Biosafety and biosecurity requirements for Orientia spp. diagnosis and research: recommendations for risk-based biocontainment, work practices and the case for reclassification to risk group 2

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Blacksell, Stuart D
Robinson, Matthew T
Newton, Paul N
Ruanchaimun, Soiratchaneekorn
Salje, Jeanne
Wangrangsimakul, Tri
Wegner, Matthew D
Abdad, Mohammad Yazid
Bennett, Allan M
Richards, Allen L
Stenos, John
Day, Nicholas PJ
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2019
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Abstract

Scrub typhus is an important arthropod-borne disease causing significant acute febrile illness by infection with Orientia spp.Using a risk-based approach, this review examines current practice, the evidence base and regulatory requirements regarding matters of biosafety and biosecurity, and presents the case for reclassification from Risk Group 3 to Risk Group 2 along with recommendations for safe working practices of risk-based activities during the manipulation of Orientia spp. in the laboratory.We recommend to reclassify Orientia spp. to Risk Group 2 based on the classification for RG2 pathogens as being moderate individual risk, low community risk. We recommend that low risk activities, can be performed within a biological safety cabinet located in a Biosafety Level (BSL) 2 core laboratory using standard personal protective equipment. But when the risk assessment indicates, such as high concentration and volume, or aerosol generation, then a higher biocontainment level is warranted. For, the majority of animal activities involving Orientia spp., Animal BSL 2 (ABSL2) is recommended however where high risk activities are performed including necropsies, Animal BSL (ABSL3) is recommended.

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BMC Infectious Diseases

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19

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1

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© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Microbiology

Clinical sciences

Medical microbiology

Biocontainment

Biosafety

Orientia

Risk group

Scrub typhus

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Blacksell, SD; Robinson, MT; Newton, PN; Ruanchaimun, S; Salje, J; Wangrangsimakul, T; Wegner, MD; Abdad, MY; Bennett, AM; Richards, AL; Stenos, J; Day, NPJ, Biosafety and biosecurity requirements for Orientia spp. diagnosis and research: recommendations for risk-based biocontainment, work practices and the case for reclassification to risk group 2., BMC Infectious Diseases, 2019, 19 (1), pp. 1044:1-1044:10

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