diff --git a/docs/articles/AMR.html b/docs/articles/AMR.html index 839a1db4..96360d80 100644 --- a/docs/articles/AMR.html +++ b/docs/articles/AMR.html @@ -327,21 +327,21 @@ -2014-07-28 -F8 -Hospital A -Escherichia coli -R -R +2010-03-15 +U2 +Hospital B +Streptococcus pneumoniae S S -M +R +S +F -2017-04-01 -Y10 +2010-08-09 +Q7 Hospital B -Escherichia coli +Staphylococcus aureus R S S @@ -349,47 +349,47 @@ F -2015-04-18 -J2 +2012-03-04 +P2 Hospital B Klebsiella pneumoniae S -I -R S -M +S +S +F -2017-08-08 -Y6 +2013-10-19 +K5 Hospital C -Escherichia coli +Staphylococcus aureus R S S S -F - - -2010-12-27 -B3 -Hospital B -Klebsiella pneumoniae -S -I -S -S M - -2016-12-01 -D4 + +2017-10-05 +I7 Hospital D Staphylococcus aureus R -R S -R +S +S +M + + +2017-09-27 +H7 +Hospital C +Staphylococcus aureus +S +S +S +S M @@ -411,8 +411,8 @@ #> #> Item Count Percent Cum. Count Cum. Percent #> --- ----- ------- -------- ----------- ------------- -#> 1 M 10,333 51.7% 10,333 51.7% -#> 2 F 9,667 48.3% 20,000 100.0% +#> 1 M 10,384 51.9% 10,384 51.9% +#> 2 F 9,616 48.1% 20,000 100.0%

So, we can draw at least two conclusions immediately. From a data scientist perspective, the data looks clean: only values M and F. From a researcher perspective: there are slightly more men. Nothing we didn’t already know.

The data is already quite clean, but we still need to transform some variables. The bacteria column now consists of text, and we want to add more variables based on microbial IDs later on. So, we will transform this column to valid IDs. The mutate() function of the dplyr package makes this really easy:

data <- data %>%
@@ -443,10 +443,10 @@
 #> Kingella kingae (no changes)
 #> 
 #> EUCAST Expert Rules, Intrinsic Resistance and Exceptional Phenotypes (v3.1, 2016)
-#> Table 1:  Intrinsic resistance in Enterobacteriaceae (1307 changes)
+#> Table 1:  Intrinsic resistance in Enterobacteriaceae (1261 changes)
 #> Table 2:  Intrinsic resistance in non-fermentative Gram-negative bacteria (no changes)
 #> Table 3:  Intrinsic resistance in other Gram-negative bacteria (no changes)
-#> Table 4:  Intrinsic resistance in Gram-positive bacteria (2811 changes)
+#> Table 4:  Intrinsic resistance in Gram-positive bacteria (2655 changes)
 #> Table 8:  Interpretive rules for B-lactam agents and Gram-positive cocci (no changes)
 #> Table 9:  Interpretive rules for B-lactam agents and Gram-negative rods (no changes)
 #> Table 10: Interpretive rules for B-lactam agents and other Gram-negative bacteria (no changes)
@@ -462,9 +462,9 @@
 #> Non-EUCAST: piperacillin/tazobactam = S where piperacillin = S (no changes)
 #> Non-EUCAST: trimethoprim/sulfa = S where trimethoprim = S (no changes)
 #> 
-#> => EUCAST rules affected 7,381 out of 20,000 rows
+#> => EUCAST rules affected 7,230 out of 20,000 rows
 #>    -> added 0 test results
-#>    -> changed 4,118 test results (0 to S; 0 to I; 4,118 to R)
+#> -> changed 3,916 test results (0 to S; 0 to I; 3,916 to R)

@@ -489,8 +489,8 @@ #> NOTE: Using column `bacteria` as input for `col_mo`. #> NOTE: Using column `date` as input for `col_date`. #> NOTE: Using column `patient_id` as input for `col_patient_id`. -#> => Found 5,690 first isolates (28.5% of total)

