疫苗接种和治疗对减少Hbv疾病再次感染的贡献:数学模型分析和数值模拟

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摘要

乙型肝炎是一种全球性传染病。hbv相关性肝移植术后hbv再感染是一个常见的临床问题。乙肝病毒再感染的风险与肝移植前的病毒载量直接相关。如果在大多数情况下确实发生再感染,则与移植前的情况相比,病程会延长。乙肝病毒相关肝病的进展在移植后2个月开始加速,在再次移植或患者死亡时加速。乙肝病毒传播的数学建模是一个有趣的研究领域。在本文中,我们以数学模型的形式提出HBV病毒传播的特征。本文提出并分析了乙型肝炎病毒疾病传播动力学和控制的分区非线性确定性数学模型SVEIRE。在该模型中,我们采用强制感染的方法,考虑了易感人群的接触率和传播概率。证明了所考虑的动力系统的解是正有界的。利用微分方程的稳定性理论对该模型进行定性研究,并从新一代矩阵的最大特征值得到代表流行病指标的基本繁殖数。确定了无病平衡点和地方性平衡点的局部和全局渐近稳定条件。敏感性分析结果表明,提高新生儿疫苗接种率和对慢性感染者的治疗对阻止HBV传播是非常有效的。研究还表明,乙肝病毒的再感染对感染人群的增加起着很大的作用。最后,本文描述了疫苗接种和治疗相结合将是控制乙型肝炎病毒感染的最有用的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Contribution Of Vaccination And Treatment In Reduction Of Re-Infection Of Hbv Disease:A Mathematical Model Analysis And Numerical Simulation
Hepatitis B is a globally infectious disease. HBV-reinfection after HBV-related liver transplantation is a frequent clinical problem. The risk of HBV-reinfection directly correlates with the viral load before liver transplantation. If reinfection does occur in most cases the course of the disease is enhanced compared to the situation before transplantation. The progression of HBVrelated liver disease is accelerated starting 2 months after transplantation and r in re-transplantation or death of the patients. Mathematical modeling of HBV transmission is an interesting research area. In this paper, we present characteristics of HBV virus transmission in the form of a mathematical model. We proposed and analyzed a compartmental nonlinear deterministic mathematical model SVEIRE for transmission dynamics and control of Hepatitis B virus disease. In this model, we used force infection which takes the contact rate of susceptible population and transmission probability into account. We proved that the solution of the considered dynamical system is positive and bounded. The model is studied qualitatively using the stability theory of differential equations and the basic reproductive number that represents the epidemic indicator is obtained from the largest eigenvalue of the next-generation matrix. Both local and global asymptotic stability conditions for disease-free and endemic equilibria are determined. Sensitive analysis results show that enhancing the vaccination rate for newborns and treatment for chronically infected individuals is very effective to stop the transmission of HBV. It is also shown that re-infection of HBV plays a great role in increasing the number of infected populations. Finally, this paper depicts combination of vaccination and treatment that will be the most useful way to control Hepatitis B virus infection.
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