diff --git a/DESCRIPTION b/DESCRIPTION index 696caf39..ad9c6049 100644 --- a/DESCRIPTION +++ b/DESCRIPTION @@ -1,6 +1,6 @@ Package: AMR -Version: 1.8.0.9005 -Date: 2022-03-10 +Version: 1.8.1 +Date: 2022-03-14 Title: Antimicrobial Resistance Data Analysis Description: Functions to simplify and standardise antimicrobial resistance (AMR) data analysis and to work with microbial and antimicrobial properties by diff --git a/NEWS.md b/NEWS.md index e98b492e..18f36e42 100755 --- a/NEWS.md +++ b/NEWS.md @@ -1,5 +1,5 @@ -# `AMR` 1.8.0.9005 -## Last updated: 10 March 2022 +# `AMR` 1.8.1 + All functions in this package are considered to be stable. Updates to the AMR interpretation rules (such as by EUCAST and CLSI), the microbial taxonomy, and the antibiotic dosages will all be updated every 6 to 12 months. diff --git a/R/sysdata.rda b/R/sysdata.rda index aa840ce9..e8969779 100644 Binary files a/R/sysdata.rda and b/R/sysdata.rda differ diff --git a/R/zzz.R b/R/zzz.R index c8df3be3..2d16236a 100755 --- a/R/zzz.R +++ b/R/zzz.R @@ -116,21 +116,7 @@ if (utf8_supported && !is_latex) { # Helper functions -------------------------------------------------------- create_AB_lookup <- function() { - AB_lookup <- AMR::antibiotics - AB_lookup$generalised_name <- generalise_antibiotic_name(AB_lookup$name) - AB_lookup$generalised_synonyms <- lapply(AB_lookup$synonyms, generalise_antibiotic_name) - AB_lookup$generalised_abbreviations <- lapply(AB_lookup$abbreviations, generalise_antibiotic_name) - AB_lookup$generalised_loinc <- lapply(AB_lookup$loinc, generalise_antibiotic_name) - AB_lookup$generalised_all <- unname(lapply(as.list(as.data.frame(t(AB_lookup[, - c("ab", "atc", "cid", "name", - colnames(AB_lookup)[colnames(AB_lookup) %like% "generalised"]), - drop = FALSE]), - stringsAsFactors = FALSE)), - function(x) { - x <- generalise_antibiotic_name(unname(unlist(x))) - x[x != ""] - })) - AB_lookup + cbind(AMR::antibiotics, AB_LOOKUP) } create_MO_lookup <- function() { @@ -145,12 +131,7 @@ create_MO_lookup <- function() { MO_lookup[which(is.na(MO_lookup$kingdom_index)), "kingdom_index"] <- 5 # use this paste instead of `fullname` to work with Viridans Group Streptococci, etc. - MO_lookup$fullname_lower <- tolower(trimws(paste(MO_lookup$genus, - MO_lookup$species, - MO_lookup$subspecies))) - ind <- MO_lookup$genus == "" | grepl("^[(]unknown ", MO_lookup$fullname, perl = TRUE) - MO_lookup[ind, "fullname_lower"] <- tolower(MO_lookup[ind, "fullname"]) - MO_lookup$fullname_lower <- trimws(gsub("[^.a-z0-9/ \\-]+", "", MO_lookup$fullname_lower, perl = TRUE)) + MO_lookup$fullname_lower <- MO_FULLNAME_LOWER # add a column with only "e coli" like combinations MO_lookup$g_species <- gsub("^([a-z])[a-z]+ ([a-z]+) ?.*", "\\1 \\2", MO_lookup$fullname_lower, perl = TRUE) diff --git a/data-raw/AMR_latest.tar.gz b/data-raw/AMR_latest.tar.gz index ef69a073..94158329 100644 Binary files a/data-raw/AMR_latest.tar.gz and b/data-raw/AMR_latest.tar.gz differ diff --git a/data-raw/_internals.R b/data-raw/_internals.R index 5bd82ed5..cf7198c4 100644 --- a/data-raw/_internals.R +++ b/data-raw/_internals.R @@ -122,9 +122,21 @@ create_species_cons_cops <- function(type = c("CoNS", "CoPS")) { "mo", drop = TRUE] } } +create_MO_fullname_lower <- function() { + MO_lookup <- AMR::microorganisms + # use this paste instead of `fullname` to work with Viridans Group Streptococci, etc. + MO_lookup$fullname_lower <- tolower(trimws(paste(MO_lookup$genus, + MO_lookup$species, + MO_lookup$subspecies))) + ind <- MO_lookup$genus == "" | grepl("^[(]unknown ", MO_lookup$fullname, perl = TRUE) + MO_lookup[ind, "fullname_lower"] <- tolower(MO_lookup[ind, "fullname"]) + MO_lookup$fullname_lower <- trimws(gsub("[^.a-z0-9/ \\-]+", "", MO_lookup$fullname_lower, perl = TRUE)) + MO_lookup$fullname_lower +} MO_CONS <- create_species_cons_cops("CoNS") MO_COPS <- create_species_cons_cops("CoPS") MO_STREP_ABCG <- as.mo(MO_lookup[which(MO_lookup$genus == "Streptococcus"), "mo", drop = TRUE], Lancefield = TRUE) %in% c("B_STRPT_GRPA", "B_STRPT_GRPB", "B_STRPT_GRPC", "B_STRPT_GRPG") +MO_FULLNAME_LOWER <- create_MO_fullname_lower() # antibiotic groups # (these will also be used for eucast_rules() and understanding data-raw/eucast_rules.tsv) @@ -160,6 +172,24 @@ AB_BETALACTAMS <- c(AB_PENICILLINS, AB_CEPHALOSPORINS, AB_CARBAPENEMS) # this will be used for documentation: DEFINED_AB_GROUPS <- ls(envir = globalenv()) DEFINED_AB_GROUPS <- DEFINED_AB_GROUPS[!DEFINED_AB_GROUPS %in% globalenv_before_ab] +create_AB_lookup <- function() { + AB_lookup <- AMR::antibiotics + AB_lookup$generalised_name <- generalise_antibiotic_name(AB_lookup$name) + AB_lookup$generalised_synonyms <- lapply(AB_lookup$synonyms, generalise_antibiotic_name) + AB_lookup$generalised_abbreviations <- lapply(AB_lookup$abbreviations, generalise_antibiotic_name) + AB_lookup$generalised_loinc <- lapply(AB_lookup$loinc, generalise_antibiotic_name) + AB_lookup$generalised_all <- unname(lapply(as.list(as.data.frame(t(AB_lookup[, + c("ab", "atc", "cid", "name", + colnames(AB_lookup)[colnames(AB_lookup) %like% "generalised"]), + drop = FALSE]), + stringsAsFactors = FALSE)), + function(x) { + x <- generalise_antibiotic_name(unname(unlist(x))) + x[x != ""] + })) + AB_lookup[, colnames(AB_lookup)[colnames(AB_lookup) %like% "^generalised"]] +} +AB_LOOKUP <- create_AB_lookup() # Export to package as internal data ---- usethis::use_data(EUCAST_RULES_DF, @@ -169,6 +199,8 @@ usethis::use_data(EUCAST_RULES_DF, MO_CONS, MO_COPS, MO_STREP_ABCG, + MO_FULLNAME_LOWER, + AB_LOOKUP, AB_AMINOGLYCOSIDES, AB_AMINOPENICILLINS, AB_ANTIFUNGALS, diff --git a/docs/404.html b/docs/404.html index 7bc24820..280769ef 100644 --- a/docs/404.html +++ b/docs/404.html @@ -43,7 +43,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/LICENSE-text.html b/docs/LICENSE-text.html index b9eafa18..d3d3defe 100644 --- a/docs/LICENSE-text.html +++ b/docs/LICENSE-text.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/articles/AMR.html b/docs/articles/AMR.html index bf8916e3..16dc670c 100644 --- a/docs/articles/AMR.html +++ b/docs/articles/AMR.html @@ -44,7 +44,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 @@ -192,7 +192,7 @@

Dr Matthijs Berends

-

10 March 2022

+

14 March 2022

Source: vignettes/AMR.Rmd @@ -205,7 +205,7 @@ Berends website update since they are based on randomly created values and the page was written in R Markdown. However, the methodology remains unchanged. This page was -generated on 10 March 2022.

+generated on 14 March 2022.

Introduction

@@ -261,21 +261,21 @@ make the structure of your data generally look like this:

-2022-03-10 +2022-03-14 abcd Escherichia coli S S -2022-03-10 +2022-03-14 abcd Escherichia coli S R -2022-03-10 +2022-03-14 efgh Escherichia coli R @@ -392,12 +392,12 @@ data set:

- + - + date @@ -412,21 +412,21 @@ data set:

-2018-01-01 -Z9 +2014-06-27 +G7 Hospital B -Staphylococcus aureus -R +Escherichia coli S S S -F +S +M -2010-04-06 -G1 +2014-02-01 +H10 Hospital B -Staphylococcus aureus +Streptococcus pneumoniae R S S @@ -434,47 +434,47 @@ data set:

M -2016-12-08 -I1 -Hospital B -Staphylococcus aureus +2011-05-09 +V2 +Hospital C +Escherichia coli +S R -I +S +S +F + + +2016-09-06 +V10 +Hospital C +Escherichia coli +S +S +R +S +F + + +2014-04-11 +M4 +Hospital D +Staphylococcus aureus +S +S S S M -2015-12-05 -R10 -Hospital C -Escherichia coli -S -S -S -S -F - - -2014-11-30 -N6 -Hospital C -Escherichia coli -R -S -R -S -F - - -2012-10-12 -I6 +2017-06-26 +D7 Hospital B Escherichia coli S S S -S +R M @@ -511,16 +511,16 @@ Longest: 1

1 M -10,395 -51.98% -10,395 -51.98% +10,413 +52.07% +10,413 +52.07% 2 F -9,605 -48.03% +9,587 +47.94% 20,000 100.00% @@ -630,9 +630,9 @@ takes into account the antimicrobial susceptibility test results using # ℹ Using column 'patient_id' as input for `col_patient_id`. # Basing inclusion on all antimicrobial results, using a points threshold of # 2 -# => Found 10,713 'phenotype-based' first isolates (53.6% of total where a +# => Found 10,616 'phenotype-based' first isolates (53.1% of total where a # microbial ID was available)
-

So only 53.6% is suitable for resistance analysis! We can now filter +

So only 53.1% is suitable for resistance analysis! We can now filter on it with the filter() function, also from the dplyr package:

@@ -642,7 +642,7 @@ on it with the 
 data_1st <- data %>% 
   filter_first_isolate()
-

So we end up with 10,713 isolates for analysis. Now our data looks +

So we end up with 10,616 isolates for analysis. Now our data looks like:

 head(data_1st)
@@ -681,13 +681,93 @@ like:

-3 -2016-12-08 -I1 +1 +2014-06-27 +G7 Hospital B -B_STPHY_AURS +B_ESCHR_COLI +S +S +S +S +M +Gram-negative +Escherichia +coli +TRUE + + +2 +2014-02-01 +H10 +Hospital B +B_STRPT_PNMN R -I +R +S +R +M +Gram-positive +Streptococcus +pneumoniae +TRUE + + +3 +2011-05-09 +V2 +Hospital C +B_ESCHR_COLI +R +R +S +S +F +Gram-negative +Escherichia +coli +TRUE + + +6 +2017-06-26 +D7 +Hospital B +B_ESCHR_COLI +S +S +S +R +M +Gram-negative +Escherichia +coli +TRUE + + +7 +2013-09-19 +U8 +Hospital B +B_ESCHR_COLI +S +S +R +S +F +Gram-negative +Escherichia +coli +TRUE + + +9 +2012-08-01 +I2 +Hospital D +B_STPHY_AURS +S +S S S M @@ -696,86 +776,6 @@ like:

aureus TRUE - -5 -2014-11-30 -N6 -Hospital C -B_ESCHR_COLI -R -S -R -S -F -Gram-negative -Escherichia -coli -TRUE - - -8 -2016-12-03 -J3 -Hospital A -B_KLBSL_PNMN -R -S -R -R -M -Gram-negative -Klebsiella -pneumoniae -TRUE - - -9 -2010-04-28 -J10 -Hospital A -B_ESCHR_COLI -S -S -R -S -M -Gram-negative -Escherichia -coli -TRUE - - -15 -2010-08-04 -L1 -Hospital B -B_STRPT_PNMN -R -R -S -R -M -Gram-positive -Streptococcus -pneumoniae -TRUE - - -17 -2014-04-28 -Q5 -Hospital C -B_STRPT_PNMN -R -R -S -R -F -Gram-positive -Streptococcus -pneumoniae -TRUE -

Time for the analysis!

@@ -809,8 +809,8 @@ readable:

data_1st %>% freq(genus, species)

Frequency table

Class: character
-Length: 10,713
-Available: 10,713 (100%, NA: 0 = 0%)
+Length: 10,616
+Available: 10,616 (100%, NA: 0 = 0%)
Unique: 4

Shortest: 16
Longest: 24

@@ -835,33 +835,33 @@ Longest: 24

1 Escherichia coli -4,596 -42.90% -4,596 -42.90% +4,673 +44.02% +4,673 +44.02% 2 Staphylococcus aureus -2,805 -26.18% -7,401 -69.08% +2,710 +25.53% +7,383 +69.55% 3 Streptococcus pneumoniae -2,128 -19.86% -9,529 -88.95% +2,068 +19.48% +9,451 +89.03% 4 Klebsiella pneumoniae -1,184 -11.05% -10,713 +1,165 +10.97% +10,616 100.00% @@ -910,23 +910,8 @@ antibiotic class they are in:

-2016-12-03 -J3 -Hospital A -B_KLBSL_PNMN -R -S -R -R -M -Gram-negative -Klebsiella -pneumoniae -TRUE - - -2010-08-04 -L1 +2014-02-01 +H10 Hospital B B_STRPT_PNMN R @@ -939,28 +924,13 @@ antibiotic class they are in:

pneumoniae TRUE - -2014-04-28 -Q5 -Hospital C -B_STRPT_PNMN -R -R -S -R -F -Gram-positive -Streptococcus -pneumoniae -TRUE - -2015-05-06 -L9 -Hospital D +2017-06-26 +D7 +Hospital B B_ESCHR_COLI -R -R +S +S S R M @@ -970,14 +940,14 @@ antibiotic class they are in:

TRUE -2010-09-03 -M3 -Hospital A +2012-06-14 +G7 +Hospital B B_STRPT_PNMN -S -S R R +S +R M Gram-positive Streptococcus @@ -985,9 +955,39 @@ antibiotic class they are in:

TRUE -2011-10-13 -D4 -Hospital C +2016-05-08 +K4 +Hospital D +B_STRPT_PNMN +S +S +S +R +M +Gram-positive +Streptococcus +pneumoniae +TRUE + + +2015-03-03 +G4 +Hospital B +B_STRPT_PNMN +S +S +S +R +M +Gram-positive +Streptococcus +pneumoniae +TRUE + + +2016-11-20 +D1 +Hospital A B_STRPT_PNMN S S @@ -1022,50 +1022,50 @@ different bug/drug combinations, you can use the E. coli AMX -2197 -113 -2286 -4596 +2205 +120 +2348 +4673 E. coli AMC -3395 -149 -1052 -4596 +3462 +158 +1053 +4673 E. coli CIP -3341 +3424 0 -1255 -4596 +1249 +4673 E. coli GEN -3997 +4079 0 -599 -4596 +594 +4673 K. pneumoniae AMX 0 0 -1184 -1184 +1165 +1165 K. pneumoniae AMC -917 -43 -224 -1184 +940 +45 +180 +1165 @@ -1088,34 +1088,34 @@ different bug/drug combinations, you can use the E. coli GEN -3997 +4079 0 -599 -4596 +594 +4673 K. pneumoniae GEN -1070 +1058 0 -114 -1184 +107 +1165 S. aureus GEN -2476 +2429 0 -329 -2805 +281 +2710 S. pneumoniae GEN 0 0 -2128 -2128 +2068 +2068 @@ -1147,7 +1147,7 @@ I (proportion_SI(), equa own:

 data_1st %>% resistance(AMX)
-# [1] 0.5424251
+# [1] 0.5451206

Or can be used in conjunction with group_by() and summarise(), both from the dplyr package:

@@ -1162,19 +1162,19 @@ own:

Hospital A -0.5412355 +0.5451684 Hospital B -0.5406417 +0.5455526 Hospital C -0.5450746 +0.5361146 Hospital D -0.5452821 +0.5511069 @@ -1197,23 +1197,23 @@ all isolates available for every group (i.e. values S, I or R):

Hospital A -0.5412355 -3189 +0.5451684 +3177 Hospital B -0.5406417 -3740 +0.5455526 +3710 Hospital C -0.5450746 -1675 +0.5361146 +1606 Hospital D -0.5452821 -2109 +0.5511069 +2123 @@ -1236,27 +1236,27 @@ therapies very easily:

Escherichia -0.7711053 -0.8696693 -0.9738903 +0.7746630 +0.8728868 +0.9779585 Klebsiella -0.8108108 -0.9037162 -0.9805743 +0.8454936 +0.9081545 +0.9896996 Staphylococcus -0.7907308 -0.8827094 -0.9732620 +0.7874539 +0.8963100 +0.9797048 Streptococcus -0.5324248 +0.5357834 0.0000000 -0.5324248 +0.5357834 @@ -1284,23 +1284,23 @@ classes, use a antibiotic class selector such as Hospital A -54.1% -27.2% +54.5% +26.5% Hospital B -54.1% -27.4% +54.6% +25.9% Hospital C -54.5% -25.0% +53.6% +25.3% Hospital D -54.5% -25.9% +55.1% +26.4% @@ -1402,16 +1402,18 @@ classes) <mic> and <disk>:

mic_values <- random_mic(size = 100) mic_values # Class <mic> -# [1] 1 128 256 8 64 0.5 4 32 16 0.025 -# [11] 16 0.025 2 1 0.025 64 32 32 8 0.5 -# [21] 0.025 256 1 0.005 0.001 1 16 0.025 1 0.002 -# [31] 0.0625 0.125 0.0625 0.01 0.01 4 64 0.002 0.25 128 -# [41] 64 16 16 0.005 0.125 0.5 0.5 0.5 1 32 -# [51] 0.25 0.125 8 8 0.25 256 2 256 0.125 128 -# [61] 0.001 0.001 32 4 16 256 2 0.01 4 8 -# [71] 0.001 0.125 1 0.01 0.25 8 1 0.005 64 0.025 -# [81] 256 16 1 64 8 32 0.002 0.01 4 0.0625 -# [91] 0.025 0.002 0.005 0.01 256 0.125 16 1 0.5 0.01
+# [1] 0.125 8 <=0.001 0.002 64 >=256 0.005 4 0.5 +# [10] 0.002 <=0.001 0.01 0.01 0.25 128 0.002 >=256 0.005 +# [19] 4 0.25 >=256 0.0625 64 0.002 0.0625 0.0625 2 +# [28] 32 16 32 0.5 >=256 32 <=0.001 >=256 64 +# [37] <=0.001 32 >=256 0.0625 0.025 8 1 0.002 <=0.001 +# [46] 0.01 2 0.005 128 0.025 0.125 0.5 0.01 0.0625 +# [55] 2 0.005 64 2 2 4 8 4 0.5 +# [64] 16 <=0.001 0.25 16 0.002 1 64 0.025 4 +# [73] 0.005 0.002 0.01 32 0.025 0.01 0.025 0.025 64 +# [82] 0.01 4 0.025 1 0.025 8 2 32 0.0625 +# [91] 128 0.0625 16 128 4 >=256 64 0.125 <=0.001 +# [100] 0.25
 # base R:
 plot(mic_values)
@@ -1447,10 +1449,10 @@ plotting:

# coli). Run `mo_uncertainties()` to review this. disk_values # Class <disk> -# [1] 28 24 25 16 19 16 27 30 25 19 27 24 27 26 18 28 21 25 22 25 19 21 19 29 31 -# [26] 28 25 16 22 16 26 28 20 18 27 26 29 28 19 26 30 21 30 27 28 18 27 28 31 18 -# [51] 29 22 17 22 22 19 19 25 19 24 16 22 16 28 22 27 26 25 20 25 26 19 18 17 27 -# [76] 24 24 18 16 28 29 25 16 23 28 29 16 19 29 17 21 26 17 19 25 23 17 22 25 20 +# [1] 29 26 29 16 27 26 25 16 25 27 21 26 29 17 21 18 27 18 31 29 19 23 25 20 30 +# [26] 22 28 18 21 29 30 29 23 27 16 16 28 18 16 22 29 31 17 27 21 28 29 24 19 24 +# [51] 28 27 16 23 30 18 30 22 21 22 16 20 16 25 28 29 23 29 30 17 29 17 18 24 21 +# [76] 17 18 18 29 18 25 16 18 27 26 28 25 20 21 18 18 24 30 18 18 24 22 24 25 28
 # base R:
 plot(disk_values, mo = "E. coli", ab = "cipro")
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Introduction

-

What are EUCAST rules? The European Committee on Antimicrobial Susceptibility Testing (EUCAST) states on their website:

+

What are EUCAST rules? The European Committee on Antimicrobial +Susceptibility Testing (EUCAST) states on +their website:

-

EUCAST expert rules are a tabulated collection of expert knowledge on intrinsic resistances, exceptional resistance phenotypes and interpretive rules that may be applied to antimicrobial susceptibility testing in order to reduce errors and make appropriate recommendations for reporting particular resistances.

+

EUCAST expert rules are a tabulated collection of expert +knowledge on intrinsic resistances, exceptional resistance phenotypes +and interpretive rules that may be applied to antimicrobial +susceptibility testing in order to reduce errors and make appropriate +recommendations for reporting particular resistances.

-

In Europe, a lot of medical microbiological laboratories already apply these rules (Brown et al., 2015). Our package features their latest insights on intrinsic resistance and unusual phenotypes (v3.3, 2021).

-

Moreover, the eucast_rules() function we use for this purpose can also apply additional rules, like forcing ampicillin = R in isolates when amoxicillin/clavulanic acid = R.

+

In Europe, a lot of medical microbiological laboratories already +apply these rules (Brown +et al., 2015). Our package features their latest insights +on intrinsic resistance and unusual phenotypes (v3.3, 2021).

+

Moreover, the eucast_rules() function we use for this +purpose can also apply additional rules, like forcing +ampicillin = R in isolates when +amoxicillin/clavulanic acid = R.

Examples

-

These rules can be used to discard impossible bug-drug combinations in your data. For example, Klebsiella produces beta-lactamase that prevents ampicillin (or amoxicillin) from working against it. In other words, practically every strain of Klebsiella is resistant to ampicillin.

-

Sometimes, laboratory data can still contain such strains with ampicillin being susceptible to ampicillin. This could be because an antibiogram is available before an identification is available, and the antibiogram is then not re-interpreted based on the identification (namely, Klebsiella). EUCAST expert rules solve this, that can be applied using eucast_rules():

+

These rules can be used to discard impossible bug-drug combinations +in your data. For example, Klebsiella produces beta-lactamase +that prevents ampicillin (or amoxicillin) from working against it. In +other words, practically every strain of Klebsiella is +resistant to ampicillin.

+

Sometimes, laboratory data can still contain such strains with +ampicillin being susceptible to ampicillin. This could be because an +antibiogram is available before an identification is available, and the +antibiogram is then not re-interpreted based on the identification +(namely, Klebsiella). EUCAST expert rules solve this, that can +be applied using eucast_rules():

 oops <- data.frame(mo = c("Klebsiella", 
                           "Escherichia"),
@@ -226,7 +247,10 @@
 #            mo ampicillin
 # 1  Klebsiella          R
 # 2 Escherichia          S
-

A more convenient function is mo_is_intrinsic_resistant() that uses the same guideline, but allows to check for one or more specific microorganisms or antibiotics:

+

A more convenient function is +mo_is_intrinsic_resistant() that uses the same guideline, +but allows to check for one or more specific microorganisms or +antibiotics:

 mo_is_intrinsic_resistant(c("Klebsiella", "Escherichia"),
                           "ampicillin")
@@ -235,7 +259,11 @@
 mo_is_intrinsic_resistant("Klebsiella",
                           c("ampicillin", "kanamycin"))
 # [1]  TRUE FALSE
-

EUCAST rules can not only be used for correction, they can also be used for filling in known resistance and susceptibility based on results of other antimicrobials drugs. This process is called interpretive reading, is basically a form of imputation, and is part of the eucast_rules() function as well:

+

EUCAST rules can not only be used for correction, they can also be +used for filling in known resistance and susceptibility based on results +of other antimicrobials drugs. This process is called interpretive +reading, is basically a form of imputation, and is part of the +eucast_rules() function as well:

 data <- data.frame(mo = c("Staphylococcus aureus",
                           "Enterococcus faecalis",
@@ -397,12 +425,14 @@
 
       

-

Site built with pkgdown 2.0.0.

+

Site built with pkgdown +2.0.2.

diff --git a/docs/articles/MDR.html b/docs/articles/MDR.html index e306389f..d6bd8507 100644 --- a/docs/articles/MDR.html +++ b/docs/articles/MDR.html @@ -44,7 +44,7 @@ AMR (for R) - 1.8.0 + 1.8.1
@@ -188,7 +188,8 @@
+

Only results with ‘R’ are considered as resistance. Use +combine_SI = FALSE to also consider ‘I’ as resistance.

+

Determining multidrug-resistant organisms (MDRO), according to: +Guideline: Multidrug-resistant, extensively drug-resistant and +pandrug-resistant bacteria: an international expert proposal for interim +standard definitions for acquired resistance. Author(s): Magiorakos AP, +Srinivasan A, Carey RB, …, Vatopoulos A, Weber JT, Monnet DL Source: +Clinical Microbiology and Infection 18:3, 2012; doi: +10.1111/j.1469-0691.2011.03570.x

(16 isolates had no test results)

Frequency table

Class: factor > ordered (numeric)
Length: 2,000
-Levels: 4: Negative < Multi-drug-resistant (MDR) < Extensively drug-resistant …
+Levels: 4: Negative < Multi-drug-resistant (MDR) < Extensively +drug-resistant …
Available: 1,729 (86.45%, NA: 271 = 13.55%)
Unique: 2

- +
++++++++ @@ -320,21 +382,22 @@ Unique: 2

- + - + - + - +
Item 1 Negative 160192.60%92.6% 160192.60%92.6%
2 Multi-drug-resistant (MDR) 1287.40%7.4% 1729100.00%100.0%
-

For another example, I will create a data set to determine multi-drug resistant TB:

+

For another example, I will create a data set to determine multi-drug +resistant TB:

 # random_rsi() is a helper function to generate
 # a random vector with values S, I and R
@@ -345,7 +408,8 @@ Unique: 2

pyrazinamide = random_rsi(5000), moxifloxacin = random_rsi(5000), kanamycin = random_rsi(5000))
-

Because all column names are automatically verified for valid drug names or codes, this would have worked exactly the same way:

+

Because all column names are automatically verified for valid drug +names or codes, this would have worked exactly the same way:

 my_TB_data <- data.frame(RIF = random_rsi(5000),
                          INH = random_rsi(5000),
@@ -358,20 +422,21 @@ Unique: 2

 head(my_TB_data)
 #   rifampicin isoniazid gatifloxacin ethambutol pyrazinamide moxifloxacin
-# 1          I         R            I          S            R            S
-# 2          I         S            R          R            S            R
-# 3          R         I            S          I            R            S
-# 4          S         S            I          R            I            S
-# 5          S         R            S          S            S            I
-# 6          S         R            R          S            R            I
+# 1          R         S            S          I            S            I
+# 2          R         S            S          S            R            I
+# 3          S         S            I          I            S            S
+# 4          I         I            S          S            S            S
+# 5          I         R            R          I            R            R
+# 6          I         R            S          I            S            S
 #   kanamycin
-# 1         S
-# 2         I
+# 1         I
+# 2         R
 # 3         R
-# 4         R
+# 4         S
 # 5         I
-# 6         R
-

We can now add the interpretation of MDR-TB to our data set. You can use:

+# 6 I
+

We can now add the interpretation of MDR-TB to our data set. You can +use:

 mdro(my_TB_data, guideline = "TB")

or its shortcut mdr_tb():

@@ -397,10 +462,19 @@ Unique: 2

Frequency table

Class: factor > ordered (numeric)
Length: 5,000
-Levels: 5: Negative < Mono-resistant < Poly-resistant < Multi-drug-resistant <…
-Available: 5,000 (100.0%, NA: 0 = 0.0%)
+Levels: 5: Negative < Mono-resistant < Poly-resistant < +Multi-drug-resistant <…
+Available: 5,000 (100%, NA: 0 = 0%)
Unique: 5

- +
++++++++ @@ -413,40 +487,40 @@ Unique: 5

- - - - + + + + - - - - + + + + - - - - + + + + - - - - + + + + - - + + @@ -465,12 +539,14 @@ Unique: 5

-

Site built with pkgdown 2.0.0.

+

Site built with pkgdown +2.0.2.

diff --git a/docs/articles/PCA.html b/docs/articles/PCA.html index 143ecafb..e998d857 100644 --- a/docs/articles/PCA.html +++ b/docs/articles/PCA.html @@ -44,7 +44,7 @@ AMR (for R) - 1.8.0 + 1.8.1 @@ -188,7 +188,8 @@
Item
1 Mono-resistant325065.00%325065.00%317563.50%317563.50%
2 Negative97519.50%422584.50%105721.14%423284.64%
3 Multi-drug-resistant4749.48%469993.98%4318.62%466393.26%
4 Poly-resistant2034.06%490298.04%2364.72%489997.98%
5 Extensively drug-resistant981.96%1012.02% 5000 100.00%
++++++++ @@ -334,7 +361,7 @@ Longest: 40

Item
-

(omitted 27 entries, n = 56 [11.20%])

+

(omitted 27 entries, n = 56 [11.2%])

 # our transformed antibiotic columns
 # amoxicillin/clavulanic acid (J01CR02) as an example
@@ -388,7 +415,8 @@ Drug group: Beta-lactams/penicillins

A first glimpse at results

-

An easy ggplot will already give a lot of information, using the included ggplot_rsi() function:

+

An easy ggplot will already give a lot of information, +using the included ggplot_rsi() function:

 data %>%
   group_by(Country) %>%
@@ -408,12 +436,14 @@ Drug group: Beta-lactams/penicillins

-

Site built with pkgdown 2.0.0.