-

So only 28.5% is suitable for resistance analysis! We can now filter on it with the filter() function, also from the dplyr package:

+#> => Found 5,689 first isolates (28.4% of total) +

So only 28.4% is suitable for resistance analysis! We can now filter on it with the filter() function, also from the dplyr package:

data_1st <- data %>% 
   filter(first == TRUE)

For future use, the above two syntaxes can be shortened with the filter_first_isolate() function:

@@ -516,8 +516,8 @@ 1 -2010-01-30 -J7 +2010-01-09 +V4 B_ESCHR_COL S S @@ -527,8 +527,8 @@ 2 -2010-01-30 -J7 +2010-04-24 +V4 B_ESCHR_COL S S @@ -538,76 +538,76 @@ 3 -2010-03-30 -J7 +2010-05-30 +V4 B_ESCHR_COL -R S +R S S FALSE 4 -2010-04-11 -J7 +2010-06-10 +V4 B_ESCHR_COL -S -S R S +S +S FALSE 5 -2010-08-02 -J7 +2010-06-17 +V4 B_ESCHR_COL S -R +S S S FALSE 6 -2010-10-14 -J7 +2010-07-30 +V4 B_ESCHR_COL S S -R +S S FALSE 7 -2010-11-02 -J7 +2010-09-20 +V4 B_ESCHR_COL R -I -R +S +S S FALSE 8 -2011-02-10 -J7 +2010-10-21 +V4 B_ESCHR_COL +R S S S -S -TRUE +FALSE 9 -2011-03-27 -J7 +2010-11-06 +V4 B_ESCHR_COL -S +R S S S @@ -615,14 +615,14 @@ 10 -2011-04-21 -J7 +2011-05-21 +V4 B_ESCHR_COL R S -R S -FALSE +S +TRUE @@ -637,7 +637,7 @@ #> NOTE: Using column `patient_id` as input for `col_patient_id`. #> NOTE: Using column `keyab` as input for `col_keyantibiotics`. Use col_keyantibiotics = FALSE to prevent this. #> [Criterion] Inclusion based on key antibiotics, ignoring I. -#> => Found 15,784 first weighted isolates (78.9% of total) +#> => Found 15,871 first weighted isolates (79.4% of total) @@ -654,8 +654,8 @@ - - + + @@ -666,8 +666,8 @@ - - + + @@ -678,11 +678,11 @@ - - + + - + @@ -690,23 +690,23 @@ - - + + - - + + - - + + - + @@ -714,46 +714,46 @@ - - + + - + - + - - + + - - + + - - + + + - - - + + - - + + - + @@ -762,23 +762,23 @@ - - + + - - + +
isolate
12010-01-30J72010-01-09V4 B_ESCHR_COL S S
22010-01-30J72010-04-24V4 B_ESCHR_COL S S
32010-03-30J72010-05-30V4 B_ESCHR_COLR SR S S FALSE
42010-04-11J72010-06-10V4 B_ESCHR_COLSS R SSS FALSE TRUE
52010-08-02J72010-06-17V4 B_ESCHR_COL SRS S S FALSE
62010-10-14J72010-07-30V4 B_ESCHR_COL S SRS S FALSETRUEFALSE
72010-11-02J72010-09-20V4 B_ESCHR_COL RIRSS S FALSE TRUE
82011-02-10J72010-10-21V4 B_ESCHR_COLR S S SSTRUETRUEFALSEFALSE
92011-03-27J72010-11-06V4 B_ESCHR_COLSR S S S
102011-04-21J72011-05-21V4 B_ESCHR_COL R SR SFALSESTRUE TRUE
-

Instead of 2, now 8 isolates are flagged. In total, 78.9% of all isolates are marked ‘first weighted’ - 50.5% more than when using the CLSI guideline. In real life, this novel algorithm will yield 5-10% more isolates than the classic CLSI guideline.

+

Instead of 2, now 6 isolates are flagged. In total, 79.4% of all isolates are marked ‘first weighted’ - 50.9% more than when using the CLSI guideline. In real life, this novel algorithm will yield 5-10% more isolates than the classic CLSI guideline.

