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github-actions[bot] 8e522cd988 Python wrapper update 2026-09-08 13:04:10 +00:00
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# R for travis: see documentation at https://docs.travis-ci.com/user/languages/r
# Setting up R deps
language: r
r: 3.2
r_packages: covr
cache: packages
# system deps, install xclip for clipboard support
os:
- linux
- osx
before_install:
- if [ $TRAVIS_OS_NAME = linux ]; then sudo apt-get -qq update; fi
- if [ $TRAVIS_OS_NAME = linux ]; then sudo apt-get install -y xclip; fi
- if [ $TRAVIS_OS_NAME = osx ]; then brew install xclip; fi
# postrun
after_success:
- Rscript -e 'covr::codecov()'
notifications:
email:
recipients:
- m.s.berends@umcg.nl
- c.f.luz@umcg.nl
on_success: change
on_failure: change
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Metadata-Version: 2.4
Name: AMR
Version: 3.0.1.9091
Summary: A Python wrapper for the AMR R package
Home-page: https://github.com/msberends/AMR
Author: Matthijs Berends
Author-email: m.s.berends@umcg.nl
License: GPL 2
Project-URL: Bug Tracker, https://github.com/msberends/AMR/issues
Classifier: Programming Language :: Python :: 3
Classifier: Operating System :: OS Independent
Requires-Python: >=3.6
Description-Content-Type: text/markdown
Requires-Dist: rpy2
Requires-Dist: numpy
Requires-Dist: pandas
Dynamic: author
Dynamic: author-email
Dynamic: classifier
Dynamic: description
Dynamic: description-content-type
Dynamic: home-page
Dynamic: license
Dynamic: project-url
Dynamic: requires-dist
Dynamic: requires-python
Dynamic: summary
The `AMR` package for R is a powerful tool for antimicrobial resistance (AMR) analysis. It provides extensive features for handling microbial and antimicrobial data. However, for those who work primarily in Python, we now have a more intuitive option available: the [`AMR` Python package](https://pypi.org/project/AMR/).
This Python package is a wrapper around the `AMR` R package. It uses the `rpy2` package internally. Despite the need to have R installed, Python users can now easily work with AMR data directly through Python code.
# Prerequisites
This package was only tested with a [virtual environment (venv)](https://docs.python.org/3/library/venv.html). You can set up such an environment by running:
```python
# linux and macOS:
python -m venv /path/to/new/virtual/environment
# Windows:
python -m venv C:\path\to\new\virtual\environment
```
Then you can [activate the environment](https://docs.python.org/3/library/venv.html#how-venvs-work), after which the venv is ready to work with.
# Install AMR
1. Since the Python package is available on the official [Python Package Index](https://pypi.org/project/AMR/), you can just run:
```bash
pip install AMR
```
2. Make sure you have R installed. There is **no need to install the `AMR` R package**, as it will be installed automatically.
For Linux:
```bash
# Ubuntu / Debian
sudo apt install r-base
# Fedora:
sudo dnf install R
# CentOS/RHEL
sudo yum install R
```
For macOS (using [Homebrew](https://brew.sh)):
```bash
brew install r
```
For Windows, visit the [CRAN download page](https://cran.r-project.org) to download and install R.
# Examples of Usage
## Cleaning Taxonomy
Here’s an example that demonstrates how to clean microorganism and drug names using the `AMR` Python package:
```python
import pandas as pd
import AMR
# Sample data
data = {
"MOs": ['E. coli', 'ESCCOL', 'esco', 'Esche coli'],
"Drug": ['Cipro', 'CIP', 'J01MA02', 'Ciproxin']
}
df = pd.DataFrame(data)
# Use AMR functions to clean microorganism and drug names
df['MO_clean'] = AMR.mo_name(df['MOs'])
df['Drug_clean'] = AMR.ab_name(df['Drug'])
# Display the results
print(df)
```
| MOs | Drug | MO_clean | Drug_clean |
|-------------|-----------|--------------------|---------------|
| E. coli | Cipro | Escherichia coli | Ciprofloxacin |
| ESCCOL | CIP | Escherichia coli | Ciprofloxacin |
| esco | J01MA02 | Escherichia coli | Ciprofloxacin |
| Esche coli | Ciproxin | Escherichia coli | Ciprofloxacin |
### Explanation
* **mo_name:** This function standardises microorganism names. Here, different variations of *Escherichia coli* (such as "E. coli", "ESCCOL", "esco", and "Esche coli") are all converted into the correct, standardised form, "Escherichia coli".
* **ab_name**: Similarly, this function standardises antimicrobial names. The different representations of ciprofloxacin (e.g., "Cipro", "CIP", "J01MA02", and "Ciproxin") are all converted to the standard name, "Ciprofloxacin".
## Calculating AMR
```python
import AMR
import pandas as pd
df = AMR.example_isolates
result = AMR.resistance(df["AMX"])
print(result)
```
```
[0.59555556]
```
## Generating Antibiograms
One of the core functions of the `AMR` package is generating an antibiogram, a table that summarises the antimicrobial susceptibility of bacterial isolates. Here’s how you can generate an antibiogram from Python:
```python
result2a = AMR.antibiogram(df[["mo", "AMX", "CIP", "TZP"]])
print(result2a)
```
| Pathogen | Amoxicillin | Ciprofloxacin | Piperacillin/tazobactam |
|-----------------|-----------------|-----------------|--------------------------|
| CoNS | 7% (10/142) | 73% (183/252) | 30% (10/33) |
| E. coli | 50% (196/392) | 88% (399/456) | 94% (393/416) |
| K. pneumoniae | 0% (0/58) | 96% (53/55) | 89% (47/53) |
| P. aeruginosa | 0% (0/30) | 100% (30/30) | None |
| P. mirabilis | None | 94% (34/36) | None |
| S. aureus | 6% (8/131) | 90% (171/191) | None |
| S. epidermidis | 1% (1/91) | 64% (87/136) | None |
| S. hominis | None | 80% (56/70) | None |
| S. pneumoniae | 100% (112/112) | None | 100% (112/112) |
```python
result2b = AMR.antibiogram(df[["mo", "AMX", "CIP", "TZP"]], mo_transform = "gramstain")
print(result2b)
```
| Pathogen | Amoxicillin | Ciprofloxacin | Piperacillin/tazobactam |
|----------------|-----------------|------------------|--------------------------|
| Gram-negative | 36% (226/631) | 91% (621/684) | 88% (565/641) |
| Gram-positive | 43% (305/703) | 77% (560/724) | 86% (296/345) |
In this example, we generate an antibiogram by selecting various antibiotics.
## Taxonomic Data Sets Now in Python!
As a Python user, you might like that the most important data sets of the `AMR` R package, `microorganisms`, `antimicrobials`, `clinical_breakpoints`, and `example_isolates`, are now available as regular Python data frames:
```python
AMR.microorganisms
```
| mo | fullname | status | kingdom | gbif | gbif_parent | gbif_renamed_to | prevalence |
|--------------|------------------------------------|----------|----------|-----------|-------------|-----------------|------------|
| B_GRAMN | (unknown Gram-negatives) | unknown | Bacteria | None | None | None | 2.0 |
| B_GRAMP | (unknown Gram-positives) | unknown | Bacteria | None | None | None | 2.0 |
| B_ANAER-NEG | (unknown anaerobic Gram-negatives) | unknown | Bacteria | None | None | None | 2.0 |
| B_ANAER-POS | (unknown anaerobic Gram-positives) | unknown | Bacteria | None | None | None | 2.0 |
| B_ANAER | (unknown anaerobic bacteria) | unknown | Bacteria | None | None | None | 2.0 |
| ... | ... | ... | ... | ... | ... | ... | ... |
| B_ZYMMN_POMC | Zymomonas pomaceae | accepted | Bacteria | 10744418 | 3221412 | None | 2.0 |
| B_ZYMPH | Zymophilus | synonym | Bacteria | None | 9475166 | None | 2.0 |
| B_ZYMPH_PCVR | Zymophilus paucivorans | synonym | Bacteria | None | None | None | 2.0 |
| B_ZYMPH_RFFN | Zymophilus raffinosivorans | synonym | Bacteria | None | None | None | 2.0 |
| F_ZYZYG | Zyzygomyces | unknown | Fungi | None | 7581 | None | 2.0 |
```python
AMR.antimicrobials
```
| ab | cid | name | group | oral_ddd | oral_units | iv_ddd | iv_units |
|-----|-------------|----------------------|----------------------------|----------|------------|--------|----------|
| AMA | 4649.0 | 4-aminosalicylic acid| Antimycobacterials | 12.00 | g | NaN | None |
| ACM | 6450012.0 | Acetylmidecamycin | Macrolides/lincosamides | NaN | None | NaN | None |
| ASP | 49787020.0 | Acetylspiramycin | Macrolides/lincosamides | NaN | None | NaN | None |
| ALS | 8954.0 | Aldesulfone sodium | Other antibacterials | 0.33 | g | NaN | None |
| AMK | 37768.0 | Amikacin | Aminoglycosides | NaN | None | 1.0 | g |
| ... | ... | ... | ... | ... | ... | ... | ... |
| VIR | 11979535.0 | Virginiamycine | Other antibacterials | NaN | None | NaN | None |
| VOR | 71616.0 | Voriconazole | Antifungals/antimycotics | 0.40 | g | 0.4 | g |
| XBR | 72144.0 | Xibornol | Other antibacterials | NaN | None | NaN | None |
| ZID | 77846445.0 | Zidebactam | Other antibacterials | NaN | None | NaN | None |
| ZFD | NaN | Zoliflodacin | None | NaN | None | NaN | None |
# Installation Channels
## Stable Release (CRAN)
The default `AMR` Python package uses the latest stable version of the `AMR` R package, published on CRAN. After running `pip install AMR`, import it as usual:
```python
import AMR
AMR.example_isolates
```
## Development Version (GitHub)
To use the latest development version of the `AMR` R package (sourced directly from GitHub), import the `beta` sub-package and alias it as `AMR`:
```python
import AMR.beta as AMR
AMR.example_isolates
```
Aliasing with `as AMR` keeps all downstream code identical to the stable import. Switching between the stable release and the development version requires changing only the import line — nothing else in your script needs to change.
# SIR Classification with `as_sir()`
## Using `enforce_method`
The `as_sir()` function in R uses S3 method dispatch to select the correct calculation method based on the input class: `<mic>` for MIC values and `<disk>` for disk diffusion values. Because Python objects do not carry R class attributes through the `rpy2` bridge, this automatic dispatch may not resolve correctly.
To explicitly specify the input type, use the `enforce_method` argument:
```python
# Treat the column as MIC values — maps to R's as.sir.mic()
AMR.as_sir(df["MIC_col"], mo="E. coli", ab="AMX", guideline="EUCAST", enforce_method="mic")
# Treat the column as disk diffusion values — maps to R's as.sir.disk()
AMR.as_sir(df["disk_col"], mo="E. coli", ab="AMX", guideline="EUCAST", enforce_method="disk")
```
Without `enforce_method`, R falls back to class-based dispatch on the raw Python input, which may fail or return unexpected results. Always supply `enforce_method` when calling `as_sir()` from Python.
# Conclusion
With the `AMR` Python package, Python users can now effortlessly call R functions from the `AMR` R package. This eliminates the need for complex `rpy2` configurations and provides a clean, easy-to-use interface for antimicrobial resistance analysis. The examples provided above demonstrate how this can be applied to typical workflows, such as standardising microorganism and antimicrobial names or calculating resistance.
By just running `import AMR`, users can seamlessly integrate the robust features of the R `AMR` package into Python workflows.
Whether you're cleaning data or analysing resistance patterns, the `AMR` Python package makes it easy to work with AMR data in Python.
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README.md
setup.py
AMR/__init__.py
AMR/_engine.py
AMR/beta.py
AMR/datasets.py
AMR/functions.py
AMR.egg-info/PKG-INFO
AMR.egg-info/SOURCES.txt
AMR.egg-info/dependency_links.txt
AMR.egg-info/requires.txt
AMR.egg-info/top_level.txt
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rpy2
numpy
pandas
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AMR
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import sys
_DATASETS = frozenset({
'example_isolates', 'microorganisms',
'antimicrobials', 'clinical_breakpoints'
})
class _AMRModule(type(sys.modules[__name__])):
"""Lazy-loading module: nothing runs until an attribute is accessed."""
