An antibiotic protocol to minimize emergence of drug-resistant tuberculosis

Aquino L. de Espíndola, Daniel Girardi, T.J.P. Penna, Chris T. Bauch, Brenno C. Troca Cabella and Alexandre Souto Martinez

Physica A: Statistical Mechanics and its Applications, 2014, vol. 400, issue C, 80-92

Abstract: A within-host model of the spread of tuberculosis is proposed here where the emergence of drug resistance and bacterial dormancy are simultaneously combined. We consider both sensitive and resistant strains of tuberculosis pathogens as well as a dormant state of these bacteria. The dynamics of the within-host system is modeled by a set of coupled differential equations which are numerically solved to find a relation between the within-host bacterial populations and the host health states. The values of the parameters were taken from the current literature when available; a sensitivity analysis was performed for the others. Antibiotic treatment for standard, intermittent and oscillating intermittent protocols is analyzed for different conditions. Our results suggest that the oscillating protocol is the most effective one, that would imply a lower treatment cost.

Keywords: Complex systems; Within-host model; Epidemiology; Tuberculosis (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:eee:phsmap:v:400:y:2014:i:c:p:80-92

DOI: 10.1016/j.physa.2013.12.039

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