As with filter_first_isolate(), there’s a shortcut for this new algorithm too:

data_1st <- data %>% 
   filter_first_weighted_isolate()
-

So we end up with 15,784 isolates for analysis.

+

So we end up with 15,871 isolates for analysis.

We can remove unneeded columns:

data_1st <- data_1st %>% 
   select(-c(first, keyab))
@@ -804,78 +804,78 @@ 1 -2014-07-28 -F8 -Hospital A -B_ESCHR_COL -R -R -S -S -M -Gram negative -Escherichia -coli -TRUE - - -2 -2017-04-01 -Y10 +2010-03-15 +U2 Hospital B -B_ESCHR_COL +B_STRPT_PNE +S +S +R R -S -S -S F -Gram negative -Escherichia -coli -TRUE - - -3 -2015-04-18 -J2 -Hospital B -B_KLBSL_PNE -R -I -R -S -M -Gram negative -Klebsiella +Gram positive +Streptococcus pneumoniae TRUE -4 -2017-08-08 -Y6 -Hospital C -B_ESCHR_COL +2 +2010-08-09 +Q7 +Hospital B +B_STPHY_AUR R S S S F -Gram negative -Escherichia -coli +Gram positive +Staphylococcus +aureus +TRUE + + +4 +2013-10-19 +K5 +Hospital C +B_STPHY_AUR +R +S +S +S +M +Gram positive +Staphylococcus +aureus +TRUE + + +5 +2017-10-05 +I7 +Hospital D +B_STPHY_AUR +R +S +S +S +M +Gram positive +Staphylococcus +aureus TRUE 6 -2016-12-01 -D4 -Hospital D +2017-09-27 +H7 +Hospital C B_STPHY_AUR -R -R S -R +S +S +S M Gram positive Staphylococcus @@ -884,9 +884,9 @@ 7 -2017-03-30 -N5 -Hospital A +2016-09-06 +L9 +Hospital B B_ESCHR_COL S S @@ -915,9 +915,9 @@
freq(paste(data_1st$genus, data_1st$species))

Or can be used like the dplyr way, which is easier readable:

data_1st %>% freq(genus, species)
-

Frequency table of genus and species from a data.frame (15,784 x 13)

+

Frequency table of genus and species from a data.frame (15,871 x 13)

Columns: 2
-Length: 15,784 (of which NA: 0 = 0.00%)
+Length: 15,871 (of which NA: 0 = 0.00%)
Unique: 4

Shortest: 16
Longest: 24

@@ -934,33 +934,33 @@ Longest: 24

1 Escherichia coli -7,768 -49.2% -7,768 -49.2% +7,903 +49.8% +7,903 +49.8% 2 Staphylococcus aureus -3,952 -25.0% -11,720 -74.3% +3,987 +25.1% +11,890 +74.9% 3 Streptococcus pneumoniae -2,529 -16.0% -14,249 -90.3% +2,426 +15.3% +14,316 +90.2% 4 Klebsiella pneumoniae -1,535 -9.7% -15,784 +1,555 +9.8% +15,871 100.0% @@ -971,7 +971,7 @@ Longest: 24

Resistance percentages

The functions portion_R, portion_RI, portion_I, portion_IS and portion_S can be used to determine the portion of a specific antimicrobial outcome. They can be used on their own:

data_1st %>% portion_IR(amox)
-#> [1] 0.477002
+#> [1] 0.4737572

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

data_1st %>% 
   group_by(hospital) %>% 
@@ -984,19 +984,19 @@ Longest: 24

Hospital A -0.4792724 +0.4684758 Hospital B -0.4777657 +0.4675514 Hospital C -0.4674139 +0.4904459 Hospital D -0.4796148 +0.4804110 @@ -1014,23 +1014,23 @@ Longest: 24

Hospital A -0.4792724 -4728 +0.4684758 +4901 Hospital B -0.4777657 -5532 +0.4675514 +5501 Hospital C -0.4674139 -2409 +0.4904459 +2355 Hospital D -0.4796148 -3115 +0.4804110 +3114 @@ -1050,27 +1050,27 @@ Longest: 24