def __getattr__(self, name):
if name in _DATASETS:
from .datasets import get
return get(name, source="cran")
try:
from . import functions
return getattr(functions, name)
except AttributeError:
raise AttributeError(
f"module 'AMR' has no attribute '{name}'")
sys.modules[__name__].__class__ = _AMRModule
from .functions import custom_eucast_rules
from .functions import ab_class
from .functions import ab_selector
from .functions import ab_from_text
from .functions import ab_name
from .functions import ab_cid
from .functions import ab_synonyms
from .functions import ab_tradenames
from .functions import ab_group
from .functions import ab_atc
from .functions import ab_atc_group1
from .functions import ab_atc_group2
from .functions import ab_loinc
from .functions import ab_ddd
from .functions import ab_ddd_units
from .functions import ab_info
from .functions import ab_url
from .functions import ab_property
from .functions import add_custom_antimicrobials
from .functions import clear_custom_antimicrobials
from .functions import add_custom_microorganisms
from .functions import clear_custom_microorganisms
from .functions import age
from .functions import age_groups
from .functions import all_sir
from .functions import all_sir_predictors
from .functions import all_mic
from .functions import all_mic_predictors
from .functions import all_disk
from .functions import all_disk_predictors
from .functions import step_mic_log2
from .functions import step_sir_numeric
from .functions import amr_course
from .functions import wisca
from .functions import antibiogram
from .functions import retrieve_wisca_parameters
from .functions import wisca_plot
from .functions import aminoglycosides
from .functions import aminopenicillins
from .functions import antifungals
from .functions import antimycobacterials
from .functions import betalactams
from .functions import betalactams_with_inhibitor
from .functions import carbapenems
from .functions import cephalosporins
from .functions import cephalosporins_1st
from .functions import cephalosporins_2nd
from .functions import cephalosporins_3rd
from .functions import cephalosporins_4th
from .functions import cephalosporins_5th
from .functions import fluoroquinolones
from .functions import glycopeptides
from .functions import ionophores
from .functions import isoxazolylpenicillins
from .functions import lincosamides
from .functions import lipoglycopeptides
from .functions import macrolides
from .functions import monobactams
from .functions import nitrofurans
from .functions import oxazolidinones
from .functions import penicillins
from .functions import peptides
from .functions import phenicols
from .functions import phosphonics
from .functions import polymyxins
from .functions import quinolones
from .functions import rifamycins
from .functions import spiropyrimidinetriones
from .functions import streptogramins
from .functions import sulfonamides
from .functions import tetracyclines
from .functions import trimethoprims
from .functions import ureidopenicillins
from .functions import amr_class
from .functions import amr_selector
from .functions import administrable_per_os
from .functions import administrable_iv
from .functions import not_intrinsic_resistant
from .functions import as_ab
from .functions import is_ab
from .functions import ab_reset_session
from .functions import as_av
from .functions import is_av
from .functions import as_disk
from .functions import is_disk
from .functions import as_mic
from .functions import is_mic
from .functions import rescale_mic
from .functions import mic_p50
from .functions import mic_p90
from .functions import as_mo
from .functions import is_mo
from .functions import mo_uncertainties
from .functions import mo_renamed
from .functions import mo_failures
from .functions import mo_reset_session
from .functions import mo_cleaning_regex
from .functions import as_sir
from .functions import is_sir
from .functions import is_sir_eligible
from .functions import sir_interpretation_history
from .functions import atc_online_property
from .functions import atc_online_groups
from .functions import atc_online_ddd
from .functions import atc_online_ddd_units
from .functions import av_from_text
from .functions import av_name
from .functions import av_cid
from .functions import av_synonyms
from .functions import av_tradenames
from .functions import av_group
from .functions import av_atc
from .functions import av_loinc
from .functions import av_ddd
from .functions import av_ddd_units
from .functions import av_info
from .functions import av_url
from .functions import av_property
from .functions import availability
from .functions import bug_drug_combinations
from .functions import count_resistant
from .functions import count_susceptible
from .functions import count_S
from .functions import count_SI
from .functions import count_I
from .functions import count_IR
from .functions import count_R
from .functions import count_all
from .functions import n_sir
from .functions import count_df
from .functions import custom_interpretive_rules
from .functions import custom_mdro_guideline
from .functions import export_ncbi_biosample
from .functions import first_isolate
from .functions import filter_first_isolate
from .functions import g_test
from .functions import is_new_episode
from .functions import ggplot_pca
from .functions import ggplot_sir
from .functions import geom_sir
from .functions import guess_ab_col
from .functions import interpretive_rules
from .functions import eucast_rules
from .functions import clsi_rules
from .functions import eucast_dosage
from .functions import italicise_taxonomy
from .functions import italicize_taxonomy
from .functions import inner_join_microorganisms
from .functions import left_join_microorganisms
from .functions import right_join_microorganisms
from .functions import full_join_microorganisms
from .functions import semi_join_microorganisms
from .functions import anti_join_microorganisms
from .functions import key_antimicrobials
from .functions import all_antimicrobials
from .functions import kurtosis
from .functions import like
from .functions import mdro
from .functions import brmo
from .functions import mrgn
from .functions import mdr_tb
from .functions import mdr_cmi2012
from .functions import eucast_exceptional_phenotypes
from .functions import mean_amr_distance
from .functions import amr_distance_from_row
from .functions import mo_matching_score
from .functions import mo_name
from .functions import mo_fullname
from .functions import mo_shortname
from .functions import mo_subspecies
from .functions import mo_species
from .functions import mo_genus
from .functions import mo_family
from .functions import mo_order
from .functions import mo_class
from .functions import mo_phylum
from .functions import mo_kingdom
from .functions import mo_domain
from .functions import mo_type
from .functions import mo_status
from .functions import mo_pathogenicity
from .functions import mo_gramstain
from .functions import mo_is_gram_negative
from .functions import mo_is_gram_positive
from .functions import mo_is_yeast
from .functions import mo_is_intrinsic_resistant
from .functions import mo_oxygen_tolerance
from .functions import mo_is_anaerobic
from .functions import mo_morphology
from .functions import mo_snomed
from .functions import mo_ref
from .functions import mo_authors
from .functions import mo_year
from .functions import mo_lpsn
from .functions import mo_mycobank
from .functions import mo_gbif
from .functions import mo_rank
from .functions import mo_taxonomy
from .functions import mo_synonyms
from .functions import mo_current
from .functions import mo_group_members
from .functions import mo_info
from .functions import mo_url
from .functions import mo_property
from .functions import pca
from .functions import theme_sir
from .functions import labels_sir_count
from .functions import resistance
from .functions import susceptibility
from .functions import sir_confidence_interval
from .functions import proportion_R
from .functions import proportion_IR
from .functions import proportion_I
from .functions import proportion_SI
from .functions import proportion_S
from .functions import proportion_df
from .functions import sir_df
from .functions import random_mic
from .functions import random_disk
from .functions import random_sir
from .functions import resistance_predict
from .functions import sir_predict
from .functions import ggplot_sir_predict
from .functions import skewness
from .functions import top_n_microorganisms
from .functions import reset_AMR_locale
from .functions import translate_AMR
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import os
import sys
import importlib.metadata as metadata
# Get the path to the virtual environment
venv_path = sys.prefix
r_lib_path = os.path.join(venv_path, "R_libs")
os.makedirs(r_lib_path, exist_ok=True)
# Set environment variable before importing rpy2
os.environ['R_LIBS_SITE'] = r_lib_path
from rpy2 import robjects
from rpy2.robjects.vectors import StrVector
from rpy2.robjects.packages import importr, isinstalled
# Import base and utils once
base = importr('base')
utils = importr('utils')
# Silence R console output entirely
robjects.r('suppressMessages(suppressWarnings(sink(tempfile())))')
base._libPaths(r_lib_path)
_installed_source = None
def _r_version():
"""Return the currently installed AMR R package version, or None."""
try:
return str(robjects.r(
f'as.character(packageVersion("AMR", lib.loc = "{r_lib_path}"))')[0])
except Exception:
return None
def _py_version():
"""Return the Python AMR package version from metadata, or empty string."""
try:
return str(metadata.version('AMR'))
except metadata.PackageNotFoundError:
return ''
def _install_cran():
"""Install AMR from CRAN into the isolated library."""
print("AMR: Installing from CRAN...", flush=True)
utils.install_packages(
'AMR',
repos='https://cloud.r-project.org',
lib=r_lib_path,
quiet=True
)
def _install_github():
"""Install AMR development version from GitHub into the isolated library."""
print("AMR: Installing development version from GitHub...", flush=True)
utils.install_packages(
StrVector(['remotes', 'desc']),
repos='https://cloud.r-project.org',
lib=r_lib_path,
quiet=True
)
remotes = importr('remotes', lib_loc=r_lib_path)
remotes.install_github('msberends/AMR', lib=r_lib_path, quiet=True)
def ensure_amr(source="cran"):
"""Ensure AMR is installed from the requested source. Idempotent per source."""
global _installed_source
if _installed_source == source:
return
install_fn = _install_github if source == "github" else _install_cran
if not isinstalled('AMR', lib_loc=r_lib_path):
install_fn()
else:
# Check for version mismatch and update if needed
r_ver = _r_version()
py_ver = _py_version()
if r_ver != py_ver:
try:
install_fn()
except Exception as e:
print(f"AMR: Could not update ({e})", flush=True)
print(f"AMR: R package version {_r_version()} ready.", flush=True)
_installed_source = source
def restore_sink():
"""Restore R console output after setup is complete."""
try:
robjects.r('sink()')
except Exception:
pass
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import sys
_DATASETS = frozenset({
'example_isolates', 'microorganisms',
'antimicrobials', 'clinical_breakpoints'
})
class _BetaModule(type(sys.modules[__name__])):
"""Lazy-loading module: installs AMR from GitHub on first access."""
def __getattr__(self, name):
if name in _DATASETS:
from .datasets import get
return get(name, source="github")
try:
from . import functions
return getattr(functions, name)
except AttributeError:
raise AttributeError(
f"module 'AMR.beta' has no attribute '{name}'")
sys.modules[__name__].__class__ = _BetaModule
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import pandas as pd
from rpy2 import robjects
from rpy2.robjects.conversion import localconverter
from rpy2.robjects import default_converter, numpy2ri, pandas2ri
from ._engine import ensure_amr, restore_sink
_cache = {}
_loaded_source = None
def _load_datasets(source="cran"):
"""Load all AMR datasets into the module cache."""
global _loaded_source
if _cache and _loaded_source == source:
return
if _cache and _loaded_source != source:
_cache.clear()
ensure_amr(source)
with localconverter(default_converter + numpy2ri.converter + pandas2ri.converter):
_cache['example_isolates'] = _load_example_isolates()
_cache['microorganisms'] = robjects.r(
'AMR::microorganisms[, !sapply(AMR::microorganisms, is.list)]')
_cache['antimicrobials'] = robjects.r(
'AMR::antimicrobials[, !sapply(AMR::antimicrobials, is.list)]')
_cache['clinical_breakpoints'] = robjects.r(
'AMR::clinical_breakpoints[, !sapply(AMR::clinical_breakpoints, is.list)]')
restore_sink()
_loaded_source = source
def _load_example_isolates():
df = robjects.r('''
df <- AMR::example_isolates
df[] <- lapply(df, function(x) {
if (inherits(x, c("Date", "POSIXt", "factor"))) {
as.character(x)
} else {
x
}
})
df <- df[, !sapply(df, is.list)]
df
''')
df['date'] = pd.to_datetime(df['date'])
return df
def get(name, source="cran"):
"""Retrieve a dataset by name, installing AMR if needed."""
_load_datasets(source)
return _cache[name]
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import functools
import rpy2.robjects as robjects
from rpy2.robjects.packages import importr
from rpy2.robjects.vectors import StrVector, FactorVector, IntVector, FloatVector, DataFrame
from rpy2.robjects.conversion import localconverter
from rpy2.robjects import default_converter, numpy2ri, pandas2ri
import pandas as pd
import numpy as np
from ._engine import ensure_amr
# Ensure AMR is available before importing it in R
ensure_amr("cran")
amr_r = importr('AMR')
def convert_to_r(value):
"""Convert Python lists/tuples to typed R vectors.
rpy2's default_converter passes Python lists to R as R lists, not as
character/numeric vectors. This causes element-wise type-check functions
such as is.mic(), is.sir(), and is.disk() to return a logical vector
rather than a single logical, breaking R's scalar && operator.
This helper converts Python lists and tuples to the appropriate R vector
type based on the element types, so R always receives a proper vector."""
if isinstance(value, (list, tuple)):
if len(value) == 0:
return StrVector([])
# bool must be checked before int because bool is a subclass of int
if all(isinstance(v, bool) for v in value):
return robjects.vectors.BoolVector(value)
if all(isinstance(v, int) for v in value):
return IntVector(value)
if all(isinstance(v, float) for v in value):
return FloatVector(value)
if all(isinstance(v, str) for v in value):
return StrVector(value)
# Mixed types: coerce all to string
return StrVector([str(v) for v in value])
return value
def convert_to_python(r_output):
# Check if it's a StrVector (R character vector)
if isinstance(r_output, StrVector):
return list(r_output) # Convert to a Python list of strings
# Check if it's a FactorVector (R factor)
elif isinstance(r_output, FactorVector):
return list(r_output) # Convert to a list of integers (factor levels)
# Check if it's an IntVector or FloatVector (numeric R vectors)
elif isinstance(r_output, (IntVector, FloatVector)):
return list(r_output) # Convert to a Python list of integers or floats
# Check if it's a pandas-compatible R data frame
elif isinstance(r_output, (pd.DataFrame, DataFrame)):
return r_output # Return as pandas DataFrame (already converted by pandas2ri)
# Check if the input is a NumPy array and has a string data type
if isinstance(r_output, np.ndarray) and np.issubdtype(r_output.dtype, np.str_):
return r_output.tolist() # Convert to a regular Python list
# Fall-back
return r_output
def r_to_python(r_func):
"""Decorator that converts Python list/tuple inputs to typed R vectors,
runs the rpy2 function under a localconverter, and converts the output
to a Python type."""
