Modeling the Transmission of ESBL and AmpC-Producing <i>Escherichia coli</i> in Denmark: A Compartmental and Source Attribution Approach

Extended-spectrum cephalosporin-resistant <i>Escherichia coli</i> (ESC-EC) poses a significant public health concern, with its presence increasingly detected in healthy humans and various animal species. This study explores the transmission dynamic of ESC-EC within the Danish population...

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Main Authors: Maja Lykke Brinch, Ana Sofia Ribeiro Duarte, Ofosuhene O. Apenteng, Tine Hald
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Zoonotic Diseases
Subjects:
Online Access:https://www.mdpi.com/2813-0227/5/1/7
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author Maja Lykke Brinch
Ana Sofia Ribeiro Duarte
Ofosuhene O. Apenteng
Tine Hald
author_facet Maja Lykke Brinch
Ana Sofia Ribeiro Duarte
Ofosuhene O. Apenteng
Tine Hald
author_sort Maja Lykke Brinch
collection DOAJ
description Extended-spectrum cephalosporin-resistant <i>Escherichia coli</i> (ESC-EC) poses a significant public health concern, with its presence increasingly detected in healthy humans and various animal species. This study explores the transmission dynamic of ESC-EC within the Danish population as well as the transmission impact of a range of food and animal sources. We developed a compartmental model encompassing farmers, pet owners, and the general population. Additionally, we applied an established source attribution model to estimate the contributions to the transmission of different sources using Danish surveillance data on the distribution of resistance genes in <i>E. coli</i>. Our findings highlight the central role of human-to-human transmission while also showing the significant contributions of food and animal sources to the spread of ESC-EC in sporadic human infections. Imported food, pets, and livestock were estimated to contribute importantly to human infections. The results emphasize the complexity of ESC-EC transmission dynamics and the critical value of employing a One Health approach in modeling disease transmission and in the development of targeted intervention strategies.
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spelling doaj-art-acb057da80954bdea895be39305a77042025-08-20T01:49:57ZengMDPI AGZoonotic Diseases2813-02272025-03-0151710.3390/zoonoticdis5010007Modeling the Transmission of ESBL and AmpC-Producing <i>Escherichia coli</i> in Denmark: A Compartmental and Source Attribution ApproachMaja Lykke Brinch0Ana Sofia Ribeiro Duarte1Ofosuhene O. Apenteng2Tine Hald3National Food Institute, Technical University of Denmark, 2800 Kongens Lyngby, DenmarkNational Food Institute, Technical University of Denmark, 2800 Kongens Lyngby, DenmarkSection of Animal Welfare and Disease Control, Department Veterinary and Animal Sciences, University of Copenhagen, 1870 Frederiksberg C, DenmarkNational Food Institute, Technical University of Denmark, 2800 Kongens Lyngby, DenmarkExtended-spectrum cephalosporin-resistant <i>Escherichia coli</i> (ESC-EC) poses a significant public health concern, with its presence increasingly detected in healthy humans and various animal species. This study explores the transmission dynamic of ESC-EC within the Danish population as well as the transmission impact of a range of food and animal sources. We developed a compartmental model encompassing farmers, pet owners, and the general population. Additionally, we applied an established source attribution model to estimate the contributions to the transmission of different sources using Danish surveillance data on the distribution of resistance genes in <i>E. coli</i>. Our findings highlight the central role of human-to-human transmission while also showing the significant contributions of food and animal sources to the spread of ESC-EC in sporadic human infections. Imported food, pets, and livestock were estimated to contribute importantly to human infections. The results emphasize the complexity of ESC-EC transmission dynamics and the critical value of employing a One Health approach in modeling disease transmission and in the development of targeted intervention strategies.https://www.mdpi.com/2813-0227/5/1/7antimicrobial resistancesource attributioncompartmental modelESC <i>E. coli</i>
spellingShingle Maja Lykke Brinch
Ana Sofia Ribeiro Duarte
Ofosuhene O. Apenteng
Tine Hald
Modeling the Transmission of ESBL and AmpC-Producing <i>Escherichia coli</i> in Denmark: A Compartmental and Source Attribution Approach
Zoonotic Diseases
antimicrobial resistance
source attribution
compartmental model
ESC <i>E. coli</i>
title Modeling the Transmission of ESBL and AmpC-Producing <i>Escherichia coli</i> in Denmark: A Compartmental and Source Attribution Approach
title_full Modeling the Transmission of ESBL and AmpC-Producing <i>Escherichia coli</i> in Denmark: A Compartmental and Source Attribution Approach
title_fullStr Modeling the Transmission of ESBL and AmpC-Producing <i>Escherichia coli</i> in Denmark: A Compartmental and Source Attribution Approach
title_full_unstemmed Modeling the Transmission of ESBL and AmpC-Producing <i>Escherichia coli</i> in Denmark: A Compartmental and Source Attribution Approach
title_short Modeling the Transmission of ESBL and AmpC-Producing <i>Escherichia coli</i> in Denmark: A Compartmental and Source Attribution Approach
title_sort modeling the transmission of esbl and ampc producing i escherichia coli i in denmark a compartmental and source attribution approach
topic antimicrobial resistance
source attribution
compartmental model
ESC <i>E. coli</i>
url https://www.mdpi.com/2813-0227/5/1/7
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