Using multi-level Petri nets models to simulate microbiota resistance to antibiotics

The spread of antibiotic resistance is a growing problem known to be caused by antibiotic usage itself. This problem can be analyzed at different levels. Antibiotic administration policies and practices affect the societal system, which is made by human individuals and by their relations. Individuals developing resistance interact with each other and with the environment while receiving antibiotic treatments moving the problem at a different level of analysis. Each individual can be further see as a meta-organism together with his associated microbiotas, which prove to have a prominent role in the resistance spreading dynamics. Eventually, in each microbiota, population dynamics and vertical or horizontal transfer events implement cellular and molecular mechanisms for resistance spreading and possibly for its prevention. Using the Nets-within-nets formalism, in this work we model the relation between different antibiotic administration protocols and resistance spread dynamics both at the human population and at the single microbiota level.