@functools.wraps(r_func)
def wrapper(*args, **kwargs):
args = tuple(convert_to_r(a) for a in args)
kwargs = {k: convert_to_r(v) for k, v in kwargs.items()}
with localconverter(default_converter + numpy2ri.converter + pandas2ri.converter):
return convert_to_python(r_func(*args, **kwargs))
return wrapper
@r_to_python
def custom_eucast_rules(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.custom_eucast_rules(*args, **kwargs)
@r_to_python
def ab_class(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_class(*args, **kwargs)
@r_to_python
def ab_selector(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_selector(*args, **kwargs)
@r_to_python
def ab_from_text(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_from_text(*args, **kwargs)
@r_to_python
def ab_name(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_name(x, *args, **kwargs)
@r_to_python
def ab_cid(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_cid(x, *args, **kwargs)
@r_to_python
def ab_synonyms(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_synonyms(x, *args, **kwargs)
@r_to_python
def ab_tradenames(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_tradenames(x, *args, **kwargs)
@r_to_python
def ab_group(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_group(x, *args, **kwargs)
@r_to_python
def ab_atc(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_atc(x, *args, **kwargs)
@r_to_python
def ab_atc_group1(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_atc_group1(x, *args, **kwargs)
@r_to_python
def ab_atc_group2(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_atc_group2(x, *args, **kwargs)
@r_to_python
def ab_loinc(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_loinc(x, *args, **kwargs)
@r_to_python
def ab_ddd(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_ddd(x, *args, **kwargs)
@r_to_python
def ab_ddd_units(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_ddd_units(x, *args, **kwargs)
@r_to_python
def ab_info(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_info(x, *args, **kwargs)
@r_to_python
def ab_url(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_url(x, *args, **kwargs)
@r_to_python
def ab_property(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_property(x, *args, **kwargs)
@r_to_python
def add_custom_antimicrobials(x):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.add_custom_antimicrobials(x)
@r_to_python
def clear_custom_antimicrobials(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.clear_custom_antimicrobials(*args, **kwargs)
@r_to_python
def add_custom_microorganisms(x):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.add_custom_microorganisms(x)
@r_to_python
def clear_custom_microorganisms(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.clear_custom_microorganisms(*args, **kwargs)
@r_to_python
def age(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.age(x, *args, **kwargs)
@r_to_python
def age_groups(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.age_groups(x, *args, **kwargs)
@r_to_python
def all_sir(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.all_sir(*args, **kwargs)
@r_to_python
def all_sir_predictors(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.all_sir_predictors(*args, **kwargs)
@r_to_python
def all_mic(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.all_mic(*args, **kwargs)
@r_to_python
def all_mic_predictors(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.all_mic_predictors(*args, **kwargs)
@r_to_python
def all_disk(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.all_disk(*args, **kwargs)
@r_to_python
def all_disk_predictors(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.all_disk_predictors(*args, **kwargs)
@r_to_python
def step_mic_log2(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.step_mic_log2(*args, **kwargs)
@r_to_python
def step_sir_numeric(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.step_sir_numeric(*args, **kwargs)
@r_to_python
def amr_course(github_repo, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.amr_course(github_repo, *args, **kwargs)
@r_to_python
def wisca(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.wisca(*args, **kwargs)
@r_to_python
def antibiogram(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.antibiogram(*args, **kwargs)
@r_to_python
def retrieve_wisca_parameters(wisca_model, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.retrieve_wisca_parameters(wisca_model, *args, **kwargs)
@r_to_python
def wisca_plot(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.wisca_plot(*args, **kwargs)
@r_to_python
def aminoglycosides(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.aminoglycosides(*args, **kwargs)
@r_to_python
def aminopenicillins(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.aminopenicillins(only_sir_columns = False, *args, **kwargs)
@r_to_python
def antifungals(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.antifungals(only_sir_columns = False, *args, **kwargs)
@r_to_python
def antimycobacterials(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.antimycobacterials(only_sir_columns = False, *args, **kwargs)
@r_to_python
def betalactams(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.betalactams(*args, **kwargs)
@r_to_python
def betalactams_with_inhibitor(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.betalactams_with_inhibitor(only_sir_columns = False, *args, **kwargs)
@r_to_python
def carbapenems(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.carbapenems(*args, **kwargs)
@r_to_python
def cephalosporins(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.cephalosporins(*args, **kwargs)
@r_to_python
def cephalosporins_1st(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.cephalosporins_1st(only_sir_columns = False, *args, **kwargs)
@r_to_python
def cephalosporins_2nd(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.cephalosporins_2nd(only_sir_columns = False, *args, **kwargs)
@r_to_python
def cephalosporins_3rd(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.cephalosporins_3rd(*args, **kwargs)
@r_to_python
def cephalosporins_4th(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.cephalosporins_4th(only_sir_columns = False, *args, **kwargs)
@r_to_python
def cephalosporins_5th(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.cephalosporins_5th(only_sir_columns = False, *args, **kwargs)
@r_to_python
def fluoroquinolones(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.fluoroquinolones(*args, **kwargs)
@r_to_python
def glycopeptides(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.glycopeptides(only_sir_columns = False, *args, **kwargs)
@r_to_python
def ionophores(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ionophores(only_sir_columns = False, *args, **kwargs)
@r_to_python
def isoxazolylpenicillins(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.isoxazolylpenicillins(*args, **kwargs)
@r_to_python
def lincosamides(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.lincosamides(*args, **kwargs)
@r_to_python
def lipoglycopeptides(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.lipoglycopeptides(only_sir_columns = False, *args, **kwargs)
@r_to_python
def macrolides(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.macrolides(only_sir_columns = False, *args, **kwargs)
@r_to_python
def monobactams(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.monobactams(only_sir_columns = False, *args, **kwargs)
@r_to_python
def nitrofurans(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.nitrofurans(only_sir_columns = False, *args, **kwargs)
@r_to_python
def oxazolidinones(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.oxazolidinones(only_sir_columns = False, *args, **kwargs)
@r_to_python
def penicillins(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.penicillins(only_sir_columns = False, *args, **kwargs)
@r_to_python
def peptides(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.peptides(only_sir_columns = False, *args, **kwargs)
@r_to_python
def phenicols(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.phenicols(only_sir_columns = False, *args, **kwargs)
@r_to_python
def phosphonics(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.phosphonics(only_sir_columns = False, *args, **kwargs)
@r_to_python
def polymyxins(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.polymyxins(*args, **kwargs)
@r_to_python
def quinolones(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.quinolones(*args, **kwargs)
@r_to_python
def rifamycins(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.rifamycins(only_sir_columns = False, *args, **kwargs)
@r_to_python
def spiropyrimidinetriones(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.spiropyrimidinetriones(only_sir_columns = False, *args, **kwargs)
@r_to_python
def streptogramins(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.streptogramins(only_sir_columns = False, *args, **kwargs)
@r_to_python
def sulfonamides(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.sulfonamides(only_sir_columns = False, *args, **kwargs)
@r_to_python
def tetracyclines(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.tetracyclines(*args, **kwargs)
@r_to_python
def trimethoprims(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.trimethoprims(only_sir_columns = False, *args, **kwargs)
@r_to_python
def ureidopenicillins(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ureidopenicillins(only_sir_columns = False, *args, **kwargs)
@r_to_python
def amr_class(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.amr_class(*args, **kwargs)
@r_to_python
def amr_selector(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.amr_selector(*args, **kwargs)
@r_to_python
def administrable_per_os(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.administrable_per_os(only_sir_columns = False, *args, **kwargs)
@r_to_python
def administrable_iv(only_sir_columns = False, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.administrable_iv(only_sir_columns = False, *args, **kwargs)
@r_to_python
def not_intrinsic_resistant(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.not_intrinsic_resistant(*args, **kwargs)
@r_to_python
def as_ab(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.as_ab(*args, **kwargs)
@r_to_python
def is_ab(x):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.is_ab(x)
@r_to_python
def ab_reset_session(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ab_reset_session(*args, **kwargs)
@r_to_python
def as_av(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.as_av(x, *args, **kwargs)
@r_to_python
def is_av(x):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.is_av(x)
@r_to_python
def as_disk(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.as_disk(x, *args, **kwargs)
@r_to_python
def is_disk(x):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.is_disk(x)
@r_to_python
def as_mic(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.as_mic(x, *args, **kwargs)
@r_to_python
def is_mic(x):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.is_mic(x)
@r_to_python
def rescale_mic(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.rescale_mic(*args, **kwargs)
@r_to_python
def mic_p50(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mic_p50(x, *args, **kwargs)
@r_to_python
def mic_p90(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mic_p90(x, *args, **kwargs)
@r_to_python
def as_mo(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.as_mo(*args, **kwargs)
@r_to_python
def is_mo(x):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.is_mo(x)
@r_to_python
def mo_uncertainties(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_uncertainties(*args, **kwargs)
@r_to_python
def mo_renamed(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_renamed(*args, **kwargs)
@r_to_python
def mo_failures(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_failures(*args, **kwargs)
@r_to_python
def mo_reset_session(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_reset_session(*args, **kwargs)
@r_to_python
def mo_cleaning_regex(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_cleaning_regex(*args, **kwargs)
@r_to_python
def as_sir(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.as_sir(x, *args, **kwargs)
@r_to_python
def is_sir(x):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.is_sir(x)
@r_to_python
def is_sir_eligible(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.is_sir_eligible(x, *args, **kwargs)
@r_to_python
def sir_interpretation_history(clean):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.sir_interpretation_history(clean)
@r_to_python
def atc_online_property(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.atc_online_property(*args, **kwargs)
@r_to_python
def atc_online_groups(atc_code, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.atc_online_groups(atc_code, *args, **kwargs)
@r_to_python
def atc_online_ddd(atc_code, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.atc_online_ddd(atc_code, *args, **kwargs)
@r_to_python
def atc_online_ddd_units(atc_code, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.atc_online_ddd_units(atc_code, *args, **kwargs)
@r_to_python
def av_from_text(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.av_from_text(*args, **kwargs)
@r_to_python
def av_name(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.av_name(x, *args, **kwargs)
@r_to_python
def av_cid(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.av_cid(x, *args, **kwargs)
@r_to_python
def av_synonyms(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.av_synonyms(x, *args, **kwargs)
@r_to_python
def av_tradenames(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.av_tradenames(x, *args, **kwargs)
@r_to_python
def av_group(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.av_group(x, *args, **kwargs)
@r_to_python
def av_atc(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.av_atc(x, *args, **kwargs)
@r_to_python
def av_loinc(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.av_loinc(x, *args, **kwargs)
@r_to_python
def av_ddd(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.av_ddd(x, *args, **kwargs)
@r_to_python
def av_ddd_units(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.av_ddd_units(x, *args, **kwargs)
@r_to_python
def av_info(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.av_info(x, *args, **kwargs)
@r_to_python
def av_url(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.av_url(x, *args, **kwargs)
@r_to_python
def av_property(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.av_property(x, *args, **kwargs)
@r_to_python
def availability(tbl, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.availability(tbl, *args, **kwargs)
@r_to_python
def bug_drug_combinations(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.bug_drug_combinations(*args, **kwargs)
@r_to_python
def count_resistant(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.count_resistant(*args, **kwargs)
@r_to_python
def count_susceptible(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.count_susceptible(*args, **kwargs)
@r_to_python
def count_S(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.count_S(*args, **kwargs)
@r_to_python
def count_SI(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.count_SI(*args, **kwargs)
@r_to_python
def count_I(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.count_I(*args, **kwargs)
@r_to_python
def count_IR(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.count_IR(*args, **kwargs)
@r_to_python
def count_R(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.count_R(*args, **kwargs)
@r_to_python
def count_all(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.count_all(*args, **kwargs)
@r_to_python
def n_sir(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.n_sir(*args, **kwargs)
@r_to_python
def count_df(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.count_df(*args, **kwargs)
@r_to_python
def custom_interpretive_rules(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.custom_interpretive_rules(*args, **kwargs)
@r_to_python
def custom_mdro_guideline(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.custom_mdro_guideline(*args, **kwargs)
@r_to_python
def export_ncbi_biosample(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.export_ncbi_biosample(*args, **kwargs)
@r_to_python
def first_isolate(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.first_isolate(*args, **kwargs)
@r_to_python
def filter_first_isolate(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.filter_first_isolate(*args, **kwargs)
@r_to_python
def g_test(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.g_test(x, *args, **kwargs)
@r_to_python
def is_new_episode(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.is_new_episode(x, *args, **kwargs)
@r_to_python
def ggplot_pca(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ggplot_pca(*args, **kwargs)
@r_to_python
def ggplot_sir(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ggplot_sir(*args, **kwargs)
@r_to_python
def geom_sir(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.geom_sir(*args, **kwargs)
@r_to_python
def guess_ab_col(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.guess_ab_col(*args, **kwargs)
@r_to_python
def interpretive_rules(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.interpretive_rules(*args, **kwargs)
@r_to_python
def eucast_rules(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.eucast_rules(*args, **kwargs)
@r_to_python
def clsi_rules(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.clsi_rules(*args, **kwargs)
@r_to_python
def eucast_dosage(ab, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.eucast_dosage(ab, *args, **kwargs)
@r_to_python
def italicise_taxonomy(string, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.italicise_taxonomy(string, *args, **kwargs)
@r_to_python
def italicize_taxonomy(string, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.italicize_taxonomy(string, *args, **kwargs)
@r_to_python
def inner_join_microorganisms(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.inner_join_microorganisms(x, *args, **kwargs)
@r_to_python
def left_join_microorganisms(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.left_join_microorganisms(x, *args, **kwargs)
@r_to_python
def right_join_microorganisms(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.right_join_microorganisms(x, *args, **kwargs)
@r_to_python
def full_join_microorganisms(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.full_join_microorganisms(x, *args, **kwargs)
@r_to_python
def semi_join_microorganisms(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.semi_join_microorganisms(x, *args, **kwargs)
@r_to_python
def anti_join_microorganisms(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.anti_join_microorganisms(x, *args, **kwargs)
@r_to_python
def key_antimicrobials(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.key_antimicrobials(*args, **kwargs)
@r_to_python
def all_antimicrobials(x = None, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.all_antimicrobials(x = None, *args, **kwargs)
@r_to_python
def kurtosis(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.kurtosis(x, *args, **kwargs)
@r_to_python
def like(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.like(x, *args, **kwargs)
@r_to_python
def mdro(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mdro(*args, **kwargs)
@r_to_python
def brmo(x = None, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.brmo(x = None, *args, **kwargs)
@r_to_python
def mrgn(x = None, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mrgn(x = None, *args, **kwargs)
@r_to_python
def mdr_tb(x = None, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mdr_tb(x = None, *args, **kwargs)
@r_to_python
def mdr_cmi2012(x = None, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mdr_cmi2012(x = None, *args, **kwargs)
@r_to_python
def eucast_exceptional_phenotypes(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.eucast_exceptional_phenotypes(*args, **kwargs)
@r_to_python
def mean_amr_distance(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mean_amr_distance(x, *args, **kwargs)
@r_to_python
def amr_distance_from_row(amr_distance, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.amr_distance_from_row(amr_distance, *args, **kwargs)
@r_to_python
def mo_matching_score(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_matching_score(x, *args, **kwargs)
@r_to_python
def mo_name(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_name(*args, **kwargs)
@r_to_python
def mo_fullname(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_fullname(*args, **kwargs)
@r_to_python
def mo_shortname(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_shortname(*args, **kwargs)
@r_to_python
def mo_subspecies(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_subspecies(*args, **kwargs)
@r_to_python
def mo_species(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_species(*args, **kwargs)
@r_to_python
def mo_genus(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_genus(*args, **kwargs)
@r_to_python
def mo_family(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_family(*args, **kwargs)
@r_to_python
def mo_order(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_order(*args, **kwargs)
@r_to_python
def mo_class(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_class(*args, **kwargs)
@r_to_python
def mo_phylum(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_phylum(*args, **kwargs)
@r_to_python
def mo_kingdom(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_kingdom(*args, **kwargs)
@r_to_python
def mo_domain(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_domain(*args, **kwargs)
@r_to_python
def mo_type(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_type(*args, **kwargs)
@r_to_python
def mo_status(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_status(*args, **kwargs)
@r_to_python
def mo_pathogenicity(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_pathogenicity(*args, **kwargs)
@r_to_python
def mo_gramstain(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_gramstain(*args, **kwargs)
@r_to_python
def mo_is_gram_negative(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_is_gram_negative(*args, **kwargs)
@r_to_python
def mo_is_gram_positive(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_is_gram_positive(*args, **kwargs)
@r_to_python
def mo_is_yeast(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_is_yeast(*args, **kwargs)
@r_to_python
def mo_is_intrinsic_resistant(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_is_intrinsic_resistant(*args, **kwargs)
@r_to_python
def mo_oxygen_tolerance(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_oxygen_tolerance(*args, **kwargs)
@r_to_python
def mo_is_anaerobic(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_is_anaerobic(*args, **kwargs)
@r_to_python
def mo_morphology(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_morphology(*args, **kwargs)
@r_to_python
def mo_snomed(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_snomed(*args, **kwargs)
@r_to_python
def mo_ref(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_ref(*args, **kwargs)
@r_to_python
def mo_authors(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_authors(*args, **kwargs)
@r_to_python
def mo_year(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_year(*args, **kwargs)
@r_to_python
def mo_lpsn(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_lpsn(*args, **kwargs)
@r_to_python
def mo_mycobank(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_mycobank(*args, **kwargs)
@r_to_python
def mo_gbif(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_gbif(*args, **kwargs)
@r_to_python
def mo_rank(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_rank(*args, **kwargs)
@r_to_python
def mo_taxonomy(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_taxonomy(*args, **kwargs)
@r_to_python
def mo_synonyms(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_synonyms(*args, **kwargs)
@r_to_python
def mo_current(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_current(x, *args, **kwargs)
@r_to_python
def mo_group_members(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_group_members(*args, **kwargs)
@r_to_python
def mo_info(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_info(*args, **kwargs)
@r_to_python
def mo_url(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_url(*args, **kwargs)
@r_to_python
def mo_property(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.mo_property(*args, **kwargs)
@r_to_python
def pca(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.pca(*args, **kwargs)
@r_to_python
def theme_sir(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.theme_sir(*args, **kwargs)
@r_to_python
def labels_sir_count(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.labels_sir_count(*args, **kwargs)
@r_to_python
def resistance(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.resistance(*args, **kwargs)
@r_to_python
def susceptibility(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.susceptibility(*args, **kwargs)
@r_to_python
def sir_confidence_interval(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.sir_confidence_interval(*args, **kwargs)
@r_to_python
def proportion_R(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.proportion_R(*args, **kwargs)
@r_to_python
def proportion_IR(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.proportion_IR(*args, **kwargs)
@r_to_python
def proportion_I(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.proportion_I(*args, **kwargs)
@r_to_python
def proportion_SI(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.proportion_SI(*args, **kwargs)
@r_to_python
def proportion_S(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.proportion_S(*args, **kwargs)
@r_to_python
def proportion_df(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.proportion_df(*args, **kwargs)
@r_to_python
def sir_df(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.sir_df(*args, **kwargs)
@r_to_python
def random_mic(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.random_mic(*args, **kwargs)
@r_to_python
def random_disk(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.random_disk(*args, **kwargs)
@r_to_python
def random_sir(size = None, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.random_sir(size = None, *args, **kwargs)
@r_to_python
def resistance_predict(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.resistance_predict(*args, **kwargs)
@r_to_python
def sir_predict(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.sir_predict(*args, **kwargs)
@r_to_python
def ggplot_sir_predict(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.ggplot_sir_predict(*args, **kwargs)
@r_to_python
def skewness(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.skewness(x, *args, **kwargs)
@r_to_python
def top_n_microorganisms(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.top_n_microorganisms(*args, **kwargs)
@r_to_python
def reset_AMR_locale(*args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.reset_AMR_locale(*args, **kwargs)
@r_to_python
def translate_AMR(x, *args, **kwargs):
"""Please see our website of the R package for the full manual: https://amr-for-r.org"""
return amr_r.translate_AMR(x, *args, **kwargs)
-46
View File
@@ -1,46 +0,0 @@
Package: AMR
Version: 0.2.0
Date: 2018-05-02
Title: Antimicrobial Resistance Analysis
Authors@R: c(
person(
given = c("Matthijs", "S."),
family = "Berends",
email = "m.s.berends@umcg.nl",
role = c("aut", "cre"),
comment = c(ORCID = "0000-0001-7620-1800")),
person(
given = c("Christian", "F."),
family = "Luz",
email = "c.f.luz@umcg.nl",
role = c("aut", "ctb"),
comment = c(ORCID = "0000-0001-5809-5995")),
person(
given = c("Erwin", "E.A."),
family = "Hassing",
email = "e.hassing@certe.nl",
role = "ctb"))
Description: Functions to simplify the analysis of Antimicrobial Resistance (AMR)
of microbial isolates, by using new S3 classes and applying EUCAST expert rules
on antibiograms according to Leclercq (2013)
<doi:10.1111/j.1469-0691.2011.03703.x>.