+

Site built with pkgdown +2.0.2.

diff --git a/docs/articles/WHONET_files/figure-html/unnamed-chunk-7-1.png b/docs/articles/WHONET_files/figure-html/unnamed-chunk-7-1.png index 78144edc..0ce239d4 100644 Binary files a/docs/articles/WHONET_files/figure-html/unnamed-chunk-7-1.png and b/docs/articles/WHONET_files/figure-html/unnamed-chunk-7-1.png differ diff --git a/docs/articles/benchmarks.html b/docs/articles/benchmarks.html index 0e2362a8..7ca1bb22 100644 --- a/docs/articles/benchmarks.html +++ b/docs/articles/benchmarks.html @@ -44,7 +44,7 @@ AMR (for R) - 1.8.0 + 1.8.1
@@ -198,14 +198,30 @@ -

One of the most important features of this package is the complete microbial taxonomic database, supplied by the Catalogue of Life (CoL) and the List of Prokaryotic names with Standing in Nomenclature (LPSN). We created a function as.mo() that transforms any user input value to a valid microbial ID by using intelligent rules combined with the microbial taxonomy.

-

Using the microbenchmark package, we can review the calculation performance of this function. Its function microbenchmark() runs different input expressions independently of each other and measures their time-to-result.

+

One of the most important features of this package is the complete +microbial taxonomic database, supplied by the Catalogue of Life (CoL) and +the List of Prokaryotic names with +Standing in Nomenclature (LPSN). We created a function +as.mo() that transforms any user input value to a valid +microbial ID by using intelligent rules combined with the microbial +taxonomy.

+

Using the microbenchmark package, we can review the +calculation performance of this function. Its function +microbenchmark() runs different input expressions +independently of each other and measures their time-to-result.

-

In the next test, we try to ‘coerce’ different input values into the microbial code of Staphylococcus aureus. Coercion is a computational process of forcing output based on an input. For microorganism names, coercing user input to taxonomically valid microorganism names is crucial to ensure correct interpretation and to enable grouping based on taxonomic properties.

-

The actual result is the same every time: it returns its microorganism code B_STPHY_AURS (B stands for Bacteria, its taxonomic kingdom).

+

In the next test, we try to ‘coerce’ different input values into the +microbial code of Staphylococcus aureus. Coercion is a +computational process of forcing output based on an input. For +microorganism names, coercing user input to taxonomically valid +microorganism names is crucial to ensure correct interpretation and to +enable grouping based on taxonomic properties.

+

The actual result is the same every time: it returns its +microorganism code B_STPHY_AURS (B stands for +Bacteria, its taxonomic kingdom).

But the calculation time differs a lot:

 S.aureus <- microbenchmark(
@@ -224,27 +240,40 @@
   times = 25)
 print(S.aureus, unit = "ms", signif = 2)
 # Unit: milliseconds
-#                                   expr   min    lq  mean median    uq max neval
-#                           as.mo("sau")  10.0  12.0  20.0   12.0  15.0  53    25
-#                          as.mo("stau")  49.0  54.0  72.0   58.0  91.0  97    25
-#                          as.mo("STAU")  50.0  54.0  71.0   57.0  90.0 110    25
-#                        as.mo("staaur")  10.0  12.0  17.0   12.0  14.0  51    25
-#                        as.mo("STAAUR")  10.0  12.0  17.0   12.0  14.0  54    25
-#                     as.mo("S. aureus")  26.0  27.0  40.0   31.0  56.0  74    25
-#                      as.mo("S aureus")  26.0  27.0  39.0   29.0  58.0  68    25
-#         as.mo("Staphylococcus aureus")   3.5   3.9   6.6    4.1   4.8  38    25
-#  as.mo("Staphylococcus aureus (MRSA)") 230.0 240.0 250.0  240.0 250.0 280    25
-#       as.mo("Sthafilokkockus aaureuz") 180.0 190.0 200.0  190.0 200.0 290    25
-#                          as.mo("MRSA")  11.0  12.0  19.0   13.0  14.0  50    25
-#                          as.mo("VISA")  21.0  22.0  32.0   25.0  50.0  60    25
+# expr min lq mean median uq max neval +# as.mo("sau") 12.0 13 18.0 14.0 15.0 48 25 +# as.mo("stau") 54.0 59 80.0 91.0 96.0 99 25 +# as.mo("STAU") 53.0 61 77.0 66.0 94.0 100 25 +# as.mo("staaur") 12.0 13 19.0 14.0 16.0 62 25 +# as.mo("STAAUR") 12.0 13 16.0 14.0 15.0 48 25 +# as.mo("S. aureus") 28.0 30 38.0 33.0 35.0 69 25 +# as.mo("S aureus") 27.0 31 46.0 34.0 65.0 73 25 +# as.mo("Staphylococcus aureus") 3.7 4 6.7 4.3 4.5 36 25 +# as.mo("Staphylococcus aureus (MRSA)") 260.0 270 290.0 280.0 290.0 360 25 +# as.mo("Sthafilokkockus aaureuz") 190.0 210 220.0 210.0 220.0 330 25 +# as.mo("MRSA") 12.0 13 20.0 14.0 16.0 68 25 +# as.mo("VISA") 22.0 23 32.0 25.0 27.0 63 25

-

In the table above, all measurements are shown in milliseconds (thousands of seconds). A value of 5 milliseconds means it can determine 200 input values per second. It case of 200 milliseconds, this is only 5 input values per second. It is clear that accepted taxonomic names are extremely fast, but some variations are up to 47 times slower to determine.

-

To improve performance, we implemented two important algorithms to save unnecessary calculations: repetitive results and already precalculated results.

+

In the table above, all measurements are shown in milliseconds +(thousands of seconds). A value of 5 milliseconds means it can determine +200 input values per second. It case of 200 milliseconds, this is only 5 +input values per second. It is clear that accepted taxonomic names are +extremely fast, but some variations are up to 67 times slower to +determine.

+

To improve performance, we implemented two important algorithms to +save unnecessary calculations: repetitive results and +already precalculated results.

Repetitive results

-

Repetitive results are values that are present more than once in a vector. Unique values will only be calculated once by as.mo(). So running as.mo(c("E. coli", "E. coli")) will check the value "E. coli" only once.

-

To prove this, we will use mo_name() for testing - a helper function that returns the full microbial name (genus, species and possibly subspecies) which uses as.mo() internally.

+

Repetitive results are values that are present more than once in a +vector. Unique values will only be calculated once by +as.mo(). So running +as.mo(c("E. coli", "E. coli")) will check the value +"E. coli" only once.

+

To prove this, we will use mo_name() for testing - a +helper function that returns the full microbial name (genus, species and +possibly subspecies) which uses as.mo() internally.

 # start with the example_isolates data set
 x <- example_isolates %>% 
@@ -258,8 +287,8 @@
 # what do these values look like? They are of class <mo>:
 head(x)
 # Class <mo>
-# [1] B_STPHY_AURS B_STRPT_EQNS B_KLBSL_PNMN B_STPHY_EPDR B_STPHY_AURS
-# [6] B_CRYNB_STRT
+# [1] B_ESCHR_COLI B_STRPT_MITS B_STRPT_ANGN B_STPHY_CONS B_ESCHR_COLI
+# [6] B_ESCHR_COLI
   
 # as the example_isolates data set has 2,000 rows, we should have 2 million items
 length(x)
@@ -275,13 +304,20 @@
 print(run_it, unit = "ms", signif = 3)
 # Unit: milliseconds
 #        expr min  lq mean median  uq max neval
-#  mo_name(x) 196 209  274    223 364 388    10
-

So getting official taxonomic names of 2,000,000 (!!) items consisting of 90 unique values only takes 0.223 seconds. That is 112 nanoseconds on average. You only lose time on your unique input values.

+# mo_name(x) 207 225 288 233 370 414 10
+

So getting official taxonomic names of 2,000,000 (!!) items +consisting of 90 unique values only takes 0.233 seconds. That is 117 +nanoseconds on average. You only lose time on your unique input +values.

Precalculated results

-

What about precalculated results? If the input is an already precalculated result of a helper function such as mo_name(), it almost doesn’t take any time at all. In other words, if you run mo_name() on a valid taxonomic name, it will return the results immediately (see ‘C’ below):

+

What about precalculated results? If the input is an already +precalculated result of a helper function such as +mo_name(), it almost doesn’t take any time at all. In other +words, if you run mo_name() on a valid taxonomic name, it +will return the results immediately (see ‘C’ below):

 run_it <- microbenchmark(A = mo_name("STAAUR"),
                          B = mo_name("S. aureus"),
@@ -289,11 +325,14 @@
                          times = 10)
 print(run_it, unit = "ms", signif = 3)
 # Unit: milliseconds
-#  expr   min    lq  mean median    uq   max neval
-#     A  8.00  9.16  9.19   9.28  9.46  9.73    10
-#     B 23.40 27.20 32.60  27.90 28.10 80.20    10
-#     C  1.85  2.25  2.40   2.47  2.62  2.90    10
-

So going from mo_name("Staphylococcus aureus") to "Staphylococcus aureus" takes 0.0025 seconds - it doesn’t even start calculating if the result would be the same as the expected resulting value. That goes for all helper functions:

+# expr min lq mean median uq max neval +# A 10.3 10.90 11.20 11.10 11.20 12.40 10 +# B 31.3 32.70 38.20 33.90 35.20 79.80 10 +# C 2.5 2.64 2.79 2.78 2.85 3.13 10
+

So going from mo_name("Staphylococcus aureus") to +"Staphylococcus aureus" takes 0.0028 seconds - it doesn’t +even start calculating if the result would be the same as the +expected resulting value. That goes for all helper functions:

 run_it <- microbenchmark(A = mo_species("aureus"),
                          B = mo_genus("Staphylococcus"),
@@ -307,20 +346,28 @@
 print(run_it, unit = "ms", signif = 3)
 # Unit: milliseconds
 #  expr  min   lq mean median   uq  max neval
-#     A 1.76 1.80 2.07   1.95 2.26 2.90    10
-#     B 1.69 1.73 1.90   1.81 2.03 2.48    10
-#     C 1.71 1.77 1.92   1.91 2.05 2.17    10
-#     D 1.68 1.71 1.76   1.76 1.82 1.88    10
-#     E 1.68 1.70 1.89   1.89 2.04 2.26    10
-#     F 1.67 1.75 1.93   1.89 2.11 2.35    10
-#     G 1.70 1.76 1.97   1.88 2.12 2.43    10
-#     H 1.67 1.71 1.83   1.75 1.98 2.14    10
-

Of course, when running mo_phylum("Firmicutes") the function has zero knowledge about the actual microorganism, namely S. aureus. But since the result would be "Firmicutes" anyway, there is no point in calculating the result. And because this package contains all phyla of all known bacteria, it can just return the initial value immediately.

+# A 2.30 2.55 2.68 2.66 2.85 2.94 10 +# B 2.27 2.38 2.59 2.56 2.83 2.88 10 +# C 2.22 2.25 2.51 2.47 2.74 2.87 10 +# D 2.21 2.40 2.68 2.73 2.94 3.08 10 +# E 2.22 2.28 2.46 2.45 2.56 2.81 10 +# F 2.19 2.34 2.52 2.48 2.71 3.04 10 +# G 2.23 2.40 2.52 2.46 2.62 2.88 10 +# H 2.13 2.25 2.42 2.47 2.50 2.77 10
+

Of course, when running mo_phylum("Firmicutes") the +function has zero knowledge about the actual microorganism, namely +S. aureus. But since the result would be +"Firmicutes" anyway, there is no point in calculating the +result. And because this package contains all phyla of all known +bacteria, it can just return the initial value immediately.

Results in other languages

-

When the system language is non-English and supported by this AMR package, some functions will have a translated result. This almost does’t take extra time (compare “en” from the table below with the other languages):

+

When the system language is non-English and supported by this +AMR package, some functions will have a translated result. +This almost does’t take extra time (compare “en” from the table below +with the other languages):

 CoNS <- as.mo("CoNS")
 CoNS
@@ -349,18 +396,19 @@
                          times = 100)
 print(run_it, unit = "ms", signif = 4)
 # Unit: milliseconds
-#  expr    min     lq  mean median    uq    max neval
-#    da 1.9470 2.0220 2.190 2.0720 2.358  3.234   100
-#    de 1.9560 2.0330 3.649 2.1610 2.401 50.670   100
-#    en 0.8937 0.9124 1.022 0.9776 1.120  1.748   100
-#    es 1.9710 2.0290 2.216 2.1000 2.391  3.109   100
-#    fr 1.8280 1.8960 3.214 1.9420 2.237 71.550   100
-#    it 1.9370 1.9970 2.163 2.0610 2.339  3.210   100
-#    nl 1.9710 2.0280 2.698 2.1110 2.421 49.340   100
-#    pt 1.8920 1.9600 2.119 2.0200 2.261  3.265   100
-#    ru 1.8630 1.9420 2.779 2.0270 2.335 66.660   100
-#    sv 1.8680 1.9190 4.062 1.9890 2.263 78.870   100
-

Currently supported languages are Danish, Dutch, English, French, German, Italian, Portuguese, Russian, Spanish and Swedish.

+# expr min lq mean median uq max neval +# da 2.1730 2.476 3.956 2.609 2.873 45.180 100 +# de 2.2170 2.497 3.161 2.646 2.855 48.260 100 +# en 0.9509 1.122 1.640 1.183 1.321 38.430 100 +# es 2.1870 2.546 2.763 2.659 2.872 5.676 100 +# fr 1.9880 2.339 2.609 2.456 2.636 5.197 100 +# it 2.2580 2.475 4.081 2.619 2.867 47.080 100 +# nl 2.3120 2.535 2.792 2.664 2.822 8.113 100 +# pt 2.1930 2.417 3.329 2.528 2.783 48.600 100 +# ru 2.0470 2.360 2.596 2.481 2.683 6.030 100 +# sv 2.2030 2.443 3.077 2.545 2.703 43.350 100
+

Currently supported languages are Danish, Dutch, English, French, +German, Italian, Portuguese, Russian, Spanish and Swedish.

@@ -374,12 +422,14 @@ diff --git a/docs/articles/benchmarks_files/figure-html/unnamed-chunk-4-1.png b/docs/articles/benchmarks_files/figure-html/unnamed-chunk-4-1.png index 790aadca..7611dfab 100644 Binary files a/docs/articles/benchmarks_files/figure-html/unnamed-chunk-4-1.png and b/docs/articles/benchmarks_files/figure-html/unnamed-chunk-4-1.png differ diff --git a/docs/articles/datasets.html b/docs/articles/datasets.html index c1109448..92c297eb 100644 --- a/docs/articles/datasets.html +++ b/docs/articles/datasets.html @@ -44,7 +44,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 @@ -190,7 +190,7 @@ diff --git a/docs/articles/resistance_predict.html b/docs/articles/resistance_predict.html index 34249b87..d00549bc 100644 --- a/docs/articles/resistance_predict.html +++ b/docs/articles/resistance_predict.html @@ -44,7 +44,7 @@ AMR (for R) - 1.8.0 + 1.8.1 @@ -201,12 +201,17 @@

Needed R packages

-

As with many uses in R, we need some additional packages for AMR data analysis. Our package works closely together with the tidyverse packages dplyr and ggplot2 by Dr Hadley Wickham. The tidyverse tremendously improves the way we conduct data science - it allows for a very natural way of writing syntaxes and creating beautiful plots in R.

-

Our AMR package depends on these packages and even extends their use and functions.

+

As with many uses in R, we need some additional packages for AMR data +analysis. Our package works closely together with the tidyverse packages dplyr and ggplot2 by Dr +Hadley Wickham. The tidyverse tremendously improves the way we conduct +data science - it allows for a very natural way of writing syntaxes and +creating beautiful plots in R.

+

Our AMR package depends on these packages and even +extends their use and functions.

 library(dplyr)
 library(ggplot2)
-library(AMR)
+library(AMR)
 
 # (if not yet installed, install with:)
 # install.packages(c("tidyverse", "AMR"))
@@ -214,7 +219,11 @@

Prediction analysis

-

Our package contains a function resistance_predict(), which takes the same input as functions for other AMR data analysis. Based on a date column, it calculates cases per year and uses a regression model to predict antimicrobial resistance.

+

Our package contains a function resistance_predict(), +which takes the same input as functions for other +AMR data analysis. Based on a date column, it calculates cases per +year and uses a regression model to predict antimicrobial +resistance.

It is basically as easy as:

# resistance prediction of piperacillin/tazobactam (TZP):
 resistance_predict(tbl = example_isolates, col_date = "date", col_ab = "TZP", model = "binomial")
@@ -228,10 +237,16 @@
 predict_TZP <- example_isolates %>% 
   resistance_predict(col_ab = "TZP",
                      model = "binomial")
-

The function will look for a date column itself if col_date is not set.

-

When running any of these commands, a summary of the regression model will be printed unless using resistance_predict(..., info = FALSE).

+

The function will look for a date column itself if +col_date is not set.

+

When running any of these commands, a summary of the regression model +will be printed unless using +resistance_predict(..., info = FALSE).

# ℹ Using column 'date' as input for `col_date`.
-

This text is only a printed summary - the actual result (output) of the function is a data.frame containing for each year: the number of observations, the actual observed resistance, the estimated resistance and the standard error below and above the estimation:

+

This text is only a printed summary - the actual result (output) of +the function is a data.frame containing for each year: the +number of observations, the actual observed resistance, the estimated +resistance and the standard error below and above the estimation:

 predict_TZP
 #    year      value    se_min    se_max observations   observed  estimated
@@ -264,13 +279,20 @@
 # 27 2028 0.43730688 0.3418075 0.5328063           NA         NA 0.43730688
 # 28 2029 0.46175755 0.3597639 0.5637512           NA         NA 0.46175755
 # 29 2030 0.48639359 0.3782932 0.5944939           NA         NA 0.48639359
-# 30 2031 0.51109592 0.3973697 0.6248221           NA         NA 0.51109592
-

The function plot is available in base R, and can be extended by other packages to depend the output based on the type of input. We extended its function to cope with resistance predictions:

+# 30 2031 0.51109592 0.3973697 0.6248221 NA NA 0.51109592 +# 31 2032 0.53574417 0.4169574 0.6545309 NA NA 0.53574417
+

The function plot is available in base R, and can be +extended by other packages to depend the output based on the type of +input. We extended its function to cope with resistance predictions:

 plot(predict_TZP)

-

This is the fastest way to plot the result. It automatically adds the right axes, error bars, titles, number of available observations and type of model.

-

We also support the ggplot2 package with our custom function ggplot_rsi_predict() to create more appealing plots:

+

This is the fastest way to plot the result. It automatically adds the +right axes, error bars, titles, number of available observations and +type of model.

+

We also support the ggplot2 package with our custom +function ggplot_rsi_predict() to create more appealing +plots:

 ggplot_rsi_predict(predict_TZP)

@@ -282,7 +304,9 @@

Choosing the right model

-

Resistance is not easily predicted; if we look at vancomycin resistance in Gram-positive bacteria, the spread (i.e. standard error) is enormous:

+

Resistance is not easily predicted; if we look at vancomycin +resistance in Gram-positive bacteria, the spread (i.e. standard error) +is enormous:

 example_isolates %>%
   filter(mo_gramstain(mo, language = NULL) == "Gram-positive") %>%
@@ -290,8 +314,13 @@
   ggplot_rsi_predict()
 # ℹ Using column 'date' as input for `col_date`.

-

Vancomycin resistance could be 100% in ten years, but might also stay around 0%.

-

You can define the model with the model parameter. The model chosen above is a generalised linear regression model using a binomial distribution, assuming that a period of zero resistance was followed by a period of increasing resistance leading slowly to more and more resistance.

+

Vancomycin resistance could be 100% in ten years, but might also stay +around 0%.

+

You can define the model with the model parameter. The +model chosen above is a generalised linear regression model using a +binomial distribution, assuming that a period of zero resistance was +followed by a period of increasing resistance leading slowly to more and +more resistance.

Valid values are:

@@ -307,7 +336,8 @@ @@ -328,7 +358,9 @@
-"binomial" or "binom" or "logit" +"binomial" or "binom" or +"logit" glm(..., family = binomial) Generalised linear model with binomial distribution
-

For the vancomycin resistance in Gram-positive bacteria, a linear model might be more appropriate since no binomial distribution is to be expected based on the observed years:

+

For the vancomycin resistance in Gram-positive bacteria, a linear +model might be more appropriate since no binomial distribution is to be +expected based on the observed years:

 example_isolates %>%
   filter(mo_gramstain(mo, language = NULL) == "Gram-positive") %>%
@@ -337,7 +369,8 @@
 # ℹ Using column 'date' as input for `col_date`.

This seems more likely, doesn’t it?

-

The model itself is also available from the object, as an attribute:

+

The model itself is also available from the object, as an +attribute:

 model <- attributes(predict_TZP)$model
 
@@ -366,12 +399,14 @@
 
       

-

Site built with pkgdown 2.0.0.

+

Site built with pkgdown +2.0.2.

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@@ -198,33 +198,83 @@ -

Note: to keep the package size as small as possible, we only included this vignette on CRAN. You can read more vignettes on our website about how to conduct AMR data analysis, determine MDRO’s, find explanation of EUCAST rules, and much more: https://msberends.github.io/AMR/articles/.

+

Note: to keep the package size as small as possible, we only included +this vignette on CRAN. You can read more vignettes on our website about +how to conduct AMR data analysis, determine MDRO’s, find explanation of +EUCAST rules, and much more: https://msberends.github.io/AMR/articles/.


-

AMR is a free, open-source and independent R package (see Copyright) to simplify the analysis and prediction of Antimicrobial Resistance (AMR) and to work with microbial and antimicrobial data and properties, by using evidence-based methods. Our aim is to provide a standard for clean and reproducible antimicrobial resistance data analysis, that can therefore empower epidemiological analyses to continuously enable surveillance and treatment evaluation in any setting.

-

After installing this package, R knows ~71,000 distinct microbial species and all ~570 antibiotic, antimycotic and antiviral drugs by name and code (including ATC, EARS-Net, PubChem, LOINC and SNOMED CT), and knows all about valid R/SI and MIC values. It supports any data format, including WHONET/EARS-Net data.

-

The AMR package is available in Danish, Dutch, English, French, German, Italian, Portuguese, Russian, Spanish and Swedish. Antimicrobial drug (group) names and colloquial microorganism names are provided in these languages.

-

This package is fully independent of any other R package and works on Windows, macOS and Linux with all versions of R since R-3.0 (April 2013). It was designed to work in any setting, including those with very limited resources. Since its first public release in early 2018, this package has been downloaded from more than 175 countries.

+

AMR is a free, open-source and independent R package +(see Copyright) +to simplify the analysis and prediction of Antimicrobial Resistance +(AMR) and to work with microbial and antimicrobial data and properties, +by using evidence-based methods. Our aim is to provide a +standard for clean and reproducible antimicrobial resistance +data analysis, that can therefore empower epidemiological analyses to +continuously enable surveillance and treatment evaluation in any +setting.

+

After installing this package, R knows ~71,000 distinct microbial +species and all ~570 antibiotic, antimycotic and antiviral drugs by name +and code (including ATC, EARS-Net, PubChem, LOINC and SNOMED CT), and +knows all about valid R/SI and MIC values. It supports any data format, +including WHONET/EARS-Net data.

+

The AMR package is available in Danish, Dutch, English, +French, German, Italian, Portuguese, Russian, Spanish and Swedish. +Antimicrobial drug (group) names and colloquial microorganism names are +provided in these languages.

+

This package is fully independent of any other R package and works on +Windows, macOS and Linux with all versions of R since R-3.0 (April +2013). It was designed to work in any setting, including those +with very limited resources. Since its first public release in +early 2018, this package has been downloaded from more than 175 +countries.

This package can be used for:

    -
  • Reference for the taxonomy of microorganisms, since the package contains all microbial (sub)species from the Catalogue of Life and List of Prokaryotic names with Standing in Nomenclature
  • -
  • Interpreting raw MIC and disk diffusion values, based on the latest CLSI or EUCAST guidelines
  • -
  • Retrieving antimicrobial drug names, doses and forms of administration from clinical health care records
  • +
  • Reference for the taxonomy of microorganisms, since the package +contains all microbial (sub)species from the Catalogue of Life and List +of Prokaryotic names with Standing in Nomenclature
  • +
  • Interpreting raw MIC and disk diffusion values, based on the latest +CLSI or EUCAST guidelines
  • +
  • Retrieving antimicrobial drug names, doses and forms of +administration from clinical health care records
  • Determining first isolates to be used for AMR data analysis
  • Calculating antimicrobial resistance
  • -
  • Determining multi-drug resistance (MDR) / multi-drug resistant organisms (MDRO)
  • -
  • Calculating (empirical) susceptibility of both mono therapy and combination therapies
  • -
  • Predicting future antimicrobial resistance using regression models
  • -
  • Getting properties for any microorganism (like Gram stain, species, genus or family)
  • -
  • Getting properties for any antibiotic (like name, code of EARS-Net/ATC/LOINC/PubChem, defined daily dose or trade name)
  • +
  • Determining multi-drug resistance (MDR) / multi-drug resistant +organisms (MDRO)
  • +
  • Calculating (empirical) susceptibility of both mono therapy and +combination therapies
  • +
  • Predicting future antimicrobial resistance using regression +models
  • +
  • Getting properties for any microorganism (like Gram stain, species, +genus or family)
  • +
  • Getting properties for any antibiotic (like name, code of +EARS-Net/ATC/LOINC/PubChem, defined daily dose or trade name)
  • Plotting antimicrobial resistance
  • Applying EUCAST expert rules
  • -
  • Getting SNOMED codes of a microorganism, or getting properties of a microorganism based on a SNOMED code
  • -
  • Getting LOINC codes of an antibiotic, or getting properties of an antibiotic based on a LOINC code
  • -
  • Machine reading the EUCAST and CLSI guidelines from 2011-2020 to translate MIC values and disk diffusion diameters to R/SI
  • +
  • Getting SNOMED codes of a microorganism, or getting properties of a +microorganism based on a SNOMED code
  • +
  • Getting LOINC codes of an antibiotic, or getting properties of an +antibiotic based on a LOINC code
  • +
  • Machine reading the EUCAST and CLSI guidelines from 2011-2020 to +translate MIC values and disk diffusion diameters to R/SI
  • Principal component analysis for AMR
-

All reference data sets (about microorganisms, antibiotics, R/SI interpretation, EUCAST rules, etc.) in this AMR package are publicly and freely available. We continually export our data sets to formats for use in R, SPSS, SAS, Stata and Excel. We also supply flat files that are machine-readable and suitable for input in any software program, such as laboratory information systems. Please find all download links on our website, which is automatically updated with every code change.

-

This R package was created for both routine data analysis and academic research at the Faculty of Medical Sciences of the University of Groningen, in collaboration with non-profit organisations Certe Medical Diagnostics and Advice Foundation and University Medical Center Groningen. This R package formed the basis of two PhD theses (DOI 10.33612/diss.177417131 and DOI 10.33612/diss.192486375) but is actively and durably maintained (see changelog)) by two public healthcare organisations in the Netherlands.

+

All reference data sets (about microorganisms, antibiotics, R/SI +interpretation, EUCAST rules, etc.) in this AMR package are +publicly and freely available. We continually export our data sets to +formats for use in R, SPSS, SAS, Stata and Excel. We also supply flat +files that are machine-readable and suitable for input in any software +program, such as laboratory information systems. Please find all +download links on our website, which is automatically updated with +every code change.

+

This R package was created for both routine data analysis and +academic research at the Faculty of Medical Sciences of the University of Groningen, in collaboration +with non-profit organisations Certe +Medical Diagnostics and Advice Foundation and University Medical Center Groningen. This +R package formed the basis of two PhD theses (DOI +10.33612/diss.177417131 and DOI +10.33612/diss.192486375) but is actively and durably maintained (see +changelog)) +by two public healthcare organisations in the Netherlands.

diff --git a/docs/index.html b/docs/index.html index 6f9950ee..5f4442d8 100644 --- a/docs/index.html +++ b/docs/index.html @@ -47,7 +47,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1
diff --git a/docs/news/index.html b/docs/news/index.html index bc73adb4..1bccdd4c 100644 --- a/docs/news/index.html +++ b/docs/news/index.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9004 + 1.8.1 @@ -157,16 +157,23 @@
- -
-

Last updated: 3 March 2022

-

All functions in this package are considered to be stable. Updates to the AMR interpretation rules (such as by EUCAST and CLSI), the microbial taxonomy, and the antibiotic dosages will all be updated every 6 to 12 months.

+ +

All functions in this package are considered to be stable. Updates to +the AMR interpretation rules (such as by EUCAST and CLSI), the microbial +taxonomy, and the antibiotic dosages will all be updated every 6 to 12 +months.

-

Changed

-
  • Support for antibiotic interpretations of the MIPS laboratory system: "U" for S (‘susceptible urine’), "D" for I (‘susceptible dose-dependent’)

  • +

    Changed

    +
    • Fix for using as.rsi() on values containing capped +values (such as >=), sometimes leading to +NA

    • +
    • Support for antibiotic interpretations of the MIPS laboratory +system: "U" for S (‘susceptible urine’), "D" +for I (‘susceptible dose-dependent’)

    • -

      Improved algorithm of as.mo(), especially for ignoring non-taxonomic text, such as:

      +

      Improved algorithm of as.mo(), especially for +ignoring non-taxonomic text, such as:

       
       mo_name("methicillin-resistant S. aureus (MRSA)")
      @@ -177,113 +184,220 @@
       
    • Updated MIC printing in tibbles

-

Other

+

Other

  • Fix for unit testing on R 3.3
  • Fix for size of some image elements, as requested by CRAN
-

Breaking changes

-
  • Removed p_symbol() and all filter_*() functions (except for filter_first_isolate()), which were all deprecated in a previous package version
  • -
  • Removed the key_antibiotics() and key_antibiotics_equal() functions, which were deprecated and superseded by key_antimicrobials() and antimicrobials_equal() +
    • Removed p_symbol() and all filter_*() +functions (except for filter_first_isolate()), which were +all deprecated in a previous package version
    • +
    • Removed the key_antibiotics() and +key_antibiotics_equal() functions, which were deprecated +and superseded by key_antimicrobials() and +antimicrobials_equal()
    • -
    • Removed all previously implemented ggplot2::ggplot() generics for classes <mic>, <disk>, <rsi> and <resistance_predict> as they did not follow the ggplot2 logic. They were replaced with ggplot2::autoplot() generics.
    • -
    • Renamed function get_locale() to get_AMR_locale() to prevent conflicts with other packages
    • +
    • Removed all previously implemented ggplot2::ggplot() +generics for classes <mic>, +<disk>, <rsi> and +<resistance_predict> as they did not follow the +ggplot2 logic. They were replaced with +ggplot2::autoplot() generics.
    • +
    • Renamed function get_locale() to +get_AMR_locale() to prevent conflicts with other +packages

New

-
  • Support for the CLSI 2021 guideline for interpreting MIC/disk diffusion values, which are incorporated in the rsi_translation data set. This data set now more strictly follows the WHONET software as well.

