To treat or not to treat: The case of tuberculosis

被引:235
作者
CastilloChavez, C
Feng, ZL
机构
[1] Biometrics Unit, Cornell University, Ithaca
关键词
tuberculosis; antibiotic resistance; epidemiology; coexistence; dynamical systems;
D O I
10.1007/s002850050069
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Incomplete treatment of patients with infectious tuberculosis (TB) may not only lead to relapse but also to the development of antibiotic resistant TB-one of the most serious health problems facing society today. In this article, we formulate one-strain and two-strain TB models to determine possible mechanisms that may allow for the survival and spread of naturally resistant strains of TB as well as antibiotic-generated resistant strains of TB. Analysis of our models shows that non-antibiotic co-existence is possible but rare for naturally resistant strains while co-existence is almost the rule for strains that result from the lack of compliance with antibiotic treatment by TB infected individuals.
引用
收藏
页码:629 / 656
页数:28
相关论文
共 41 条
[1]  
ANDERSON R M, 1991
[2]  
Anderson R. M, 1982, Population Biology of Infectious Diseases
[3]  
Anderson RM., 1982, POPULATION DYNAMICS
[4]  
AYVAZIAN LF, 1993, TUBERCULOSIS COMPREH, P1
[5]  
Bloom Barry R., 1994, TUBERCULOSIS PATHOGE
[6]  
BOLKER B, 1995, IN PRESS AM NATURALI
[7]  
Castillo-Chavez C, 1988, MATH ECOLOGY, P303
[8]  
Castillo-Chavez C., 1995, Mathematical population dynamics: analysis of heterogeneity, P33
[9]   EPIDEMIOLOGICAL MODELS WITH AGE STRUCTURE, PROPORTIONATE MIXING, AND CROSS-IMMUNITY [J].
CASTILLOCHAVEZ, C ;
HETHCOTE, HW ;
ANDREASEN, V ;
LEVIN, SA ;
LIU, WM .
JOURNAL OF MATHEMATICAL BIOLOGY, 1989, 27 (03) :233-258
[10]  
CASTILLOCHAVEZ C, 1996, UNPUB P 4 INT C MATH