Multidirectional dynamic model for the spread of extended-spectrum-β-lactamase-producing Escherichia coli in the Netherlands

Extended-spectrum-β-lactamase-producing Escherichia coli (ESBL-EC) is a major public health concern. A better understanding of the dynamics of ESBL-EC transmission is required for effective prevention and control. We present here a multidirectional dynamic risk model for ESBL-EC transmission between broiler flocks, broiler farmers, and the open community, parameterized for the Netherlands. A discrete-time model was used to describe the transmission of ESBL-EC within and between populations including modeling the flock-to-human transmission via food consumption due to contamination at the slaug... Mehr ...