Depends:
R (>= 3.0.0)
Imports:
backports,
dplyr (>= 0.7.0),
data.table (>= 1.10.0),
reshape2 (>= 1.4.0),
xml2 (>= 1.0.0),
knitr (>= 1.0.0),
rvest (>= 0.3.2),
tibble
Suggests:
testthat (>= 1.0.2),
covr (>= 3.0.1)
URL: https://github.com/msberends/AMR
BugReports: https://github.com/msberends/AMR/issues
License: GPL-2 | file LICENSE
Encoding: UTF-8
LazyData: true
RoxygenNote: 6.0.1.9000
-339
View File
@@ -1,339 +0,0 @@
GNU GENERAL PUBLIC LICENSE
Version 2, June 1991
Copyright (C) 1989, 1991 Free Software Foundation, Inc., <http://fsf.org/>
51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA
Everyone is permitted to copy and distribute verbatim copies
of this license document, but changing it is not allowed.
Preamble
The licenses for most software are designed to take away your
freedom to share and change it. By contrast, the GNU General Public
License is intended to guarantee your freedom to share and change free
software--to make sure the software is free for all its users. This
General Public License applies to most of the Free Software
Foundation's software and to any other program whose authors commit to
using it. (Some other Free Software Foundation software is covered by
the GNU Lesser General Public License instead.) You can apply it to
your programs, too.
When we speak of free software, we are referring to freedom, not
price. Our General Public Licenses are designed to make sure that you
have the freedom to distribute copies of free software (and charge for
this service if you wish), that you receive source code or can get it
if you want it, that you can change the software or use pieces of it
in new free programs; and that you know you can do these things.
To protect your rights, we need to make restrictions that forbid
anyone to deny you these rights or to ask you to surrender the rights.
These restrictions translate to certain responsibilities for you if you
distribute copies of the software, or if you modify it.
For example, if you distribute copies of such a program, whether
gratis or for a fee, you must give the recipients all the rights that
you have. You must make sure that they, too, receive or can get the
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rights.
We protect your rights with two steps: (1) copyright the software, and
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distribute and/or modify the software.
Also, for each author's protection and ours, we want to make certain
that everyone understands that there is no warranty for this free
software. If the software is modified by someone else and passed on, we
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Finally, any free program is threatened constantly by software
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program will individually obtain patent licenses, in effect making the
program proprietary. To prevent this, we have made it clear that any
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The precise terms and conditions for copying, distribution and
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GNU GENERAL PUBLIC LICENSE
TERMS AND CONDITIONS FOR COPYING, DISTRIBUTION AND MODIFICATION
0. This License applies to any program or other work which contains
a notice placed by the copyright holder saying it may be distributed
under the terms of this General Public License. The "Program", below,
refers to any such program or work, and a "work based on the Program"
means either the Program or any derivative work under copyright law:
that is to say, a work containing the Program or a portion of it,
either verbatim or with modifications and/or translated into another
language. (Hereinafter, translation is included without limitation in
the term "modification".) Each licensee is addressed as "you".
Activities other than copying, distribution and modification are not
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running the Program is not restricted, and the output from the Program
is covered only if its contents constitute a work based on the
Program (independent of having been made by running the Program).
Whether that is true depends on what the Program does.
1. You may copy and distribute verbatim copies of the Program's
source code as you receive it, in any medium, provided that you
conspicuously and appropriately publish on each copy an appropriate
copyright notice and disclaimer of warranty; keep intact all the
notices that refer to this License and to the absence of any warranty;
and give any other recipients of the Program a copy of this License
along with the Program.
You may charge a fee for the physical act of transferring a copy, and
you may at your option offer warranty protection in exchange for a fee.
2. You may modify your copy or copies of the Program or any portion
of it, thus forming a work based on the Program, and copy and
distribute such modifications or work under the terms of Section 1
above, provided that you also meet all of these conditions:
a) You must cause the modified files to carry prominent notices
stating that you changed the files and the date of any change.
b) You must cause any work that you distribute or publish, that in
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part thereof, to be licensed as a whole at no charge to all third
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c) If the modified program normally reads commands interactively
when run, you must cause it, when started running for such
interactive use in the most ordinary way, to print or display an
announcement including an appropriate copyright notice and a
notice that there is no warranty (or else, saying that you provide
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the Program is not required to print an announcement.)
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on the Program, the distribution of the whole must be on the terms of
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entire whole, and thus to each and every part regardless of who wrote it.
Thus, it is not the intent of this section to claim rights or contest
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exercise the right to control the distribution of derivative or
collective works based on the Program.
In addition, mere aggregation of another work not based on the Program
with the Program (or with a work based on the Program) on a volume of
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except as expressly provided under this License. Any attempt
otherwise to copy, modify, sublicense or distribute the Program is
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the only way you could satisfy both it and this License would be to
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any particular circumstance, the balance of the section is intended to
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implemented by public license practices. Many people have made
generous contributions to the wide range of software distributed
through that system in reliance on consistent application of that
system; it is up to the author/donor to decide if he or she is willing
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This section is intended to make thoroughly clear what is believed to
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8. If the distribution and/or use of the Program is restricted in
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original copyright holder who places the Program under this License
may add an explicit geographical distribution limitation excluding
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11. BECAUSE THE PROGRAM IS LICENSED FREE OF CHARGE, THERE IS NO WARRANTY
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WILL ANY COPYRIGHT HOLDER, OR ANY OTHER PARTY WHO MAY MODIFY AND/OR
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TO LOSS OF DATA OR DATA BEING RENDERED INACCURATE OR LOSSES SUSTAINED BY
YOU OR THIRD PARTIES OR A FAILURE OF THE PROGRAM TO OPERATE WITH ANY OTHER
PROGRAMS), EVEN IF SUCH HOLDER OR OTHER PARTY HAS BEEN ADVISED OF THE
POSSIBILITY OF SUCH DAMAGES.
END OF TERMS AND CONDITIONS
How to Apply These Terms to Your New Programs
If you develop a new program, and you want it to be of the greatest
possible use to the public, the best way to achieve this is to make it
free software which everyone can redistribute and change under these terms.
To do so, attach the following notices to the program. It is safest
to attach them to the start of each source file to most effectively
convey the exclusion of warranty; and each file should have at least
the "copyright" line and a pointer to where the full notice is found.
{description}
Copyright (C) {year} {fullname}
This program is free software; you can redistribute it and/or modify
it under the terms of the GNU General Public License as published by
the Free Software Foundation; either version 2 of the License, or
(at your option) any later version.
This program is distributed in the hope that it will be useful,
but WITHOUT ANY WARRANTY; without even the implied warranty of
MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
GNU General Public License for more details.
You should have received a copy of the GNU General Public License along
with this program; if not, write to the Free Software Foundation, Inc.,
51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA.
Also add information on how to contact you by electronic and paper mail.
If the program is interactive, make it output a short notice like this
when it starts in an interactive mode:
Gnomovision version 69, Copyright (C) year name of author
Gnomovision comes with ABSOLUTELY NO WARRANTY; for details type `show w'.
This is free software, and you are welcome to redistribute it
under certain conditions; type `show c' for details.
The hypothetical commands `show w' and `show c' should show the appropriate
parts of the General Public License. Of course, the commands you use may
be called something other than `show w' and `show c'; they could even be
mouse-clicks or menu items--whatever suits your program.
You should also get your employer (if you work as a programmer) or your
school, if any, to sign a "copyright disclaimer" for the program, if
necessary. Here is a sample; alter the names:
Yoyodyne, Inc., hereby disclaims all copyright interest in the program
`Gnomovision' (which makes passes at compilers) written by James Hacker.
{signature of Ty Coon}, 1 April 1989
Ty Coon, President of Vice
This General Public License does not permit incorporating your program into
proprietary programs. If your program is a subroutine library, you may
consider it more useful to permit linking proprietary applications with the
library. If this is what you want to do, use the GNU Lesser General
Public License instead of this License.
-102
View File
@@ -1,102 +0,0 @@
# Generated by roxygen2: do not edit by hand
S3method(as.double,mic)
S3method(as.integer,mic)
S3method(as.numeric,mic)
S3method(barplot,mic)
S3method(barplot,rsi)
S3method(plot,mic)
S3method(plot,rsi)
S3method(print,data.table)
S3method(print,mic)
S3method(print,rsi)
S3method(print,tbl)
S3method(print,tbl_df)
S3method(summary,mic)
S3method(summary,rsi)
export("%like%")
export(BRMO)
export(EUCAST_exceptional_phenotypes)
export(EUCAST_rules)
export(MDRO)
export(MRGN)
export(abname)
export(anti_join_microorganisms)
export(as.mic)
export(as.rsi)
export(atc_property)
export(first_isolate)
export(freq)
export(frequency_tbl)
export(full_join_microorganisms)
export(guess_atc)
export(guess_bactid)
export(inner_join_microorganisms)
export(interpretive_reading)
export(is.mic)
export(is.rsi)
export(key_antibiotics)
export(left_join_microorganisms)
export(mo_property)
export(n_rsi)
export(right_join_microorganisms)
export(rsi)
export(rsi_df)
export(rsi_predict)
export(semi_join_microorganisms)
exportMethods(as.double.mic)
exportMethods(as.integer.mic)
exportMethods(as.numeric.mic)
exportMethods(barplot.mic)
exportMethods(barplot.rsi)
exportMethods(plot.mic)
exportMethods(plot.rsi)
exportMethods(print.data.table)
exportMethods(print.mic)
exportMethods(print.rsi)
exportMethods(print.tbl)
exportMethods(print.tbl_df)
exportMethods(summary.mic)
exportMethods(summary.rsi)
importFrom(data.table,data.table)
importFrom(dplyr,"%>%")
importFrom(dplyr,all_vars)
importFrom(dplyr,any_vars)
importFrom(dplyr,arrange)
importFrom(dplyr,arrange_at)
importFrom(dplyr,between)
importFrom(dplyr,desc)
importFrom(dplyr,filter)
importFrom(dplyr,filter_at)
importFrom(dplyr,group_by)
importFrom(dplyr,group_by_at)
importFrom(dplyr,group_size)
importFrom(dplyr,group_vars)
importFrom(dplyr,if_else)
importFrom(dplyr,lag)
importFrom(dplyr,left_join)
importFrom(dplyr,mutate)
importFrom(dplyr,n_distinct)
importFrom(dplyr,n_groups)
importFrom(dplyr,progress_estimated)
importFrom(dplyr,pull)
importFrom(dplyr,row_number)
importFrom(dplyr,select)
importFrom(dplyr,slice)
importFrom(dplyr,summarise)
importFrom(dplyr,tibble)
importFrom(dplyr,vars)
importFrom(grDevices,boxplot.stats)
importFrom(graphics,axis)
importFrom(graphics,barplot)
importFrom(graphics,plot)
importFrom(graphics,text)
importFrom(reshape2,dcast)
importFrom(rvest,html_nodes)
importFrom(rvest,html_table)
importFrom(stats,fivenum)
importFrom(stats,quantile)
importFrom(stats,sd)
importFrom(utils,object.size)
importFrom(utils,packageDescription)
importFrom(xml2,read_html)
-44
View File
@@ -1,44 +0,0 @@
# 0.2.0
#### 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.
* Suggest your own via [https://github.com/msberends/AMR/issues/new](https://github.com/msberends/AMR/issues/new?title=New%20guideline%20for%20MDRO&body=%3C--%20Please%20add%20your%20country%20code,%20guideline%20name,%20version%20and%20source%20below%20and%20remove%20this%20line--%3E)
* [Exceptional resistances defined by EUCAST](http://www.eucast.org/expert_rules_and_intrinsic_resistance) are also supported instead of countries alone
* Functions `BRMO` and `MRGN` are wrappers for Dutch and German guidelines, respectively
* New algorithm to determine weighted isolates, can now be `"points"` or `"keyantibiotics"`, see `?first_isolate`
* New print format for `tibble`s and `data.table`s
#### Changed
* Fixed `rsi` class for vectors that contain only invalid antimicrobial interpretations
* Renamed dataset `ablist` to `antibiotics`
* 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 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 parameters 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](https://orcid.org) 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/master/R)
# 0.1.1
* `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
# 0.1.0
* First submission to CRAN.
