Modelling the transmission of Clostridium difficile in hospitals
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Clostridium difficile is a major cause of healthcare-associated
diarrhoea, and controlling its spread within a healthcare setting is
an ongoing focus of significant public health effort. However, the
dynamics of the disease are still relatively poorly
understood, and the complex, dynamic contact network of a large hospital system makes it difficult to apply standard techniques for analysing disease outbreaks. Focussing on data collected
within the Oxford Radcliffe Hospitals NHS Trust between 2007 and 2009
(containing a total of 250,000 hospital admissions and 1,000 confirmed
cases of Clostridium difficile), we describe a compartmental model
for the transmission of Clostridium difficile within the hospital
system. A Bayesian approach allows us to estimate key epidemiological
parameters, as well as to assess the impact of assumptions made about
the dynamics of disease. An advantage of this framework is that it enables us to introduce additional genetic typing information about the bacteria as it becomes available, allowing us to refine our parameter estimates.
This talk is part of the MRC Biostatistics Unit Seminars series.
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