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Table 3 Definition of key terms employed throughout the analyses

From: A model-based analysis: what potential could there be for a S. aureus vaccine in a hospital setting on top of other preventative measures?

Term

Definition

Hygiene compliance level

Hospital compliance with hand washing, wearing gloves, etc., varying between 0 (corresponding to hygiene compliance parameter η = 0) and 1 (corresponding to hygiene compliance parameter η = 1).

Screening

Identify the carriers and place them on contact precautions within the hospital. “x% screening” interpretation here: hospital compliance to finding and placing carriers on contact precautions; varies between 0% (corresponding to screening efficacy parameter s = 0): no MRSA carrier is placed on contact precaution and 100% (corresponding to screening efficacy parameter s = 1): all MRSA carriers are placed on the same contact precautions as the MRSA-infected patients.

Decolonization

Identify the carriers and apply decolonization regimens within the hospital. “x% decolonization” interpretation here: actual efficacy of decolonization protocol, varying between 0% (corresponding to decolonization efficacy parameter d = 0): no successful decolonization, and 100% (corresponding to decolonization efficacy parameter d = 1): 100% of patients decolonized daily return to susceptible status.

Vaccine efficacy against colonization

Vaccine-induced protection against carriage acquisition (reduced risk of colonization once vaccinated); can be varied between 0% (corresponding to vaccine efficacy parameter ν CC  = ν CH  = 0) and 100% (corresponding to vaccine efficacy parameter ν CC  = ν CH  = 1). Here we assumed for simplicity that ν CC  = ν CH .

Vaccine efficacy against infection if colonized

Vaccine-induced protection against developing actual MRSA infection in MRSA-colonized patients (lower risk of developing MRSA infection in MRSA vaccinated colonized patients); can be varied between 0% (corresponding to vaccine efficacy parameter ν IC  = ν IH  = 0) and 100% (corresponding to vaccine efficacy parameter ν IC  = ν IH  = 1) . Here we assumed for simplicity that ν IC  = ν IH .

Vaccine coverage

Fraction of admitted patients who got vaccinated prior to admission to the hospital. “x% vaccine coverage” interpretation here: x% of the patients admitted daily into the hospital have been vaccinated prior to admission; can be varied between 0% (corresponding to vaccine coverage parameter c = 0) and 100% (corresponding to vaccine coverage parameter c = 1).