-453
View File
@@ -1,453 +0,0 @@
# ==================================================================== #
# TITLE #
# Antimicrobial Resistance (AMR) Analysis #
# #
# AUTHORS #
# Berends MS (m.s.berends@umcg.nl), Luz CF (c.f.luz@umcg.nl) #
# #
# LICENCE #
# This program is free software; you can redistribute it and/or modify #
# it under the terms of the GNU General Public License version 2.0, #
# as published by the Free Software Foundation. #
# #
# This program is distributed in the hope that it will be useful, #
# but WITHOUT ANY WARRANTY; without even the implied warranty of #
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the #
# GNU General Public License for more details. #
# ==================================================================== #
#' Properties of an ATC code
#'
#' Gets data from the WHO to determine properties of an ATC (e.g. an antibiotic) like name, defined daily dose (DDD) or standard unit. \strong{This function requires an internet connection.}
#' @param atc_code a character or character vector with ATC code(s) of antibiotic(s)
#' @param property property of an ATC code. Valid values are \code{"ATC code"}, \code{"Name"}, \code{"DDD"}, \code{"U"} (\code{"unit"}), \code{"Adm.R"} en \code{"Note"}.
#' @param administration type of administration, see \emph{Details}
#' @param url url of website of the WHO. The sign \code{\%s} can be used as a placeholder for ATC codes.
#' @details
#' Abbreviations for the property \code{"Adm.R"} (parameter \code{administration}):
#' \itemize{
#' \item{\code{"Implant"}}{ = Implant}
#' \item{\code{"Inhal"}}{ = Inhalation}
#' \item{\code{"Instill"}}{ = Instillation}
#' \item{\code{"N"}}{ = nasal}
#' \item{\code{"O"}}{ = oral}
#' \item{\code{"P"}}{ = parenteral}
#' \item{\code{"R"}}{ = rectal}
#' \item{\code{"SL"}}{ = sublingual/buccal}
#' \item{\code{"TD"}}{ = transdermal}
#' \item{\code{"V"}}{ = vaginal}
#' }
#'
#' Abbreviations for the property \code{"U"} (unit):
#' \itemize{
#' \item{\code{"g"}}{ = gram}
#' \item{\code{"mg"}}{ = milligram}
#' \item{\code{"mcg"}}{ = microgram}
#' \item{\code{"U"}}{ = unit}
#' \item{\code{"TU"}}{ = thousand units}
#' \item{\code{"MU"}}{ = million units}
#' \item{\code{"mmol"}}{ = millimole}
#' \item{\code{"ml"}}{ = milliliter (e.g. eyedrops)}
#' }
#' @export
#' @importFrom dplyr %>% progress_estimated
#' @importFrom xml2 read_html
#' @importFrom rvest html_nodes html_table
#' @source \url{https://www.whocc.no/atc_ddd_alterations__cumulative/ddd_alterations/abbrevations/}
#' @examples
#' \donttest{
#' atc_property("J01CA04", "DDD", "O") # oral DDD (Defined Daily Dose) of amoxicillin
#' atc_property("J01CA04", "DDD", "P") # parenteral DDD (Defined Daily Dose) of amoxicillin
#' }
atc_property <- function(atc_code,
property,
administration = 'O',
url = 'https://www.whocc.no/atc_ddd_index/?code=%s&showdescription=no') {
# property <- property %>% tolower()
#
if (property %like% 'unit') {
property <- 'U'
}
# validation of properties
valid_properties.bak <- c("ATC code", "Name", "DDD", "U", "Adm.R", "Note")
valid_properties <- valid_properties.bak #%>% tolower()
if (!property %in% valid_properties) {
stop('Invalid `property`, use one of ', paste(valid_properties, collapse = ", "), '.')
}
returnvalue <- rep(NA_character_, length(atc_code))
if (property == 'DDD') {
returnvalue <- rep(NA_real_, length(atc_code))
}
progress <- progress_estimated(n = length(atc_code))
for (i in 1:length(atc_code)) {
progress$tick()$print()
atc_url <- sub('%s', atc_code[i], url, fixed = TRUE)
tbl <- xml2::read_html(atc_url) %>%
rvest::html_nodes('table') %>%
rvest::html_table(header = TRUE)
if (length(tbl) == 0) {
warning('ATC not found: ', atc_code[i], '. Please check ', atc_url, '.', call. = FALSE)
returnvalue[i] <- NA
next
}
tbl <- tbl[[1]]
if (property == 'Name') {
returnvalue[i] <- tbl[1, 2]
} else {
names(returnvalue)[i] <- tbl[1, 2] %>% as.character()
if (!'Adm.R' %in% colnames(tbl) | is.na(tbl[1, 'Adm.R'])) {
returnvalue[i] <- NA
next
} else {
for (j in 1:nrow(tbl)) {
if (tbl[j, 'Adm.R'] == administration) {
returnvalue[i] <- tbl[j, property]
}
}
}
}
}
cat('\n')
returnvalue
}
#' Name of an antibiotic
#'
#' Convert antibiotic codes (from a laboratory information system like MOLIS or GLIMS) to a (trivial) antibiotic name or ATC code, or vice versa. This uses the data from \code{\link{antibiotics}}.
#' @param abcode a code or name, like \code{"AMOX"}, \code{"AMCL"} or \code{"J01CA04"}
#' @param from,to type to transform from and to. See \code{\link{antibiotics}} for its column names. WIth \code{from = "guess"} the from will be guessed from \code{"atc"}, \code{"molis"} and \code{"umcg"}.
#' @param textbetween text to put between multiple returned texts
#' @param tolower return output as lower case with function \code{\link{tolower}}.
#' @keywords ab antibiotics
#' @source \code{\link{antibiotics}}
#' @export
#' @importFrom dplyr %>% filter select slice
#' @examples
#' abname("AMCL")
#' # "amoxicillin and enzyme inhibitor"
#'
#' abname("AMCL+GENT")
#' # "amoxicillin and enzyme inhibitor + gentamicin"
#'
#' abname(c("AMCL", "GENT"))
#' # "amoxicillin and enzyme inhibitor" "gentamicin"
#'
#' abname("AMCL", to = "trivial_nl")
#' # "Amoxicilline/clavulaanzuur"
#'
#' abname("AMCL", to = "atc")
#' # "J01CR02"
#'
#' abname("J01CR02", from = "atc", to = "umcg")
#' # "AMCL"
abname <- function(abcode, from = c("guess", "atc", "molis", "umcg"), to = 'official', textbetween = ' + ', tolower = FALSE) {
antibiotics <- AMR::antibiotics
from <- from[1]
if (from == "guess") {
for (i in 1:3) {
if (abcode[1] %in% (antibiotics %>% pull(i))) {
from <- colnames(antibiotics)[i]
}
}
if (from == "guess") {
from <- "umcg"
}
}
colnames(antibiotics) <- colnames(antibiotics) %>% tolower()
from <- from %>% tolower()
to <- to %>% tolower()
if (!from %in% colnames(antibiotics) |
!to %in% colnames(antibiotics)) {
stop(paste0('Invalid `from` or `to`. Choose one of ',
colnames(antibiotics) %>% paste(collapse = ","), '.'), call. = FALSE)
}
abcode <- as.character(abcode)
for (i in 1:length(abcode)) {
drug <- abcode[i]
if (!grepl('+', drug, fixed = TRUE) & !grepl(' en ', drug, fixed = TRUE)) {
# only 1 drug
if (drug %in% (antibiotics %>% pull(from))) {
abcode[i] <-
antibiotics %>%
filter(.[, from] == drug) %>%
select(to) %>%
slice(1) %>%
as.character()
} else {
# not found
warning('Code "', drug, '" not found in antibiotics list.', call. = FALSE)
abcode[i] <- NA
}
} else {
# more than 1 drug
if (grepl('+', drug, fixed = TRUE)) {
drug.group <-
strsplit(drug, '+', fixed = TRUE) %>%
unlist() %>%
trimws('both')
} else if (grepl(' en ', drug, fixed = TRUE)) {
drug.group <-
strsplit(drug, ' en ', fixed = TRUE) %>%
unlist() %>%
trimws('both')
} else {
warning('Invalid concat.')
abcode[i] <- NA
next
}
for (j in 1:length(drug.group)) {
drug.group[j] <-
antibiotics %>%
filter(.[, from] == drug.group[j]) %>%
select(to) %>%
slice(1) %>%
as.character()
if (j > 1 & to %in% c('official', 'trivial_nl')) {
drug.group[j] <- drug.group[j] %>% tolower()
}
}
abcode[i] <- paste(drug.group, collapse = textbetween)
}
}
if (tolower == TRUE) {
abcode <- abcode %>% tolower()
}
abcode
}
#' Find bacteria ID based on genus/species
#'
#' Use this function to determine a valid ID based on a genus (and species). This input could be a full name (like \code{"Staphylococcus aureus"}), an abbreviated name (like \code{"S. aureus"}), or just a genus. You could also use a \code{\link{paste}} of a genus and species column to use the full name as input: \code{x = paste(df$genus, df$species)}, where \code{df} is your dataframe.
#' @param x character vector to determine \code{bactid}
#' @export
#' @importFrom dplyr %>% filter slice pull
#' @return Character (vector).
#' @seealso \code{\link{microorganisms}} for the dataframe that is being used to determine ID's.
#' @examples
#' # These examples all return "STAAUR", the ID of S. aureus:
#' guess_bactid("stau")
#' guess_bactid("STAU")
#' guess_bactid("staaur")
#' guess_bactid("S. aureus")
#' guess_bactid("S aureus")
#' guess_bactid("Staphylococcus aureus")
#' guess_bactid("MRSA") # Methicillin-resistant S. aureus
#' guess_bactid("VISA") # Vancomycin Intermediate S. aureus
guess_bactid <- function(x) {
# remove dots and other non-text in case of "E. coli" except spaces
x <- gsub("[^a-zA-Z ]+", "", x)
# but spaces before and after should be omitted
x <- trimws(x, which = "both")
x.bak <- x
# replace space by regex sign
x <- gsub(" ", ".*", x, fixed = TRUE)
# add start and stop
x_species <- paste(x, 'species')
x <- paste0('^', x, '$')
for (i in 1:length(x)) {
if (tolower(x[i]) == '^e.*coli$') {
# avoid detection of Entamoeba coli in case of E. coli
x[i] <- 'Escherichia coli'
}
if (tolower(x[i]) == '^h.*influenzae$') {
# avoid detection of Haematobacter influenzae in case of H. influenzae
x[i] <- 'Haemophilus influenzae'
}
if (tolower(x[i]) == '^st.*au$'
| tolower(x[i]) == '^stau$'
| tolower(x[i]) == '^staaur$') {
# avoid detection of Staphylococcus auricularis in case of S. aureus
x[i] <- 'Staphylococcus aureus'
}
if (tolower(x[i]) == '^p.*aer$') {
# avoid detection of Pasteurella aerogenes in case of Pseudomonas aeruginosa
x[i] <- 'Pseudomonas aeruginosa'
}
# translate known trivial names to genus+species
if (toupper(x.bak[i]) == 'MRSA'
| toupper(x.bak[i]) == 'VISA'
| toupper(x.bak[i]) == 'VRSA') {
x[i] <- 'Staphylococcus aureus'
}
if (toupper(x.bak[i]) == 'MRSE') {
x[i] <- 'Staphylococcus epidermidis'
}
if (toupper(x.bak[i]) == 'VRE') {
x[i] <- 'Enterococcus'
}
if (toupper(x.bak[i]) == 'MRPA') {
# multi resistant P. aeruginosa
x[i] <- 'Pseudomonas aeruginosa'
}
if (toupper(x.bak[i]) == 'PISP'
| toupper(x.bak[i]) == 'PRSP') {
# peni resistant S. pneumoniae
x[i] <- 'Streptococcus pneumoniae'
}
if (toupper(x.bak[i]) == 'VISP'
| toupper(x.bak[i]) == 'VRSP') {
# vanco resistant S. pneumoniae
x[i] <- 'Streptococcus pneumoniae'
}
# let's try the ID's first
found <- AMR::microorganisms %>% filter(bactid == x.bak[i])
if (nrow(found) == 0) {
# now try exact match
found <- AMR::microorganisms %>% filter(fullname == x[i])
}
if (nrow(found) == 0) {
# try any match
found <- AMR::microorganisms %>% filter(fullname %like% x[i])
}
if (nrow(found) == 0) {
# try only genus, with 'species' attached
found <- AMR::microorganisms %>% filter(fullname %like% x_species[i])
}
if (nrow(found) == 0) {
# search for GLIMS code
if (toupper(x.bak[i]) %in% toupper(AMR::microorganisms.umcg$mocode)) {
found <- AMR::microorganisms.umcg %>% filter(toupper(mocode) == toupper(x.bak[i]))
}
}
if (nrow(found) == 0) {
# try splitting of characters and then find ID
# like esco = E. coli, klpn = K. pneumoniae, stau = S. aureus
x_split <- x
x_length <- nchar(x.bak[i])
x_split[i] <- paste0(x.bak[i] %>% substr(1, x_length / 2) %>% trimws(),
'.* ',
x.bak[i] %>% substr((x_length / 2) + 1, x_length) %>% trimws())
found <- AMR::microorganisms %>% filter(fullname %like% paste0('^', x_split[i]))
}
if (nrow(found) == 0) {
# try any match with text before and after original search string
# so "negative rods" will be "GNR"
if (x.bak[i] %like% "^Gram") {
x.bak[i] <- gsub("^Gram", "", x.bak[i], ignore.case = TRUE)
# remove leading and trailing spaces again
x.bak[i] <- trimws(x.bak[i], which = "both")
}
found <- AMR::microorganisms %>% filter(fullname %like% x.bak[i])
}
if (nrow(found) != 0) {
x[i] <- found %>%
slice(1) %>%
pull(bactid)
} else {
x[i] <- ""
}
}
x
}
#' Find ATC code based on antibiotic property
#'
#' Use this function to determine the ATC code of one or more antibiotics. The dataset \code{\link{antibiotics}} will be searched for abbreviations, official names and trade names.
#' @param x character vector to determine \code{ATC} code
#' @export
#' @importFrom dplyr %>% filter slice pull
#' @details In the ATC classification system, the active substances are classified in a hierarchy with five different levels. The system has fourteen main anatomical/pharmacological groups or 1st levels. Each ATC main group is divided into 2nd levels which could be either pharmacological or therapeutic groups. The 3rd and 4th levels are chemical, pharmacological or therapeutic subgroups and the 5th level is the chemical substance. The 2nd, 3rd and 4th levels are often used to identify pharmacological subgroups when that is considered more appropriate than therapeutic or chemical subgroups.
