Transmission dynamics of Chlamydia trachomatis affect the impact of screening programmes

Althaus, Christian L.; Heijne, Janneke C.M.; Röllin, Adrian; Low, Nicola (2010). Transmission dynamics of Chlamydia trachomatis affect the impact of screening programmes. Epidemics, 2(3), pp. 123-131. Amsterdam: Elsevier 10.1016/j.epidem.2010.04.002

[img]
Preview
Text
Althaus_2010_Epidemics.pdf - Accepted Version
Available under License Publisher holds Copyright.

Download (246kB) | Preview
[img] Text
Althaus Epidemics 2010.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (993kB) | Request a copy

To assess the impact of screening programmes in reducing the prevalence of Chlamydia trachomatis, mathematical and computational models are used as a guideline for decision support. Unfortunately, large uncertainties exist about the parameters that determine the transmission dynamics of C. trachomatis. Here, we use a SEIRS (susceptible-exposed-infected-recovered-susceptible) model to critically analyze the turnover of C. trachomatis in a population and the impact of a screening programme. We perform a sensitivity analysis on the most important steps during an infection with C. trachomatis. Varying the fraction of the infections becoming symptomatic as well as the duration of the symptomatic period within the range of previously used parameter estimates has little effect on the transmission dynamics. However, uncertainties in the duration of temporary immunity and the asymptomatic period can result in large differences in the predicted impact of a screening programme. We therefore analyze previously published data on the persistence of asymptomatic C. trachomatis infection in women and estimate the mean duration of the asymptomatic period to be longer than anticipated so far, namely 433 days (95% CI: 420-447 days). Our study shows that a longer duration of the asymptomatic period results in a more pronounced impact of a screening programme. However, due to the slower turnover of the infection, a substantial reduction in prevalence can only be achieved after screening for several years or decades.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine

UniBE Contributor:

Althaus, Christian; Min-Heijne, Janneke; Röllin, Adrian and Low, Nicola

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1755-4365

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:10

Last Modified:

09 Sep 2017 21:33

Publisher DOI:

10.1016/j.epidem.2010.04.002

PubMed ID:

21352783

Web of Science ID:

000208233600004

BORIS DOI:

10.7892/boris.1316

URI:

https://boris.unibe.ch/id/eprint/1316 (FactScience: 202709)

Actions (login required)

Edit item Edit item
Provide Feedback