  • -
  • Support for EUCAST Intrinsic Resistance and Unusual Phenotypes v3.3 (October 2021). This is now the default EUCAST guideline in the package (all older guidelines are still available) for eucast_rules(), mo_is_intrinsic_resistant() and mdro(). The intrinsic_resistant data set was also updated accordingly.

  • -
  • Support for all antimicrobial drug (group) names and colloquial microorganism names in Danish, Dutch, English, French, German, Italian, Portuguese, Russian, Spanish and Swedish

  • +
    • Support for the CLSI 2021 guideline for interpreting MIC/disk +diffusion values, which are incorporated in the +rsi_translation data set. This data set now more strictly +follows the WHONET software as well.

    • +
    • Support for EUCAST Intrinsic Resistance and Unusual Phenotypes +v3.3 (October 2021). This is now the default EUCAST guideline in the +package (all older guidelines are still available) for +eucast_rules(), mo_is_intrinsic_resistant() +and mdro(). The intrinsic_resistant data set +was also updated accordingly.

    • +
    • Support for all antimicrobial drug (group) names and colloquial +microorganism names in Danish, Dutch, English, French, German, Italian, +Portuguese, Russian, Spanish and Swedish

    • -

      Function set_ab_names() to rename data set columns that resemble antimicrobial drugs. This allows for quickly renaming columns to official names, ATC codes, etc. Its second argument can be a tidyverse way of selecting:

      +

      Function set_ab_names() to rename data set columns +that resemble antimicrobial drugs. This allows for quickly renaming +columns to official names, ATC codes, etc. Its second argument can be a +tidyverse way of selecting:

       
       example_isolates %>% set_ab_names(where(is.rsi))
       example_isolates %>% set_ab_names(AMC:GEN, property = "atc")
    • Function mo_lpsn() to retrieve the LPSN record ID

    • -
    • Function ab_ddd_units() to get units of DDDs (daily defined doses), deprecating the use of ab_ddd(..., units = TRUE) to be more consistent in data types of function output

    • +
    • Function ab_ddd_units() to get units of DDDs (daily +defined doses), deprecating the use of +ab_ddd(..., units = TRUE) to be more consistent in data +types of function output

Changed

-
  • Updated the bacterial taxonomy to 5 October 2021 (according to LPSN), including all 11 new staphylococcal species named since 1 January last year
  • -
  • The antibiotics data set now contains all ATC codes that are available through the WHOCC website, regardless of drugs being present in more than one ATC group. This means that: -
    • Some drugs now contain multiple ATC codes (e.g., metronidazole contains 5)
    • +
      • Updated the bacterial taxonomy to 5 October 2021 (according to LPSN), including all 11 new +staphylococcal species named since 1 January last year
      • +
      • The antibiotics data set now contains all ATC +codes that are available through the WHOCC website, regardless of drugs being +present in more than one ATC group. This means that: +
        • Some drugs now contain multiple ATC codes (e.g., metronidazole +contains 5)
        • -antibiotics$atc is now a list containing character vectors, and this atc column was moved to the 5th position of the antibiotics data set
        • +antibiotics$atc is now a list containing +character vectors, and this atc column was +moved to the 5th position of the antibiotics data set
        • -ab_atc() does not always return a character vector of length 1, and returns a list if the input is larger than length 1
        • +ab_atc() does not always return a character vector of +length 1, and returns a list if the input is larger than +length 1
        • ab_info() has a slightly different output
        • -
        • Some DDDs (daily defined doses) were added or updated according to newly included ATC codes
        • +
        • Some DDDs (daily defined doses) were added or updated according to +newly included ATC codes
      • Antibiotic selectors -
        • They now also work in R-3.0 and R-3.1, supporting every version of R since 2013 like the rest of the package

        • -
        • Added more selectors for antibiotic classes: aminopenicillins(), antifungals(), antimycobacterials(), lincosamides(), lipoglycopeptides(), polymyxins(), quinolones(), streptogramins(), trimethoprims() and ureidopenicillins()

        • +
          • They now also work in R-3.0 and R-3.1, supporting every version +of R since 2013 like the rest of the package

          • +
          • Added more selectors for antibiotic classes: +aminopenicillins(), antifungals(), +antimycobacterials(), lincosamides(), +lipoglycopeptides(), polymyxins(), +quinolones(), streptogramins(), +trimethoprims() and +ureidopenicillins()

          • -

            Added specific selectors for certain types for treatment: administrable_per_os() and administrable_iv(), which are based on available Defined Daily Doses (DDDs), as defined by the WHOCC. These are ideal for e.g. analysing pathogens in primary care where IV treatment is not an option. They can be combined with other AB selectors, e.g. to select penicillins that are only administrable per os (i.e., orally):

            +

            Added specific selectors for certain types for treatment: +administrable_per_os() and administrable_iv(), +which are based on available Defined Daily Doses (DDDs), as defined by +the WHOCC. These are ideal for e.g. analysing pathogens in primary care +where IV treatment is not an option. They can be combined with other AB +selectors, e.g. to select penicillins that are only administrable per os +(i.e., orally):

             
             example_isolates[, penicillins() & administrable_per_os()]          # base R
             example_isolates %>% select(penicillins() & administrable_per_os()) # dplyr
          • -

            Added the selector ab_selector(), which accepts a filter to be used internally on the antibiotics data set, yielding great flexibility on drug properties, such as selecting antibiotic columns with an oral DDD of at least 1 gram:

            +

            Added the selector ab_selector(), which accepts a +filter to be used internally on the antibiotics data set, +yielding great flexibility on drug properties, such as selecting +antibiotic columns with an oral DDD of at least 1 gram:

             
             example_isolates[, ab_selector(oral_ddd > 1 & oral_units == "g")]          # base R
             example_isolates %>% select(ab_selector(oral_ddd > 1 & oral_units == "g")) # dplyr
          • -
          • Added the selector not_intrinsic_resistant(), which only keeps antibiotic columns that are not intrinsic resistant for all microorganisms in a data set, based on the latest EUCAST guideline on intrinsic resistance. For example, if a data set contains only microorganism codes or names of E. coli and K. pneumoniae and contains a column “vancomycin”, this column will be removed (or rather, unselected) using this function.

          • -
          • Added argument only_treatable, which defaults to TRUE and will exclude drugs that are only for laboratory tests and not for treating patients (such as imipenem/EDTA and gentamicin-high)

          • -
          • Fix for using selectors multiple times in one call (e.g., using them in dplyr::filter() and immediately after in dplyr::select())

          • -
          • Fix for using having multiple columns that are coerced to the same antibiotic agent

          • -
          • Fixed for using all() or any() on antibiotic selectors in an R Markdown file

          • +
          • Added the selector not_intrinsic_resistant(), which +only keeps antibiotic columns that are not intrinsic resistant for all +microorganisms in a data set, based on the latest EUCAST guideline on +intrinsic resistance. For example, if a data set contains only +microorganism codes or names of E. coli and K. +pneumoniae and contains a column “vancomycin”, this column will be +removed (or rather, unselected) using this function.

          • +
          • Added argument only_treatable, which defaults to +TRUE and will exclude drugs that are only for laboratory +tests and not for treating patients (such as imipenem/EDTA and +gentamicin-high)

          • +
          • Fix for using selectors multiple times in one call (e.g., using +them in dplyr::filter() and immediately after in +dplyr::select())

          • +
          • Fix for using having multiple columns that are coerced to the +same antibiotic agent

          • +
          • Fixed for using all() or any() on +antibiotic selectors in an R Markdown file

          -
        • Added the following antimicrobial agents that are now covered by the WHO: aztreonam/nacubactam (ANC), cefepime/nacubactam (FNC), exebacase (EXE), ozenoxacin (OZN), zoliflodacin (ZFD), manogepix (MGX), ibrexafungerp (IBX), and rezafungin (RZF). None of these agents have an ATC code yet.
        • -
        • Fixed the Gram stain (mo_gramstain()) determination of the taxonomic class Negativicutes within the phylum of Firmicutes - they were considered Gram-positives because of their phylum but are actually Gram-negative. This impacts 137 taxonomic species, genera and families, such as Negativicoccus and Veillonella.
        • +
        • Added the following antimicrobial agents that are now covered by the +WHO: aztreonam/nacubactam (ANC), cefepime/nacubactam (FNC), exebacase +(EXE), ozenoxacin (OZN), zoliflodacin (ZFD), manogepix (MGX), +ibrexafungerp (IBX), and rezafungin (RZF). None of these agents have an +ATC code yet.
        • +
        • Fixed the Gram stain (mo_gramstain()) determination of +the taxonomic class Negativicutes within the phylum of Firmicutes - they +were considered Gram-positives because of their phylum but are actually +Gram-negative. This impacts 137 taxonomic species, genera and families, +such as Negativicoccus and Veillonella.
        • Dramatic speed improvement for first_isolate()
        • -
        • Fix to prevent introducing NAs for old MO codes when running as.mo() on them
        • -
        • Added more informative error messages when any of the proportion_*() and count_*() functions fail
        • -
        • When printing a tibble with any old MO code, a warning will be thrown that old codes should be updated using as.mo() +
        • Fix to prevent introducing NAs for old MO codes when +running as.mo() on them
        • +
        • Added more informative error messages when any of the +proportion_*() and count_*() functions +fail
        • +
        • When printing a tibble with any old MO code, a warning will be +thrown that old codes should be updated using as.mo()
        • -
        • Improved automatic column selector when col_* arguments are left blank, e.g. in first_isolate() +
        • Improved automatic column selector when col_* arguments +are left blank, e.g. in first_isolate()
        • -
        • The right input types for random_mic(), random_disk() and random_rsi() are now enforced
        • +
        • The right input types for random_mic(), +random_disk() and random_rsi() are now +enforced
        • -as.rsi() has an improved algorithm and can now also correct for textual input (such as “Susceptible”, “Resistant”) in all supported languages
        • +as.rsi() has an improved algorithm and can now also +correct for textual input (such as “Susceptible”, “Resistant”) in all +supported languages
        • as.mic() has an improved algorithm
        • -
        • When warnings are thrown because of too few isolates in any count_*(), proportion_*() function (or resistant() or susceptible()), the dplyr group will be shown, if available
        • -
        • Fix for legends created with scale_rsi_colours() when using ggplot2 v3.3.4 or higher (this is ggplot2 bug 4511, soon to be fixed)
        • +
        • When warnings are thrown because of too few isolates in any +count_*(), proportion_*() function (or +resistant() or susceptible()), the +dplyr group will be shown, if available
        • +
        • Fix for legends created with scale_rsi_colours() when +using ggplot2 v3.3.4 or higher (this is ggplot2 bug 4511, +soon to be fixed)
        • Fix for minor translation errors
        • -
        • Fix for the MIC interpretation of Morganellaceae (such as Morganella and Proteus) when using the EUCAST 2021 guideline
        • +
        • Fix for the MIC interpretation of Morganellaceae (such as +Morganella and Proteus) when using the EUCAST 2021 +guideline
        • Improved algorithm of as.mo()
        • -
        • Improved algorithm for generating random MICs with random_mic() +
        • Improved algorithm for generating random MICs with +random_mic()
        • Improved plot legends for MICs and disk diffusion values
        • -
        • Improved speed of as.ab() and all ab_*() functions
        • -
        • Added fortify() extensions for plotting methods
        • +
        • Improved speed of as.ab() and all ab_*() +functions
        • +
        • Added fortify() extensions for plotting methods
        • -NA values of the classes <mic>, <disk> and <rsi> are now exported objects of this package, e.g. NA_mic_ is an NA of class mic (just like the base R NA_character_ is an NA of class character)
        • -
        • The proportion_df(), count_df() and rsi_df() functions now return with the additional S3 class ‘rsi_df’ so they can be extended by other packages
        • -
        • The mdro() function now returns NA for all rows that have no test results
        • -
        • The species_id column in the microorganisms data set now only contains LPSN record numbers. For this reason, this column is now numeric instead of a character, and mo_url() has been updated to reflect this change.
        • -
        • Fixed a small bug in the functions get_episode() and is_new_episode() +NA values of the classes <mic>, +<disk> and <rsi> are now exported +objects of this package, e.g. NA_mic_ is an NA +of class mic (just like the base R +NA_character_ is an NA of class +character)
        • +
        • The proportion_df(), count_df() and +rsi_df() functions now return with the additional S3 class +‘rsi_df’ so they can be extended by other packages
        • +
        • The mdro() function now returns NA for all +rows that have no test results
        • +
        • The species_id column in the +microorganisms data set now only contains LPSN record +numbers. For this reason, this column is now numeric instead of a +character, and mo_url() has been updated to reflect this +change.
        • +
        • Fixed a small bug in the functions get_episode() and +is_new_episode()
        • -get_episode() and is_new_episode() can now cope with NAs
        • +get_episode() and is_new_episode() can now +cope with NAs

Other

-
  • This package is now being maintained by two epidemiologists and a data scientist from two different non-profit healthcare organisations.
  • +
    • This package is now being maintained by two epidemiologists and a +data scientist from two different non-profit healthcare +organisations.
@@ -291,7 +405,14 @@

Breaking change

  • -

    All antibiotic class selectors (such as carbapenems(), aminoglycosides()) can now be used for filtering as well, making all their accompanying filter_*() functions redundant (such as filter_carbapenems(), filter_aminoglycosides()). These functions are now deprecated and will be removed in a next release. Examples of how the selectors can be used for filtering:

    +

    All antibiotic class selectors (such as +carbapenems(), aminoglycosides()) can now be +used for filtering as well, making all their accompanying +filter_*() functions redundant (such as +filter_carbapenems(), +filter_aminoglycosides()). These functions are now +deprecated and will be removed in a next release. Examples of how the +selectors can be used for filtering:

     
     # select columns with results for carbapenems
    @@ -312,71 +433,144 @@
     

New

-
  • Support for CLSI 2020 guideline for interpreting MICs and disk diffusion values (using as.rsi())
  • -
  • Function custom_eucast_rules() that brings support for custom AMR rules in eucast_rules() +
    • Support for CLSI 2020 guideline for interpreting MICs and disk +diffusion values (using as.rsi())
    • +
    • Function custom_eucast_rules() that brings support for +custom AMR rules in eucast_rules()
    • -
    • Function italicise_taxonomy() to make taxonomic names within a string italic, with support for markdown and ANSI
    • -
    • Support for all four methods to determine first isolates as summarised by Hindler et al. (doi: 10.1086/511864): isolate-based, patient-based, episode-based and phenotype-based. The last method is now the default. -
      • The first_isolate() function gained the argument method that has to be “phenotype-based”, “episode-based”, “patient-based”, or “isolate-based”. The old behaviour is equal to “episode-based”. The new default is “phenotype-based” if antimicrobial test results are available, and “episode-based” otherwise. This new default will yield slightly more isolates for selection (which is a good thing).
      • -
      • Since fungal isolates can also be selected, the functions key_antibiotics() and key_antibiotics_equal() are now deprecated in favour of the key_antimicrobials() and antimicrobials_equal() functions. Also, the new all_antimicrobials() function works like the old key_antibiotics() function, but includes any column with antimicrobial test results. Using key_antimicrobials() still only selects six preferred antibiotics for Gram-negatives, six for Gram-positives, and six universal antibiotics. It has a new antifungal argument to set antifungal agents (antimycotics).
      • -
      • Using type == "points" in the first_isolate() function for phenotype-based selection will now consider all antimicrobial drugs in the data set, using the new all_antimicrobials() +
      • Function italicise_taxonomy() to make taxonomic names +within a string italic, with support for markdown and ANSI
      • +
      • Support for all four methods to determine first isolates as +summarised by Hindler et al. (doi: 10.1086/511864): +isolate-based, patient-based, episode-based and phenotype-based. The +last method is now the default. +
        • The first_isolate() function gained the argument +method that has to be “phenotype-based”, “episode-based”, +“patient-based”, or “isolate-based”. The old behaviour is equal to +“episode-based”. The new default is “phenotype-based” if antimicrobial +test results are available, and “episode-based” otherwise. This new +default will yield slightly more isolates for selection (which is a good +thing).
        • +
        • Since fungal isolates can also be selected, the functions +key_antibiotics() and key_antibiotics_equal() +are now deprecated in favour of the key_antimicrobials() +and antimicrobials_equal() functions. Also, the new +all_antimicrobials() function works like the old +key_antibiotics() function, but includes any column with +antimicrobial test results. Using key_antimicrobials() +still only selects six preferred antibiotics for Gram-negatives, six for +Gram-positives, and six universal antibiotics. It has a new +antifungal argument to set antifungal agents +(antimycotics).
        • +
        • Using type == "points" in the +first_isolate() function for phenotype-based selection will +now consider all antimicrobial drugs in the data set, using the new +all_antimicrobials()
        • -
        • The first_isolate() function can now take a vector of values for col_keyantibiotics and can have an episode length of Inf +
        • The first_isolate() function can now take a vector of +values for col_keyantibiotics and can have an episode +length of Inf
        • -
        • Since the phenotype-based method is the new default, filter_first_isolate() renders the filter_first_weighted_isolate() function redundant. For this reason, filter_first_weighted_isolate() is now deprecated.
        • -
        • The documentation of the first_isolate() and key_antimicrobials() functions has been completely rewritten.
        • +
        • Since the phenotype-based method is the new default, +filter_first_isolate() renders the +filter_first_weighted_isolate() function redundant. For +this reason, filter_first_weighted_isolate() is now +deprecated.
        • +
        • The documentation of the first_isolate() and +key_antimicrobials() functions has been completely +rewritten.
      • -
      • Function betalactams() as additional antbiotic column selector and function filter_betalactams() as additional antbiotic column filter. The group of betalactams consists of all carbapenems, cephalosporins and penicillins.
      • -
      • A ggplot() method for resistance_predict() +
      • Function betalactams() as additional antbiotic column +selector and function filter_betalactams() as additional +antbiotic column filter. The group of betalactams consists of all +carbapenems, cephalosporins and penicillins.
      • +
      • A ggplot() method for +resistance_predict()

Changed

  • -bug_drug_combinations() now supports grouping using the dplyr package
  • -
  • Custom MDRO guidelines (mdro(), custom_mdro_guideline()): -
    • Custom MDRO guidelines can now be combined with other custom MDRO guidelines using c() +bug_drug_combinations() now supports grouping using the +dplyr package
    • +
    • Custom MDRO guidelines (mdro(), +custom_mdro_guideline()): +
      • Custom MDRO guidelines can now be combined with other custom MDRO +guidelines using c()
      • -
      • Fix for applying the rules; in previous versions, rows were interpreted according to the last matched rule. Now, rows are interpreted according to the first matched rule
      • +
      • Fix for applying the rules; in previous versions, rows were +interpreted according to the last matched rule. Now, rows are +interpreted according to the first matched rule
    • Fix for age_groups() for persons aged zero
    • -
    • The example_isolates data set now contains some (fictitious) zero-year old patients
    • +
    • The example_isolates data set now contains some +(fictitious) zero-year old patients
    • Fix for minor translation errors
    • -
    • Printing of microbial codes in a data.frame or tibble now gives a warning if the data contains old microbial codes (from a previous AMR package version)
    • +
    • Printing of microbial codes in a data.frame or +tibble now gives a warning if the data contains old +microbial codes (from a previous AMR package version)
    • Extended the like() functions: -
      • Now checks if pattern is a valid regular expression

      • +
        • Now checks if pattern is a valid regular +expression

        • -

          Added %unlike% and %unlike_case% (as negations of the existing %like% and %like_case%). This greatly improves readability:

          +

          Added %unlike% and %unlike_case% (as +negations of the existing %like% and +%like_case%). This greatly improves readability:

           
           if (!grepl("EUCAST", guideline)) ...
           # same:
           if (guideline %unlike% "EUCAST") ...
        • -
        • Altered the RStudio addin, so it now iterates over %like% -> %unlike% -> %like_case% -> %unlike_case% if you keep pressing your keyboard shortcut

        • +
        • Altered the RStudio addin, so it now iterates over +%like% -> %unlike% -> +%like_case% -> %unlike_case% if you keep +pressing your keyboard shortcut

      • Fixed an installation error on R-3.0
      • -
      • Added info argument to as.mo() to turn on/off the progress bar
      • -
      • Fixed a bug where col_mo in some functions (esp. eucast_rules() and mdro()) could not be a column name of the microorganisms data set as it would throw an error
      • -
      • Fix for transforming numeric values to RSI (as.rsi()) when the vctrs package is loaded (i.e., when using tidyverse)
      • +
      • Added info argument to as.mo() to turn +on/off the progress bar
      • +
      • Fixed a bug where col_mo in some functions +(esp. eucast_rules() and mdro()) could not be +a column name of the microorganisms data set as it would +throw an error
      • +
      • Fix for transforming numeric values to RSI (as.rsi()) +when the vctrs package is loaded (i.e., when using +tidyverse)
      • Colour fix for using barplot() on an RSI class
      • -
      • Added 25 common system codes for bacteria to the microorganisms.codes data set
      • -
      • Added 16 common system codes for antimicrobial agents to the antibiotics data set
      • -
      • Fix for using skimr::skim() on classes mo, mic and disk when using the just released dplyr v1.0.6
      • -
      • Updated skimr::skim() usage for MIC values to also include 25th and 75th percentiles
      • +
      • Added 25 common system codes for bacteria to the +microorganisms.codes data set
      • +
      • Added 16 common system codes for antimicrobial agents to the +antibiotics data set
      • +
      • Fix for using skimr::skim() on classes mo, +mic and disk when using the just released +dplyr v1.0.6
      • +
      • Updated skimr::skim() usage for MIC values to also +include 25th and 75th percentiles
      • Fix for plotting missing MIC/disk diffusion values
      • -
      • Updated join functions to always use dplyr join functions if the dplyr package is installed - now also preserving grouped variables
      • -
      • Antibiotic class selectors (such as cephalosporins()) now maintain the column order from the original data
      • +
      • Updated join functions to always use dplyr join +functions if the dplyr package is installed - now also +preserving grouped variables
      • +
      • Antibiotic class selectors (such as cephalosporins()) +now maintain the column order from the original data
      • Fix for selecting columns using fluoroquinolones()
      • -age() now vectorises over both x and reference +age() now vectorises over both x and +reference

Other

-
  • As requested by CRAN administrators: decreased package size by 3 MB in costs of a slower loading time of the package
  • -
  • All unit tests are now processed by the tinytest package, instead of the testthat package. The testthat package unfortunately requires tons of dependencies that are also heavy and only usable for recent R versions, disallowing developers to test a package under any R 3.* version. On the contrary, the tinytest package is very lightweight and dependency-free.
  • +
    • As requested by CRAN administrators: decreased package size by 3 MB +in costs of a slower loading time of the package
    • +
    • All unit tests are now processed by the tinytest +package, instead of the testthat package. The +testthat package unfortunately requires tons of +dependencies that are also heavy and only usable for recent R versions, +disallowing developers to test a package under any R 3.* version. On the +contrary, the tinytest package is very lightweight and +dependency-free.
@@ -384,22 +578,44 @@

New

  • -

    Support for EUCAST Clinical Breakpoints v11.0 (2021), effective in the eucast_rules() function and in as.rsi() to interpret MIC and disk diffusion values. This is now the default guideline in this package.

    -
    • Added function eucast_dosage() to get a data.frame with advised dosages of a certain bug-drug combination, which is based on the new dosage data set
    • -
    • Added data set dosage to fuel the new eucast_dosage() function and to make this data available in a structured way
    • -
    • Existing data set example_isolates now reflects the latest EUCAST rules
    • +

      Support for EUCAST Clinical Breakpoints v11.0 (2021), effective +in the eucast_rules() function and in as.rsi() +to interpret MIC and disk diffusion values. This is now the default +guideline in this package.

      +
      • Added function eucast_dosage() to get a +data.frame with advised dosages of a certain bug-drug +combination, which is based on the new dosage data set
      • +
      • Added data set dosage to fuel the new +eucast_dosage() function and to make this data available in +a structured way
      • +
      • Existing data set example_isolates now reflects the +latest EUCAST rules
    • -

      Added argument only_rsi_columns for some functions, which defaults to FALSE, to indicate if the functions must only be applied to columns that are of class <rsi> (i.e., transformed with as.rsi()). This increases speed since automatic determination of antibiotic columns is not needed anymore. Affected functions are:

      -
      • All antibiotic selector functions (ab_class() and its wrappers, such as aminoglycosides(), carbapenems(), penicillins())
      • -
      • All antibiotic filter functions (filter_ab_class() and its wrappers, such as filter_aminoglycosides(), filter_carbapenems(), filter_penicillins())
      • +

        Added argument only_rsi_columns for some functions, +which defaults to FALSE, to indicate if the functions must +only be applied to columns that are of class <rsi> +(i.e., transformed with as.rsi()). This increases speed +since automatic determination of antibiotic columns is not needed +anymore. Affected functions are:

        +
      • -

        Functions oxazolidinones() (an antibiotic selector function) and filter_oxazolidinones() (an antibiotic filter function) to select/filter on e.g. linezolid and tedizolid

        +

        Functions oxazolidinones() (an antibiotic selector +function) and filter_oxazolidinones() (an antibiotic filter +function) to select/filter on e.g. linezolid and tedizolid

         
         library(dplyr)
        @@ -409,10 +625,15 @@
         x <- example_isolates %>% filter_oxazolidinones()
         #> Filtering on oxazolidinones: value in column `LNZ` (linezolid) is either "R", "S" or "I"
      • -
      • Support for custom MDRO guidelines, using the new custom_mdro_guideline() function, please see mdro() for additional info

      • -
      • ggplot() generics for classes <mic> and <disk>

      • +
      • Support for custom MDRO guidelines, using the new +custom_mdro_guideline() function, please see +mdro() for additional info

      • +
      • ggplot() generics for classes +<mic> and <disk>

      • -

        Function mo_is_yeast(), which determines whether a microorganism is a member of the taxonomic class Saccharomycetes or the taxonomic order Saccharomycetales:

        +

        Function mo_is_yeast(), which determines whether a +microorganism is a member of the taxonomic class Saccharomycetes or the +taxonomic order Saccharomycetales:

         
         mo_kingdom(c("Aspergillus", "Candida"))
        @@ -424,7 +645,8 @@
         # usage for filtering data:
         example_isolates[which(mo_is_yeast()), ]   # base R
         example_isolates %>% filter(mo_is_yeast()) # dplyr
        -

        The mo_type() function has also been updated to reflect this change:

        +

        The mo_type() function has also been updated to reflect +this change:

         
         mo_type(c("Aspergillus", "Candida"))
        @@ -432,9 +654,14 @@
         mo_type(c("Aspergillus", "Candida"), language = "es") # also supported: de, nl, fr, it, pt
         #> [1] "Hongos"    "Levaduras"
      • -
      • Added Pretomanid (PMD, J04AK08) to the antibiotics data set

      • +
      • Added Pretomanid (PMD, J04AK08) to the antibiotics +data set

      • -

        MIC values (see as.mic()) can now be used in any mathematical processing, such as usage inside functions min(), max(), range(), and with binary operators (+, -, etc.). This allows for easy distribution analysis and fast filtering on MIC values:

        +

        MIC values (see as.mic()) can now be used in any +mathematical processing, such as usage inside functions +min(), max(), range(), and with +binary operators (+, -, etc.). This allows for +easy distribution analysis and fast filtering on MIC values:

         
         x <- random_mic(10)
        @@ -453,49 +680,107 @@
         

        Changed

        • Updated the bacterial taxonomy to 3 March 2021 (using LPSN) -
          • Added 3,372 new species and 1,523 existing species became synomyms
          • -
          • The URL of a bacterial species (mo_url()) will now lead to https://lpsn.dsmz.de +
            • Added 3,372 new species and 1,523 existing species became +synomyms
            • +
            • The URL of a bacterial species (mo_url()) will now lead +to https://lpsn.dsmz.de
          • -
          • Big update for plotting classes rsi, <mic>, and <disk>: -
            • Plotting of MIC and disk diffusion values now support interpretation colouring if you supply the microorganism and antimicrobial agent
            • -
            • All colours were updated to colour-blind friendly versions for values R, S and I for all plot methods (also applies to tibble printing)
            • -
            • Interpretation of MIC and disk diffusion values to R/SI will now be translated if the system language is German, Dutch or Spanish (see translate)
            • -
            • Plotting is now possible with base R using plot() and with ggplot2 using ggplot() on any vector of MIC and disk diffusion values
            • +
            • Big update for plotting classes rsi, +<mic>, and <disk>: +
              • Plotting of MIC and disk diffusion values now support interpretation +colouring if you supply the microorganism and antimicrobial agent
              • +
              • All colours were updated to colour-blind friendly versions for +values R, S and I for all plot methods (also applies to tibble +printing)
              • +
              • Interpretation of MIC and disk diffusion values to R/SI will now be +translated if the system language is German, Dutch or Spanish (see +translate)
              • +
              • Plotting is now possible with base R using plot() and +with ggplot2 using ggplot() on any vector of MIC and disk +diffusion values
            • -
            • Updated SNOMED codes to US Edition of SNOMED CT from 1 September 2020 and added the source to the help page of the microorganisms data set
            • +
            • Updated SNOMED codes to US Edition of SNOMED CT from 1 September +2020 and added the source to the help page of the +microorganisms data set
            • -is.rsi() and is.rsi.eligible() now return a vector of TRUE/FALSE when the input is a data set, by iterating over all columns
            • -
            • Using functions without setting a data set (e.g., mo_is_gram_negative(), mo_is_gram_positive(), mo_is_intrinsic_resistant(), first_isolate(), mdro()) now work with dplyrs group_by() again
            • +is.rsi() and is.rsi.eligible() now return +a vector of TRUE/FALSE when the input is a +data set, by iterating over all columns +
            • Using functions without setting a data set (e.g., +mo_is_gram_negative(), mo_is_gram_positive(), +mo_is_intrinsic_resistant(), first_isolate(), +mdro()) now work with dplyrs +group_by() again
            • -first_isolate() can be used with group_by() (also when using a dot . as input for the data) and now returns the names of the groups
            • -
            • Updated the data set microorganisms.codes (which contains popular LIS and WHONET codes for microorganisms) for some species of Mycobacterium that previously incorrectly returned M. africanum +first_isolate() can be used with +group_by() (also when using a dot . as input +for the data) and now returns the names of the groups
            • +
            • Updated the data set microorganisms.codes (which +contains popular LIS and WHONET codes for microorganisms) for some +species of Mycobacterium that previously incorrectly returned +M. africanum
            • -
            • WHONET code "PNV" will now correctly be interpreted as PHN, the antibiotic code for phenoxymethylpenicillin (‘peni V’)
            • -
            • Fix for verbose output of mdro(..., verbose = TRUE) for German guideline (3MGRN and 4MGRN) and Dutch guideline (BRMO, only P. aeruginosa)
            • +
            • WHONET code "PNV" will now correctly be interpreted as +PHN, the antibiotic code for phenoxymethylpenicillin (‘peni +V’)
            • +
            • Fix for verbose output of mdro(..., verbose = TRUE) for +German guideline (3MGRN and 4MGRN) and Dutch guideline (BRMO, only +P. aeruginosa)
            • -is.rsi.eligible() now detects if the column name resembles an antibiotic name or code and now returns TRUE immediately if the input contains any of the values “R”, “S” or “I”. This drastically improves speed, also for a lot of other functions that rely on automatic determination of antibiotic columns.
            • -
            • Functions get_episode() and is_new_episode() now support less than a day as value for argument episode_days (e.g., to include one patient/test per hour)
            • -
            • Argument ampc_cephalosporin_resistance in eucast_rules() now also applies to value “I” (not only “S”)
            • -
            • Functions print() and summary() on a Principal Components Analysis object (pca()) now print additional group info if the original data was grouped using dplyr::group_by() +is.rsi.eligible() now detects if the column name +resembles an antibiotic name or code and now returns TRUE +immediately if the input contains any of the values “R”, “S” or “I”. +This drastically improves speed, also for a lot of other functions that +rely on automatic determination of antibiotic columns.
            • +
            • Functions get_episode() and +is_new_episode() now support less than a day as value for +argument episode_days (e.g., to include one patient/test +per hour)
            • +
            • Argument ampc_cephalosporin_resistance in +eucast_rules() now also applies to value “I” (not only +“S”)
            • +
            • Functions print() and summary() on a +Principal Components Analysis object (pca()) now print +additional group info if the original data was grouped using +dplyr::group_by()
            • -
            • Improved speed and reliability of guess_ab_col(). As this also internally improves the reliability of first_isolate() and mdro(), this might have a slight impact on the results of those functions.
            • -
            • Fix for mo_name() when used in other languages than English
            • -
            • The like() function (and its fast alias %like%) now always use Perl compatibility, improving speed for many functions in this package (e.g., as.mo() is now up to 4 times faster)
            • +
            • Improved speed and reliability of guess_ab_col(). As +this also internally improves the reliability of +first_isolate() and mdro(), this might have a +slight impact on the results of those functions.
            • +
            • Fix for mo_name() when used in other languages than +English
            • +
            • The like() function (and its fast alias +%like%) now always use Perl compatibility, improving speed +for many functions in this package (e.g., as.mo() is now up +to 4 times faster)
            • -Staphylococcus cornubiensis is now correctly categorised as coagulase-positive
            • +Staphylococcus cornubiensis is now correctly categorised as +coagulase-positive
            • -random_disk() and random_mic() now have an expanded range in their randomisation
            • -
            • Support for GISA (glycopeptide-intermediate S. aureus), so e.g. mo_genus("GISA") will return "Staphylococcus" +random_disk() and random_mic() now have an +expanded range in their randomisation
            • +
            • Support for GISA (glycopeptide-intermediate S. aureus), so +e.g. mo_genus("GISA") will return +"Staphylococcus"
            • -
            • Added translations of German and Spanish for more than 200 antimicrobial drugs
            • -
            • Speed improvement for as.ab() when the input is an official name or ATC code
            • -
            • Added argument include_untested_rsi to the first_isolate() functions (defaults to TRUE to keep existing behaviour), to be able to exclude rows where all R/SI values (class <rsi>, see as.rsi()) are empty
            • +
            • Added translations of German and Spanish for more than 200 +antimicrobial drugs
            • +
            • Speed improvement for as.ab() when the input is an +official name or ATC code
            • +
            • Added argument include_untested_rsi to the +first_isolate() functions (defaults to TRUE to +keep existing behaviour), to be able to exclude rows where all R/SI +values (class <rsi>, see as.rsi()) are +empty

        Other

        • Big documentation updates
        • -
        • Loading the package (i.e., library(AMR)) now is ~50 times faster than before, in costs of package size (which increased by ~3 MB)
        • +
        • Loading the package (i.e., library(AMR)) now is ~50 +times faster than before, in costs of package size (which increased by +~3 MB)
        @@ -503,7 +788,14 @@

        New

        Changed

        -
        • New argument ampc_cephalosporin_resistance in eucast_rules() to correct for AmpC de-repressed cephalosporin-resistant mutants

        • +
          • New argument ampc_cephalosporin_resistance in +eucast_rules() to correct for AmpC de-repressed +cephalosporin-resistant mutants

          • -

            Interpretation of antimicrobial resistance - as.rsi():

            -
            • Reference data used for as.rsi() can now be set by the user, using the reference_data argument. This allows for using own interpretation guidelines. The user-set data must have the same structure as rsi_translation.
            • -
            • Better determination of disk zones and MIC values when running as.rsi() on a data.frame
            • -
            • Fix for using as.rsi() on a data.frame in older R versions
            • +

              Interpretation of antimicrobial resistance - +as.rsi():

              +
              • Reference data used for as.rsi() can now be set by the +user, using the reference_data argument. This allows for +using own interpretation guidelines. The user-set data must have the +same structure as rsi_translation.
              • +
              • Better determination of disk zones and MIC values when running +as.rsi() on a data.frame
              • +
              • Fix for using as.rsi() on a data.frame in older R +versions
              • -as.rsi() on a data.frame will not print a message anymore if the values are already clean R/SI values
              • -
              • If using as.rsi() on MICs or disk diffusion while there is intrinsic antimicrobial resistance, a warning will be thrown to remind about this
              • -
              • Fix for using as.rsi() on a data.frame that only contains one column for antibiotic interpretations
              • +as.rsi() on a data.frame will not print a message +anymore if the values are already clean R/SI values +
              • If using as.rsi() on MICs or disk diffusion while there +is intrinsic antimicrobial resistance, a warning will be thrown to +remind about this
              • +
              • Fix for using as.rsi() on a data.frame +that only contains one column for antibiotic interpretations
            • -

              Some functions are now context-aware when used inside dplyr verbs, such as filter(), mutate() and summarise(). This means that then the data argument does not need to be set anymore. This is the case for the new functions:

              +

              Some functions are now context-aware when used inside +dplyr verbs, such as filter(), +mutate() and summarise(). This means that then +the data argument does not need to be set anymore. This is the case for +the new functions:

      • -

        For antibiotic selection functions (such as cephalosporins(), aminoglycosides()) to select columns based on a certain antibiotic group, the dependency on the tidyselect package was removed, meaning that they can now also be used without the need to have this package installed and now also work in base R function calls (they rely on R 3.2 or later):

        +

        For antibiotic selection functions (such as +cephalosporins(), aminoglycosides()) to select +columns based on a certain antibiotic group, the dependency on the +tidyselect package was removed, meaning that they can now +also be used without the need to have this package installed and now +also work in base R function calls (they rely on R 3.2 or later):

         
         # above example in base R:
         example_isolates[which(first_isolate() & mo_is_gram_negative()),
                          c("mo", cephalosporins(), aminoglycosides())]
      • -
      • For all function arguments in the code, it is now defined what the exact type of user input should be (inspired by the typed package). If the user input for a certain function does not meet the requirements for a specific argument (such as the class or length), an informative error will be thrown. This makes the package more robust and the use of it more reproducible and reliable. In total, more than 420 arguments were defined.

      • -
      • Fix for set_mo_source(), that previously would not remember the file location of the original file

      • -
      • Deprecated function p_symbol() that not really fits the scope of this package. It will be removed in a future version. See here for the source code to preserve it.

      • -
      • Updated coagulase-negative staphylococci determination with Becker et al. 2020 (PMID 32056452), meaning that the species S. argensis, S. caeli, S. debuckii, S. edaphicus and S. pseudoxylosus are now all considered CoNS

      • -
      • Fix for using argument reference_df in as.mo() and mo_*() functions that contain old microbial codes (from previous package versions)

      • -
      • Fixed a bug where mo_uncertainties() would not return the results based on the MO matching score

      • -
      • Fixed a bug where as.mo() would not return results for known laboratory codes for microorganisms

      • -
      • Fixed a bug where as.ab() would sometimes fail

      • +
      • For all function arguments in the code, it is now defined what +the exact type of user input should be (inspired by the typed +package). If the user input for a certain function does not meet the +requirements for a specific argument (such as the class or length), an +informative error will be thrown. This makes the package more robust and +the use of it more reproducible and reliable. In total, more than 420 +arguments were defined.

      • +
      • Fix for set_mo_source(), that previously would not +remember the file location of the original file

      • +
      • Deprecated function p_symbol() that not really fits +the scope of this package. It will be removed in a future version. See +here +for the source code to preserve it.

      • +
      • Updated coagulase-negative staphylococci determination with +Becker et al. 2020 (PMID 32056452), meaning that the species +S. argensis, S. caeli, S. debuckii, S. +edaphicus and S. pseudoxylosus are now all considered +CoNS

      • +
      • Fix for using argument reference_df in +as.mo() and mo_*() functions that contain old +microbial codes (from previous package versions)

      • +
      • Fixed a bug where mo_uncertainties() would not +return the results based on the MO matching score

      • +
      • Fixed a bug where as.mo() would not return results +for known laboratory codes for microorganisms

      • +
      • Fixed a bug where as.ab() would sometimes +fail

      • Better tibble printing for MIC values

      • Fix for plotting MIC values with plot()

      • -
      • Added plot() generic to class <disk>

      • -
      • LA-MRSA and CA-MRSA are now recognised as an abbreviation for Staphylococcus aureus, meaning that e.g. mo_genus("LA-MRSA") will return "Staphylococcus" and mo_is_gram_positive("LA-MRSA") will return TRUE.

      • -
      • Fix for printing class in tibbles when all values are NA

      • -
      • Fix for mo_shortname() when the input contains NA

      • -
      • If as.mo() takes more than 30 seconds, some suggestions will be done to improve speed

      • +
      • Added plot() generic to class +<disk>

      • +
      • LA-MRSA and CA-MRSA are now recognised as an abbreviation for +Staphylococcus aureus, meaning that +e.g. mo_genus("LA-MRSA") will return +"Staphylococcus" and +mo_is_gram_positive("LA-MRSA") will return +TRUE.

      • +
      • Fix for printing class in tibbles when all values are +NA

      • +
      • Fix for mo_shortname() when the input contains +NA

      • +
      • If as.mo() takes more than 30 seconds, some +suggestions will be done to improve speed

Other

-
  • All messages and warnings thrown by this package now break sentences on whole words
  • +
    • All messages and warnings thrown by this package now break sentences +on whole words
    • More extensive unit tests
    • -
    • Internal calls to options() were all removed in favour of a new internal environment pkg_env +
    • Internal calls to options() were all removed in favour +of a new internal environment pkg_env
    • -
    • Improved internal type setting (among other things: replaced all sapply() calls with vapply())
    • +
    • Improved internal type setting (among other things: replaced all +sapply() calls with vapply())
    • Added CodeFactor as a continuous code review to this package: https://www.codefactor.io/repository/github/msberends/amr/
    • Added Dr. Rogier Schade as contributor
    • @@ -599,11 +954,31 @@

      New

      -
      • Support for ‘EUCAST Expert Rules’ / ‘EUCAST Intrinsic Resistance and Unusual Phenotypes’ version 3.2 of May 2020. With this addition to the previously implemented version 3.1 of 2016, the eucast_rules() function can now correct for more than 180 different antibiotics and the mdro() function can determine multidrug resistance based on more than 150 different antibiotics. All previously implemented versions of the EUCAST rules are now maintained and kept available in this package. The eucast_rules() function consequently gained the arguments version_breakpoints (at the moment defaults to v10.0, 2020) and version_expertrules (at the moment defaults to v3.2, 2020). The example_isolates data set now also reflects the change from v3.1 to v3.2. The mdro() function now accepts guideline == "EUCAST3.1" and guideline == "EUCAST3.2".

      • -
      • A new vignette and website page with info about all our public and freely available data sets, that can be downloaded as flat files or in formats for use in R, SPSS, SAS, Stata and Excel: https://msberends.github.io/AMR/articles/datasets.html

      • +
        • Support for ‘EUCAST Expert Rules’ / ‘EUCAST Intrinsic Resistance +and Unusual Phenotypes’ version 3.2 of May 2020. With this addition to +the previously implemented version 3.1 of 2016, the +eucast_rules() function can now correct for more than 180 +different antibiotics and the mdro() function can determine +multidrug resistance based on more than 150 different antibiotics. All +previously implemented versions of the EUCAST rules are now maintained +and kept available in this package. The eucast_rules() +function consequently gained the arguments +version_breakpoints (at the moment defaults to v10.0, 2020) +and version_expertrules (at the moment defaults to v3.2, +2020). The example_isolates data set now also reflects the +change from v3.1 to v3.2. The mdro() function now accepts +guideline == "EUCAST3.1" and +guideline == "EUCAST3.2".

        • +
        • A new vignette and website page with info about all our public +and freely available data sets, that can be downloaded as flat files or +in formats for use in R, SPSS, SAS, Stata and Excel: https://msberends.github.io/AMR/articles/datasets.html

        • -

          Data set intrinsic_resistant. This data set contains all bug-drug combinations where the ‘bug’ is intrinsic resistant to the ‘drug’ according to the latest EUCAST insights. It contains just two columns: microorganism and antibiotic.

          -

          Curious about which enterococci are actually intrinsic resistant to vancomycin?

          +

          Data set intrinsic_resistant. This data set contains +all bug-drug combinations where the ‘bug’ is intrinsic resistant to the +‘drug’ according to the latest EUCAST insights. It contains just two +columns: microorganism and antibiotic.

          +

          Curious about which enterococci are actually intrinsic resistant to +vancomycin?

           
           library(AMR)
          @@ -614,15 +989,21 @@
           #> [1] "Enterococcus casseliflavus" "Enterococcus gallinarum"   
        • Support for veterinary ATC codes

        • -
        • Support for skimming classes <rsi>, <mic>, <disk> and <mo> with the skimr package

        • +
        • Support for skimming classes <rsi>, +<mic>, <disk> and +<mo> with the skimr package

      Changed

      -
      • Although advertised that this package should work under R 3.0.0, we still had a dependency on R 3.6.0. This is fixed, meaning that our package should now work under R 3.0.0.

      • +
        • Although advertised that this package should work under R 3.0.0, +we still had a dependency on R 3.6.0. This is fixed, meaning that our +package should now work under R 3.0.0.

        • Improvements for as.rsi():

          • -

            Support for using dplyr’s across() to interpret MIC values or disk zone diameters, which also automatically determines the column with microorganism names or codes.

            +

            Support for using dplyr’s across() to +interpret MIC values or disk zone diameters, which also automatically +determines the column with microorganism names or codes.

             
             # until dplyr 1.0.0
            @@ -633,13 +1014,23 @@
             your_data %>% mutate(across(where(is.mic), as.rsi))
             your_data %>% mutate(across(where(is.disk), as.rsi))
          • -
          • Cleaning columns in a data.frame now allows you to specify those columns with tidy selection, e.g. as.rsi(df, col1:col9)

          • -
          • Big speed improvement for interpreting MIC values and disk zone diameters. When interpreting 5,000 MIC values of two antibiotics (10,000 values in total), our benchmarks showed a total run time going from 80.7-85.1 seconds to 1.8-2.0 seconds.

          • -
          • Added argument ‘add_intrinsic_resistance’ (defaults to FALSE), that considers intrinsic resistance according to EUCAST

          • -
          • Fixed a bug where in EUCAST rules the breakpoint for R would be interpreted as “>=” while this should have been “<”

          • +
          • Cleaning columns in a data.frame now allows you to specify those +columns with tidy selection, +e.g. as.rsi(df, col1:col9)

          • +
          • Big speed improvement for interpreting MIC values and disk zone +diameters. When interpreting 5,000 MIC values of two antibiotics (10,000 +values in total), our benchmarks showed a total run time going from +80.7-85.1 seconds to 1.8-2.0 seconds.

          • +
          • Added argument ‘add_intrinsic_resistance’ (defaults to +FALSE), that considers intrinsic resistance according to +EUCAST

          • +
          • Fixed a bug where in EUCAST rules the breakpoint for R would be +interpreted as “>=” while this should have been “<”

        • -

          Added intelligent data cleaning to as.disk(), so numbers can also be extracted from text and decimal numbers will always be rounded up:

          +

          Added intelligent data cleaning to as.disk(), so +numbers can also be extracted from text and decimal numbers will always +be rounded up:

           
           as.disk(c("disk zone: 23.4 mm", 23.4))
          @@ -648,47 +1039,102 @@
           
        • Improvements for as.mo():

          -
          • A completely new matching score for ambiguous user input, using mo_matching_score(). Any user input value that could mean more than one taxonomic entry is now considered ‘uncertain’. Instead of a warning, a message will be thrown and the accompanying mo_uncertainties() has been changed completely; it now prints all possible candidates with their matching score.
          • -
          • Big speed improvement for already valid microorganism ID. This also means an significant speed improvement for using mo_* functions like mo_name() on microoganism IDs.
          • -
          • Added argument ignore_pattern to as.mo() which can also be given to mo_* functions like mo_name(), to exclude known non-relevant input from analysing. This can also be set with the option AMR_ignore_pattern.
          • +
            • A completely new matching score for ambiguous user input, using +mo_matching_score(). Any user input value that could mean +more than one taxonomic entry is now considered ‘uncertain’. Instead of +a warning, a message will be thrown and the accompanying +mo_uncertainties() has been changed completely; it now +prints all possible candidates with their matching score.
            • +
            • Big speed improvement for already valid microorganism ID. This also +means an significant speed improvement for using mo_* +functions like mo_name() on microoganism IDs.
            • +
            • Added argument ignore_pattern to as.mo() +which can also be given to mo_* functions like +mo_name(), to exclude known non-relevant input from +analysing. This can also be set with the option +AMR_ignore_pattern.
            -
          • get_locale() now uses at default Sys.getenv("LANG") or, if LANG is not set, Sys.getlocale(). This can be overwritten by setting the option AMR_locale.

          • +
          • get_locale() now uses at default +Sys.getenv("LANG") or, if LANG is not set, +Sys.getlocale(). This can be overwritten by setting the +option AMR_locale.

          • Big speed improvement for eucast_rules()

          • Overall speed improvement by tweaking joining functions

          • -
          • Function mo_shortname() now returns the genus for input where the species is unknown

          • -
          • BORSA is now recognised as an abbreviation for Staphylococcus aureus, meaning that e.g. mo_genus("BORSA") will return “Staphylococcus”

          • -
          • Added a feature from AMR 1.1.0 and earlier again, but now without other package dependencies: tibble printing support for classes <rsi>, <mic>, <disk>, <ab> and <mo>. When using tibbles containing antimicrobial columns (class <rsi>), “S” will print in green, “I” will print in yellow and “R” will print in red. Microbial IDs (class <mo>) will emphasise on the genus and species, not on the kingdom.

          • -
          • Names of antiviral agents in data set antivirals now have a starting capital letter, like it is the case in the antibiotics data set

          • -
          • Updated the documentation of the WHONET data set to clarify that all patient names are fictitious

          • +
          • Function mo_shortname() now returns the genus for +input where the species is unknown

          • +
          • BORSA is now recognised as an abbreviation for Staphylococcus +aureus, meaning that e.g. mo_genus("BORSA") will +return “Staphylococcus”

          • +
          • Added a feature from AMR 1.1.0 and earlier again, but now without +other package dependencies: tibble printing support for +classes <rsi>, <mic>, +<disk>, <ab> and +<mo>. When using tibbles containing +antimicrobial columns (class <rsi>), “S” will print +in green, “I” will print in yellow and “R” will print in red. Microbial +IDs (class <mo>) will emphasise on the genus and +species, not on the kingdom.

          • +
          • Names of antiviral agents in data set antivirals now +have a starting capital letter, like it is the case in the +antibiotics data set

          • +
          • Updated the documentation of the WHONET data set to +clarify that all patient names are fictitious

          • Small as.ab() algorithm improvements

          • -
          • Fix for combining MIC values with raw numbers, i.e. c(as.mic(2), 2) previously failed but now returns a valid MIC class

          • -
          • ggplot_rsi() and geom_rsi() gained arguments minimum and language, to influence the internal use of rsi_df()

          • +
          • Fix for combining MIC values with raw numbers, +i.e. c(as.mic(2), 2) previously failed but now returns a +valid MIC class

          • +
          • ggplot_rsi() and geom_rsi() gained +arguments minimum and language, to influence +the internal use of rsi_df()

          • Changes in the antibiotics data set:

            • Updated oral and parental DDDs from the WHOCC
            • Added abbreviation “piptazo” to ‘Piperacillin/tazobactam’ (TZP)
            • -
            • ‘Penicillin G’ (for intravenous use) is now named ‘Benzylpenicillin’ (code PEN)
            • -
            • ‘Penicillin V’ (for oral use, code PNV) was removed, since its actual entry ‘Phenoxymethylpenicillin’ (code PHN) already existed
            • -
            • The group name (antibiotics$group) of ‘Linezolid’ (LNZ), ‘Cycloserine’ (CYC), ‘Tedizolid’ (TZD) and ‘Thiacetazone’ (THA) is now “Oxazolidinones” instead of “Other antibacterials”
            • +
            • ‘Penicillin G’ (for intravenous use) is now named ‘Benzylpenicillin’ +(code PEN)
            • +
            • ‘Penicillin V’ (for oral use, code PNV) was removed, +since its actual entry ‘Phenoxymethylpenicillin’ (code PHN) +already existed
            • +
            • The group name (antibiotics$group) of ‘Linezolid’ +(LNZ), ‘Cycloserine’ (CYC), ‘Tedizolid’ +(TZD) and ‘Thiacetazone’ (THA) is now +“Oxazolidinones” instead of “Other antibacterials”
          • -
          • Added support for using unique() on classes <rsi>, <mic>, <disk>, <ab> and <mo>

          • -
          • Added argument excess to the kurtosis() function (defaults to FALSE), to return the excess kurtosis, defined as the kurtosis minus three.

          • +
          • Added support for using unique() on classes +<rsi>, <mic>, +<disk>, <ab> and +<mo>

          • +
          • Added argument excess to the kurtosis() +function (defaults to FALSE), to return the excess +kurtosis, defined as the kurtosis minus three.

      Other

      -
      • Removed functions portion_R(), portion_S() and portion_I() that were deprecated since version 0.9.0 (November 2019) and were replaced with proportion_R(), proportion_S() and proportion_I() +
        • Removed functions portion_R(), portion_S() +and portion_I() that were deprecated since version 0.9.0 +(November 2019) and were replaced with proportion_R(), +proportion_S() and proportion_I()
        • Removed unnecessary references to the base package
        • -
        • Added packages that could be useful for some functions to the Suggests field of the DESCRIPTION file
        • +
        • Added packages that could be useful for some functions to the +Suggests field of the DESCRIPTION file

New

-
  • Function ab_from_text() to retrieve antimicrobial drug names, doses and forms of administration from clinical texts in e.g. health care records, which also corrects for misspelling since it uses as.ab() internally

  • +
    • Function ab_from_text() to retrieve antimicrobial +drug names, doses and forms of administration from clinical texts in +e.g. health care records, which also corrects for misspelling since it +uses as.ab() internally

    • -

      Tidyverse selection helpers for antibiotic classes, that help to select the columns of antibiotics that are of a specific antibiotic class, without the need to define the columns or antibiotic abbreviations. They can be used in any function that allows selection helpers, like dplyr::select() and tidyr::pivot_longer():

      +

      Tidyverse +selection helpers for antibiotic classes, that help to select the +columns of antibiotics that are of a specific antibiotic class, without +the need to define the columns or antibiotic abbreviations. They can be +used in any function that allows selection helpers, like +dplyr::select() and tidyr::pivot_longer():

       
       library(dplyr)
      @@ -698,54 +1144,105 @@
         select(carbapenems())
       #> Selecting carbapenems: `IPM` (imipenem), `MEM` (meropenem)
    • -
    • Added mo_domain() as an alias to mo_kingdom()

    • -
    • Added function filter_penicillins() to filter isolates on a specific result in any column with a name in the antimicrobial ‘penicillins’ class (more specific: ATC subgroup Beta-lactam antibacterials, penicillins)

    • -
    • Added official antimicrobial names to all filter_ab_class() functions, such as filter_aminoglycosides()

    • -
    • Added antibiotics code “FOX1” for cefoxitin screening (abbreviation “cfsc”) to the antibiotics data set

    • +
    • Added mo_domain() as an alias to +mo_kingdom()

    • +
    • Added function filter_penicillins() to filter +isolates on a specific result in any column with a name in the +antimicrobial ‘penicillins’ class (more specific: ATC subgroup +Beta-lactam antibacterials, penicillins)

    • +
    • Added official antimicrobial names to all +filter_ab_class() functions, such as +filter_aminoglycosides()

    • +
    • Added antibiotics code “FOX1” for cefoxitin screening +(abbreviation “cfsc”) to the antibiotics data set

    • Added Monuril as trade name for fosfomycin

    • -
    • Added argument conserve_capped_values to as.rsi() for interpreting MIC values - it makes sure that values starting with “<” (but not “<=”) will always return “S” and values starting with “>” (but not “>=”) will always return “R”. The default behaviour of as.rsi() has not changed, so you need to specifically do as.rsi(..., conserve_capped_values = TRUE).

    • +
    • Added argument conserve_capped_values to +as.rsi() for interpreting MIC values - it makes sure that +values starting with “<” (but not “<=”) will always return “S” and +values starting with “>” (but not “>=”) will always return “R”. +The default behaviour of as.rsi() has not changed, so you +need to specifically do +as.rsi(..., conserve_capped_values = TRUE).

Changed

  • -

    Big speed improvement for using any function on microorganism codes from earlier package versions (prior to AMR v1.2.0), such as as.mo(), mo_name(), first_isolate(), eucast_rules(), mdro(), etc.

    -

    As a consequence, very old microbial codes (from AMR v0.5.0 and lower) are not supported anymore. Use as.mo() on your microorganism names or codes to transform them to current abbreviations used in this package.

    +

    Big speed improvement for using any function on microorganism +codes from earlier package versions (prior to AMR v1.2.0), +such as as.mo(), mo_name(), +first_isolate(), eucast_rules(), +mdro(), etc.

    +

    As a consequence, very old microbial codes (from AMR +v0.5.0 and lower) are not supported anymore. Use +as.mo() on your microorganism names or codes to transform +them to current abbreviations used in this package.

  • -

    Improvements for susceptibility() and resistance() and all count_*(), proportion_*() functions:

    -
    • 95% speed improvement by using other base R functions for calculation
    • -
    • Using unexisting columns wil now return an error instead of dropping them silently
    • -
    • Using variables for column names (as well as selectors like dplyr::all_of()) now works again
    • +

      Improvements for susceptibility() and +resistance() and all count_*(), +proportion_*() functions:

      +
      • 95% speed improvement by using other base R functions for +calculation
      • +
      • Using unexisting columns wil now return an error instead of dropping +them silently
      • +
      • Using variables for column names (as well as selectors like +dplyr::all_of()) now works again
    • Improvements for as.ab():

      -
      • Dramatic improvement of the algorithm behind as.ab(), making many more input errors translatable, such as digitalised health care records, using too few or too many vowels or consonants and many more
      • +
        • Dramatic improvement of the algorithm behind as.ab(), +making many more input errors translatable, such as digitalised health +care records, using too few or too many vowels or consonants and many +more
        • Added progress bar
        • -
        • Fixed a bug where as.ab() would return an error on invalid input values
        • -
        • The as.ab() function will now throw a note if more than 1 antimicrobial drug could be retrieved from a single input value.
        • +
        • Fixed a bug where as.ab() would return an error on +invalid input values
        • +
        • The as.ab() function will now throw a note if more than +1 antimicrobial drug could be retrieved from a single input value.
        -
      • Fixed a bug where eucast_rules() would not work on a tibble when the tibble or dplyr package was loaded

      • -
      • Fixed a bug for CLSI 2019 guidelines (using as.rsi()), that also included results for animals. It now only contains interpretation guidelines for humans.

      • -
      • All *_join_microorganisms() functions and bug_drug_combinations() now return the original data class (e.g. tibbles and data.tables)

      • +
      • Fixed a bug where eucast_rules() would not work on a +tibble when the tibble or dplyr package was +loaded

      • +
      • Fixed a bug for CLSI 2019 guidelines (using +as.rsi()), that also included results for animals. It now +only contains interpretation guidelines for humans.