#' Source: \url{https://www.whocc.no/atc/structure_and_principles/}
#' @return Character (vector).
#' @seealso \code{\link{antibiotics}} for the dataframe that is being used to determine ATC's.
#' @examples
#' # These examples all return "J01FA01", the ATC code of Erythromycin:
#' guess_atc("J01FA01")
#' guess_atc("Erythromycin")
#' guess_atc("eryt")
#' guess_atc("ERYT")
#' guess_atc("ERY")
#' guess_atc("Erythrocin") # Trade name
#' guess_atc("Eryzole") # Trade name
#' guess_atc("Pediamycin") # Trade name
guess_atc <- function(x) {
# use this later to further fill AMR::antibiotics
# drug <- "Ciprofloxacin"
# url <- xml2::read_html(paste0("https://www.ncbi.nlm.nih.gov/pccompound?term=", drug)) %>%
# html_nodes(".rslt") %>%
# .[[1]] %>%
# html_nodes(".title a") %>%
# html_attr("href") %>%
# gsub("/compound/", "/rest/pug_view/data/compound/", ., fixed = TRUE) %>%
# paste0("/XML/?response_type=display")
# synonyms <- url %>%
# read_xml() %>%
# xml_contents() %>% .[[6]] %>%
# xml_contents() %>% .[[8]] %>%
# xml_contents() %>% .[[3]] %>%
# xml_contents() %>% .[[3]] %>%
# xml_contents() %>%
# paste() %>%
# .[. %like% "StringValueList"] %>%
# gsub("[</]+StringValueList[>]", "", .)
for (i in 1:length(x)) {
# first try atc
found <- AMR::antibiotics %>% filter(atc == x[i])
if (nrow(found) == 0) {
# try abbreviation of molis and glims
found <- AMR::antibiotics %>% filter(molis == x[i] | umcg == x[i])
}
if (nrow(found) == 0) {
# try exact official name
found <- AMR::antibiotics[which(AMR::antibiotics$official == x[i]),]
}
if (nrow(found) == 0) {
# try trade name
found <- AMR::antibiotics[which(paste0("(", AMR::antibiotics$trade_name, ")") %like% x[i]),]
}
if (nrow(found) == 0) {
# try abbreviation
found <- AMR::antibiotics[which(paste0("(", AMR::antibiotics$abbr, ")") %like% x[i]),]
}
# if (nrow(found) == 0) {
# # loosely try official name
# found <- AMR::antibiotics[which(AMR::antibiotics$official %like% x[i]),]
# }
if (nrow(found) != 0) {
x[i] <- found %>%
slice(1) %>%
pull(atc)
} else {
x[i] <- NA
}
}
x
}
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@@ -1,407 +0,0 @@
# ==================================================================== #
# TITLE #
# Antimicrobial Resistance (AMR) Analysis #
# #
# AUTHORS #
# Berends MS (m.s.berends@umcg.nl), Luz CF (c.f.luz@umcg.nl) #
# #
# LICENCE #
# This program is free software; you can redistribute it and/or modify #
# it under the terms of the GNU General Public License version 2.0, #
# as published by the Free Software Foundation. #
# #
# This program is distributed in the hope that it will be useful, #
# but WITHOUT ANY WARRANTY; without even the implied warranty of #
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the #
# GNU General Public License for more details. #
# ==================================================================== #
#' Class 'rsi'
#'
#' This transforms a vector to a new class \code{rsi}, which is an ordered factor with levels \code{S < I < R}. Invalid antimicrobial interpretations will be translated as \code{NA} with a warning.
#' @rdname as.rsi
#' @param x vector
#' @return Ordered factor with new class \code{rsi} and new attributes \code{package} and \code{package.version}
#' @export
#' @importFrom dplyr %>%
#' @importFrom utils packageDescription
#' @examples
#' rsi_data <- as.rsi(c(rep("S", 474), rep("I", 36), rep("R", 370)))
#' rsi_data <- as.rsi(c(rep("S", 474), rep("I", 36), rep("R", 370), "A", "B", "C"))
#' is.rsi(rsi_data)
#'
#' plot(rsi_data) # for percentages
#' barplot(rsi_data) # for frequencies
as.rsi <- function(x) {
if (is.rsi(x)) {
x
} else {
x <- x %>% unlist()
x.bak <- x
na_before <- x[is.na(x) | x == ''] %>% length()
# remove all spaces
x <- gsub(' {2,55}', '', x)
# disallow more than 3 characters
x[nchar(x) > 3] <- NA
# remove all invalid characters
x <- gsub('[^RSI]+', '', x %>% toupper())
# needed for UMCG in cases of "S;S" but also "S;I"; the latter will be NA:
x <- gsub('^S+$', 'S', x)
x <- gsub('^I+$', 'I', x)
x <- gsub('^R+$', 'R', x)
x[!x %in% c('S', 'I', 'R')] <- NA
na_after <- x[is.na(x) | x == ''] %>% length()
if (na_before != na_after) {
list_missing <- x.bak[is.na(x) & !is.na(x.bak) & x.bak != ''] %>%
unique() %>%
sort()
list_missing <- paste0('"', list_missing , '"', collapse = ", ")
warning(na_after - na_before, ' results truncated (',
round(((na_after - na_before) / length(x)) * 100),
'%) that were invalid antimicrobial interpretations: ',
list_missing, call. = FALSE)
}
x <- x %>% toupper() %>% factor(levels = c("S", "I", "R"), ordered = TRUE)
class(x) <- c('rsi', 'ordered', 'factor')
attr(x, 'package') <- 'AMR'
attr(x, 'package.version') <- packageDescription('AMR')$Version
x
}
}
#' @rdname as.rsi
#' @export
#' @importFrom dplyr %>%
is.rsi <- function(x) {
class(x) %>% identical(c('rsi', 'ordered', 'factor'))
}
#' @exportMethod print.rsi
#' @export
#' @importFrom dplyr %>%
#' @noRd
print.rsi <- function(x, ...) {
n_total <- x %>% length()
x <- x[!is.na(x)]
n <- x %>% length()
S <- x[x == 'S'] %>% length()
I <- x[x == 'I'] %>% length()
R <- x[x == 'R'] %>% length()
IR <- x[x %in% c('I', 'R')] %>% length()
cat("Class 'rsi'\n")
cat(n, " results (missing: ", n_total - n, ' = ', percent((n_total - n) / n_total, force_zero = TRUE), ')\n', sep = "")
if (n > 0) {
cat('\n')
cat('Sum of S: ', S, ' (', percent(S / n, force_zero = TRUE), ')\n', sep = "")
cat('Sum of IR: ', IR, ' (', percent(IR / n, force_zero = TRUE), ')\n', sep = "")
cat('- Sum of R: ', R, ' (', percent(R / n, force_zero = TRUE), ')\n', sep = "")
cat('- Sum of I: ', I, ' (', percent(I / n, force_zero = TRUE), ')\n', sep = "")
}
}
#' @exportMethod summary.rsi
#' @export
#' @importFrom dplyr %>%
#' @noRd
summary.rsi <- function(object, ...) {
x <- object
n_total <- x %>% length()
x <- x[!is.na(x)]
n <- x %>% length()
S <- x[x == 'S'] %>% length()
I <- x[x == 'I'] %>% length()
R <- x[x == 'R'] %>% length()
IR <- x[x %in% c('I', 'R')] %>% length()
lst <- c('rsi', n_total - n, S, IR, R, I)
names(lst) <- c("Mode", "<NA>", "Sum S", "Sum IR", "Sum R", "Sum I")
lst
}
#' @exportMethod plot.rsi
#' @export
#' @importFrom dplyr %>% group_by summarise filter mutate if_else n_distinct
#' @importFrom graphics plot text
#' @noRd
plot.rsi <- function(x, ...) {
x_name <- deparse(substitute(x))
data <- data.frame(x = x,
y = 1,
stringsAsFactors = TRUE) %>%
group_by(x) %>%
summarise(n = sum(y)) %>%
filter(!is.na(x)) %>%
mutate(s = round((n / sum(n)) * 100, 1))
data$x <- factor(data$x, levels = c('S', 'I', 'R'), ordered = TRUE)
ymax <- if_else(max(data$s) > 95, 105, 100)
plot(x = data$x,
y = data$s,
lwd = 2,
col = c('green', 'orange', 'red'),
ylim = c(0, ymax),
ylab = 'Percentage',
xlab = 'Antimicrobial Interpretation',
main = paste('Susceptibilty Analysis of', x_name),
axes = FALSE,
...)
# x axis
axis(side = 1, at = 1:n_distinct(data$x), labels = levels(data$x), lwd = 0)
# y axis, 0-100%
axis(side = 2, at = seq(0, 100, 5))
text(x = data$x,
y = data$s + 4,
labels = paste0(data$s, '% (n = ', data$n, ')'))
}
#' @exportMethod barplot.rsi
#' @export
#' @importFrom dplyr %>% group_by summarise filter mutate if_else n_distinct
#' @importFrom graphics barplot axis
#' @noRd
barplot.rsi <- function(height, ...) {
x <- height
x_name <- deparse(substitute(height))
data <- data.frame(rsi = x, cnt = 1) %>%
group_by(rsi) %>%
summarise(cnt = sum(cnt)) %>%
droplevels()
barplot(table(x),
col = c('green3', 'orange2', 'red3'),
xlab = 'Antimicrobial Interpretation',
main = paste('Susceptibilty Analysis of', x_name),
ylab = 'Frequency',
axes = FALSE,
...)
# y axis, 0-100%
axis(side = 2, at = seq(0, max(data$cnt) + max(data$cnt) * 1.1, by = 25))
}
#' Class 'mic'
#'
#' This transforms a vector to a new class\code{mic}, which is an ordered factor with valid MIC values as levels. Invalid MIC values will be translated as \code{NA} with a warning.
#' @rdname as.mic
#' @param x vector
#' @param na.rm a logical indicating whether missing values should be removed
#' @return Ordered factor with new class \code{mic} and new attributes \code{package} and \code{package.version}
#' @export
#' @importFrom dplyr %>%
#' @importFrom utils packageDescription
#' @examples
#' mic_data <- as.mic(c(">=32", "1.0", "1", "1.00", 8, "<=0.128", "8", "16", "16"))
#' is.mic(mic_data)
#'
#' plot(mic_data)
#' barplot(mic_data)
as.mic <- function(x, na.rm = FALSE) {
if (is.mic(x)) {
x
} else {
x <- x %>% unlist()
if (na.rm == TRUE) {
x <- x[!is.na(x)]
}
x.bak <- x
# comma to dot
x <- gsub(',', '.', x, fixed = TRUE)
# starting dots must start with 0
x <- gsub('^[.]', '0.', x)
# <=0.2560.512 should be 0.512
x <- gsub('.*[.].*[.]', '0.', x)
# remove ending .0
x <- gsub('[.]0$', '', x)
# remove all after last digit
x <- gsub('[^0-9]$', '', x)
# remove last zeroes
x <- gsub('[.]?0+$', '', x)
lvls <- c("<0.002", "<=0.002", "0.002", ">=0.002", ">0.002",
"<0.003", "<=0.003", "0.003", ">=0.003", ">0.003",
"<0.004", "<=0.004", "0.004", ">=0.004", ">0.004",
"<0.006", "<=0.006", "0.006", ">=0.006", ">0.006",
"<0.008", "<=0.008", "0.008", ">=0.008", ">0.008",
"<0.012", "<=0.012", "0.012", ">=0.012", ">0.012",
"<0.016", "<=0.016", "0.016", ">=0.016", ">0.016",
"<0.023", "<=0.023", "0.023", ">=0.023", ">0.023",
"<0.025", "<=0.025", "0.025", ">=0.025", ">0.025",
"<0.03", "<=0.03", "0.03", ">=0.03", ">0.03",
"<0.032", "<=0.032", "0.032", ">=0.032", ">0.032",
"<0.047", "<=0.047", "0.047", ">=0.047", ">0.047",
"<0.05", "<=0.05", "0.05", ">=0.05", ">0.05",
"<0.06", "<=0.06", "0.06", ">=0.06", ">0.06",
"<0.0625", "<=0.0625", "0.0625", ">=0.0625", ">0.0625",
"<0.063", "<=0.063", "0.063", ">=0.063", ">0.063",
"<0.064", "<=0.064", "0.064", ">=0.064", ">0.064",
"<0.09", "<=0.09", "0.09", ">=0.09", ">0.09",
"<0.094", "<=0.094", "0.094", ">=0.094", ">0.094",
"<0.12", "<=0.12", "0.12", ">=0.12", ">0.12",
"<0.125", "<=0.125", "0.125", ">=0.125", ">0.125",
"<0.128", "<=0.128", "0.128", ">=0.128", ">0.128",
"<0.16", "<=0.16", "0.16", ">=0.16", ">0.16",
"<0.19", "<=0.19", "0.19", ">=0.19", ">0.19",
"<0.25", "<=0.25", "0.25", ">=0.25", ">0.25",
"<0.256", "<=0.256", "0.256", ">=0.256", ">0.256",
"<0.32", "<=0.32", "0.32", ">=0.32", ">0.32",
"<0.38", "<=0.38", "0.38", ">=0.38", ">0.38",
"<0.5", "<=0.5", "0.5", ">=0.5", ">0.5",
"<0.512", "<=0.512", "0.512", ">=0.512", ">0.512",
"<0.64", "<=0.64", "0.64", ">=0.64", ">0.64",
"<0.75", "<=0.75", "0.75", ">=0.75", ">0.75",
"<1", "<=1", "1", ">=1", ">1",
"<1.5", "<=1.5", "1.5", ">=1.5", ">1.5",
"<2", "<=2", "2", ">=2", ">2",
"<3", "<=3", "3", ">=3", ">3",
"<4", "<=4", "4", ">=4", ">4",
"<6", "<=6", "6", ">=6", ">6",
"<8", "<=8", "8", ">=8", ">8",
"<10", "<=10", "10", ">=10", ">10",
"<12", "<=12", "12", ">=12", ">12",
"<16", "<=16", "16", ">=16", ">16",
"<20", "<=20", "20", ">=20", ">20",
"<24", "<=24", "24", ">=24", ">24",
"<32", "<=32", "32", ">=32", ">32",
"<40", "<=40", "40", ">=40", ">40",
"<48", "<=48", "48", ">=48", ">48",
"<64", "<=64", "64", ">=64", ">64",
"<80", "<=80", "80", ">=80", ">80",
"<96", "<=96", "96", ">=96", ">96",
"<128", "<=128", "128", ">=128", ">128",
"<160", "<=160", "160", ">=160", ">160",
"<256", "<=256", "256", ">=256", ">256",
"<320", "<=320", "320", ">=320", ">320",
"<512", "<=512", "512", ">=512", ">512",
"<1024", "<=1024", "1024", ">=1024", ">1024")
x <- x %>% as.character()
na_before <- x[is.na(x) | x == ''] %>% length()
x[!x %in% lvls] <- NA
na_after <- x[is.na(x) | x == ''] %>% length()
if (na_before != na_after) {
list_missing <- x.bak[is.na(x) & !is.na(x.bak) & x.bak != ''] %>%
unique() %>%
sort()
list_missing <- paste0('"', list_missing , '"', collapse = ", ")
warning(na_after - na_before, ' results truncated (',
round(((na_after - na_before) / length(x)) * 100),
'%) that were invalid MICs: ',
list_missing, call. = FALSE)
}
x <- factor(x = x,
levels = lvls,
ordered = TRUE)
class(x) <- c('mic', 'ordered', 'factor')
attr(x, 'package') <- 'AMR'
attr(x, 'package.version') <- packageDescription('AMR')$Version
x
}
}
#' @rdname as.mic
#' @export
#' @importFrom dplyr %>%
is.mic <- function(x) {
class(x) %>% identical(c('mic', 'ordered', 'factor'))
}
#' @exportMethod as.double.mic
#' @export
#' @noRd
as.double.mic <- function(x, ...) {
as.double(gsub('(<|=|>)+', '', as.character(x)))
}
#' @exportMethod as.integer.mic
#' @export
#' @noRd
as.integer.mic <- function(x, ...) {
as.integer(gsub('(<|=|>)+', '', as.character(x)))
}
#' @exportMethod as.numeric.mic
#' @export
#' @noRd
as.numeric.mic <- function(x, ...) {
as.numeric(gsub('(<|=|>)+', '', as.character(x)))
}
#' @exportMethod print.mic
#' @export
#' @importFrom dplyr %>% tibble group_by summarise pull
#' @noRd
print.mic <- function(x, ...) {
n_total <- x %>% length()
x <- x[!is.na(x)]
n <- x %>% length()
cat("Class 'mic': ", n, " isolates\n", sep = '')
cat('\n')
cat('<NA> ', n_total - n, '\n')
cat('\n')
tbl <- tibble(x = x, y = 1) %>% group_by(x) %>% summarise(y = sum(y))
cnt <- tbl %>% pull(y)
names(cnt) <- tbl %>% pull(x)
print(cnt)
}
#' @exportMethod summary.mic
#' @export
#' @importFrom dplyr %>%
#' @noRd
summary.mic <- function(object, ...) {
x <- object
n_total <- x %>% length()
x <- x[!is.na(x)]
n <- x %>% length()
lst <- c('mic',
n_total - n,
sort(x)[1] %>% as.character(),
sort(x)[n] %>% as.character())
names(lst) <- c("Mode", "<NA>", "Min.", "Max.")
