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@@ -7,8 +7,8 @@ which is an ordered
[factor](https://rdrr.io/pkg/data.table/man/fctr.html) containing the
levels `S`, `SDD`, `I`, `R`, `NI`.
Breakpoints are currently implemented from EUCAST 2011-2025 and CLSI
2011-2025, see *Details*. All breakpoints used for interpretation are
Breakpoints are currently implemented from EUCAST 2011-2026 and CLSI
2011-2026, see *Details*. All breakpoints used for interpretation are
available in our
[clinical_breakpoints](https://amr-for-r.org/reference/clinical_breakpoints.md)
data set.
@@ -80,29 +80,29 @@ For interpretations of minimum inhibitory concentration (MIC) values and
disk diffusion diameters:
- **CLSI M39: Analysis and Presentation of Cumulative Antimicrobial
Susceptibility Test Data**, 2011-2025, *Clinical and Laboratory
Susceptibility Test Data**, 2011-2026, *Clinical and Laboratory
Standards Institute* (CLSI).
<https://clsi.org/standards/products/microbiology/documents/m39/>.
- **CLSI M100: Performance Standard for Antimicrobial Susceptibility
Testing**, 2011-2025, *Clinical and Laboratory Standards Institute*
Testing**, 2011-2026, *Clinical and Laboratory Standards Institute*
(CLSI).
<https://clsi.org/standards/products/microbiology/documents/m100/>.
- **CLSI VET01: Performance Standards for Antimicrobial Disk and
Dilution Susceptibility Tests for Bacteria Isolated From Animals**,
2019-2025, *Clinical and Laboratory Standards Institute* (CLSI).
2019-2026, *Clinical and Laboratory Standards Institute* (CLSI).
<https://clsi.org/standards/products/veterinary-medicine/documents/vet01/>.
- **EUCAST Breakpoint tables for interpretation of MICs and zone
diameters**, 2011-2025, *European Committee on Antimicrobial
diameters**, 2011-2026, *European Committee on Antimicrobial
Susceptibility Testing* (EUCAST).
<https://www.eucast.org/bacteria/clinical-breakpoints-and-interpretation/clinical-breakpoint-tables/>.
- **WHONET** as a source for machine-reading the clinical breakpoints
([read more
here](https://amr-for-r.org/reference/clinical_breakpoints.html#imported-from-whonet)),
1989-2025, *WHO Collaborating Centre for Surveillance of Antimicrobial
1989-2026, *WHO Collaborating Centre for Surveillance of Antimicrobial
Resistance*. <https://whonet.org/>.
## Arguments
@@ -162,12 +162,12 @@ disk diffusion diameters:
- guideline:
A guideline name (or column name) to use for SIR interpretation.
Defaults to EUCAST 2025 (the latest implemented EUCAST guideline in
Defaults to EUCAST 2026 (the latest implemented EUCAST guideline in
the
[clinical_breakpoints](https://amr-for-r.org/reference/clinical_breakpoints.md)
data set), but can be set with the package option
[`AMR_guideline`](https://amr-for-r.org/reference/AMR-options.md).
Currently supports EUCAST (2011-2025) and CLSI (2011-2025), see
Currently supports EUCAST (2011-2026) and CLSI (2011-2026), see
*Details*. Using a column name allows for straightforward
interpretation of historical data, which must be analysed in the
context of, for example, different years.
@@ -457,15 +457,15 @@ interpretation, and the exact input and output values.
For interpreting MIC values as well as disk diffusion diameters,
currently implemented guidelines are:
- For **clinical microbiology**: EUCAST 2011-2025 and CLSI 2011-2025;
- For **clinical microbiology**: EUCAST 2011-2026 and CLSI 2011-2026;
- For **veterinary microbiology**: EUCAST 2021-2025 and CLSI 2019-2025;
- For **veterinary microbiology**: EUCAST 2021-2026 and CLSI 2019-2026;
- For **ECOFFs** (Epidemiological Cut-off Values): EUCAST 2020-2025 and
CLSI 2022-2025.
- For **ECOFFs** (Epidemiological Cut-off Values): EUCAST 2020-2026 and
CLSI 2022-2026.
The `guideline` argument must be set to e.g., `"EUCAST 2025"` or
`"CLSI 2025"`. By simply using `"EUCAST"` (the default) or `"CLSI"` as
The `guideline` argument must be set to e.g., `"EUCAST 2026"` or
`"CLSI 2026"`. By simply using `"EUCAST"` (the default) or `"CLSI"` as
input, the latest included version of that guideline will automatically
be selected. Importantly, using a column name of your data instead,
allows for straightforward interpretation of historical data that must
@@ -660,10 +660,10 @@ sir_interpretation_history()
#> # A tibble: 4 × 18
#> datetime index method ab_given mo_given host_given input_given
#> <dttm> <int> <chr> <chr> <chr> <chr> <chr>
#> 1 2026-03-24 12:30:17 1 MIC amoxicillin Escherich… human 8
#> 2 2026-03-24 12:30:17 1 MIC cipro Escherich… human 0.256
#> 3 2026-03-24 12:30:18 1 DISK tobra Escherich… human 16
#> 4 2026-03-24 12:30:18 1 DISK genta Escherich… human 18
#> 1 2026-03-30 08:14:10 1 MIC amoxicillin Escherich… human 8
#> 2 2026-03-30 08:14:10 1 MIC cipro Escherich… human 0.256
#> 3 2026-03-30 08:14:10 1 DISK tobra Escherich… human 16
#> 4 2026-03-30 08:14:11 1 DISK genta Escherich… human 18
#> # 11 more variables: ab <ab>, mo <mo>, host <chr>, input <chr>,
#> # outcome <sir>, notes <chr>, guideline <chr>, ref_table <chr>, uti <lgl>,
#> # breakpoint_S_R <chr>, site <chr>