      • +
      • All *_join_microorganisms() functions and +bug_drug_combinations() now return the original data class +(e.g. tibbles and data.tables)

      • -

        For functions rsi_df(), proportion_df() and count_df():

        +

        For functions rsi_df(), proportion_df() +and count_df():

        • Fixed a bug for using grouped versions
        • -
        • Fixed a bug where not all different antimicrobial results were added as rows
        • -
        • Fixed a bug when only calculating counts (count_df()) when all antibiotics in the data set have only NAs
        • +
        • Fixed a bug where not all different antimicrobial results were added +as rows
        • +
        • Fixed a bug when only calculating counts (count_df()) +when all antibiotics in the data set have only NAs
      • -
      • Improved auto-determination for columns of types <mo> and <Date>

      • -
      • Fixed a bug in bug_drug_combinations() for when only one antibiotic was in the input data

      • -
      • Changed the summary for class <rsi>, to highlight the %SI vs. %R

      • -
      • Improved error handling, giving more useful info when functions return an error

      • -
      • Any progress bar will now only show in interactive mode (i.e. not in R Markdown)

      • -
      • Speed improvement for mdro() and filter_ab_class()

      • -
      • New option arrows_textangled for ggplot_pca() to indicate whether the text at the end of the arrows should be angled (defaults to TRUE, as it was in previous versions)

      • +
      • Improved auto-determination for columns of types +<mo> and <Date>

      • +
      • Fixed a bug in bug_drug_combinations() for when only +one antibiotic was in the input data

      • +
      • Changed the summary for class <rsi>, to +highlight the %SI vs. %R

      • +
      • Improved error handling, giving more useful info when functions +return an error

      • +
      • Any progress bar will now only show in interactive mode (i.e. not +in R Markdown)

      • +
      • Speed improvement for mdro() and +filter_ab_class()

      • +
      • New option arrows_textangled for +ggplot_pca() to indicate whether the text at the end of the +arrows should be angled (defaults to TRUE, as it was in +previous versions)

      • Added parenteral DDD to benzylpenicillin

      • -
      • Fixed a bug where as.mic() could not handle dots without a leading zero (like "<=.25)

      • +
      • Fixed a bug where as.mic() could not handle dots +without a leading zero (like "<=.25)

Other

-
  • Moved primary location of this project from GitLab to GitHub, giving us native support for automated syntax checking without being dependent on external services such as AppVeyor and Travis CI.
  • +
    • Moved primary location of this project from GitLab to GitHub, giving us native +support for automated syntax checking without being dependent on +external services such as AppVeyor and Travis CI.
@@ -753,73 +1250,144 @@

Breaking

  • -

    Removed code dependency on all other R packages, making this package fully independent of the development process of others. This is a major code change, but will probably not be noticeable by most users.

    -

    Making this package independent of especially the tidyverse (e.g. packages dplyr and tidyr) tremendously increases sustainability on the long term, since tidyverse functions change quite often. Good for users, but hard for package maintainers. Most of our functions are replaced with versions that only rely on base R, which keeps this package fully functional for many years to come, without requiring a lot of maintenance to keep up with other packages anymore. Another upside it that this package can now be used with all versions of R since R-3.0.0 (April 2013). Our package is being used in settings where the resources are very limited. Fewer dependencies on newer software is helpful for such settings.

    +

    Removed code dependency on all other R packages, making this +package fully independent of the development process of others. This is +a major code change, but will probably not be noticeable by most +users.

    +

    Making this package independent of especially the tidyverse +(e.g. packages dplyr and tidyr) tremendously +increases sustainability on the long term, since tidyverse functions +change quite often. Good for users, but hard for package maintainers. +Most of our functions are replaced with versions that only rely on base +R, which keeps this package fully functional for many years to come, +without requiring a lot of maintenance to keep up with other packages +anymore. Another upside it that this package can now be used with all +versions of R since R-3.0.0 (April 2013). Our package is being used in +settings where the resources are very limited. Fewer dependencies on +newer software is helpful for such settings.

    Negative effects of this change are:

    -
    • Function freq() that was borrowed from the cleaner package was removed. Use cleaner::freq(), or run library("cleaner") before you use freq().
    • -
    • Printing values of class mo or rsi in a tibble will no longer be in colour and printing rsi in a tibble will show the class <ord>, not <rsi> anymore. This is purely a visual effect.
    • -
    • All functions from the mo_* family (like mo_name() and mo_gramstain()) are noticeably slower when running on hundreds of thousands of rows.
    • -
    • For developers: classes mo and ab now both also inherit class character, to support any data transformation. This change invalidates code that checks for class length == 1.
    • +
      • Function freq() that was borrowed from the +cleaner package was removed. Use +cleaner::freq(), or run library("cleaner") +before you use freq().
      • +
      • Printing values of class mo or rsi in +a tibble will no longer be in colour and printing rsi in a +tibble will show the class <ord>, not +<rsi> anymore. This is purely a visual +effect.
      • +
      • All functions from the mo_* family (like +mo_name() and mo_gramstain()) are noticeably +slower when running on hundreds of thousands of rows.
      • +
      • For developers: classes mo and ab now both +also inherit class character, to support any data +transformation. This change invalidates code that checks for class +length == 1.

Changed

  • Taxonomy: -
    • Updated the taxonomy of microorganisms to May 2020, using the Catalogue of Life (CoL), the Global Biodiversity Information Facility (GBIF) and the List of Prokaryotic names with Standing in Nomenclature (LPSN, hosted by DSMZ since February 2020). Note: a taxonomic update may always impact determination of first isolates (using first_isolate()), since some bacterial names might be renamed to other genera or other (sub)species. This is expected behaviour.
    • -
    • Removed the Catalogue of Life IDs (like 776351), since they now work with a species ID (hexadecimal string)
    • +
      • Updated the taxonomy of microorganisms to May 2020, using the +Catalogue of Life (CoL), the Global Biodiversity Information Facility +(GBIF) and the List of Prokaryotic names with Standing in Nomenclature +(LPSN, hosted by DSMZ since February 2020). Note: a +taxonomic update may always impact determination of first isolates +(using first_isolate()), since some bacterial names might +be renamed to other genera or other (sub)species. This is expected +behaviour.
      • +
      • Removed the Catalogue of Life IDs (like 776351), since they now work +with a species ID (hexadecimal string)
    • EUCAST rules: -
      • The eucast_rules() function no longer applies “other” rules at default that are made available by this package (like setting ampicillin = R when ampicillin + enzyme inhibitor = R). The default input value for rules is now c("breakpoints", "expert") instead of "all", but this can be changed by the user. To return to the old behaviour, set options(AMR.eucast_rules = "all").
      • -
      • Fixed a bug where checking antimicrobial results in the original data were not regarded as valid R/SI values
      • -
      • All “other” rules now apply for all drug combinations in the antibiotics data set these two rules: -
        1. A drug with enzyme inhibitor will be set to S if the drug without enzyme inhibitor is S
        2. -
        3. A drug without enzyme inhibitor will be set to R if the drug with enzyme inhibitor is R
        4. +
          • The eucast_rules() function no longer applies “other” +rules at default that are made available by this package (like setting +ampicillin = R when ampicillin + enzyme inhibitor = R). The default +input value for rules is now +c("breakpoints", "expert") instead of "all", +but this can be changed by the user. To return to the old behaviour, set +options(AMR.eucast_rules = "all").
          • +
          • Fixed a bug where checking antimicrobial results in the original +data were not regarded as valid R/SI values
          • +
          • All “other” rules now apply for all drug combinations in the +antibiotics data set these two rules: +
            1. A drug with enzyme inhibitor will be set to S if +the drug without enzyme inhibitor is S
            2. +
            3. A drug without enzyme inhibitor will be set to R if +the drug with enzyme inhibitor is R
            -This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/avibactam, trimethoprim/sulfamethoxazole, etc.
          • -
          • Added official drug names to verbose output of eucast_rules() +This works for all drug combinations, such as ampicillin/sulbactam, +ceftazidime/avibactam, trimethoprim/sulfamethoxazole, etc.
          • +
          • Added official drug names to verbose output of +eucast_rules()
          -
        5. Added function ab_url() to return the direct URL of an antimicrobial agent from the official WHO website
        6. -
        7. Improvements for algorithm in as.ab(), so that e.g. as.ab("ampi sul") and ab_name("ampi sul") work
        8. -
        9. Functions ab_atc() and ab_group() now return NA if no antimicrobial agent could be found
        10. -
        11. Small fix for some text input that could not be coerced as valid MIC values
        12. -
        13. Fix for interpretation of generic CLSI interpretation rules (thanks to Anthony Underwood)
        14. -
        15. Fix for set_mo_source() to make sure that column mo will always be the second column
        16. -
        17. Added abbreviation “cfsc” for Cefoxitin and “cfav” for Ceftazidime/avibactam
        18. +
        19. Added function ab_url() to return the direct URL of an +antimicrobial agent from the official WHO website
        20. +
        21. Improvements for algorithm in as.ab(), so that +e.g. as.ab("ampi sul") and ab_name("ampi sul") +work
        22. +
        23. Functions ab_atc() and ab_group() now +return NA if no antimicrobial agent could be found
        24. +
        25. Small fix for some text input that could not be coerced as valid MIC +values
        26. +
        27. Fix for interpretation of generic CLSI interpretation rules (thanks +to Anthony Underwood)
        28. +
        29. Fix for set_mo_source() to make sure that column +mo will always be the second column
        30. +
        31. Added abbreviation “cfsc” for Cefoxitin and “cfav” for +Ceftazidime/avibactam

Other

-
  • Removed previously deprecated function p.symbol() - it was replaced with p_symbol() +
    • Removed previously deprecated function p.symbol() - it +was replaced with p_symbol()
    • -
    • Removed function read.4d(), that was only useful for reading data from an old test database.
    • +
    • Removed function read.4d(), that was only useful for +reading data from an old test database.

New

-
  • Support for easy principal component analysis for AMR, using the new pca() function
  • -
  • Plotting biplots for principal component analysis using the new ggplot_pca() function
  • +
    • Support for easy principal component analysis for AMR, using the new +pca() function
    • +
    • Plotting biplots for principal component analysis using the new +ggplot_pca() function

Changed

-
  • Improvements for the algorithm used by as.mo() (and consequently all mo_* functions, that use as.mo() internally): -
    • Support for codes ending with SPE for species, like "ESCSPE" for Escherichia coli +
      • Improvements for the algorithm used by as.mo() (and +consequently all mo_* functions, that use +as.mo() internally): +
        • Support for codes ending with SPE for species, like +"ESCSPE" for Escherichia coli
        • -
        • Support for any encoding, which means that any language-specific character with accents can be used for input
        • -
        • Support for more arbitrary IDs used in laboratory information systems
        • +
        • Support for any encoding, which means that any language-specific +character with accents can be used for input
        • +
        • Support for more arbitrary IDs used in laboratory information +systems
        • Small fix for preventing viruses being treated as bacteria
        • -
        • Small fix for preventing contamination and lack of growth being treated as valid microorganisms
        • +
        • Small fix for preventing contamination and lack of growth being +treated as valid microorganisms
      • -
      • Support for all abbreviations of antibiotics and antimycotics used by the Netherlands National Institute for Public Health and the Environment (Rijksinstituut voor Volksgezondheid en Milieu; RIVM)
      • -
      • Added more abbreviations to the antibiotics data set
      • -
      • Reloaded original EUCAST master tables from 2019 (2020 was already available). This seems more reliable than the data we used from WHONET.
      • -
      • Added generic CLSI rules for R/SI interpretation using as.rsi() for years 2010-2019 (thanks to Anthony Underwood)
      • +
      • Support for all abbreviations of antibiotics and antimycotics used +by the Netherlands National Institute for Public Health and the +Environment (Rijksinstituut voor Volksgezondheid en Milieu; RIVM)
      • +
      • Added more abbreviations to the antibiotics data +set
      • +
      • Reloaded original EUCAST master tables from 2019 (2020 was already +available). This seems more reliable than the data we used from +WHONET.
      • +
      • Added generic CLSI rules for R/SI interpretation using +as.rsi() for years 2010-2019 (thanks to Anthony +Underwood)

Other

  • Support for the upcoming dplyr version 1.0.0
  • -
  • More robust assigning for classes rsi and mic +
  • More robust assigning for classes rsi and +mic
@@ -827,9 +1395,12 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/

Changed

-
  • Fixed important floating point error for some MIC comparisons in EUCAST 2020 guideline

  • +
    • Fixed important floating point error for some MIC comparisons in +EUCAST 2020 guideline

    • -

      Interpretation from MIC values (and disk zones) to R/SI can now be used with mutate_at() of the dplyr package:

      +

      Interpretation from MIC values (and disk zones) to R/SI can now +be used with mutate_at() of the dplyr +package:

       
       yourdata %>% 
      @@ -838,21 +1409,43 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
       yourdata %>% 
         mutate_at(vars(antibiotic1:antibiotic25), as.rsi, mo = .$mybacteria)
    • -
    • Added antibiotic abbreviations for a laboratory manufacturer (GLIMS) for cefuroxime, cefotaxime, ceftazidime, cefepime, cefoxitin and trimethoprim/sulfamethoxazole

    • -
    • Added uti (as abbreviation of urinary tract infections) as argument to as.rsi(), so interpretation of MIC values and disk zones can be made dependent on isolates specifically from UTIs

    • -
    • Info printing in functions eucast_rules(), first_isolate(), mdro() and resistance_predict() will now at default only print when R is in an interactive mode (i.e. not in RMarkdown)

    • +
    • Added antibiotic abbreviations for a laboratory manufacturer +(GLIMS) for cefuroxime, cefotaxime, ceftazidime, cefepime, cefoxitin and +trimethoprim/sulfamethoxazole

    • +
    • Added uti (as abbreviation of urinary tract +infections) as argument to as.rsi(), so interpretation of +MIC values and disk zones can be made dependent on isolates specifically +from UTIs

    • +
    • Info printing in functions eucast_rules(), +first_isolate(), mdro() and +resistance_predict() will now at default only print when R +is in an interactive mode (i.e. not in RMarkdown)

-

This software is now out of beta and considered stable. Nonetheless, this package will be developed continually.

+

This software is now out of beta and considered stable. Nonetheless, +this package will be developed continually.

New

-
  • Support for the newest EUCAST Clinical Breakpoint Tables v.10.0, valid from 1 January 2020. This affects translation of MIC and disk zones using as.rsi() and inferred resistance and susceptibility using eucast_rules().
  • -
  • The repository of this package now contains a clean version of the EUCAST and CLSI guidelines from 2011-2020 to translate MIC and disk diffusion values to R/SI: https://github.com/msberends/AMR/blob/main/data-raw/rsi_translation.txt. This allows for machine reading these guidelines, which is almost impossible with the Excel and PDF files distributed by EUCAST and CLSI. This file used to process the EUCAST Clinical Breakpoints Excel file can be found here.
  • +
    • Support for the newest EUCAST Clinical +Breakpoint Tables v.10.0, valid from 1 January 2020. This affects +translation of MIC and disk zones using as.rsi() and +inferred resistance and susceptibility using +eucast_rules().
    • +
    • The repository of this package now contains a clean version of the +EUCAST and CLSI guidelines from 2011-2020 to translate MIC and disk +diffusion values to R/SI: https://github.com/msberends/AMR/blob/main/data-raw/rsi_translation.txt. +This allows for machine reading these guidelines, which +is almost impossible with the Excel and PDF files distributed by EUCAST +and CLSI. This file used to process the EUCAST Clinical Breakpoints +Excel file can +be found here.
    • Support for LOINC and SNOMED codes
      • -

        Support for LOINC codes in the antibiotics data set. Use ab_loinc() to retrieve LOINC codes, or use a LOINC code for input in any ab_* function:

        +

        Support for LOINC codes in the antibiotics data set. +Use ab_loinc() to retrieve LOINC codes, or use a LOINC code +for input in any ab_* function:

         
         ab_loinc("ampicillin")
        @@ -863,7 +1456,9 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
         #> [1] "J01CA01"
      • -

        Support for SNOMED CT codes in the microorganisms data set. Use mo_snomed() to retrieve SNOMED codes, or use a SNOMED code for input in any mo_* function:

        +

        Support for SNOMED CT codes in the microorganisms +data set. Use mo_snomed() to retrieve SNOMED codes, or use +a SNOMED code for input in any mo_* function:

         
         mo_snomed("S. aureus")
        @@ -877,25 +1472,47 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
         

Changes

-
  • The as.mo() function previously wrote to the package folder to improve calculation speed for previously calculated results. This is no longer the case, to comply with CRAN policies. Consequently, the function clear_mo_history() was removed.
  • -
  • Bugfix for some WHONET microorganism codes that were not interpreted correctly when using as.rsi() +
    • The as.mo() function previously wrote to the package +folder to improve calculation speed for previously calculated results. +This is no longer the case, to comply with CRAN policies. Consequently, +the function clear_mo_history() was removed.
    • +
    • Bugfix for some WHONET microorganism codes that were not interpreted +correctly when using as.rsi()
    • -
    • Improvements for the algorithm used by as.mo() (and consequently all mo_* functions, that use as.mo() internally): -
      • Support for missing spaces, e.g. in as.mo("Methicillin-resistant S.aureus") +
      • Improvements for the algorithm used by as.mo() (and +consequently all mo_* functions, that use +as.mo() internally): +
        • Support for missing spaces, e.g. in +as.mo("Methicillin-resistant S.aureus")
        • Better support for determination of Salmonella biovars
        • -
        • Speed improvements, especially for the G. species format (G for genus), like E. coli and K pneumoniae +
        • Speed improvements, especially for the G. species format (G +for genus), like E. coli and K pneumoniae
        • -
        • Support for more common codes used in laboratory information systems
        • +
        • Support for more common codes used in laboratory information +systems
      • -
      • Input values for as.disk() limited to a maximum of 50 millimeters
      • -
      • Added a lifecycle state to every function, following the lifecycle circle of the tidyverse +
      • Input values for as.disk() limited to a maximum of 50 +millimeters
      • +
      • Added a lifecycle state to every function, following the lifecycle +circle of the tidyverse
      • -
      • For in as.ab(): support for drugs starting with “co-” like co-amoxiclav, co-trimoxazole, co-trimazine and co-trimazole (thanks to Peter Dutey)
      • -
      • Changes to the antibiotics data set (thanks to Peter Dutey): -
        • Added more synonyms to colistin, imipenem and piperacillin/tazobactam
        • -
        • Moved synonyms Rifinah and Rimactazid from rifampicin (RIF) to rifampicin/isoniazid (RFI). Please note that the combination rifampicin/isoniazid has no DDDs defined, so e.g. ab_ddd("Rimactazid") will now return NA.
        • -
        • Moved synonyms Bactrimel and Cotrimazole from sulfamethoxazole (SMX) to trimethoprim/sulfamethoxazole (SXT)
        • +
        • For in as.ab(): support for drugs starting with “co-” +like co-amoxiclav, co-trimoxazole, co-trimazine and co-trimazole (thanks +to Peter Dutey)
        • +
        • Changes to the antibiotics data set (thanks to Peter +Dutey): +
          • Added more synonyms to colistin, imipenem and +piperacillin/tazobactam
          • +
          • Moved synonyms Rifinah and Rimactazid from rifampicin +(RIF) to rifampicin/isoniazid (RFI). Please +note that the +combination rifampicin/isoniazid has no DDDs defined, so +e.g. ab_ddd("Rimactazid") will now return +NA.
          • +
          • Moved synonyms Bactrimel and Cotrimazole from sulfamethoxazole +(SMX) to trimethoprim/sulfamethoxazole +(SXT)
@@ -909,9 +1526,19 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/

Breaking

-
  • Adopted Adeolu et al. (2016), PMID 27620848 for the microorganisms data set, which means that the new order Enterobacterales now consists of a part of the existing family Enterobacteriaceae, but that this family has been split into other families as well (like Morganellaceae and Yersiniaceae). Although published in 2016, this information is not yet in the Catalogue of Life version of 2019. All MDRO determinations with mdro() will now use the Enterobacterales order for all guidelines before 2016 that were dependent on the Enterobacteriaceae family. +
    • Adopted Adeolu et al. (2016), PMID 27620848 for +the microorganisms data set, which means that the new order +Enterobacterales now consists of a part of the existing family +Enterobacteriaceae, but that this family has been split into other +families as well (like Morganellaceae and +Yersiniaceae). Although published in 2016, this information is +not yet in the Catalogue of Life version of 2019. All MDRO +determinations with mdro() will now use the +Enterobacterales order for all guidelines before 2016 that were +dependent on the Enterobacteriaceae family.
      • -

        If you were dependent on the old Enterobacteriaceae family e.g. by using in your code:

        +

        If you were dependent on the old Enterobacteriaceae family +e.g. by using in your code:

         
         if (mo_family(somebugs) == "Enterobacteriaceae") ...
        @@ -925,7 +1552,11 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/

        New

        • -

          Functions susceptibility() and resistance() as aliases of proportion_SI() and proportion_R(), respectively. These functions were added to make it more clear that “I” should be considered susceptible and not resistant.

          +

          Functions susceptibility() and +resistance() as aliases of proportion_SI() and +proportion_R(), respectively. These functions were added to +make it more clear that “I” should be considered susceptible and not +resistant.

           
           library(dplyr)
          @@ -936,19 +1567,32 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
             filter(!is.na(amoxicillin) | !is.na(amox_clav))
        • -

          Support for a new MDRO guideline: Magiorakos AP, Srinivasan A et al. “Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance.” Clinical Microbiology and Infection (2012).

          -
          • This is now the new default guideline for the mdro() function
          • -
          • The new Verbose mode (mdro(...., verbose = TRUE)) returns an informative data set where the reason for MDRO determination is given for every isolate, and an list of the resistant antimicrobial agents
          • +

            Support for a new MDRO guideline: Magiorakos AP, Srinivasan A +et al. “Multidrug-resistant, extensively drug-resistant and +pandrug-resistant bacteria: an international expert proposal for interim +standard definitions for acquired resistance.” Clinical Microbiology and +Infection (2012).

            +
            • This is now the new default guideline for the mdro() +function
            • +
            • The new Verbose mode (mdro(...., verbose = TRUE)) +returns an informative data set where the reason for MDRO determination +is given for every isolate, and an list of the resistant antimicrobial +agents
            -
          • Data set antivirals, containing all entries from the ATC J05 group with their DDDs for oral and parenteral treatment

          • +
          • Data set antivirals, containing all entries from the +ATC J05 group with their DDDs for oral and parenteral treatment

        Changes

        • Improvements to algorithm in as.mo(): -
          • Now allows “ou” where “au” should have been used and vice versa

          • -
          • More intelligent way of coping with some consonants like “l” and “r”

          • +
            • Now allows “ou” where “au” should have been used and vice +versa

            • +
            • More intelligent way of coping with some consonants like “l” and +“r”

            • -

              Added a score (a certainty percentage) to mo_uncertainties(), that is calculated using the Levenshtein distance:

              +

              Added a score (a certainty percentage) to +mo_uncertainties(), that is calculated using the Levenshtein +distance:

               
               as.mo(c("Stafylococcus aureus",
              @@ -963,31 +1607,54 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
               #> "staphylokok aureuz"   -> Staphylococcus aureus (B_STPHY_AURS, score: 85.7%)
            -
          • Removed previously deprecated function as.atc() - this function was replaced by ab_atc() +
          • Removed previously deprecated function as.atc() - this +function was replaced by ab_atc()
          • -
          • Renamed all portion_* functions to proportion_*. All portion_* functions are still available as deprecated functions, and will return a warning when used.
          • -
          • When running as.rsi() over a data set, it will now print the guideline that will be used if it is not specified by the user
          • +
          • Renamed all portion_* functions to +proportion_*. All portion_* functions are +still available as deprecated functions, and will return a warning when +used.
          • +
          • When running as.rsi() over a data set, it will now +print the guideline that will be used if it is not specified by the +user
          • Improvements for eucast_rules(): -
            • Fix where Stenotrophomonas maltophilia would always become ceftazidime R (following EUCAST v3.1)
            • -
            • Fix where Leuconostoc and Pediococcus would not always become glycopeptides R
            • -
            • non-EUCAST rules in eucast_rules() are now applied first and not as last anymore. This is to improve the dependency on certain antibiotics for the official EUCAST rules. Please see ?eucast_rules.
            • +
              • Fix where Stenotrophomonas maltophilia would always become +ceftazidime R (following EUCAST v3.1)
              • +
              • Fix where Leuconostoc and Pediococcus would not +always become glycopeptides R
              • +
              • non-EUCAST rules in eucast_rules() are now applied +first and not as last anymore. This is to improve the dependency on +certain antibiotics for the official EUCAST rules. Please see +?eucast_rules.
              -
            • Fix for interpreting MIC values with as.rsi() where the input is NA +
            • Fix for interpreting MIC values with as.rsi() where the +input is NA
            • -
            • Added “imi” and “imp” as allowed abbreviation for Imipenem (IPM)
            • -
            • Fix for automatically determining columns with antibiotic results in mdro() and eucast_rules() +
            • Added “imi” and “imp” as allowed abbreviation for Imipenem +(IPM)
            • +
            • Fix for automatically determining columns with antibiotic results in +mdro() and eucast_rules()
            • -
            • Added ATC codes for ceftaroline, ceftobiprole and faropenem and fixed two typos in the antibiotics data set
            • +
            • Added ATC codes for ceftaroline, ceftobiprole and faropenem and +fixed two typos in the antibiotics data set
            • More robust way of determining valid MIC values
            • -
            • Small changed to the example_isolates data set to better reflect reality
            • -
            • Added more microorganisms codes from laboratory systems (esp. species of Pseudescherichia and Rodentibacter)
            • +
            • Small changed to the example_isolates data set to +better reflect reality
            • +
            • Added more microorganisms codes from laboratory systems +(esp. species of Pseudescherichia and +Rodentibacter)
            • Added Gram-stain to mo_info()

        Other

        -
        • Rewrote the complete documentation to markdown format, to be able to use the very latest version of the great Roxygen2, released in November 2019. This tremously improved the documentation quality, since the rewrite forced us to go over all texts again and make changes where needed.
        • -
        • Change dependency on clean to cleaner, as this package was renamed accordingly upon CRAN request
        • +
          • Rewrote the complete documentation to markdown format, to be able to +use the very latest version of the great Roxygen2, released in +November 2019. This tremously improved the documentation quality, since +the rewrite forced us to go over all texts again and make changes where +needed.
          • +
          • Change dependency on clean to cleaner, as +this package was renamed accordingly upon CRAN request
          • Added Dr. Sofia Ny as contributor
@@ -996,14 +1663,24 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/

Breaking

  • -

    Determination of first isolates now excludes all ‘unknown’ microorganisms at default, i.e. microbial code "UNKNOWN". They can be included with the new argument include_unknown:

    +

    Determination of first isolates now excludes all +‘unknown’ microorganisms at default, i.e. microbial code +"UNKNOWN". They can be included with the new argument +include_unknown:

     
     first_isolate(..., include_unknown = TRUE)
    -

    For WHONET users, this means that all records/isolates with organism code "con" (contamination) will be excluded at default, since as.mo("con") = "UNKNOWN". The function always shows a note with the number of ‘unknown’ microorganisms that were included or excluded.

    +

    For WHONET users, this means that all records/isolates with organism +code "con" (contamination) will be excluded at +default, since as.mo("con") = "UNKNOWN". The function +always shows a note with the number of ‘unknown’ microorganisms that +were included or excluded.

  • -

    For code consistency, classes ab and mo will now be preserved in any subsetting or assignment. For the sake of data integrity, this means that invalid assignments will now result in NA:

    +

    For code consistency, classes ab and mo +will now be preserved in any subsetting or assignment. For the sake of +data integrity, this means that invalid assignments will now result in +NA:

     
     # how it works in base R:
    @@ -1017,15 +1694,26 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
     x[1] <- "testvalue"
     #> Warning message:
     #> invalid microorganism code, NA generated
    -

    This is important, because a value like "testvalue" could never be understood by e.g. mo_name(), although the class would suggest a valid microbial code.

    +

    This is important, because a value like "testvalue" +could never be understood by e.g. mo_name(), although the +class would suggest a valid microbial code.

  • -
  • Function freq() has moved to a new package, clean (CRAN link), since creating frequency tables actually does not fit the scope of this package. The freq() function still works, since it is re-exported from the clean package (which will be installed automatically upon updating this AMR package).

  • -
  • Renamed data set septic_patients to example_isolates

  • +
  • Function freq() has moved to a new package, clean (CRAN link), since +creating frequency tables actually does not fit the scope of this +package. The freq() function still works, since it is +re-exported from the clean package (which will be installed +automatically upon updating this AMR package).

  • +
  • Renamed data set septic_patients to +example_isolates

New

  • -

    Function bug_drug_combinations() to quickly get a data.frame with the results of all bug-drug combinations in a data set. The column containing microorganism codes is guessed automatically and its input is transformed with mo_shortname() at default:

    +

    Function bug_drug_combinations() to quickly get a +data.frame with the results of all bug-drug combinations in +a data set. The column containing microorganism codes is guessed +automatically and its input is transformed with +mo_shortname() at default:

     
     x <- bug_drug_combinations(example_isolates)
    @@ -1048,13 +1736,25 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
     #> 3 Gram-negative AMP 227  0 405   632
     #> 4 Gram-negative AMX 227  0 405   632
     #> NOTE: Use 'format()' on this result to get a publicable/printable format.
    -

    You can format this to a printable format, ready for reporting or exporting to e.g. Excel with the base R format() function:

    +

    You can format this to a printable format, ready for reporting or +exporting to e.g. Excel with the base R format() +function:

     
     format(x, combine_IR = FALSE)
  • -

    Additional way to calculate co-resistance, i.e. when using multiple antimicrobials as input for portion_* functions or count_* functions. This can be used to determine the empiric susceptibility of a combination therapy. A new argument only_all_tested (which defaults to FALSE) replaces the old also_single_tested and can be used to select one of the two methods to count isolates and calculate portions. The difference can be seen in this example table (which is also on the portion and count help pages), where the %SI is being determined:

    +

    Additional way to calculate co-resistance, i.e. when using +multiple antimicrobials as input for portion_* functions or +count_* functions. This can be used to determine the +empiric susceptibility of a combination therapy. A new argument +only_all_tested (which defaults to +FALSE) replaces the old +also_single_tested and can be used to select one of the two +methods to count isolates and calculate portions. The difference can be +seen in this example table (which is also on the portion +and count help pages), where the %SI is being +determined:

     
     # --------------------------------------------------------------------
    @@ -1073,10 +1773,18 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
     #    R        <NA>        -            -            -            -
     #   <NA>      <NA>        -            -            -            -
     # --------------------------------------------------------------------
    -

    Since this is a major change, usage of the old also_single_tested will throw an informative error that it has been replaced by only_all_tested.

    +

    Since this is a major change, usage of the old +also_single_tested will throw an informative error that it +has been replaced by only_all_tested.

  • -

    tibble printing support for classes rsi, mic, disk, ab mo. When using tibbles containing antimicrobial columns, values S will print in green, values I will print in yellow and values R will print in red. Microbial IDs (class mo) will emphasise on the genus and species, not on the kingdom.