Escherichia -0.7321061 -0.9013903 -0.9751545 +0.7295964 +0.8977603 +0.9743136 Klebsiella -0.7368078 -0.9016287 -0.9687296 +0.7299035 +0.8958199 +0.9774920 Staphylococcus -0.7378543 -0.9164980 -0.9792510 +0.7281164 +0.9260095 +0.9806872 Streptococcus -0.7406089 +0.7353669 0.0000000 -0.7406089 +0.7353669 diff --git a/docs/articles/AMR_files/figure-html/plot 1-1.png b/docs/articles/AMR_files/figure-html/plot 1-1.png index 6e991595..b139b98b 100644 Binary files a/docs/articles/AMR_files/figure-html/plot 1-1.png and b/docs/articles/AMR_files/figure-html/plot 1-1.png differ diff --git a/docs/articles/AMR_files/figure-html/plot 3-1.png b/docs/articles/AMR_files/figure-html/plot 3-1.png index 3c95acd1..0632ad86 100644 Binary files a/docs/articles/AMR_files/figure-html/plot 3-1.png and b/docs/articles/AMR_files/figure-html/plot 3-1.png differ diff --git a/docs/articles/AMR_files/figure-html/plot 4-1.png b/docs/articles/AMR_files/figure-html/plot 4-1.png index f13e5793..0981abde 100644 Binary files a/docs/articles/AMR_files/figure-html/plot 4-1.png and b/docs/articles/AMR_files/figure-html/plot 4-1.png differ diff --git a/docs/articles/AMR_files/figure-html/plot 5-1.png b/docs/articles/AMR_files/figure-html/plot 5-1.png index fc7171f8..c6eeabef 100644 Binary files a/docs/articles/AMR_files/figure-html/plot 5-1.png and b/docs/articles/AMR_files/figure-html/plot 5-1.png differ diff --git a/docs/articles/benchmarks.html b/docs/articles/benchmarks.html index 4f640dc4..5878fed4 100644 --- a/docs/articles/benchmarks.html +++ b/docs/articles/benchmarks.html @@ -218,15 +218,15 @@ times = 10) print(S.aureus, unit = "ms", signif = 3) #> Unit: milliseconds -#> expr min lq mean median uq max -#> as.mo("sau") 42.500 42.800 44.200 43.100 43.900 53.700 -#> as.mo("stau") 76.300 76.800 82.800 77.000 78.800 116.000 -#> as.mo("staaur") 42.700 43.000 47.100 43.600 43.900 80.700 -#> as.mo("S. aureus") 18.400 18.500 18.800 18.800 19.200 19.300 -#> as.mo("S. aureus") 18.400 18.400 23.600 18.600 19.300 67.100 -#> as.mo("STAAUR") 42.700 42.800 43.200 43.000 43.600 44.100 -#> as.mo("Staphylococcus aureus") 11.400 11.500 11.700 11.600 11.800 12.500 -#> as.mo("B_STPHY_AUR") 0.267 0.297 0.403 0.431 0.478 0.509 +#> expr min lq mean median uq max +#> as.mo("sau") 42.300 42.500 47.00 43.100 43.200 82.000 +#> as.mo("stau") 75.900 76.100 82.70 76.700 77.900 125.000 +#> as.mo("staaur") 42.400 43.300 53.60 44.600 49.000 98.200 +#> as.mo("S. aureus") 18.400 18.600 20.60 18.700 19.200 34.100 +#> as.mo("S. aureus") 18.400 18.500 18.80 18.600 19.200 19.600 +#> as.mo("STAAUR") 42.300 42.700 43.30 43.000 43.800 45.700 +#> as.mo("Staphylococcus aureus") 11.400 11.500 11.80 11.600 11.800 13.400 +#> as.mo("B_STPHY_AUR") 0.261 0.418 0.44 0.434 0.493 0.542 #> neval #> 10 #> 10 @@ -236,7 +236,7 @@ #> 10 #> 10 #> 10
-

In the table above, all measurements are shown in milliseconds (thousands of seconds). A value of 10 milliseconds means it can determine 100 input values per second. It case of 50 milliseconds, this is only 20 input values per second. The more an input value resembles a full name, the faster the result will be found. In case of as.mo("B_STPHY_AUR"), the input is already a valid MO code, so it only almost takes no time at all (267 millionths of seconds).

