Table 3. Transmission models fitted to prospectively collected, genotyped swab data on the acquisition of third-generation cephalosporin-resistant (3GC-R) Klebsiella pneumoniae sensu lato.
The table shows the parameters, prior and posterior distributions along with the WAIC (model comparison measure where lower values indicate a better fit to data). See methods for equations. Normal prior distributions show the mean and standard deviation respectively within brackets, beta prior distributions show the two shape parameters within brackets.
| Transmission Model (Equations in Methods) |
Parameters | Priors | Posterior Median (95% CrI)* |
WAIC † |
|---|---|---|---|---|
| (1) Constant risk of transmission |
α (intercept) | beta(2, 8) | 0.0038 (0.0032, 0.0044) | 1919 |
| (2) Pseudo mass action (PMA) principal |
α (intercept) β (transmission)‡ |
beta(2, 8) beta(2, 8) |
0.0019 (0.0015, 0.0024) 0.0096 (0.0075, 0.012) |
1739 |
| (3) PMA plus environmen- tal contamination, from colonised patients, which decays over time |
α (intercept) β (transmission)‡ γ (environment) λ (decay term) |
beta(2, 8) beta(2, 8) beta(2, 8) half-normal(1, 2) |
0.0019 (0.0014, 0.0023) 0.0088 (0.0063, 0.011) 0.097 (0.0086, 0.37) 4.7 (2.2, 7.1) |
1740 |
| (4) Hierarchical PMA varying transmission coefficient by ST4 |
α (intercept) β (transmission)‡ αs (beta shape 1) βs (beta shape 2) |
beta(2, 8) beta(αs , βs ) half-normal(2, 5) half-normal(8, 5) |
0.0021 (0.0016, 0.0026) Varies by ST§ 0.23 (0.14, 0.38) 17 (9.7, 25) |
1733 |
| (5) Hierarchical PMA varying intercept by ST§ |
α (intercept) β (transmission)‡ αs (beta shape 1) βs (beta shape 2) |
beta(αs , βs ) beta(2, 8) half-normal(2, 5) half-normal(8, 5) |
Varies by ST§
0.0094 (0.0073, 0.012) 0.23 (0.16, 0.31) 21 (13, 29) |
1793 |
* 95% Credible interval. † Widely applicable information criterion (WAIC). ‡ Transmission parameter that is multiplied by the number of infants colonised with the sequence type on the same day to give the force of infection (colonisation pressure). § 3GC-R K. pneumoniae s.l. sequence type (ST).