    +

    tibble printing support for classes +rsi, mic, disk, ab +mo. When using tibbles containing +antimicrobial columns, values S will print in green, values +I will print in yellow and values R will print +in red. Microbial IDs (class mo) will emphasise on the +genus and species, not on the kingdom.

     
     # (run this on your own console, as this page does not support colour printing)
    @@ -1088,44 +1796,93 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
     

Changed

-
  • Many algorithm improvements for as.mo() (of which some led to additions to the microorganisms data set). Many thanks to all contributors that helped improving the algorithms. -
    • Self-learning algorithm - the function now gains experience from previously determined microorganism IDs and learns from it (yielding 80-95% speed improvement for any guess after the first try)
    • +
      • Many algorithm improvements for as.mo() (of which some +led to additions to the microorganisms data set). Many +thanks to all contributors that helped improving the algorithms. +
        • Self-learning algorithm - the function now gains experience from +previously determined microorganism IDs and learns from it (yielding +80-95% speed improvement for any guess after the first try)
        • Big improvement for misspelled input
        • -
        • These new trivial names known to the field are now understood: meningococcus, gonococcus, pneumococcus
        • -
        • Updated to the latest taxonomic data (updated to August 2019, from the International Journal of Systematic and Evolutionary Microbiology
        • -
        • Added support for Viridans Group Streptococci (VGS) and Milleri Group Streptococci (MGS)
        • +
        • These new trivial names known to the field are now understood: +meningococcus, gonococcus, pneumococcus
        • +
        • Updated to the latest taxonomic data (updated to August 2019, from +the International Journal of Systematic and Evolutionary +Microbiology
        • +
        • Added support for Viridans Group Streptococci (VGS) and Milleri +Group Streptococci (MGS)
        • Added support for Blastocystis
        • Added support for 5,000 new fungi
        • Added support for unknown yeasts and fungi
        • -
        • Changed most microorganism IDs to improve readability. For example, the old code B_ENTRC_FAE could have been both E. faecalis and E. faecium. Its new code is B_ENTRC_FCLS and E. faecium has become B_ENTRC_FACM. Also, the Latin character ae is now preserved at the start of each genus and species abbreviation. For example, the old code for Aerococcus urinae was B_ARCCC_NAE. This is now B_AERCC_URIN. IMPORTANT: Old microorganism IDs are still supported, but support will be dropped in a future version. Use as.mo() on your old codes to transform them to the new format. Using functions from the mo_* family (like mo_name() and mo_gramstain()) on old codes, will throw a warning.
        • +
        • Changed most microorganism IDs to improve readability. For example, +the old code B_ENTRC_FAE could have been both E. +faecalis and E. faecium. Its new code is +B_ENTRC_FCLS and E. faecium has become +B_ENTRC_FACM. Also, the Latin character ae is now preserved +at the start of each genus and species abbreviation. For example, the +old code for Aerococcus urinae was B_ARCCC_NAE. +This is now B_AERCC_URIN. IMPORTANT: Old +microorganism IDs are still supported, but support will be dropped in a +future version. Use as.mo() on your old codes to transform +them to the new format. Using functions from the mo_* +family (like mo_name() and mo_gramstain()) on +old codes, will throw a warning.
      • -
      • More intelligent guessing for as.ab(), including bidirectional language support
      • -
      • Added support for the German national guideline (3MRGN/4MRGN) in the mdro() function, to determine multi-drug resistant organisms
      • +
      • More intelligent guessing for as.ab(), including +bidirectional language support
      • +
      • Added support for the German national guideline (3MRGN/4MRGN) in the +mdro() function, to determine multi-drug resistant +organisms
      • Function eucast_rules():
        • Fixed a bug for Yersinia pseudotuberculosis
        • Added more informative errors and warnings
        • Printed info now distinguishes between added and changes values
        • -
        • Using Verbose mode (i.e. eucast_rules(..., verbose = TRUE)) returns more informative and readable output
        • -
        • Using factors as input now adds missing factors levels when the function changes antibiotic results
        • +
        • Using Verbose mode +(i.e. eucast_rules(..., verbose = TRUE)) returns more +informative and readable output
        • +
        • Using factors as input now adds missing factors levels when the +function changes antibiotic results
      • -
      • Improved the internal auto-guessing function for determining antimicrobials in your data set (AMR:::get_column_abx())
      • -
      • Removed class atc - using as.atc() is now deprecated in favour of ab_atc() and this will return a character, not the atc class anymore
      • -
      • Removed deprecated functions abname(), ab_official(), atc_name(), atc_official(), atc_property(), atc_tradenames(), atc_trivial_nl() +
      • Improved the internal auto-guessing function for determining +antimicrobials in your data set +(AMR:::get_column_abx())
      • +
      • Removed class atc - using as.atc() is now +deprecated in favour of ab_atc() and this will return a +character, not the atc class anymore
      • +
      • Removed deprecated functions abname(), +ab_official(), atc_name(), +atc_official(), atc_property(), +atc_tradenames(), atc_trivial_nl()
      • Fix and speed improvement for mo_shortname()
      • -
      • Fix for using mo_* functions where the coercion uncertainties and failures would not be available through mo_uncertainties() and mo_failures() anymore
      • -
      • Deprecated the country argument of mdro() in favour of the already existing guideline argument to support multiple guidelines within one country
      • -
      • The name of RIF is now Rifampicin instead of Rifampin
      • -
      • The antibiotics data set is now sorted by name and all cephalosporins now have their generation between brackets
      • -
      • Speed improvement for guess_ab_col() which is now 30 times faster for antibiotic abbreviations
      • -
      • Improved filter_ab_class() to be more reliable and to support 5th generation cephalosporins
      • -
      • Function availability() now uses portion_R() instead of portion_IR(), to comply with EUCAST insights
      • -
      • Functions age() and age_groups() now have a na.rm argument to remove empty values
      • -
      • Renamed function p.symbol() to p_symbol() (the former is now deprecated and will be removed in a future version)
      • -
      • Using negative values for x in age_groups() will now introduce NAs and not return an error anymore
      • +
      • Fix for using mo_* functions where the coercion +uncertainties and failures would not be available through +mo_uncertainties() and mo_failures() +anymore
      • +
      • Deprecated the country argument of mdro() +in favour of the already existing guideline argument to +support multiple guidelines within one country
      • +
      • The name of RIF is now Rifampicin instead +of Rifampin
      • +
      • The antibiotics data set is now sorted by name and all +cephalosporins now have their generation between brackets
      • +
      • Speed improvement for guess_ab_col() which is now 30 +times faster for antibiotic abbreviations
      • +
      • Improved filter_ab_class() to be more reliable and to +support 5th generation cephalosporins
      • +
      • Function availability() now uses +portion_R() instead of portion_IR(), to comply +with EUCAST insights
      • +
      • Functions age() and age_groups() now have +a na.rm argument to remove empty values
      • +
      • Renamed function p.symbol() to p_symbol() +(the former is now deprecated and will be removed in a future +version)
      • +
      • Using negative values for x in +age_groups() will now introduce NAs and not +return an error anymore
      • Fix for determining the system’s language
      • Fix for key_antibiotics() on foreign systems
      • Added 80 new LIS codes for microorganisms
      • @@ -1134,8 +1891,11 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
      • Added more MIC factor levels (as.mic())
      Other
      -
      • Added Prof. Dr. Casper Albers as doctoral advisor and added Dr. Judith Fonville, Eric Hazenberg, Dr. Bart Meijer, Dr. Dennis Souverein and Annick Lenglet as contributors
      • -
      • Cleaned the coding style of every single syntax line in this package with the help of the lintr package
      • +
        • Added Prof. Dr. Casper Albers as doctoral advisor and added +Dr. Judith Fonville, Eric Hazenberg, Dr. Bart Meijer, Dr. Dennis +Souverein and Annick Lenglet as contributors
        • +
        • Cleaned the coding style of every single syntax line in this package +with the help of the lintr package
@@ -1144,7 +1904,13 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
New
  • -

    Function rsi_df() to transform a data.frame to a data set containing only the microbial interpretation (S, I, R), the antibiotic, the percentage of S/I/R and the number of available isolates. This is a convenient combination of the existing functions count_df() and portion_df() to immediately show resistance percentages and number of available isolates:

    +

    Function rsi_df() to transform a +data.frame to a data set containing only the microbial +interpretation (S, I, R), the antibiotic, the percentage of S/I/R and +the number of available isolates. This is a convenient combination of +the existing functions count_df() and +portion_df() to immediately show resistance percentages and +number of available isolates:

     
     septic_patients %>%
    @@ -1157,7 +1923,8 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
     # 4 Ciprofloxacin               R  0.1618169       228
  • -

    Support for all scientifically published pathotypes of E. coli to date (that we could find). Supported are:

    +

    Support for all scientifically published pathotypes of E. +coli to date (that we could find). Supported are:

    • AIEC (Adherent-Invasive E. coli)
    • ATEC (Atypical Entero-pathogenic E. coli)
    • DAEC (Diffusely Adhering E. coli)
    • @@ -1179,31 +1946,52 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/ mo_gramstain("EHEC") # "Gram-negative"
-
  • Function mo_info() as an analogy to ab_info(). The mo_info() prints a list with the full taxonomy, authors, and the URL to the online database of a microorganism

  • -
  • Function mo_synonyms() to get all previously accepted taxonomic names of a microorganism

  • +
  • Function mo_info() as an analogy to +ab_info(). The mo_info() prints a list with +the full taxonomy, authors, and the URL to the online database of a +microorganism

  • +
  • Function mo_synonyms() to get all previously +accepted taxonomic names of a microorganism

  • Changed
    -
    • Column names of output count_df() and portion_df() are now lowercase
    • +
      • Column names of output count_df() and +portion_df() are now lowercase
      • Fixed bug in translation of microorganism names
      • Fixed bug in determining taxonomic kingdoms
      • -
      • Algorithm improvements for as.ab() and as.mo() to understand even more severely misspelled input
      • -
      • Function as.ab() now allows spaces for coercing antibiotics names
      • -
      • Added ggplot2 methods for automatically determining the scale type of classes mo and ab +
      • Algorithm improvements for as.ab() and +as.mo() to understand even more severely misspelled +input
      • +
      • Function as.ab() now allows spaces for coercing +antibiotics names
      • +
      • Added ggplot2 methods for automatically determining the +scale type of classes mo and ab
      • -
      • Added names of object in the header in frequency tables, even when using pipes
      • -
      • Prevented "bacteria" from getting coerced by as.ab() because Bacterial is a brand name of trimethoprim (TMP)
      • -
      • Fixed a bug where setting an antibiotic would not work for eucast_rules() and mdro() +
      • Added names of object in the header in frequency tables, even when +using pipes
      • +
      • Prevented "bacteria" from getting coerced by +as.ab() because Bacterial is a brand name of trimethoprim +(TMP)
      • +
      • Fixed a bug where setting an antibiotic would not work for +eucast_rules() and mdro()
      • -
      • Fixed a EUCAST rule for Staphylococci, where amikacin resistance would not be inferred from tobramycin
      • -
      • Removed latest_annual_release from the catalogue_of_life_version() function
      • -
      • Removed antibiotic code PVM1 from the antibiotics data set as this was a duplicate of PME +
      • Fixed a EUCAST rule for Staphylococci, where amikacin resistance +would not be inferred from tobramycin
      • +
      • Removed latest_annual_release from the +catalogue_of_life_version() function
      • +
      • Removed antibiotic code PVM1 from the +antibiotics data set as this was a duplicate of +PME
      • -
      • Fixed bug where not all old taxonomic names would be printed, when using a vector as input for as.mo() +
      • Fixed bug where not all old taxonomic names would be printed, when +using a vector as input for as.mo()
      • -
      • Manually added Trichomonas vaginalis from the kingdom of Protozoa, which is missing from the Catalogue of Life
      • -
      • Small improvements to plot() and barplot() for MIC and RSI classes
      • -
      • Allow Catalogue of Life IDs to be coerced by as.mo() +
      • Manually added Trichomonas vaginalis from the kingdom of +Protozoa, which is missing from the Catalogue of Life
      • +
      • Small improvements to plot() and barplot() +for MIC and RSI classes
      • +
      • Allow Catalogue of Life IDs to be coerced by +as.mo()
    @@ -1215,77 +2003,124 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
    New
    -
    • Support for translation of disk diffusion and MIC values to RSI values (i.e. antimicrobial interpretations). Supported guidelines are EUCAST (2011 to 2019) and CLSI (2011 to 2019). Use as.rsi() on an MIC value (created with as.mic()), a disk diffusion value (created with the new as.disk()) or on a complete date set containing columns with MIC or disk diffusion values.
    • -
    • Function mo_name() as alias of mo_fullname() +
      • Support for translation of disk diffusion and MIC values to RSI +values (i.e. antimicrobial interpretations). Supported guidelines are +EUCAST (2011 to 2019) and CLSI (2011 to 2019). Use as.rsi() +on an MIC value (created with as.mic()), a disk diffusion +value (created with the new as.disk()) or on a complete +date set containing columns with MIC or disk diffusion values.
      • +
      • Function mo_name() as alias of +mo_fullname()
      • -
      • Added guidelines of the WHO to determine multi-drug resistance (MDR) for TB (mdr_tb()) and added a new vignette about MDR. Read this tutorial here on our website.
      • +
      • Added guidelines of the WHO to determine multi-drug resistance (MDR) +for TB (mdr_tb()) and added a new vignette about MDR. Read +this tutorial here on our +website.
    Changed
    -
    • Fixed a critical bug in first_isolate() where missing species would lead to incorrect FALSEs. This bug was not present in AMR v0.5.0, but was in v0.6.0 and v0.6.1.
    • -
    • Fixed a bug in eucast_rules() where antibiotics from WHONET software would not be recognised
    • +
      • Fixed a critical bug in first_isolate() where missing +species would lead to incorrect FALSEs. This bug was not present in AMR +v0.5.0, but was in v0.6.0 and v0.6.1.
      • +
      • Fixed a bug in eucast_rules() where antibiotics from +WHONET software would not be recognised
      • Completely reworked the antibiotics data set:
        • All entries now have 3 different identifiers: -
          • Column ab contains a human readable EARS-Net code, used by ECDC and WHO/WHONET - this is the primary identifier used in this package
          • -
          • Column atc contains the ATC code, used by WHO/WHOCC
          • -
          • Column cid contains the CID code (Compound ID), used by PubChem
          • +
            • Column ab contains a human readable EARS-Net code, used +by ECDC and WHO/WHONET - this is the primary identifier used in this +package
            • +
            • Column atc contains the ATC code, used by +WHO/WHOCC
            • +
            • Column cid contains the CID code (Compound ID), used by +PubChem
            -
          • Based on the Compound ID, almost 5,000 official brand names have been added from many different countries
          • -
          • All references to antibiotics in our package now use EARS-Net codes, like AMX for amoxicillin
          • -
          • Functions atc_certe, ab_umcg and atc_trivial_nl have been removed
          • -
          • All atc_* functions are superseded by ab_* functions
          • -
          • All output will be translated by using an included translation file which can be viewed here +
          • Based on the Compound ID, almost 5,000 official brand names have +been added from many different countries
          • +
          • All references to antibiotics in our package now use EARS-Net codes, +like AMX for amoxicillin
          • +
          • Functions atc_certe, ab_umcg and +atc_trivial_nl have been removed
          • +
          • All atc_* functions are superseded by ab_* +functions
          • +
          • All output will be translated by using an included translation file +which can +be viewed here
        • Improvements to plotting AMR results with ggplot_rsi():
          • New argument colours to set the bar colours
          • -
          • New arguments title, subtitle, caption, x.title and y.title to set titles and axis descriptions
          • +
          • New arguments title, subtitle, +caption, x.title and y.title to +set titles and axis descriptions
        • -
        • Improved intelligence of looking up antibiotic columns in a data set using guess_ab_col() +
        • Improved intelligence of looking up antibiotic columns in a data set +using guess_ab_col()
        • -
        • Added ~5,000 more old taxonomic names to the microorganisms.old data set, which leads to better results finding when using the as.mo() function
        • -
        • This package now honours the new EUCAST insight (2019) that S and I are but classified as susceptible, where I is defined as ‘increased exposure’ and not ‘intermediate’ anymore. For functions like portion_df() and count_df() this means that their new argument combine_SI is TRUE at default. Our plotting function ggplot_rsi() also reflects this change since it uses count_df() internally.
        • -
        • The age() function gained a new argument exact to determine ages with decimals
        • -
        • Removed deprecated functions guess_mo(), guess_atc(), EUCAST_rules(), interpretive_reading(), rsi() +
        • Added ~5,000 more old taxonomic names to the +microorganisms.old data set, which leads to better results +finding when using the as.mo() function
        • +
        • This package now honours the new EUCAST insight (2019) that S and I +are but classified as susceptible, where I is defined as ‘increased +exposure’ and not ‘intermediate’ anymore. For functions like +portion_df() and count_df() this means that +their new argument combine_SI is TRUE at default. Our +plotting function ggplot_rsi() also reflects this change +since it uses count_df() internally.
        • +
        • The age() function gained a new argument +exact to determine ages with decimals
        • +
        • Removed deprecated functions guess_mo(), +guess_atc(), EUCAST_rules(), +interpretive_reading(), rsi()
        • -
        • Frequency tables (freq()): +
        • Frequency tables (freq()):
          • speed improvement for microbial IDs

          • fixed factor level names for R Markdown

          • -
          • when all values are unique it now shows a message instead of a warning

          • +
          • when all values are unique it now shows a message instead of a +warning

          • support for boxplots:

             
             septic_patients %>% 
            -  freq(age) %>% 
            +  freq(age) %>% 
               boxplot()
             # grouped boxplots:
             septic_patients %>% 
               group_by(hospital_id) %>% 
            -  freq(age) %>%
            +  freq(age) %>%
               boxplot()
        • -
        • Removed all hardcoded EUCAST rules and replaced them with a new reference file which can be viewed here +
        • Removed all hardcoded EUCAST rules and replaced them with a new +reference file which can +be viewed here
        • Added ceftazidim intrinsic resistance to Streptococci
        • -
        • Changed default settings for age_groups(), to let groups of fives and tens end with 100+ instead of 120+
        • -
        • Fix for freq() for when all values are NA +
        • Changed default settings for age_groups(), to let +groups of fives and tens end with 100+ instead of 120+
        • +
        • Fix for freq() for when all values are +NA
        • Fix for first_isolate() for when dates are missing
        • Improved speed of guess_ab_col()
        • -
        • Function as.mo() now gently interprets any number of whitespace characters (like tabs) as one space
        • -
        • Function as.mo() now returns UNKNOWN for "con" (WHONET ID of ‘contamination’) and returns NA for "xxx"(WHONET ID of ‘no growth’)
        • +
        • Function as.mo() now gently interprets any number of +whitespace characters (like tabs) as one space
        • +
        • Function as.mo() now returns UNKNOWN for +"con" (WHONET ID of ‘contamination’) and returns +NA for "xxx"(WHONET ID of ‘no growth’)
        • Small algorithm fix for as.mo()
        • -
        • Removed viruses from data set microorganisms.codes and cleaned it up
        • -
        • Fix for mo_shortname() where species would not be determined correctly
        • +
        • Removed viruses from data set microorganisms.codes and +cleaned it up
        • +
        • Fix for mo_shortname() where species would not be +determined correctly
    Other
    -
    @@ -1293,42 +2128,77 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
    Changed
    -
    • Fixed a critical bug when using eucast_rules() with verbose = TRUE +
      • Fixed a critical bug when using eucast_rules() with +verbose = TRUE
      • -
      • Coercion of microbial IDs are now written to the package namespace instead of the user’s home folder, to comply with the CRAN policy
      • +
      • Coercion of microbial IDs are now written to the package namespace +instead of the user’s home folder, to comply with the CRAN policy

    New website!

    -

    We’ve got a new website: https://msberends.gitlab.io/AMR (built with the great pkgdown)

    -
    • Contains the complete manual of this package and all of its functions with an explanation of their arguments
    • -
    • Contains a comprehensive tutorial about how to conduct AMR data analysis, import data from WHONET or SPSS and many more.
    • +

      We’ve got a new website: https://msberends.gitlab.io/AMR +(built with the great pkgdown)

      +
      • Contains the complete manual of this package and all of its +functions with an explanation of their arguments
      • +
      • Contains a comprehensive tutorial about how to conduct AMR data +analysis, import data from WHONET or SPSS and many more.
      New
      -
      • BREAKING: removed deprecated functions, arguments and references to ‘bactid’. Use as.mo() to identify an MO code.

      • +
        • BREAKING: removed deprecated functions, +arguments and references to ‘bactid’. Use as.mo() to +identify an MO code.

        • -

          Catalogue of Life as a new taxonomic source for data about microorganisms, which also contains all ITIS data we used previously. The microorganisms data set now contains:

          -
          • All ~55,000 (sub)species from the kingdoms of Archaea, Bacteria and Protozoa

          • -
          • All ~3,000 (sub)species from these orders of the kingdom of Fungi: Eurotiales, Onygenales, Pneumocystales, Saccharomycetales and Schizosaccharomycetales (covering at least like all species of Aspergillus, Candida, Pneumocystis, Saccharomyces and Trichophyton)

          • -
          • All ~2,000 (sub)species from ~100 other relevant genera, from the kingdoms of Animalia and Plantae (like Strongyloides and Taenia)

          • -
          • All ~15,000 previously accepted names of included (sub)species that have been taxonomically renamed

          • +

            Catalogue of Life as a new taxonomic source for data about +microorganisms, which also contains all ITIS data we used previously. +The microorganisms data set now contains:

            +
            • All ~55,000 (sub)species from the kingdoms of Archaea, Bacteria +and Protozoa

            • +
            • All ~3,000 (sub)species from these orders of the kingdom of +Fungi: Eurotiales, Onygenales, Pneumocystales, Saccharomycetales and +Schizosaccharomycetales (covering at least like all species of +Aspergillus, Candida, Pneumocystis, +Saccharomyces and Trichophyton)

            • +
            • All ~2,000 (sub)species from ~100 other relevant genera, from the +kingdoms of Animalia and Plantae (like Strongyloides and +Taenia)

            • +
            • All ~15,000 previously accepted names of included (sub)species +that have been taxonomically renamed

            • The responsible author(s) and year of scientific publication

              -

              This data is updated annually - check the included version with the new function catalogue_of_life_version().

              +

              This data is updated annually - check the included version with the +new function catalogue_of_life_version().

            • -
            • Due to this change, some mo codes changed (e.g. Streptococcus changed from B_STRPTC to B_STRPT). A translation table is used internally to support older microorganism IDs, so users will not notice this difference.

            • -
            • New function mo_rank() for the taxonomic rank (genus, species, infraspecies, etc.)

            • -
            • New function mo_url() to get the direct URL of a species from the Catalogue of Life

            • +
            • Due to this change, some mo codes changed +(e.g. Streptococcus changed from B_STRPTC to +B_STRPT). A translation table is used internally to support +older microorganism IDs, so users will not notice this +difference.

            • +
            • New function mo_rank() for the taxonomic rank +(genus, species, infraspecies, etc.)

            • +
            • New function mo_url() to get the direct URL of a +species from the Catalogue of Life

          • -

            Support for data from WHONET and EARS-Net (European Antimicrobial Resistance Surveillance Network):

            -
            • Exported files from WHONET can be read and used in this package. For functions like first_isolate() and eucast_rules(), all arguments will be filled in automatically.
            • -
            • This package now knows all antibiotic abbrevations by EARS-Net (which are also being used by WHONET) - the antibiotics data set now contains a column ears_net.
            • -
            • The function as.mo() now knows all WHONET species abbreviations too, because almost 2,000 microbial abbreviations were added to the microorganisms.codes data set.
            • +

              Support for data from WHONET +and EARS-Net +(European Antimicrobial Resistance Surveillance Network):

              +
              • Exported files from WHONET can be read and used in this package. For +functions like first_isolate() and +eucast_rules(), all arguments will be filled in +automatically.
              • +
              • This package now knows all antibiotic abbrevations by EARS-Net +(which are also being used by WHONET) - the antibiotics +data set now contains a column ears_net.
              • +
              • The function as.mo() now knows all WHONET species +abbreviations too, because almost 2,000 microbial abbreviations were +added to the microorganisms.codes data set.
            • -

              New filters for antimicrobial classes. Use these functions to filter isolates on results in one of more antibiotics from a specific class:

              +

              New filters for antimicrobial classes. Use these functions to +filter isolates on results in one of more antibiotics from a specific +class:

               
               filter_aminoglycosides()
              @@ -1342,7 +2212,10 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
               filter_glycopeptides()
               filter_macrolides()
               filter_tetracyclines()
              -

              The antibiotics data set will be searched, after which the input data will be checked for column names with a value in any abbreviations, codes or official names found in the antibiotics data set. For example:

              +

              The antibiotics data set will be searched, after which +the input data will be checked for column names with a value in any +abbreviations, codes or official names found in the +antibiotics data set. For example:

               
               septic_patients %>% filter_glycopeptides(result = "R")
              @@ -1351,7 +2224,8 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
               # Filtering on glycopeptide antibacterials: all of `vanc` and `teic` is R
            • -

              All ab_* functions are deprecated and replaced by atc_* functions:

              +

              All ab_* functions are deprecated and replaced by +atc_* functions:

               
               ab_property -> atc_property()
              @@ -1361,18 +2235,42 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
               ab_certe -> atc_certe()
               ab_umcg -> atc_umcg()
               ab_tradenames -> atc_tradenames()
              -

              These functions use as.atc() internally. The old atc_property has been renamed atc_online_property(). This is done for two reasons: firstly, not all ATC codes are of antibiotics (ab) but can also be of antivirals or antifungals. Secondly, the input must have class atc or must be coerable to this class. Properties of these classes should start with the same class name, analogous to as.mo() and e.g. mo_genus.

              +

              These functions use as.atc() internally. The old +atc_property has been renamed +atc_online_property(). This is done for two reasons: +firstly, not all ATC codes are of antibiotics (ab) but can also be of +antivirals or antifungals. Secondly, the input must have class +atc or must be coerable to this class. Properties of these +classes should start with the same class name, analogous to +as.mo() and e.g. mo_genus.

            • -
            • New functions set_mo_source() and get_mo_source() to use your own predefined MO codes as input for as.mo() and consequently all mo_* functions

            • -
            • Support for the upcoming dplyr version 0.8.0

            • -
            • New function guess_ab_col() to find an antibiotic column in a table

            • -
            • New function mo_failures() to review values that could not be coerced to a valid MO code, using as.mo(). This latter function will now only show a maximum of 10 uncoerced values and will refer to mo_failures().

            • -
            • New function mo_uncertainties() to review values that could be coerced to a valid MO code using as.mo(), but with uncertainty.

            • -
            • New function mo_renamed() to get a list of all returned values from as.mo() that have had taxonomic renaming

            • -
            • New function age() to calculate the (patients) age in years

            • -
            • New function age_groups() to split ages into custom or predefined groups (like children or elderly). This allows for easier demographic AMR data analysis per age group.

            • +
            • New functions set_mo_source() and +get_mo_source() to use your own predefined MO codes as +input for as.mo() and consequently all mo_* +functions

            • +
            • Support for the upcoming dplyr version +0.8.0

            • +
            • New function guess_ab_col() to find an antibiotic +column in a table

            • +
            • New function mo_failures() to review values that +could not be coerced to a valid MO code, using as.mo(). +This latter function will now only show a maximum of 10 uncoerced values +and will refer to mo_failures().

            • +
            • New function mo_uncertainties() to review values +that could be coerced to a valid MO code using as.mo(), but +with uncertainty.

            • +
            • New function mo_renamed() to get a list of all +returned values from as.mo() that have had taxonomic +renaming

            • +
            • New function age() to calculate the (patients) age +in years

            • +
            • New function age_groups() to split ages into custom +or predefined groups (like children or elderly). This allows for easier +demographic AMR data analysis per age group.

            • -

              New function ggplot_rsi_predict() as well as the base R plot() function can now be used for resistance prediction calculated with resistance_predict():

              +

              New function ggplot_rsi_predict() as well as the +base R plot() function can now be used for resistance +prediction calculated with resistance_predict():

               
               x <- resistance_predict(septic_patients, col_ab = "amox")
              @@ -1380,7 +2278,9 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
               ggplot_rsi_predict(x)
            • -

              Functions filter_first_isolate() and filter_first_weighted_isolate() to shorten and fasten filtering on data sets with antimicrobial results, e.g.:

              +

              Functions filter_first_isolate() and +filter_first_weighted_isolate() to shorten and fasten +filtering on data sets with antimicrobial results, e.g.:

               
               septic_patients %>% filter_first_isolate(...)
              @@ -1394,26 +2294,50 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
                 filter(only_firsts == TRUE) %>%
                 select(-only_firsts)
            • -
            • New function availability() to check the number of available (non-empty) results in a data.frame

            • -
            • New vignettes about how to conduct AMR analysis, predict antimicrobial resistance, use the G-test and more. These are also available (and even easier readable) on our website: https://msberends.gitlab.io/AMR.

            • +
            • New function availability() to check the number of +available (non-empty) results in a data.frame

            • +
            • New vignettes about how to conduct AMR analysis, predict +antimicrobial resistance, use the G-test and more. These are +also available (and even easier readable) on our website: https://msberends.gitlab.io/AMR.