+

In the table above, all measurements are shown in milliseconds (thousands of seconds). A value of 10 milliseconds means it can determine 100 input values per second. It case of 50 milliseconds, this is only 20 input values per second. The more an input value resembles a full name, the faster the result will be found. In case of as.mo("B_STPHY_AUR"), the input is already a valid MO code, so it only almost takes no time at all (261 millionths of seconds).

To achieve this speed, the as.mo function also takes into account the prevalence of human pathogenic microorganisms. The downside is of course that less prevalent microorganisms will be determined less fast. See this example for the ID of Mycoplasma leonicaptivi (B_MYCPL_LEO), a bug probably never found before in humans:

M.leonicaptivi <- microbenchmark(as.mo("myle"),
                                  as.mo("mycleo"),
@@ -249,22 +249,22 @@
 print(M.leonicaptivi, unit = "ms", signif = 4)
 #> Unit: milliseconds
 #>                              expr      min       lq     mean   median
-#>                     as.mo("myle") 111.9000 112.0000 112.4000 112.2000
-#>                   as.mo("mycleo") 381.4000 381.8000 388.5000 382.1000
-#>          as.mo("M. leonicaptivi") 203.0000 203.2000 212.5000 203.6000
-#>         as.mo("M.  leonicaptivi") 203.0000 203.1000 212.7000 203.6000
-#>                   as.mo("MYCLEO") 381.8000 382.4000 394.5000 382.9000
-#>  as.mo("Mycoplasma leonicaptivi") 102.8000 103.0000 103.4000 103.2000
-#>              as.mo("B_MYCPL_LEO")   0.3183   0.5657   0.5693   0.5727
+#>                     as.mo("myle") 111.9000 112.1000 121.9000 112.4000
+#>                   as.mo("mycleo") 381.6000 381.9000 397.9000 384.7000
+#>          as.mo("M. leonicaptivi") 202.9000 203.8000 205.5000 204.1000
+#>         as.mo("M.  leonicaptivi") 203.1000 203.3000 208.7000 203.8000
+#>                   as.mo("MYCLEO") 381.5000 381.7000 388.1000 381.9000
+#>  as.mo("Mycoplasma leonicaptivi") 103.0000 103.1000 103.6000 103.3000
+#>              as.mo("B_MYCPL_LEO")   0.3021   0.5631   0.5459   0.5664
 #>        uq      max neval
-#>  112.4000 113.5000    10
-#>  385.4000 439.9000    10
-#>  205.8000 253.9000    10
-#>  207.2000 252.3000    10
-#>  421.1000 422.1000    10
-#>  103.4000 105.7000    10
-#>    0.5994   0.7446    10
-

That takes 6 times as much time on average! A value of 100 milliseconds means it can only determine ~10 different input values per second. We can conclude that looking up arbitrary codes of less prevalent microorganisms is the worst way to go, in terms of calculation performance:

+#> 113.5000 169.7000 10 +#> 420.5000 420.7000 10 +#> 206.1000 215.4000 10 +#> 204.6000 249.4000 10 +#> 386.0000 433.7000 10 +#> 103.8000 105.4000 10 +#> 0.5712 0.6199 10 +

That takes 5.9 times as much time on average! A value of 100 milliseconds means it can only determine ~10 different input values per second. We can conclude that looking up arbitrary codes of less prevalent microorganisms is the worst way to go, in terms of calculation performance:

par(mar = c(5, 16, 4, 2)) # set more space for left margin text (16)
 
 # highest value on y axis
@@ -301,8 +301,8 @@
 print(run_it, unit = "ms", signif = 3)
 #> Unit: milliseconds
 #>            expr min  lq mean median  uq max neval
-#>  mo_fullname(x) 438 453  468    468 482 499    10
-

So transforming 500,000 values (!) of 95 unique values only takes 0.47 seconds (468 ms). You only lose time on your unique input values.