lst
}
#' @exportMethod plot.mic
#' @export
#' @importFrom dplyr %>% group_by summarise
#' @importFrom graphics plot text
#' @noRd
plot.mic <- function(x, ...) {
x_name <- deparse(substitute(x))
create_barplot_mic(x, x_name, ...)
}
#' @exportMethod barplot.mic
#' @export
#' @importFrom dplyr %>% group_by summarise
#' @importFrom graphics barplot axis
#' @noRd
barplot.mic <- function(height, ...) {
x_name <- deparse(substitute(height))
create_barplot_mic(height, x_name, ...)
}
#' @importFrom graphics barplot axis
create_barplot_mic <- function(x, x_name, ...) {
data <- data.frame(mic = x, cnt = 1) %>%
group_by(mic) %>%
summarise(cnt = sum(cnt)) %>%
droplevels()
barplot(table(droplevels(x)),
ylab = 'Frequency',
xlab = 'MIC value',
main = paste('MIC values of', x_name),
axes = FALSE,
...)
axis(2, seq(0, max(data$cnt)))
}
-327
View File
@@ -1,327 +0,0 @@
# ==================================================================== #
# TITLE #
# Antimicrobial Resistance (AMR) Analysis #
# #
# AUTHORS #
# Berends MS (m.s.berends@umcg.nl), Luz CF (c.f.luz@umcg.nl) #
# #
# LICENCE #
# This program is free software; you can redistribute it and/or modify #
# it under the terms of the GNU General Public License version 2.0, #
# as published by the Free Software Foundation. #
# #
# This program is distributed in the hope that it will be useful, #
# but WITHOUT ANY WARRANTY; without even the implied warranty of #
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the #
# GNU General Public License for more details. #
# ==================================================================== #
#' Dataset with 420 antibiotics
#'
#' A dataset containing all antibiotics with a J0 code, with their DDD's. Properties were downloaded from the WHO, see Source.
#' @format A data.frame with 420 observations and 18 variables:
#' \describe{
#' \item{\code{atc}}{ATC code, like \code{J01CR02}}
#' \item{\code{molis}}{MOLIS code, like \code{amcl}}
#' \item{\code{umcg}}{UMCG code, like \code{AMCL}}
#' \item{\code{abbr}}{Abbreviation as used by many countries, to be used for \code{\link{guess_atc}}}
#' \item{\code{official}}{Official name by the WHO, like \code{"Amoxicillin and enzyme inhibitor"}}
#' \item{\code{official_nl}}{Official name in the Netherlands, like \code{"Amoxicilline met enzymremmer"}}
#' \item{\code{trivial_nl}}{Trivial name in Dutch, like \code{"Amoxicilline/clavulaanzuur"}}
#' \item{\code{trade_name}}{Trade name as used by many countries, to be used for \code{\link{guess_atc}}}
#' \item{\code{oral_ddd}}{Defined Daily Dose (DDD), oral treatment}
#' \item{\code{oral_units}}{Units of \code{ddd_units}}
#' \item{\code{iv_ddd}}{Defined Daily Dose (DDD), parenteral treatment}
#' \item{\code{iv_units}}{Units of \code{iv_ddd}}
#' \item{\code{atc_group1}}{ATC group, like \code{"Macrolides, lincosamides and streptogramins"}}
#' \item{\code{atc_group2}}{Subgroup of \code{atc_group1}, like \code{"Macrolides"}}
#' \item{\code{atc_group1_nl}}{ATC group in Dutch, like \code{"Macroliden, lincosamiden en streptograminen"}}
#' \item{\code{atc_group2_nl}}{Subgroup of \code{atc_group1} in Dutch, like \code{"Macroliden"}}
#' \item{\code{useful_gramnegative}}{\code{FALSE} if not useful according to EUCAST, \code{NA} otherwise (see Source)}
#' \item{\code{useful_grampositive}}{\code{FALSE} if not useful according to EUCAST, \code{NA} otherwise (see Source)}
#' }
#' @source - World Health Organization: \url{https://www.whocc.no/atc_ddd_index/} \cr - EUCAST - Expert rules intrinsic exceptional V3.1 \cr - MOLIS (LIS of Certe): \url{https://www.certe.nl} \cr - GLIMS (LIS of UMCG): \url{https://www.umcg.nl}
#' @seealso \code{\link{microorganisms}}
# abbr and trade_name created with:
# https://hs.unr.edu/Documents/dhs/chs/NVPHTC/antibiotic_refeference_guide.pdf
# antibiotics %>%
# mutate(abbr =
# case_when(
# official == 'Amikacin' ~ 'Ak|AN|AMI|AMK',
# official == 'Amoxicillin' ~ 'AMX|AMOX|AC',
# official == 'Amoxicillin and beta-lactamase inhibitor' ~ 'AUG|A/C|XL|AML',
# official == 'Ampicillin' ~ 'AM|AMP',
# official == 'Ampicillin and beta-lactamase inhibitor' ~ 'A/S|SAM|AMS|AB',
# official == 'Azithromycin' ~ 'Azi|AZM|AZ',
# official == 'Azlocillin' ~ 'AZ|AZL',
# official == 'Aztreonam' ~ 'Azt|ATM|AT|AZM',
# official == 'Carbenicillin' ~ 'Cb|BAR',
# official == 'Cefaclor' ~ 'Ccl|CEC|Cfr|FAC|CF',
# official == 'Cefadroxil' ~ 'CFR|FAD',
# official == 'Cefazolin' ~ 'Cfz|CZ|FAZ|KZ',
# official == 'Cefdinir' ~ 'Cdn|CDR|DIN|CD|CFD',
# official == 'Cefditoren' ~ 'CDN',
# official == 'Cefepime' ~ 'Cpe|FEP|PM|CPM',
# official == 'Cefixime' ~ 'Cfe|DCFM|FIX|IX',
# official == 'Cefoperazone' ~ 'Cfp|CPZ|PER|FOP|CP',
# official == 'Cefotaxime' ~ 'Cft|CTX|TAX|FOT|CT',
# official == 'Cefotetan' ~ 'Ctn|CTT|CTE|TANS|CN',
# official == 'Cefoxitin' ~ 'Cfx|FOX|CX|FX',
# official == 'Cefpodoxime' ~ 'Cpd|POD|PX',
# official == 'Cefprozil' ~ 'Cpz|CPR|FP',
# official == 'Ceftaroline' ~ 'CPT',
# official == 'Ceftazidime' ~ 'Caz|TAZ|TZ',
# official == 'Ceftibuten' ~ 'CTB|TIB|CB',
# official == 'Ceftizoxime' ~ 'Cz|ZOX|CZX|CZ|CTZ|TIZ',
# official == 'Ceftriaxone' ~ 'Cax|CRO|CTR|FRX|AXO|TX',
# official == 'Cefuroxime' ~ 'Crm|CXM|CFX|ROX|FUR|XM',
# official == 'Cephalexin' ~ 'CN|LX|CFL',
# official == 'Cephalothin' ~ 'Cf',
# official == 'Chloramphenicol' ~ 'C|CHL|CL',
# official == 'Ciprofloxacin' ~ 'Cp|CIP|CI',
# official == 'Clarithromycin' ~ 'Cla|CLR|CLM|CH',
# official == 'Clindamycin' ~ 'Cd|CC|CM|CLI|DA',
# official == 'Colistin' ~ 'CL|CS|CT',
# official == 'Daptomycin' ~ 'Dap',
# official == 'Doxycycline' ~ 'Dox',
# official == 'Doripenem' ~ 'DOR|Dor',
# official == 'Ertapenem' ~ 'Etp',
# official == 'Erythromycin' ~ 'E|ERY|EM',
# official == 'Fosfomycin' ~ 'FOS|FF|FO|FM',
# official == 'Flucloxacillin' ~ 'CLOX',
# official == 'Gentamicin' ~ 'Gm|CN|GEN',
# official == 'Imipenem' ~ 'Imp|IPM|IMI|IP',
# official == 'Kanamycin' ~ 'K|KAN|HLK|KM',
# official == 'Levofloxacin' ~ 'Lvx|LEV|LEVO|LE',
# official == 'Linezolid' ~ 'Lzd|LNZ|LZ',
# official == 'Lomefloxacin' ~ 'Lmf|LOM',
# official == 'Meropenem' ~ 'Mer|MEM|MERO|MRP|MP',
# official == 'Metronidazole' ~ 'MNZ',
# official == 'Mezlocillin' ~ 'Mz|MEZ',
# official == 'Minocycline' ~ 'Min|MI|MN|MNO|MC|MH',
# official == 'Moxifloxacin' ~ 'Mox|MXF',
# official == 'Mupirocin' ~ 'MUP',
# official == 'Nafcillin' ~ 'Naf|NF',
# official == 'Nalidixic acid' ~ 'NA|NAL',
# official == 'Nitrofurantoin' ~ 'Fd|F/M|FT|NIT|NI|F',
# official == 'Norfloxacin' ~ 'Nxn|NOR|NX',
# official == 'Ofloxacin' ~ 'Ofl|OFX|OF',
# official == 'Oxacillin' ~ 'Ox|OXS|OXA',
# official == 'Benzylpenicillin' ~ 'P|PEN|PV',
# official == 'Penicillins, combinations with other antibacterials' ~ 'P|PEN|PV',
# official == 'Piperacillin' ~ 'Pi|PIP|PP',
# official == 'Piperacillin and beta-lactamase inhibitor' ~ 'PT|TZP|PTZ|P/T|PTc',
# official == 'Polymyxin B' ~ 'PB',
# official == 'Quinupristin/dalfopristin' ~ 'Syn|Q/D|QDA|RP',
# official == 'Rifampin' ~ 'Rif|RA|RI|RD',
# official == 'Spectinomycin' ~ 'SPT|SPE|SC',
# official == 'Streptomycin' ~ 'S|STR',
# official == 'Teicoplanin' ~ 'Tei|TEC|TPN|TP|TPL',
# official == 'Telavancin' ~ 'TLV',
# official == 'Telithromcyin' ~ 'Tel',
# official == 'Tetracycline' ~ 'Te|TET|TC',
# official == 'Ticarcillin' ~ 'Ti|TIC|TC',
# official == 'Ticarcillin and beta-lactamase inhibitor' ~ 'Tim|T/C|TCC|TLc',
# official == 'Tigecycline' ~ 'TGC',
# official == 'Tobramycin' ~ 'To|NN|TM|TOB',
# official == 'Trimethoprim' ~ 'T|TMP|TR|W',
# official == 'Sulfamethoxazole and trimethoprim' ~ 'T/S|SXT|SxT|TS|COT',
# official == 'Vancomycin' ~ 'Va|VAN',
# TRUE ~ NA_character_),
#
# trade_name =
# case_when(
# official == 'Amikacin' ~ 'Amikin',
# official == 'Amoxicillin' ~ 'Amoxil|Dispermox|Larotid|Trimox',
# official == 'Amoxicillin and beta-lactamase inhibitor' ~ 'Augmentin',
# official == 'Ampicillin' ~ 'Pfizerpen-A|Principen',
# official == 'Ampicillin and beta-lactamase inhibitor' ~ 'Unasyn',
# official == 'Azithromycin' ~ 'Zithromax',
# official == 'Azlocillin' ~ 'Azlin',
# official == 'Aztreonam' ~ 'Azactam',
# official == 'Carbenicillin' ~ 'Geocillin',
# official == 'Cefaclor' ~ 'Ceclor',
# official == 'Cefadroxil' ~ 'Duricef',
# official == 'Cefazolin' ~ 'Ancef',
# official == 'Cefdinir' ~ 'Omnicef',
# official == 'Cefditoren' ~ 'Spectracef',
# official == 'Cefepime' ~ 'Maxipime',
# official == 'Cefixime' ~ 'Suprax',
# official == 'Cefoperazone' ~ 'Cefobid',
# official == 'Cefotaxime' ~ 'Claforan',
# official == 'Cefotetan' ~ 'Cefotan',
# official == 'Cefoxitin' ~ 'Mefoxin',
# official == 'Cefpodoxime' ~ 'Vantin',
# official == 'Cefprozil' ~ 'Cefzil',
# official == 'Ceftaroline' ~ 'Teflaro',
# official == 'Ceftazidime' ~ 'Fortaz|Tazicef|Tazidime',
# official == 'Ceftibuten' ~ 'Cedax',
# official == 'Ceftizoxime' ~ 'Cefizox',
# official == 'Ceftriaxone' ~ 'Rocephin',
# official == 'Cefuroxime' ~ 'Ceftin|Zinacef',
# official == 'Cephalexin' ~ 'Keflex|Panixine',
# official == 'Cephalothin' ~ 'Keflin',
# official == 'Chloramphenicol' ~ 'Chloromycetin',
# official == 'Ciprofloxacin' ~ 'Cipro|Ciloxan|Ciproxin',
# official == 'Clarithromycin' ~ 'Biaxin',
# official == 'Clindamycin' ~ 'Cleocin|Clinda-Derm|Clindagel|Clindesse|Clindets|Evoclin',
# official == 'Colistin' ~ 'Coly-Mycin',
# official == 'Daptomycin' ~ 'Cubicin',
# official == 'Doxycycline' ~ 'Doryx|Monodox|Vibramycin|Atridox|Oracea|Periostat|Vibra-Tabs',
# official == 'Doripenem' ~ 'Doribax',
# official == 'Ertapenem' ~ 'Invanz',
# official == 'Erythromycin' ~ 'Eryc|EryPed|Erythrocin|E-Base|E-Glades|E-Mycin|E.E.S.