      Changed
      • Function eucast_rules(): -
        • Updated EUCAST Clinical breakpoints to version 9.0 of 1 January 2019, the data set septic_patients now reflects these changes
        • -
        • Fixed a critical bug where some rules that depend on previous applied rules would not be applied adequately
        • -
        • Emphasised in manual that penicillin is meant as benzylpenicillin (ATC J01CE01)
        • -
        • New info is returned when running this function, stating exactly what has been changed or added. Use eucast_rules(..., verbose = TRUE) to get a data set with all changed per bug and drug combination.
        • +
          • Updated EUCAST Clinical breakpoints to version 9.0 of 1 +January 2019, the data set septic_patients now reflects +these changes
          • +
          • Fixed a critical bug where some rules that depend on previous +applied rules would not be applied adequately
          • +
          • Emphasised in manual that penicillin is meant as benzylpenicillin +(ATC J01CE01)
          • +
          • New info is returned when running this function, stating exactly +what has been changed or added. Use +eucast_rules(..., verbose = TRUE) to get a data set with +all changed per bug and drug combination.
          -
        • Removed data sets microorganisms.oldDT, microorganisms.prevDT, microorganisms.unprevDT and microorganismsDT since they were no longer needed and only contained info already available in the microorganisms data set
        • -
        • Added 65 antibiotics to the antibiotics data set, from the Pharmaceuticals Community Register of the European Commission
        • -
        • Removed columns atc_group1_nl and atc_group2_nl from the antibiotics data set
        • -
        • Functions atc_ddd() and atc_groups() have been renamed atc_online_ddd() and atc_online_groups(). The old functions are deprecated and will be removed in a future version.
        • -
        • Function guess_mo() is now deprecated in favour of as.mo() and will be removed in future versions
        • -
        • Function guess_atc() is now deprecated in favour of as.atc() and will be removed in future versions
        • +
        • Removed data sets microorganisms.oldDT, +microorganisms.prevDT, microorganisms.unprevDT +and microorganismsDT since they were no longer needed and +only contained info already available in the microorganisms +data set
        • +
        • Added 65 antibiotics to the antibiotics data set, from +the Pharmaceuticals +Community Register of the European Commission
        • +
        • Removed columns atc_group1_nl and +atc_group2_nl from the antibiotics data +set
        • +
        • Functions atc_ddd() and atc_groups() have +been renamed atc_online_ddd() and +atc_online_groups(). The old functions are deprecated and +will be removed in a future version.
        • +
        • Function guess_mo() is now deprecated in favour of +as.mo() and will be removed in future versions
        • +
        • Function guess_atc() is now deprecated in favour of +as.atc() and will be removed in future versions
        • Improvements for as.mo():
          • -

            Now handles incorrect spelling, like i instead of y and f instead of ph:

            +

            Now handles incorrect spelling, like i instead of +y and f instead of ph:

             
             # mo_fullname() uses as.mo() internally
            @@ -1425,7 +2349,10 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
             #> [1] "Staphylococcus kloosii"
          • -

            Uncertainty of the algorithm is now divided into four levels, 0 to 3, where the default allow_uncertain = TRUE is equal to uncertainty level 2. Run ?as.mo for more info about these levels.

            +

            Uncertainty of the algorithm is now divided into four levels, 0 +to 3, where the default allow_uncertain = TRUE is equal to +uncertainty level 2. Run ?as.mo for more info about these +levels.

             
             # equal:
            @@ -1435,84 +2362,135 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
             # also equal:
             as.mo(..., allow_uncertain = FALSE)
             as.mo(..., allow_uncertain = 0)
            -

            Using as.mo(..., allow_uncertain = 3) could lead to very unreliable results.

            +

            Using as.mo(..., allow_uncertain = 3) could lead to very +unreliable results.

          • -
          • Implemented the latest publication of Becker et al. (2019), for categorising coagulase-negative Staphylococci

          • -
          • All microbial IDs that found are now saved to a local file ~/.Rhistory_mo. Use the new function clean_mo_history() to delete this file, which resets the algorithms.

          • -
          • Incoercible results will now be considered ‘unknown’, MO code UNKNOWN. On foreign systems, properties of these will be translated to all languages already previously supported: German, Dutch, French, Italian, Spanish and Portuguese.

          • +
          • Implemented the latest publication of Becker et al. +(2019), for categorising coagulase-negative +Staphylococci

          • +
          • All microbial IDs that found are now saved to a local file +~/.Rhistory_mo. Use the new function +clean_mo_history() to delete this file, which resets the +algorithms.

          • +
          • Incoercible results will now be considered ‘unknown’, MO code +UNKNOWN. On foreign systems, properties of these will be +translated to all languages already previously supported: German, Dutch, +French, Italian, Spanish and Portuguese.

          • Fix for vector containing only empty values

          • Finds better results when input is in other languages

          • Better handling for subspecies

          • -
          • Better handling for Salmonellae, especially the ‘city like’ serovars like Salmonella London

          • -
          • Understanding of highly virulent E. coli strains like EIEC, EPEC and STEC

          • -
          • There will be looked for uncertain results at default - these results will be returned with an informative warning

          • -
          • Manual (help page) now contains more info about the algorithms

          • -
          • Progress bar will be shown when it takes more than 3 seconds to get results

          • +
          • Better handling for Salmonellae, especially the ‘city +like’ serovars like Salmonella London

          • +
          • Understanding of highly virulent E. coli strains like +EIEC, EPEC and STEC

          • +
          • There will be looked for uncertain results at default - these +results will be returned with an informative warning

          • +
          • Manual (help page) now contains more info about the +algorithms

          • +
          • Progress bar will be shown when it takes more than 3 seconds to +get results

          • Support for formatted console text

          • Console will return the percentage of uncoercable input

        • Function first_isolate(): -
          • Fixed a bug where distances between dates would not be calculated right - in the septic_patients data set this yielded a difference of 0.15% more isolates
          • -
          • Will now use a column named like “patid” for the patient ID (argument col_patientid), when this argument was left blank
          • -
          • Will now use a column named like “key(…)ab” or “key(…)antibiotics” for the key antibiotics (argument col_keyantibiotics()), when this argument was left blank
          • -
          • Removed argument output_logical, the function will now always return a logical value
          • -
          • Renamed argument filter_specimen to specimen_group, although using filter_specimen will still work
          • +
            • Fixed a bug where distances between dates would not be calculated +right - in the septic_patients data set this yielded a +difference of 0.15% more isolates
            • +
            • Will now use a column named like “patid” for the patient ID +(argument col_patientid), when this argument was left +blank
            • +
            • Will now use a column named like “key(…)ab” or “key(…)antibiotics” +for the key antibiotics (argument col_keyantibiotics()), +when this argument was left blank
            • +
            • Removed argument output_logical, the function will now +always return a logical value
            • +
            • Renamed argument filter_specimen to +specimen_group, although using filter_specimen +will still work
            -
          • A note to the manual pages of the portion functions, that low counts can influence the outcome and that the portion functions may camouflage this, since they only return the portion (albeit being dependent on the minimum argument)
          • -
          • Merged data sets microorganisms.certe and microorganisms.umcg into microorganisms.codes +
          • A note to the manual pages of the portion functions, +that low counts can influence the outcome and that the +portion functions may camouflage this, since they only +return the portion (albeit being dependent on the minimum +argument)
          • +
          • Merged data sets microorganisms.certe and +microorganisms.umcg into +microorganisms.codes
          • -
          • Function mo_taxonomy() now contains the kingdom too
          • -
          • Reduce false positives for is.rsi.eligible() using the new threshold argument
          • +
          • Function mo_taxonomy() now contains the kingdom +too
          • +
          • Reduce false positives for is.rsi.eligible() using the +new threshold argument
          • New colours for scale_rsi_colours()
          • -
          • Summaries of class mo will now return the top 3 and the unique count, e.g. using summary(mo) +
          • Summaries of class mo will now return the top 3 and the +unique count, e.g. using summary(mo)
          • -
          • Small text updates to summaries of class rsi and mic +
          • Small text updates to summaries of class rsi and +mic
          • Function as.rsi():
            • Now gives a warning when inputting MIC values
            • -
            • Now accepts high and low resistance: "HIGH S" will return S +
            • Now accepts high and low resistance: "HIGH S" will +return S
          • -
          • Frequency tables (freq() function): +
          • Frequency tables (freq() function):
            • -

              Support for tidyverse quasiquotation! Now you can create frequency tables of function outcomes:

              +

              Support for tidyverse quasiquotation! Now you can create +frequency tables of function outcomes:

               
               # Determine genus of microorganisms (mo) in `septic_patients` data set:
               # OLD WAY
               septic_patients %>%
                 mutate(genus = mo_genus(mo)) %>%
              -  freq(genus)
              +  freq(genus)
               # NEW WAY
               septic_patients %>% 
              -  freq(mo_genus(mo))
              +  freq(mo_genus(mo))
               
               # Even supports grouping variables:
               septic_patients %>%
                 group_by(gender) %>% 
              -  freq(mo_genus(mo))
              + freq(mo_genus(mo))
      -
    • Header info is now available as a list, with the header function

    • -
    • The argument header is now set to TRUE at default, even for markdown

    • -
    • Added header info for class mo to show unique count of families, genera and species

    • -
    • Now honours the decimal.mark setting, which just like format defaults to getOption("OutDec")

    • -
    • The new big.mark argument will at default be "," when decimal.mark = "." and "." otherwise

    • -
    • Fix for header text where all observations are NA

    • -
    • New argument droplevels to exclude empty factor levels when input is a factor

    • -
    • Factor levels will be in header when present in input data (maximum of 5)

    • +
    • Header info is now available as a list, with the +header function

    • +
    • The argument header is now set to TRUE +at default, even for markdown

    • +
    • Added header info for class mo to show unique count +of families, genera and species

    • +
    • Now honours the decimal.mark setting, which just +like format defaults to +getOption("OutDec")

    • +
    • The new big.mark argument will at default be +"," when decimal.mark = "." and +"." otherwise

    • +
    • Fix for header text where all observations are +NA

    • +
    • New argument droplevels to exclude empty factor +levels when input is a factor

    • +
    • Factor levels will be in header when present in input data +(maximum of 5)

    • Fix for using select() on frequency tables

    -
  • Function scale_y_percent() now contains the limits argument
  • -
  • Automatic argument filling for mdro(), key_antibiotics() and eucast_rules() +
  • Function scale_y_percent() now contains the +limits argument
  • +
  • Automatic argument filling for mdro(), +key_antibiotics() and eucast_rules()
  • -
  • Updated examples for resistance prediction (resistance_predict() function)
  • -
  • Fix for as.mic() to support more values ending in (several) zeroes
  • -
  • if using different lengths of pattern and x in %like%, it will now return the call
  • +
  • Updated examples for resistance prediction +(resistance_predict() function)
  • +
  • Fix for as.mic() to support more values ending in +(several) zeroes
  • +
  • if using different lengths of pattern and x in %like%, +it will now return the call
  • Other
    -
    • Updated licence text to emphasise GPL 2.0 and that this is an R package.
    • +
      • Updated licence text to emphasise GPL 2.0 and that this is an R +package.
    @@ -1520,33 +2498,64 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
    New
    • Repository moved to GitLab
    • -
    • Function count_all to get all available isolates (that like all portion_* and count_* functions also supports summarise and group_by), the old n_rsi is now an alias of count_all +
    • Function count_all to get all available isolates (that +like all portion_* and count_* functions also +supports summarise and group_by), the old +n_rsi is now an alias of count_all
    • -
    • Function get_locale to determine language for language-dependent output for some mo_* functions. This is now the default value for their language argument, by which the system language will be used at default.
    • -
    • Data sets microorganismsDT, microorganisms.prevDT, microorganisms.unprevDT and microorganisms.oldDT to improve the speed of as.mo. They are for reference only, since they are primarily for internal use of as.mo.
    • -
    • Function read.4D to read from the 4D database of the MMB department of the UMCG
    • -
    • Functions mo_authors and mo_year to get specific values about the scientific reference of a taxonomic entry
    • +
    • Function get_locale to determine language for +language-dependent output for some mo_* functions. This is +now the default value for their language argument, by which +the system language will be used at default.
    • +
    • Data sets microorganismsDT, +microorganisms.prevDT, microorganisms.unprevDT +and microorganisms.oldDT to improve the speed of +as.mo. They are for reference only, since they are +primarily for internal use of as.mo.
    • +
    • Function read.4D to read from the 4D database of the +MMB department of the UMCG
    • +
    • Functions mo_authors and mo_year to get +specific values about the scientific reference of a taxonomic entry
    Changed
    -
    • Functions MDRO, BRMO, MRGN and EUCAST_exceptional_phenotypes were renamed to mdro, brmo, mrgn and eucast_exceptional_phenotypes

    • -
    • EUCAST_rules was renamed to eucast_rules, the old function still exists as a deprecated function

    • +
      • Functions MDRO, BRMO, MRGN +and EUCAST_exceptional_phenotypes were renamed to +mdro, brmo, mrgn and +eucast_exceptional_phenotypes

      • +
      • EUCAST_rules was renamed to +eucast_rules, the old function still exists as a deprecated +function

      • Big changes to the eucast_rules function:

        -
        • Now also applies rules from the EUCAST ‘Breakpoint tables for bacteria’, version 8.1, 2018, https://www.eucast.org/clinical_breakpoints/ (see Source of the function)
        • -
        • New argument rules to specify which rules should be applied (expert rules, breakpoints, others or all)
        • -
        • New argument verbose which can be set to TRUE to get very specific messages about which columns and rows were affected
        • -
        • Better error handling when rules cannot be applied (i.e. new values could not be inserted)
        • -
        • The number of affected values will now only be measured once per row/column combination
        • -
        • Data set septic_patients now reflects these changes
        • -
        • Added argument pipe for piperacillin (J01CA12), also to the mdro function
        • +
          • Now also applies rules from the EUCAST ‘Breakpoint tables for +bacteria’, version 8.1, 2018, https://www.eucast.org/clinical_breakpoints/ (see Source +of the function)
          • +
          • New argument rules to specify which rules should be +applied (expert rules, breakpoints, others or all)
          • +
          • New argument verbose which can be set to +TRUE to get very specific messages about which columns and +rows were affected
          • +
          • Better error handling when rules cannot be applied (i.e. new values +could not be inserted)
          • +
          • The number of affected values will now only be measured once per +row/column combination
          • +
          • Data set septic_patients now reflects these +changes
          • +
          • Added argument pipe for piperacillin (J01CA12), also to +the mdro function
          • Small fixes to EUCAST clinical breakpoint rules
          -
        • Added column kingdom to the microorganisms data set, and function mo_kingdom to look up values

        • -
        • Tremendous speed improvement for as.mo (and subsequently all mo_* functions), as empty values wil be ignored a priori

        • -
        • Fewer than 3 characters as input for as.mo will return NA

        • +
        • Added column kingdom to the microorganisms data set, +and function mo_kingdom to look up values

        • +
        • Tremendous speed improvement for as.mo (and +subsequently all mo_* functions), as empty values wil be +ignored a priori

        • +
        • Fewer than 3 characters as input for as.mo will +return NA

        • -

          Function as.mo (and all mo_* wrappers) now supports genus abbreviations with “species” attached

          +

          Function as.mo (and all mo_* wrappers) +now supports genus abbreviations with “species” attached

           
           as.mo("E. species")        # B_ESCHR
          @@ -1554,45 +2563,69 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
           as.mo("S. spp")            # B_STPHY
           mo_fullname("S. species")  # "Staphylococcus species"
        • -
        • Added argument combine_IR (TRUE/FALSE) to functions portion_df and count_df, to indicate that all values of I and R must be merged into one, so the output only consists of S vs. IR (susceptible vs. non-susceptible)

        • -
        • Fix for portion_*(..., as_percent = TRUE) when minimal number of isolates would not be met

        • -
        • Added argument also_single_tested for portion_* and count_* functions to also include cases where not all antibiotics were tested but at least one of the tested antibiotics includes the target antimicribial interpretation, see ?portion

        • -
        • Using portion_* functions now throws a warning when total available isolate is below argument minimum

        • -
        • Functions as.mo, as.rsi, as.mic, as.atc and freq will not set package name as attribute anymore

        • +
        • Added argument combine_IR (TRUE/FALSE) to functions +portion_df and count_df, to indicate that all +values of I and R must be merged into one, so the output only consists +of S vs. IR (susceptible vs. non-susceptible)

        • +
        • Fix for portion_*(..., as_percent = TRUE) when +minimal number of isolates would not be met

        • +
        • Added argument also_single_tested for +portion_* and count_* functions to also +include cases where not all antibiotics were tested but at least one of +the tested antibiotics includes the target antimicribial interpretation, +see ?portion

        • +
        • Using portion_* functions now throws a warning when +total available isolate is below argument minimum

        • +
        • Functions as.mo, as.rsi, +as.mic, as.atc and freq will not +set package name as attribute anymore

        • -

          Frequency tables - freq():

          +

          Frequency tables - freq():

          • Support for grouping variables, test with:

             
             septic_patients %>% 
               group_by(hospital_id) %>% 
            -  freq(gender)
            + freq(gender)
  • Support for (un)selecting columns:

     
     septic_patients %>% 
    -  freq(hospital_id) %>% 
    +  freq(hospital_id) %>% 
       select(-count, -cum_count) # only get item, percent, cum_percent
  • Check for hms::is.hms

  • -
  • Now prints in markdown at default in non-interactive sessions

  • -
  • No longer adds the factor level column and sorts factors on count again

  • +
  • Now prints in markdown at default in non-interactive +sessions

  • +
  • No longer adds the factor level column and sorts factors on count +again

  • Support for class difftime

  • -
  • New argument na, to choose which character to print for empty values

  • -
  • New argument header to turn the header info off (default when markdown = TRUE)

  • -
  • New argument title to manually setbthe title of the frequency table

  • +
  • New argument na, to choose which character to print +for empty values

  • +
  • New argument header to turn the header info off +(default when markdown = TRUE)

  • +
  • New argument title to manually setbthe title of the +frequency table

  • -
  • first_isolate now tries to find columns to use as input when arguments are left blank

  • -
  • Improvements for MDRO algorithm (function mdro)

  • -
  • Data set septic_patients is now a data.frame, not a tibble anymore

  • -
  • Removed diacritics from all authors (columns microorganisms$ref and microorganisms.old$ref) to comply with CRAN policy to only allow ASCII characters

  • +
  • first_isolate now tries to find columns to use as +input when arguments are left blank

  • +
  • Improvements for MDRO algorithm (function +mdro)

  • +
  • Data set septic_patients is now a +data.frame, not a tibble anymore

  • +
  • Removed diacritics from all authors (columns +microorganisms$ref and microorganisms.old$ref) +to comply with CRAN policy to only allow ASCII characters

  • Fix for mo_property not working properly

  • -
  • Fix for eucast_rules where some Streptococci would become ceftazidime R in EUCAST rule 4.5

  • -
  • Support for named vectors of class mo, useful for top_freq()

  • -
  • ggplot_rsi and scale_y_percent have breaks argument

  • +
  • Fix for eucast_rules where some Streptococci would +become ceftazidime R in EUCAST rule 4.5

  • +
  • Support for named vectors of class mo, useful for +top_freq()

  • +
  • ggplot_rsi and scale_y_percent have +breaks argument

  • AI improvements for as.mo:

    • @@ -1609,16 +2642,24 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
  • Fix for join functions

  • -
  • Speed improvement for is.rsi.eligible, now 15-20 times faster

  • -
  • In g.test, when sum(x) is below 1000 or any of the expected values is below 5, Fisher’s Exact Test will be suggested

  • -
  • ab_name will try to fall back on as.atc when no results are found

  • +
  • Speed improvement for is.rsi.eligible, now 15-20 +times faster

  • +
  • In g.test, when sum(x) is below 1000 or +any of the expected values is below 5, Fisher’s Exact Test will be +suggested

  • +
  • ab_name will try to fall back on as.atc +when no results are found

  • Removed the addin to view data sets

  • -
  • Percentages will now will rounded more logically (e.g. in freq function)

  • +
  • Percentages will now will rounded more logically (e.g. in +freq function)

  • Other
    -
    • New dependency on package crayon, to support formatted text in the console
    • -
    • Dependency tidyr is now mandatory (went to Import field) since portion_df and count_df rely on it
    • +
      • New dependency on package crayon, to support formatted +text in the console
      • +
      • Dependency tidyr is now mandatory (went to +Import field) since portion_df and +count_df rely on it
      • Updated vignettes to comply with README
    @@ -1626,18 +2667,32 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
    New
    -
    • The data set microorganisms now contains all microbial taxonomic data from ITIS (kingdoms Bacteria, Fungi and Protozoa), the Integrated Taxonomy Information System, available via https://itis.gov. The data set now contains more than 18,000 microorganisms with all known bacteria, fungi and protozoa according ITIS with genus, species, subspecies, family, order, class, phylum and subkingdom. The new data set microorganisms.old contains all previously known taxonomic names from those kingdoms.

    • +
      • The data set microorganisms now contains all +microbial taxonomic data from ITIS (kingdoms Bacteria, Fungi +and Protozoa), the Integrated Taxonomy Information System, available via +https://itis.gov. The data +set now contains more than 18,000 microorganisms with all known +bacteria, fungi and protozoa according ITIS with genus, species, +subspecies, family, order, class, phylum and subkingdom. The new data +set microorganisms.old contains all previously known +taxonomic names from those kingdoms.

      • -

        New functions based on the existing function mo_property:

        -
        • Taxonomic names: mo_phylum, mo_class, mo_order, mo_family, mo_genus, mo_species, mo_subspecies +

          New functions based on the existing function +mo_property:

          +
          • Taxonomic names: mo_phylum, mo_class, +mo_order, mo_family, mo_genus, +mo_species, mo_subspecies
          • -
          • Semantic names: mo_fullname, mo_shortname +
          • Semantic names: mo_fullname, +mo_shortname
          • -
          • Microbial properties: mo_type, mo_gramstain +
          • Microbial properties: mo_type, +mo_gramstain
          • Author and year: mo_ref
          • -

          They also come with support for German, Dutch, French, Italian, Spanish and Portuguese:

          +

        They also come with support for German, Dutch, French, Italian, +Spanish and Portuguese:

         
         mo_gramstain("E. coli")
        @@ -1648,7 +2703,8 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
         # [1] "Gram negativo"
         mo_fullname("S. group A", language = "pt") # Portuguese
         # [1] "Streptococcus grupo A"
        -

        Furthermore, former taxonomic names will give a note about the current taxonomic name:

        +

        Furthermore, former taxonomic names will give a note about the +current taxonomic name:

         
         mo_gramstain("Esc blattae")
        @@ -1656,12 +2712,24 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
         # [1] "Gram negative"
      • -

        Functions count_R, count_IR, count_I, count_SI and count_S to selectively count resistant or susceptible isolates

        -
        • Extra function count_df (which works like portion_df) to get all counts of S, I and R of a data set with antibiotic columns, with support for grouped variables
        • +

          Functions count_R, count_IR, +count_I, count_SI and count_S to +selectively count resistant or susceptible isolates

          +
          • Extra function count_df (which works like +portion_df) to get all counts of S, I and R of a data set +with antibiotic columns, with support for grouped variables
          -
        • Function is.rsi.eligible to check for columns that have valid antimicrobial results, but do not have the rsi class yet. Transform the columns of your raw data with: data %>% mutate_if(is.rsi.eligible, as.rsi)

        • +
        • Function is.rsi.eligible to check for columns that +have valid antimicrobial results, but do not have the rsi +class yet. Transform the columns of your raw data with: +data %>% mutate_if(is.rsi.eligible, as.rsi)

        • -

          Functions as.mo and is.mo as replacements for as.bactid and is.bactid (since the microoganisms data set not only contains bacteria). These last two functions are deprecated and will be removed in a future release. The as.mo function determines microbial IDs using intelligent rules:

          +

          Functions as.mo and is.mo as +replacements for as.bactid and is.bactid +(since the microoganisms data set not only contains +bacteria). These last two functions are deprecated and will be removed +in a future release. The as.mo function determines +microbial IDs using intelligent rules:

           
           as.mo("E. coli")
          @@ -1670,7 +2738,8 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
           # [1] B_STPHY_AUR
           as.mo("S group A")
           # [1] B_STRPTC_GRA
          -

          And with great speed too - on a quite regular Linux server from 2007 it takes us less than 0.02 seconds to transform 25,000 items:

          +

          And with great speed too - on a quite regular Linux server from 2007 +it takes us less than 0.02 seconds to transform 25,000 items:

           
           thousands_of_E_colis <- rep("E. coli", 25000)
          @@ -1679,27 +2748,44 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
           #         min       median         max  neval
           #  0.01817717  0.01843957  0.03878077    100
        • -
        • Added argument reference_df for as.mo, so users can supply their own microbial IDs, name or codes as a reference table

        • +
        • Added argument reference_df for as.mo, +so users can supply their own microbial IDs, name or codes as a +reference table

        • -

          Renamed all previous references to bactid to mo, like:

          -
          • Column names inputs of EUCAST_rules, first_isolate and key_antibiotics +

            Renamed all previous references to bactid to +mo, like:

            +
            • Column names inputs of EUCAST_rules, +first_isolate and key_antibiotics
            • -
            • Column names of datasets microorganisms and septic_patients +
            • Column names of datasets microorganisms and +septic_patients
            • -
            • All old syntaxes will still work with this version, but will throw warnings
            • +
            • All old syntaxes will still work with this version, but will throw +warnings
          • -
          • Function labels_rsi_count to print datalabels on a RSI ggplot2 model

          • -
          • Functions as.atc and is.atc to transform/look up antibiotic ATC codes as defined by the WHO. The existing function guess_atc is now an alias of as.atc.

          • -
          • Function ab_property and its aliases: ab_name, ab_tradenames, ab_certe, ab_umcg and ab_trivial_nl

          • +
          • Function labels_rsi_count to print datalabels on a +RSI ggplot2 model

          • +
          • Functions as.atc and is.atc to +transform/look up antibiotic ATC codes as defined by the WHO. The +existing function guess_atc is now an alias of +as.atc.

          • +
          • Function ab_property and its aliases: +ab_name, ab_tradenames, ab_certe, +ab_umcg and ab_trivial_nl

          • Introduction to AMR as a vignette

          • -
          • Removed clipboard functions as it violated the CRAN policy

          • -
          • Renamed septic_patients$sex to septic_patients$gender

          • +
          • Removed clipboard functions as it violated the CRAN +policy

          • +
          • Renamed septic_patients$sex to +septic_patients$gender

    Changed
    -
    • Added three antimicrobial agents to the antibiotics data set: Terbinafine (D01BA02), Rifaximin (A07AA11) and Isoconazole (D01AC05)

    • +
      • Added three antimicrobial agents to the antibiotics +data set: Terbinafine (D01BA02), Rifaximin (A07AA11) and Isoconazole +(D01AC05)

      • -

        Added 163 trade names to the antibiotics data set, it now contains 298 different trade names in total, e.g.:

        +

        Added 163 trade names to the antibiotics data set, +it now contains 298 different trade names in total, e.g.:

         
         ab_official("Bactroban")
        @@ -1709,14 +2795,24 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
         ab_atc(c("Bactroban", "Amoxil", "Zithromax", "Floxapen"))
         # [1] "R01AX06" "J01CA04" "J01FA10" "J01CF05"
      • -
      • For first_isolate, rows will be ignored when there’s no species available

      • -
      • Function ratio is now deprecated and will be removed in a future release, as it is not really the scope of this package

      • -
      • Fix for as.mic for values ending in zeroes after a real number

      • -
      • Small fix where B. fragilis would not be found in the microorganisms.umcg data set

      • -
      • Added prevalence column to the microorganisms data set

      • -
      • Added arguments minimum and as_percent to portion_df

      • +
      • For first_isolate, rows will be ignored when there’s +no species available

      • +
      • Function ratio is now deprecated and will be removed +in a future release, as it is not really the scope of this +package

      • +
      • Fix for as.mic for values ending in zeroes after a +real number

      • +
      • Small fix where B. fragilis would not be found in the +microorganisms.umcg data set

      • +
      • Added prevalence column to the +microorganisms data set

      • +
      • Added arguments minimum and as_percent +to portion_df

      • -

        Support for quasiquotation in the functions series count_* and portions_*, and n_rsi. This allows to check for more than 2 vectors or columns.

        +

        Support for quasiquotation in the functions series +count_* and portions_*, and +n_rsi. This allows to check for more than 2 vectors or +columns.

         
         septic_patients %>% select(amox, cipr) %>% count_IR()
        @@ -1727,26 +2823,38 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
         septic_patients %>% portion_S(amcl, gent)
         septic_patients %>% portion_S(amcl, gent, pita)
      • -
      • Edited ggplot_rsi and geom_rsi so they can cope with count_df. The new fun argument has value portion_df at default, but can be set to count_df.

      • -
      • Fix for ggplot_rsi when the ggplot2 package was not loaded

      • -
      • Added datalabels function labels_rsi_count to ggplot_rsi

      • -
      • Added possibility to set any argument to geom_rsi (and ggplot_rsi) so you can set your own preferences

      • -
      • Fix for joins, where predefined suffices would not be honoured

      • -
      • Added argument quote to the freq function

      • -
      • Added generic function diff for frequency tables

      • -
      • Added longest en shortest character length in the frequency table (freq) header of class character

      • +
      • Edited ggplot_rsi and geom_rsi so they +can cope with count_df. The new fun argument +has value portion_df at default, but can be set to +count_df.

