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Bayesian inference of hospital-acquired infections and control measures given imperfect surveillance data.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Published
  • Anthony Pettitt
  • M. Forrester
  • G. Gibson
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<mark>Journal publication date</mark>04/2007
<mark>Journal</mark>Biostatistics
Issue number2
Volume8
Number of pages19
Pages (from-to)383-401
Publication StatusPublished
<mark>Original language</mark>English

Abstract

This paper describes a stochastic epidemic model developed to infer transmission rates of asymptomatic communicable pathogens within a hospital ward. Inference is complicated by partial observation of the epidemic process and dependencies within the data. The epidemic process of nosocomial communicable pathogens can be partially observed by routine swabs testing for the presence of the pathogen. False-negative swab results must be accounted for and make it difficult to ascertain the number of patients who were colonized. Reversible jump Markov chain Monte Carlo methods are used within a Bayesian framework to make inferences about the colonization rates and unknown colonization times. The methods are applied to routinely collected data concerning methicillin-resistant Staphylococcus Aureus in an intensive care unit to estimate the effectiveness of isolation on reducing transmission of the bacterium.

Bibliographic note

RAE_import_type : Journal article RAE_uoa_type : Statistics and Operational Research