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Mathematical Analysis of a Two Strain HIV/AIDS Model with Antiretroviral Treatment

机译:带有抗逆转录病毒治疗的两株HIV / AIDS模型的数学分析

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A two strain HIV/AIDS model with treatment which allows AIDS patients with sensitive HIV-strain to undergo amelioration is presented as a system of non-linear ordinary differential equations. The disease-free equilibrium is shown to be globally asymptotically stable when the associated epidemic threshold known as the basic reproduction number for the model is less than unity. The centre manifold theory is used to show that the sensitive HIV-strain only and resistant HIV-strain only endemic equilibria are locally asymptotically stable when the associated reproduction numbers are greater than unity. Qualitative analysis of the model including positivity, boundedness and persistence of solutions are presented. The model is numerically analysed to assess the effects of treatment with amelioration on the dynamics of a two strain HIV/AIDS model. Numerical simulations of the model show that the two strains co-exist whenever the reproduction numbers exceed unity. Further, treatment with amelioration may result in an increase in the total number of infective individuals (asymptomatic) but results in a decrease in the number of AIDS patients. Further, analysis of the reproduction numbers show that antiretroviral resistance increases with increase in antiretroviral use.
机译:作为非线性常微分方程组,提出了一种带有治疗的两株HIV / AIDS模型,该模型可以使具有敏感HIV株的AIDS患者得到缓解。当相关的流行病阈值(被称为模型的基本繁殖数)小于1时,表明无病平衡是全局渐近稳定的。中心流形理论用于表明,当相关的繁殖数大于1时,仅敏感HIV菌株和仅耐药HIV菌株的地方平衡在局部渐近稳定。对模型进行了定性分析,包括正解,有界和解的持久性。对模型进行了数值分析,以评估改善措施对两株HIV / AIDS模型动力学的影响。模型的数值模拟表明,每当繁殖数超过1时,这两种菌株就共存。此外,改善治疗可能导致感染个体总数增加(无症状),但导致艾滋病患者人数减少。此外,对繁殖数的分析表明,抗逆转录病毒的耐药性随抗逆转录病毒使用的增加而增加。

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