+#> mo_fullname(x) 438 448 467 470 476 500 10 +

So transforming 500,000 values (!) of 95 unique values only takes 0.47 seconds (469 ms). You only lose time on your unique input values.

@@ -314,10 +314,10 @@ times = 10) print(run_it, unit = "ms", signif = 3) #> Unit: milliseconds -#> expr min lq mean median uq max neval -#> A 38.600 38.700 39.40 39.100 39.400 42.900 10 -#> B 19.600 19.800 20.00 19.900 20.000 20.700 10 -#> C 0.255 0.261 0.37 0.386 0.499 0.505 10

+#> expr min lq mean median uq max neval +#> A 38.500 38.600 38.700 38.700 38.900 39.100 10 +#> B 19.400 19.500 20.900 19.800 20.100 31.200 10 +#> C 0.256 0.293 0.389 0.395 0.473 0.507 10

So going from mo_fullname("Staphylococcus aureus") to "Staphylococcus aureus" takes 0.0004 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"),
@@ -331,14 +331,14 @@
 print(run_it, unit = "ms", signif = 3)
 #> Unit: milliseconds
 #>  expr   min    lq  mean median    uq   max neval
-#>     A 0.282 0.311 0.372  0.359 0.437 0.513    10
-#>     B 0.285 0.316 0.355  0.363 0.382 0.443    10
-#>     C 0.258 0.408 0.439  0.430 0.504 0.565    10
-#>     D 0.268 0.304 0.322  0.321 0.360 0.366    10
-#>     E 0.259 0.273 0.312  0.295 0.357 0.391    10
-#>     F 0.250 0.275 0.327  0.294 0.343 0.614    10
-#>     G 0.254 0.281 0.312  0.320 0.338 0.369    10
-#>     H 0.257 0.265 0.311  0.316 0.329 0.397    10
+#> A 0.277 0.328 0.410 0.450 0.467 0.483 10 +#> B 0.291 0.307 0.363 0.374 0.390 0.467 10 +#> C 0.299 0.336 0.400 0.400 0.485 0.498 10 +#> D 0.271 0.288 0.319 0.328 0.346 0.371 10 +#> E 0.202 0.263 0.288 0.270 0.304 0.405 10 +#> F 0.241 0.255 0.296 0.283 0.350 0.362 10 +#> G 0.260 0.264 0.303 0.281 0.312 0.425 10 +#> H 0.240 0.256 0.310 0.327 0.346 0.378 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" too, there is no point in calculating the result. And because this package ‘knows’ all phyla of all known bacteria (according to the Catalogue of Life), it can just return the initial value immediately.

@@ -365,13 +365,13 @@ print(run_it, unit = "ms", signif = 4) #> Unit: milliseconds #> expr min lq mean median uq max neval -#> en 10.69 11.02 11.06 11.08 11.21 11.29 10 -#> de 19.09 19.48 19.49 19.55 19.62 19.66 10 -#> nl 19.25 19.58 19.66 19.60 19.72 20.61 10 -#> es 19.17 19.54 26.16 19.61 20.23 52.49 10 -#> it 19.10 19.46 26.14 19.69 19.92 52.56 10 -#> fr 19.10 19.36 19.50 19.50 19.59 20.13 10 -#> pt 19.26 19.50 23.19 19.71 20.48 53.09 10
+#> en 11.01 11.04 11.05 11.06 11.07 11.08 10 +#> de 19.31 19.51 19.79 19.61 19.91 21.00 10 +#> nl 19.13 19.37 26.23 19.59 21.11 52.30 10 +#> es 19.13 19.42 19.51 19.53 19.58 20.00 10 +#> it 19.16 19.34 29.12 19.55 51.61 52.06 10 +#> fr 19.01 19.54 19.84 19.69 20.41 20.46 10 +#> pt 19.00 19.33 19.44 19.49 19.59 19.67 10

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