2009
DOI: 10.1371/journal.pcbi.1000337
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Evolutionary Epidemiology of Drug-Resistance in Space

Abstract: How can we optimize the use of drugs against parasites to limit the evolution of drug resistance? This question has been addressed by many theoretical studies focusing either on the mixing of various treatments, or their temporal alternation. Here we consider a different treatment strategy where the use of the drug may vary in space to prevent the rise of drug-resistance. We analyze epidemiological models where drug-resistant and drug-sensitive parasites compete in a one-dimensional spatially heterogeneous env… Show more

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Cited by 30 publications
(37 citation statements)
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References 50 publications
(48 reference statements)
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“…A key point is that, in heterogeneous environments, adaptation and range expansion are likely coupled. This fundamentally distinguishes the staircase model from other models with spatially structured populations (31)(32)(33)(34)(35)(36), or models of evolution at the front of growing colonies (37). This has important consequences.…”
Section: Discussionmentioning
confidence: 99%
“…A key point is that, in heterogeneous environments, adaptation and range expansion are likely coupled. This fundamentally distinguishes the staircase model from other models with spatially structured populations (31)(32)(33)(34)(35)(36), or models of evolution at the front of growing colonies (37). This has important consequences.…”
Section: Discussionmentioning
confidence: 99%
“…In addition, understanding transient evolutionary dynamics may also be particularly helpul to public health management. In particular, several attempts have been made to better understand the spread of drug resistance in spatially heterogeneous environments (Débarre et al., ). Generalizing those studies to a broader range of epidemiological scenarios would help identify strategies that limit or even prevent the spread of drug resistance in spatially structured environments.…”
Section: Perspectivesmentioning
confidence: 99%
“…We also assumed that the five main pathotypes considered in the study were pre-existing and homogeneously distributed at the country scale. Theoretical models predict that local structures in the host population could be crucial in the invasion dynamics of pathogens (Keeling, 1999;Park et al, 2001;Débarre et al, 2009). A possible improvement of the analysis would be to test whether weakening the assumption of complete mixing of the population at the national level would alter the results.…”
Section: Researchmentioning
confidence: 99%