial-resistant pathogens such as MRSA into rural Asia has already occurred and requires monitoring. These factors have major implications for empirical therapy of fever. Initiatives are urgently needed to strengthen the infrastructure of microbiology in rural Asia.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Asia
  • Bacteremia / microbiology
  • Bacterial Infections / microbiology*
  • Humans
  • Public Health*
  • Rural Health