      • +
      • Fix for ggplot_rsi when the ggplot2 +package was not loaded

      • +
      • Added datalabels function labels_rsi_count to +ggplot_rsi

      • +
      • Added possibility to set any argument to geom_rsi +(and ggplot_rsi) so you can set your own +preferences

      • +
      • Fix for joins, where predefined suffices would not be +honoured

      • +
      • Added argument quote to the freq +function

      • +
      • Added generic function diff for frequency +tables

      • +
      • Added longest en shortest character length in the frequency table +(freq) header of class character

      • -

        Support for types (classes) list and matrix for freq

        +

        Support for types (classes) list and matrix for +freq

         
         my_matrix = with(septic_patients, matrix(c(age, gender), ncol = 2))
        -freq(my_matrix)
        +freq(my_matrix)

    For lists, subsetting is possible:

     
     my_list = list(age = septic_patients$age, gender = septic_patients$gender)
    -my_list %>% freq(age)
    -my_list %>% freq(gender)
    +my_list %>% freq(age) +my_list %>% freq(gender)
    @@ -1759,99 +2867,178 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
    New
    • -BREAKING: rsi_df was removed in favour of new functions portion_R, portion_IR, portion_I, portion_SI and portion_S to selectively calculate resistance or susceptibility. These functions are 20 to 30 times faster than the old rsi function. The old function still works, but is deprecated. -
      • New function portion_df to get all portions of S, I and R of a data set with antibiotic columns, with support for grouped variables
      • +BREAKING: rsi_df was removed in favour +of new functions portion_R, portion_IR, +portion_I, portion_SI and +portion_S to selectively calculate resistance or +susceptibility. These functions are 20 to 30 times faster than the old +rsi function. The old function still works, but is +deprecated. +
        • New function portion_df to get all portions of S, I and +R of a data set with antibiotic columns, with support for grouped +variables
      • -BREAKING: the methodology for determining first weighted isolates was changed. The antibiotics that are compared between isolates (call key antibiotics) to include more first isolates (afterwards called first weighted isolates) are now as follows: -
        • Universal: amoxicillin, amoxicillin/clavlanic acid, cefuroxime, piperacillin/tazobactam, ciprofloxacin, trimethoprim/sulfamethoxazole
        • -
        • Gram-positive: vancomycin, teicoplanin, tetracycline, erythromycin, oxacillin, rifampicin
        • -
        • Gram-negative: gentamicin, tobramycin, colistin, cefotaxime, ceftazidime, meropenem
        • +BREAKING: the methodology for determining first +weighted isolates was changed. The antibiotics that are compared between +isolates (call key antibiotics) to include more first isolates +(afterwards called first weighted isolates) are now as follows: +
          • Universal: amoxicillin, amoxicillin/clavlanic acid, cefuroxime, +piperacillin/tazobactam, ciprofloxacin, +trimethoprim/sulfamethoxazole
          • +
          • Gram-positive: vancomycin, teicoplanin, tetracycline, erythromycin, +oxacillin, rifampicin
          • +
          • Gram-negative: gentamicin, tobramycin, colistin, cefotaxime, +ceftazidime, meropenem
        • Support for ggplot2 -
          • New functions geom_rsi, facet_rsi, scale_y_percent, scale_rsi_colours and theme_rsi +
            • New functions geom_rsi, facet_rsi, +scale_y_percent, scale_rsi_colours and +theme_rsi
            • -
            • New wrapper function ggplot_rsi to apply all above functions on a data set: +
            • New wrapper function ggplot_rsi to apply all above +functions on a data set:
              • -septic_patients %>% select(tobr, gent) %>% ggplot_rsi will show portions of S, I and R immediately in a pretty plot
              • +septic_patients %>% select(tobr, gent) %>% ggplot_rsi +will show portions of S, I and R immediately in a pretty plot
              • Support for grouped variables, see ?ggplot_rsi
          • Determining bacterial ID: -
            • New functions as.bactid and is.bactid to transform/ look up microbial ID’s.
            • -
            • The existing function guess_bactid is now an alias of as.bactid +
              • New functions as.bactid and is.bactid to +transform/ look up microbial ID’s.
              • +
              • The existing function guess_bactid is now an alias of +as.bactid
              • -
              • New Becker classification for Staphylococcus to categorise them into Coagulase Negative Staphylococci (CoNS) and Coagulase Positve Staphylococci (CoPS)
              • -
              • New Lancefield classification for Streptococcus to categorise them into Lancefield groups
              • +
              • New Becker classification for Staphylococcus to categorise +them into Coagulase Negative Staphylococci (CoNS) and Coagulase +Positve Staphylococci (CoPS)
              • +
              • New Lancefield classification for Streptococcus to +categorise them into Lancefield groups
            • -
            • For convience, new descriptive statistical functions kurtosis and skewness that are lacking in base R - they are generic functions and have support for vectors, data.frames and matrices
            • -
            • Function g.test to perform the X2 distributed G-test, which use is the same as chisq.test +
            • For convience, new descriptive statistical functions +kurtosis and skewness that are lacking in base +R - they are generic functions and have support for vectors, data.frames +and matrices
            • +
            • Function g.test to perform the X2 +distributed G-test, which +use is the same as chisq.test
            • -Function ratio to transform a vector of values to a preset ratio -
              • For example: ratio(c(10, 500, 10), ratio = "1:2:1") would return 130, 260, 130
              • +Function ratio to transform a vector of values to +a preset ratio +
                • For example: +ratio(c(10, 500, 10), ratio = "1:2:1") would return +130, 260, 130
                -
              • Support for Addins menu in RStudio to quickly insert %in% or %like% (and give them keyboard shortcuts), or to view the datasets that come with this package
              • -
              • Function p.symbol to transform p values to their related symbols: 0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1 +
              • Support for Addins menu in RStudio to quickly insert +%in% or %like% (and give them keyboard +shortcuts), or to view the datasets that come with this package
              • +
              • Function p.symbol to transform p values to their +related symbols: +0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
              • -
              • Functions clipboard_import and clipboard_export as helper functions to quickly copy and paste from/to software like Excel and SPSS. These functions use the clipr package, but are a little altered to also support headless Linux servers (so you can use it in RStudio Server)
              • +
              • Functions clipboard_import and +clipboard_export as helper functions to quickly copy and +paste from/to software like Excel and SPSS. These functions use the +clipr package, but are a little altered to also support +headless Linux servers (so you can use it in RStudio Server)
              • New for frequency tables (function freq):
                • A vignette to explain its usage
                • -
                • Support for rsi (antimicrobial resistance) to use as input
                • -
                • Support for table to use as input: freq(table(x, y)) +
                • Support for rsi (antimicrobial resistance) to use as +input
                • +
                • Support for table to use as input: +freq(table(x, y))
                • -
                • Support for existing functions hist and plot to use a frequency table as input: hist(freq(df$age)) +
                • Support for existing functions hist and +plot to use a frequency table as input: +hist(freq(df$age))
                • -
                • Support for as.vector, as.data.frame, as_tibble and format +
                • Support for as.vector, as.data.frame, +as_tibble and format
                • -
                • Support for quasiquotation: freq(mydata, mycolumn) is the same as mydata %>% freq(mycolumn) +
                • Support for quasiquotation: freq(mydata, mycolumn) is +the same as mydata %>% freq(mycolumn)
                • -
                • Function top_freq function to return the top/below n items as vector
                • -
                • Header of frequency tables now also show Mean Absolute Deviaton (MAD) and Interquartile Range (IQR)
                • -
                • Possibility to globally set the default for the amount of items to print, with options(max.print.freq = n) where n is your preset value
                • +
                • Function top_freq function to return the top/below +n items as vector
                • +
                • Header of frequency tables now also show Mean Absolute Deviaton +(MAD) and Interquartile Range (IQR)
                • +
                • Possibility to globally set the default for the amount of items to +print, with options(max.print.freq = n) where n is +your preset value
    Changed
    -
    • Improvements for forecasting with resistance_predict and added more examples
    • +
      • Improvements for forecasting with resistance_predict +and added more examples
      • More antibiotics added as arguments for EUCAST rules
      • -
      • Updated version of the septic_patients data set to better reflect the reality
      • -
      • Pretty printing for tibbles removed as it is not really the scope of this package
      • -
      • Printing of mic and rsi classes now returns all values - use freq to check distributions
      • -
      • Improved speed of key antibiotics comparison for determining first isolates
      • -
      • Column names for the key_antibiotics function are now generic: 6 for broadspectrum ABs, 6 for Gram-positive specific and 6 for Gram-negative specific ABs
      • +
      • Updated version of the septic_patients data set to +better reflect the reality
      • +
      • Pretty printing for tibbles removed as it is not really the scope of +this package
      • +
      • Printing of mic and rsi classes now +returns all values - use freq to check distributions
      • +
      • Improved speed of key antibiotics comparison for determining first +isolates
      • +
      • Column names for the key_antibiotics function are now +generic: 6 for broadspectrum ABs, 6 for Gram-positive specific and 6 for +Gram-negative specific ABs
      • Speed improvement for the abname function
      • %like% now supports multiple patterns
      • -
      • Frequency tables are now actual data.frames with altered console printing to make it look like a frequency table. Because of this, the argument toConsole is not longer needed.
      • -
      • Fix for freq where the class of an item would be lost
      • -
      • Small translational improvements to the septic_patients dataset and the column bactid now has the new class "bactid" +
      • Frequency tables are now actual data.frames with +altered console printing to make it look like a frequency table. Because +of this, the argument toConsole is not longer needed.
      • +
      • Fix for freq where the class of an item would be +lost
      • +
      • Small translational improvements to the septic_patients +dataset and the column bactid now has the new class +"bactid"
      • -
      • Small improvements to the microorganisms dataset (especially for Salmonella) and the column bactid now has the new class "bactid" +
      • Small improvements to the microorganisms dataset +(especially for Salmonella) and the column bactid +now has the new class "bactid"
      • -
      • Combined MIC/RSI values will now be coerced by the rsi and mic functions: +
      • Combined MIC/RSI values will now be coerced by the rsi +and mic functions:
        • as.rsi("<=0.002; S") will return S
        • -as.mic("<=0.002; S") will return <=0.002 +as.mic("<=0.002; S") will return +<=0.002
      • -
      • Now possible to coerce MIC values with a space between operator and value, i.e. as.mic("<= 0.002") now works
      • -
      • Classes rsi and mic do not add the attribute package.version anymore
      • -
      • Added "groups" option for atc_property(..., property). It will return a vector of the ATC hierarchy as defined by the WHO. The new function atc_groups is a convenient wrapper around this.
      • -
      • Build-in host check for atc_property as it requires the host set by url to be responsive
      • -
      • Improved first_isolate algorithm to exclude isolates where bacteria ID or genus is unavailable
      • -
      • Fix for warning hybrid evaluation forced for row_number (924b62) from the dplyr package v0.7.5 and above
      • -
      • Support for empty values and for 1 or 2 columns as input for guess_bactid (now called as.bactid) -
        • So yourdata %>% select(genus, species) %>% as.bactid() now also works
        • +
        • Now possible to coerce MIC values with a space between operator and +value, i.e. as.mic("<= 0.002") now works
        • +
        • Classes rsi and mic do not add the +attribute package.version anymore
        • +
        • Added "groups" option for +atc_property(..., property). It will return a vector of the +ATC hierarchy as defined by the WHO. The +new function atc_groups is a convenient wrapper around +this.
        • +
        • Build-in host check for atc_property as it requires the +host set by url to be responsive
        • +
        • Improved first_isolate algorithm to exclude isolates +where bacteria ID or genus is unavailable
        • +
        • Fix for warning hybrid evaluation forced for row_number (924b62) +from the dplyr package v0.7.5 and above
        • +
        • Support for empty values and for 1 or 2 columns as input for +guess_bactid (now called as.bactid) +
          • So +yourdata %>% select(genus, species) %>% as.bactid() +now also works
        • Other small fixes
    Other
    -
    • Added integration tests (check if everything works as expected) for all releases of R 3.1 and higher +
      • Added integration tests (check if everything works as expected) for +all releases of R 3.1 and higher
        • Linux and macOS: https://travis-ci.org/msberends/AMR
        • Windows: https://ci.appveyor.com/project/msberends/amr @@ -1865,41 +3052,66 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
          New
          • Full support for Windows, Linux and macOS
          • -
          • Full support for old R versions, only R-3.0.0 (April 2013) or later is needed (needed packages may have other dependencies)
          • -
          • Function n_rsi to count cases where antibiotic test results were available, to be used in conjunction with dplyr::summarise, see ?rsi
          • -
          • Function guess_bactid to determine the ID of a microorganism based on genus/species or known abbreviations like MRSA
          • -
          • Function guess_atc to determine the ATC of an antibiotic based on name, trade name, or known abbreviations
          • -
          • Function freq to create frequency tables, with additional info in a header
          • -
          • Function MDRO to determine Multi Drug Resistant Organisms (MDRO) with support for country-specific guidelines. +
          • Full support for old R versions, only R-3.0.0 (April 2013) or later +is needed (needed packages may have other dependencies)
          • +
          • Function n_rsi to count cases where antibiotic test +results were available, to be used in conjunction with +dplyr::summarise, see ?rsi
          • +
          • Function guess_bactid to determine the +ID of a microorganism based on genus/species or known +abbreviations like MRSA
          • +
          • Function guess_atc to determine the +ATC of an antibiotic based on name, trade name, or known +abbreviations
          • +
          • Function freq to create frequency +tables, with additional info in a header
          • +
          • Function MDRO to determine Multi Drug Resistant +Organisms (MDRO) with support for country-specific guidelines.
          • -
          • New algorithm to determine weighted isolates, can now be "points" or "keyantibiotics", see ?first_isolate +
          • New algorithm to determine weighted isolates, can now be +"points" or "keyantibiotics", see +?first_isolate
          • -
          • New print format for tibbles and data.tables
          • +
          • New print format for tibbles and +data.tables
          Changed
          -
          • Fixed rsi class for vectors that contain only invalid antimicrobial interpretations
          • +
            • Fixed rsi class for vectors that contain only invalid +antimicrobial interpretations
            • Renamed dataset ablist to antibiotics
            • -
            • Renamed dataset bactlist to microorganisms +
            • Renamed dataset bactlist to +microorganisms
            • -
            • Added common abbreviations and trade names to the antibiotics dataset
            • -
            • Added more microorganisms to the microorganisms dataset
            • -
            • Added analysis examples on help page of dataset septic_patients +
            • Added common abbreviations and trade names to the +antibiotics dataset
            • +
            • Added more microorganisms to the microorganisms +dataset
            • +
            • Added analysis examples on help page of dataset +septic_patients
            • -
            • Added support for character vector in join functions
            • -
            • Added warnings when a join results in more rows after than before the join
            • +
            • Added support for character vector in join +functions
            • +
            • Added warnings when a join results in more rows after than before +the join
            • Altered %like% to make it case insensitive
            • -
            • For arguments of functions first_isolate and EUCAST_rules column names are now case-insensitive
            • -
            • Functions as.rsi and as.mic now add the package name and version as attributes
            • +
            • For arguments of functions first_isolate and +EUCAST_rules column names are now case-insensitive
            • +
            • Functions as.rsi and as.mic now add the +package name and version as attributes
          Other
          • Expanded README.md with more examples
          • -
          • Added ORCID of authors to DESCRIPTION file
          • +
          • Added ORCID of authors to +DESCRIPTION file
          • Added unit testing with the testthat package
          • Added build tests for Linux and macOS using Travis CI (https://travis-ci.org/msberends/AMR)
          • Added line coverage checking using CodeCov (https://codecov.io/gh/msberends/AMR/tree/main/R)
          • @@ -1908,11 +3120,14 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
            • -EUCAST_rules applies for amoxicillin even if ampicillin is missing
            • -
            • Edited column names to comply with GLIMS, the laboratory information system
            • +EUCAST_rules applies for amoxicillin even if ampicillin +is missing +
            • Edited column names to comply with GLIMS, the laboratory information +system
            • Added more valid MIC values
            • Renamed ‘Daily Defined Dose’ to ‘Defined Daily Dose’
            • -
            • Added barplots for rsi and mic classes
            • +
            • Added barplots for rsi and mic +classes
            @@ -1928,11 +3143,13 @@ This works for all drug combinations, such as ampicillin/sulbactam, ceftazidime/
            -

            Site built with pkgdown 2.0.2.

            +

            Site built with pkgdown +2.0.2.

            diff --git a/docs/pkgdown.yml b/docs/pkgdown.yml index eac16ae7..84783e52 100644 --- a/docs/pkgdown.yml +++ b/docs/pkgdown.yml @@ -1,5 +1,5 @@ -pandoc: 2.14.0.3 -pkgdown: 2.0.0 +pandoc: 2.17.1.1 +pkgdown: 2.0.2 pkgdown_sha: ~ articles: AMR: AMR.html @@ -12,7 +12,7 @@ articles: datasets: datasets.html resistance_predict: resistance_predict.html welcome_to_AMR: welcome_to_AMR.html -last_built: 2021-12-23T17:53Z +last_built: 2022-03-14T15:33Z urls: reference: https://msberends.github.io/AMR/reference article: https://msberends.github.io/AMR/articles diff --git a/docs/reference/AMR-deprecated.html b/docs/reference/AMR-deprecated.html index 8b30fd9e..bd86fc68 100644 --- a/docs/reference/AMR-deprecated.html +++ b/docs/reference/AMR-deprecated.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9004 + 1.8.1
          @@ -184,11 +184,13 @@ The lifecycle of this function is retired
          -

          Site built with pkgdown 2.0.2.

          +

          Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/AMR.html b/docs/reference/AMR.html index 1d025536..0e04a5ba 100644 --- a/docs/reference/AMR.html +++ b/docs/reference/AMR.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0 + 1.8.1
    @@ -161,7 +161,6 @@

    Welcome to the AMR package.

    -
    Usage,NULL

    Details

    @@ -222,11 +221,13 @@ The Netherlands
    -

    Site built with pkgdown 2.0.0.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/WHOCC.html b/docs/reference/WHOCC.html index a8777cd9..a02c8513 100644 --- a/docs/reference/WHOCC.html +++ b/docs/reference/WHOCC.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9004 + 1.8.1 @@ -195,11 +195,13 @@ This package contains all ~550 antibiotic, antimycotic and antiviral dru
    -

    Site built with pkgdown 2.0.2.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/WHONET.html b/docs/reference/WHONET.html index 47f2f117..72ccf426 100644 --- a/docs/reference/WHONET.html +++ b/docs/reference/WHONET.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0 + 1.8.1 @@ -161,7 +161,9 @@

    This example data set has the exact same structure as an export file from WHONET. Such files can be used with this package, as this example data set shows. The antibiotic results are from our example_isolates data set. All patient names are created using online surname generators and are only in place for practice purposes.

    -
    Usage,
    WHONET
    +
    +
    WHONET
    +

    Format

    @@ -213,11 +215,13 @@
    -

    Site built with pkgdown 2.0.0.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/ab_from_text.html b/docs/reference/ab_from_text.html index 5b821928..a7dc06a5 100644 --- a/docs/reference/ab_from_text.html +++ b/docs/reference/ab_from_text.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/ab_property.html b/docs/reference/ab_property.html index dd6cfc6d..c74aa078 100644 --- a/docs/reference/ab_property.html +++ b/docs/reference/ab_property.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/age.html b/docs/reference/age.html index a34bf8a7..f1a27b59 100644 --- a/docs/reference/age.html +++ b/docs/reference/age.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/age_groups.html b/docs/reference/age_groups.html index 3fe52145..d4578dbb 100644 --- a/docs/reference/age_groups.html +++ b/docs/reference/age_groups.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/antibiotic_class_selectors.html b/docs/reference/antibiotic_class_selectors.html index 0f8ee763..e35c6d4d 100644 --- a/docs/reference/antibiotic_class_selectors.html +++ b/docs/reference/antibiotic_class_selectors.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/antibiotics.html b/docs/reference/antibiotics.html index 13208529..20f4b015 100644 --- a/docs/reference/antibiotics.html +++ b/docs/reference/antibiotics.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9004 + 1.8.1 @@ -259,11 +259,13 @@ This package contains all ~550 antibiotic, antimycotic and antiviral dru
    -

    Site built with pkgdown 2.0.2.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/as.ab.html b/docs/reference/as.ab.html index 2f4911c7..70d08245 100644 --- a/docs/reference/as.ab.html +++ b/docs/reference/as.ab.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/as.disk.html b/docs/reference/as.disk.html index c10d3d8a..897ba611 100644 --- a/docs/reference/as.disk.html +++ b/docs/reference/as.disk.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/as.mic.html b/docs/reference/as.mic.html index 1618698e..58914b73 100644 --- a/docs/reference/as.mic.html +++ b/docs/reference/as.mic.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/as.mo.html b/docs/reference/as.mo.html index dbf53ee8..0b3375d3 100644 --- a/docs/reference/as.mo.html +++ b/docs/reference/as.mo.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/as.rsi.html b/docs/reference/as.rsi.html index 05e31b60..7fa7fad6 100644 --- a/docs/reference/as.rsi.html +++ b/docs/reference/as.rsi.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/atc_online.html b/docs/reference/atc_online.html index c7060b2e..599ecd4e 100644 --- a/docs/reference/atc_online.html +++ b/docs/reference/atc_online.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/availability.html b/docs/reference/availability.html index 3cba58d1..0aae951d 100644 --- a/docs/reference/availability.html +++ b/docs/reference/availability.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/bug_drug_combinations.html b/docs/reference/bug_drug_combinations.html index 04faa69a..f363023c 100644 --- a/docs/reference/bug_drug_combinations.html +++ b/docs/reference/bug_drug_combinations.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/catalogue_of_life.html b/docs/reference/catalogue_of_life.html index b95a7424..b628f62b 100644 --- a/docs/reference/catalogue_of_life.html +++ b/docs/reference/catalogue_of_life.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9004 + 1.8.1 @@ -235,11 +235,13 @@ Function as.mo() to use the data for intel
    -

    Site built with pkgdown 2.0.2.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/catalogue_of_life_version.html b/docs/reference/catalogue_of_life_version.html index 0adbedb7..a06ce87b 100644 --- a/docs/reference/catalogue_of_life_version.html +++ b/docs/reference/catalogue_of_life_version.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9004 + 1.8.1 @@ -200,11 +200,13 @@ This package contains the complete taxonomic tree of almost all microorganisms (
    -

    Site built with pkgdown 2.0.2.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/count.html b/docs/reference/count.html index d35f444e..9c6a5887 100644 --- a/docs/reference/count.html +++ b/docs/reference/count.html @@ -18,7 +18,7 @@ count_resistant() should be used to count resistant isolates, count_susceptible( AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/custom_eucast_rules.html b/docs/reference/custom_eucast_rules.html index 8b973fa8..eb4bc8cd 100644 --- a/docs/reference/custom_eucast_rules.html +++ b/docs/reference/custom_eucast_rules.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/dosage.html b/docs/reference/dosage.html index 84972a57..f5a67eff 100644 --- a/docs/reference/dosage.html +++ b/docs/reference/dosage.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0 + 1.8.1 @@ -161,7 +161,9 @@

    EUCAST breakpoints used in this package are based on the dosages in this data set. They can be retrieved with eucast_dosage().

    -
    Usage,
    dosage
    +
    +
    dosage
    +

    Format

    @@ -200,11 +202,13 @@
    -

    Site built with pkgdown 2.0.0.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/eucast_rules.html b/docs/reference/eucast_rules.html index 1cee5457..a8d1adcc 100644 --- a/docs/reference/eucast_rules.html +++ b/docs/reference/eucast_rules.html @@ -18,7 +18,7 @@ To improve the interpretation of the antibiogram before EUCAST rules are applied AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/example_isolates.html b/docs/reference/example_isolates.html index f04669e6..2b110291 100644 --- a/docs/reference/example_isolates.html +++ b/docs/reference/example_isolates.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0 + 1.8.1 @@ -161,7 +161,9 @@

    A data set containing 2,000 microbial isolates with their full antibiograms. The data set reflects reality and can be used to practice AMR data analysis. For examples, please read the tutorial on our website.

    -
    Usage,
    example_isolates
    +
    +
    example_isolates
    +

    Format

    @@ -197,11 +199,13 @@
    -

    Site built with pkgdown 2.0.0.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/example_isolates_unclean.html b/docs/reference/example_isolates_unclean.html index 8e5e6ce4..93e8ce85 100644 --- a/docs/reference/example_isolates_unclean.html +++ b/docs/reference/example_isolates_unclean.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0 + 1.8.1 @@ -161,7 +161,9 @@

    A data set containing 3,000 microbial isolates that are not cleaned up and consequently not ready for AMR data analysis. This data set can be used for practice.

    -
    Usage,
    example_isolates_unclean
    +
    +
    example_isolates_unclean
    +

    Format

    @@ -192,11 +194,13 @@
    -

    Site built with pkgdown 2.0.0.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/first_isolate.html b/docs/reference/first_isolate.html index fa85c4b6..64ff52ac 100644 --- a/docs/reference/first_isolate.html +++ b/docs/reference/first_isolate.html @@ -18,7 +18,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/g.test.html b/docs/reference/g.test.html index 829ec440..72160550 100644 --- a/docs/reference/g.test.html +++ b/docs/reference/g.test.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9004 + 1.8.1 @@ -323,11 +323,13 @@ The lifecycle of this function is questioni
    -

    Site built with pkgdown 2.0.2.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/get_episode.html b/docs/reference/get_episode.html index bfde36cc..adf012be 100644 --- a/docs/reference/get_episode.html +++ b/docs/reference/get_episode.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/ggplot_pca.html b/docs/reference/ggplot_pca.html index 6901dc82..30606c55 100644 --- a/docs/reference/ggplot_pca.html +++ b/docs/reference/ggplot_pca.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/ggplot_rsi.html b/docs/reference/ggplot_rsi.html index c149ca97..0dc16eef 100644 --- a/docs/reference/ggplot_rsi.html +++ b/docs/reference/ggplot_rsi.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/guess_ab_col.html b/docs/reference/guess_ab_col.html index 918718a7..0eb75062 100644 --- a/docs/reference/guess_ab_col.html +++ b/docs/reference/guess_ab_col.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/index.html b/docs/reference/index.html index 3b47ab75..e6d12372 100644 --- a/docs/reference/index.html +++ b/docs/reference/index.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/intrinsic_resistant.html b/docs/reference/intrinsic_resistant.html index b23246ea..bae4cb97 100644 --- a/docs/reference/intrinsic_resistant.html +++ b/docs/reference/intrinsic_resistant.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0 + 1.8.1 @@ -161,7 +161,9 @@

    Data set containing defined intrinsic resistance by EUCAST of all bug-drug combinations.

    -
    Usage,
    intrinsic_resistant
    +
    +
    intrinsic_resistant
    +

    Format

    @@ -208,11 +210,13 @@
    -

    Site built with pkgdown 2.0.0.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/italicise_taxonomy.html b/docs/reference/italicise_taxonomy.html index 59c52dd7..2d3f8f86 100644 --- a/docs/reference/italicise_taxonomy.html +++ b/docs/reference/italicise_taxonomy.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/join.html b/docs/reference/join.html index eb975064..a08d9d1d 100644 --- a/docs/reference/join.html +++ b/docs/reference/join.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/key_antimicrobials.html b/docs/reference/key_antimicrobials.html index ce2fe5e5..640b31e9 100644 --- a/docs/reference/key_antimicrobials.html +++ b/docs/reference/key_antimicrobials.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/kurtosis.html b/docs/reference/kurtosis.html index fe6c7183..02427b3f 100644 --- a/docs/reference/kurtosis.html +++ b/docs/reference/kurtosis.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/lifecycle.html b/docs/reference/lifecycle.html index aac85a16..f7766476 100644 --- a/docs/reference/lifecycle.html +++ b/docs/reference/lifecycle.html @@ -19,7 +19,7 @@ This page contains a section for every lifecycle (with text borrowed from the af AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/like.html b/docs/reference/like.html index 62c307ea..f75dc7e2 100644 --- a/docs/reference/like.html +++ b/docs/reference/like.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/mdro.html b/docs/reference/mdro.html index c0cf7fbd..aae20473 100644 --- a/docs/reference/mdro.html +++ b/docs/reference/mdro.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/microorganisms.codes.html b/docs/reference/microorganisms.codes.html index 1bf7d57c..96a33477 100644 --- a/docs/reference/microorganisms.codes.html +++ b/docs/reference/microorganisms.codes.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9004 + 1.8.1 @@ -203,11 +203,13 @@ This package contains the complete taxonomic tree of almost all microorganisms (
    -

    Site built with pkgdown 2.0.2.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/microorganisms.html b/docs/reference/microorganisms.html index 20556333..a9259dc7 100644 --- a/docs/reference/microorganisms.html +++ b/docs/reference/microorganisms.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9004 + 1.8.1 @@ -254,11 +254,13 @@ This package contains the complete taxonomic tree of almost all microorganisms (
    -

    Site built with pkgdown 2.0.2.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/microorganisms.old.html b/docs/reference/microorganisms.old.html index 12d26adb..e0b91c8a 100644 --- a/docs/reference/microorganisms.old.html +++ b/docs/reference/microorganisms.old.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9004 + 1.8.1 @@ -210,11 +210,13 @@ This package contains the complete taxonomic tree of almost all microorganisms (
    -

    Site built with pkgdown 2.0.2.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/mo_matching_score.html b/docs/reference/mo_matching_score.html index f0215e05..040c928c 100644 --- a/docs/reference/mo_matching_score.html +++ b/docs/reference/mo_matching_score.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/mo_property.html b/docs/reference/mo_property.html index 63dccbf7..8b33acb3 100644 --- a/docs/reference/mo_property.html +++ b/docs/reference/mo_property.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/mo_source.html b/docs/reference/mo_source.html index 0ce2ecb3..12ce5775 100644 --- a/docs/reference/mo_source.html +++ b/docs/reference/mo_source.html @@ -18,7 +18,7 @@ This is the fastest way to have your organisation (or analysis) specific codes p AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/pca.html b/docs/reference/pca.html index 3b33550a..dfc3f036 100644 --- a/docs/reference/pca.html +++ b/docs/reference/pca.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/plot.html b/docs/reference/plot.html index d76ee05a..fc39d863 100644 --- a/docs/reference/plot.html +++ b/docs/reference/plot.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/proportion.html b/docs/reference/proportion.html index 2eba482a..15c1124d 100644 --- a/docs/reference/proportion.html +++ b/docs/reference/proportion.html @@ -18,7 +18,7 @@ resistance() should be used to calculate resistance, susceptibility() should be AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/random.html b/docs/reference/random.html index a116ed62..d8c7470c 100644 --- a/docs/reference/random.html +++ b/docs/reference/random.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/resistance_predict.html b/docs/reference/resistance_predict.html index 84604110..bb815986 100644 --- a/docs/reference/resistance_predict.html +++ b/docs/reference/resistance_predict.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/rsi_translation.html b/docs/reference/rsi_translation.html index 3e362ca1..5b4badf5 100644 --- a/docs/reference/rsi_translation.html +++ b/docs/reference/rsi_translation.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0 + 1.8.1 @@ -161,7 +161,9 @@

    Data set containing reference data to interpret MIC and disk diffusion to R/SI values, according to international guidelines. Currently implemented guidelines are EUCAST (2011-2021) and CLSI (2010-2021). Use as.rsi() to transform MICs or disks measurements to R/SI values.

    -
    Usage,
    rsi_translation
    +
    +
    rsi_translation
    +

    Format

    @@ -206,11 +208,13 @@
    -

    Site built with pkgdown 2.0.0.

    +

    Site built with pkgdown +2.0.2.

    diff --git a/docs/reference/skewness.html b/docs/reference/skewness.html index e092e822..ebe1777e 100644 --- a/docs/reference/skewness.html +++ b/docs/reference/skewness.html @@ -18,7 +18,7 @@ When negative ('left-skewed'): the left tail is longer; the mass of the distribu AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/reference/translate.html b/docs/reference/translate.html index 4a8d1972..bfae1c7b 100644 --- a/docs/reference/translate.html +++ b/docs/reference/translate.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1 diff --git a/docs/survey.html b/docs/survey.html index 560979fd..6a40836c 100644 --- a/docs/survey.html +++ b/docs/survey.html @@ -17,7 +17,7 @@ AMR (for R) - 1.8.0.9005 + 1.8.1