|Ery-Tab|Eryderm|Erygel|Erythra-derm|Eryzole|Pediamycin',
# official == 'Fosfomycin' ~ 'Monurol',
# official == 'Flucloxacillin' ~ 'Flopen|Floxapen|Fluclox|Sesamol|Softapen|Staphylex',
# official == 'Gentamicin' ~ 'Garamycin|Genoptic',
# official == 'Imipenem' ~ 'Primaxin',
# official == 'Kanamycin' ~ 'Kantrex',
# official == 'Levofloxacin' ~ 'Levaquin|Quixin',
# official == 'Linezolid' ~ 'Zyvox',
# official == 'Lomefloxacin' ~ 'Maxaquin',
# official == 'Meropenem' ~ 'Merrem',
# official == 'Metronidazole' ~ 'Flagyl|MetroGel|MetroCream|MetroLotion',
# official == 'Mezlocillin' ~ 'Mezlin',
# official == 'Minocycline' ~ 'Arestin|Solodyn',
# official == 'Moxifloxacin' ~ 'Avelox|Vigamox',
# official == 'Mupirocin' ~ 'Bactroban|Centany',
# official == 'Nafcillin' ~ 'Unipen',
# official == 'Nalidixic acid' ~ 'NegGram',
# official == 'Nitrofurantoin' ~ 'Furadantin|Macrobid|Macrodantin',
# official == 'Norfloxacin' ~ 'Noroxin',
# official == 'Ofloxacin' ~ 'Floxin|Ocuflox|Ophthalmic',
# official == 'Oxacillin' ~ 'Bactocill',
# official == 'Benzylpenicillin' ~ 'Permapen|Pfizerpen|Veetids',
# official == 'Penicillins, combinations with other antibacterials' ~ 'Permapen|Pfizerpen|Veetids',
# official == 'Piperacillin' ~ 'Pipracil',
# official == 'Piperacillin and beta-lactamase inhibitor' ~ 'Zosyn',
# official == 'Polymyxin B' ~ 'Poly-RX',
# official == 'Quinupristin/dalfopristin' ~ 'Synercid',
# official == 'Rifampin' ~ 'Rifadin|Rifamate|Rimactane',
# official == 'Spectinomycin' ~ 'Trobicin',
# official == 'Streptomycin' ~ 'Streptomycin Sulfate',
# official == 'Teicoplanin' ~ 'Targocid',
# official == 'Telavancin' ~ 'Vibativ',
# official == 'Telithromcyin' ~ 'Ketek',
# official == 'Tetracycline' ~ 'Sumycin|Bristacycline|Tetrex',
# official == 'Ticarcillin' ~ 'Ticar',
# official == 'Ticarcillin and beta-lactamase inhibitor' ~ 'Timentin',
# official == 'Tigecycline' ~ 'Tygacil',
# official == 'Tobramycin' ~ 'Tobi|Aktob|Tobre',
# official == 'Trimethoprim' ~ 'Primsol|Proloprim',
# official == 'Sulfamethoxazole and trimethoprim' ~ 'Bactrim|Septra|Sulfatrim',
# official == 'Vancomycin' ~ 'Vancocin|Vancomycin Hydrochloride',
# TRUE ~ NA_character_)
# )
# last two columns created with:
# antibiotics %>%
# mutate(useful_gramnegative =
# if_else(
# atc_group1 %like% '(fusidic|glycopeptide|macrolide|lincosamide|daptomycin|linezolid)' |
# atc_group2 %like% '(fusidic|glycopeptide|macrolide|lincosamide|daptomycin|linezolid)' |
# official %like% '(fusidic|glycopeptide|macrolide|lincosamide|daptomycin|linezolid)',
# FALSE,
# NA
# ),
# useful_grampositive =
# if_else(
# atc_group1 %like% '(aztreonam|temocillin|polymyxin|colistin|nalidixic)' |
# atc_group2 %like% '(aztreonam|temocillin|polymyxin|colistin|nalidixic)' |
# official %like% '(aztreonam|temocillin|polymyxin|colistin|nalidixic)',
# FALSE,
# NA
# )
# )
"antibiotics"
#' Dataset with ~2500 microorganisms
#'
#' A dataset containing 2453 microorganisms. MO codes of the UMCG can be looked up using \code{\link{microorganisms.umcg}}.
#' @format A data.frame with 2453 observations and 12 variables:
#' \describe{
#' \item{\code{bactid}}{ID of microorganism}
#' \item{\code{bactsys}}{Bactsyscode of microorganism}
#' \item{\code{family}}{Family name of microorganism}
#' \item{\code{genus}}{Genus name of microorganism, like \code{"Echerichia"}}
#' \item{\code{species}}{Species name of microorganism, like \code{"coli"}}
#' \item{\code{subspecies}}{Subspecies name of bio-/serovar of microorganism, like \code{"EHEC"}}
#' \item{\code{fullname}}{Full name, like \code{"Echerichia coli (EHEC)"}}
#' \item{\code{type}}{Type of microorganism, like \code{"Bacteria"} and \code{"Fungus/yeast"}}
#' \item{\code{gramstain}}{Gram of microorganism, like \code{"Negative rods"}}
#' \item{\code{aerobic}}{Logical whether bacteria is aerobic}
#' \item{\code{type_nl}}{Type of microorganism in Dutch, like \code{"Bacterie"} and \code{"Schimmel/gist"}}
#' \item{\code{gramstain_nl}}{Gram of microorganism in Dutch, like \code{"Negatieve staven"}}
#' }
#' @source MOLIS (LIS of Certe) - \url{https://www.certe.nl}
#' @seealso \code{\link{guess_bactid}} \code{\link{antibiotics}} \code{\link{microorganisms.umcg}}
"microorganisms"
#' Translation table for UMCG with ~1100 microorganisms
#'
#' A dataset containing all bacteria codes of UMCG MMB. These codes can be joined to data with an ID from \code{\link{microorganisms}$bactid} (using \code{\link{left_join_microorganisms}}). GLIMS codes can also be translated to valid \code{bactid}'s with \code{\link{guess_bactid}}.
#' @format A data.frame with 1090 observations and 2 variables:
#' \describe{
#' \item{\code{mocode}}{Code of microorganism according to UMCG MMB}
#' \item{\code{bactid}}{Code of microorganism in \code{\link{microorganisms}}}
#' }
#' @source MOLIS (LIS of Certe) - \url{https://www.certe.nl} \cr \cr GLIMS (LIS of UMCG) - \url{https://www.umcg.nl}
#' @seealso \code{\link{guess_bactid}} \code{\link{microorganisms}}
"microorganisms.umcg"
#' Dataset with 2000 blood culture isolates of septic patients
#'
#' An anonymised dataset containing 2000 microbial blood culture isolates with their antibiogram of septic patients found in 5 different hospitals in the Netherlands, between 2001 and 2017. This data.frame can be used to practice AMR analysis. For examples, press F1.
#' @format A data.frame with 2000 observations and 47 variables:
#' \describe{
#' \item{\code{date}}{date of receipt at the laboratory}
#' \item{\code{hospital_id}}{ID of the hospital}
#' \item{\code{ward_icu}}{logical to determine if ward is an intensive care unit}
#' \item{\code{ward_clinical}}{logical to determine if ward is a regular clinical ward}
#' \item{\code{ward_outpatient}}{logical to determine if ward is an outpatient clinic}
#' \item{\code{age}}{age of the patient}
#' \item{\code{sex}}{sex of the patient}
#' \item{\code{patient_id}}{ID of the patient, first 10 characters of an SHA hash containing irretrievable information}
#' \item{\code{bactid}}{ID of microorganism, see \code{\link{microorganisms}}}
#' \item{\code{peni:mupi}}{38 different antibiotics with class \code{rsi} (see \code{\link{as.rsi}}); these column names occur in \code{\link{antibiotics}} and can be translated with \code{\link{abname}}}
#' }
#' @source MOLIS (LIS of Certe) - \url{https://www.certe.nl}
#' @examples
#' # ----------- #
#' # PREPARATION #
#' # ----------- #
#'
#' # Save this example dataset to an object, so we can edit it:
#' my_data <- septic_patients
#'
#' # load the dplyr package to make data science A LOT easier
#' library(dplyr)
#'
#' # Add first isolates to our dataset:
#' my_data <- my_data %>%
#' mutate(first_isolates = first_isolate(my_data, "date", "patient_id", "bactid"))
#'
#' # -------- #
#' # ANALYSIS #
#' # -------- #
#'
#' # 1. Get the amoxicillin resistance percentages
#' # of E. coli, divided by hospital:
#'
#' my_data %>%
#' filter(bactid == "ESCCOL",
#' first_isolates == TRUE) %>%
#' group_by(hospital_id) %>%
#' summarise(n = n(),
#' amoxicillin_resistance = rsi(amox))
#'
#'
#' # 2. Get the amoxicillin/clavulanic acid resistance
#' # percentages of E. coli, trend over the years:
#'
#' my_data %>%
#' filter(bactid == guess_bactid("E. coli"),
#' first_isolates == TRUE) %>%
#' group_by(year = format(date, "%Y")) %>%
#' summarise(n = n(),
#' amoxclav_resistance = rsi(amcl, minimum = 20))
"septic_patients"
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@@ -1,644 +0,0 @@
# ==================================================================== #
# TITLE #
# Antimicrobial Resistance (AMR) Analysis #
# #
# AUTHORS #
# Berends MS (m.s.berends@umcg.nl), Luz CF (c.f.luz@umcg.nl) #
# #
# LICENCE #
# This program is free software; you can redistribute it and/or modify #
# it under the terms of the GNU General Public License version 2.0, #
# as published by the Free Software Foundation. #
# #
# This program is distributed in the hope that it will be useful, #
# but WITHOUT ANY WARRANTY; without even the implied warranty of #
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the #
# GNU General Public License for more details. #
# ==================================================================== #
#' EUCAST expert rules
#'
#' Apply expert rules (like intrinsic resistance), as defined by the European Committee on Antimicrobial Susceptibility Testing (EUCAST, \url{http://eucast.org}), see \emph{Source}.
#' @param tbl table with antibiotic columns, like e.g. \code{amox} and \code{amcl}
#' @param col_bactid column name of the bacteria ID in \code{tbl} - values of this column should be present in \code{microorganisms$bactid}, see \code{\link{microorganisms}}
#' @param info print progress
#' @param amcl,amik,amox,ampi,azit,aztr,cefa,cfra,cfep,cfot,cfox,cfta,cftr,cfur,chlo,cipr,clar,clin,clox,coli,czol,dapt,doxy,erta,eryt,fosf,fusi,gent,imip,kana,levo,linc,line,mero,mino,moxi,nali,neom,neti,nitr,novo,norf,oflo,peni,pita,poly,qida,rifa,roxi,siso,teic,tetr,tica,tige,tobr,trim,trsu,vanc column names of antibiotics. Use \code{NA} to skip a column, like \code{tica = NA}. Non-existing column will be skipped.
#' @param ... parameters that are passed on to \code{EUCAST_rules}
#' @rdname EUCAST
#' @export
#' @importFrom dplyr %>% left_join select
#' @return table with edited variables of antibiotics.
#' @source
#' EUCAST Expert Rules Version 2.0: \cr
#' Leclercq et al. \strong{EUCAST expert rules in antimicrobial susceptibility testing.} \emph{Clin Microbiol Infect.} 2013;19(2):141-60. \cr
#' \url{https://doi.org/10.1111/j.1469-0691.2011.03703.x} \cr
#' \cr
#' EUCAST Expert Rules Version 3.1 (Intrinsic Resistance and Exceptional Phenotypes Tables): \cr
#' \url{http://www.eucast.org/fileadmin/src/media/PDFs/EUCAST_files/Expert_Rules/Expert_rules_intrinsic_exceptional_V3.1.pdf}
#' @examples
#' a <- EUCAST_rules(septic_patients)
#' a <- data.frame(bactid = c("STAAUR", # Staphylococcus aureus
#' "ENCFAE", # Enterococcus faecalis
#' "ESCCOL", # Escherichia coli
#' "KLEPNE", # Klebsiella pneumoniae
#' "PSEAER"), # Pseudomonas aeruginosa
#' vanc = "-", # Vancomycin
#' amox = "-", # Amoxicillin
#' coli = "-", # Colistin
#' cfta = "-", # Ceftazidime
#' cfur = "-", # Cefuroxime
#' stringsAsFactors = FALSE)
#' a
#'
#' b <- EUCAST_rules(a)
#' b
EUCAST_rules <- function(tbl,
col_bactid = 'bactid',
info = TRUE,
amcl = 'amcl',
amik = 'amik',
amox = 'amox',
ampi = 'ampi',
azit = 'azit',
aztr = 'aztr',
cefa = 'cefa',
cfra = 'cfra',
cfep = 'cfep',
cfot = 'cfot',
cfox = 'cfox',
cfta = 'cfta',
cftr = 'cftr',
cfur = 'cfur',
chlo = 'chlo',
cipr = 'cipr',
clar = 'clar',
clin = 'clin',
clox = 'clox',
coli = 'coli',
czol = 'czol',
dapt = 'dapt',
doxy = 'doxy',
erta = 'erta',
eryt = 'eryt',
fosf = 'fosf',
fusi = 'fusi',
gent = 'gent',
imip = 'imip',
kana = 'kana',
levo = 'levo',
linc = 'linc',
line = 'line',
mero = 'mero',
mino = 'mino',
moxi = 'moxi',
nali = 'nali',
neom = 'neom',
neti = 'neti',
nitr = 'nitr',
novo = 'novo',
norf = 'norf',
oflo = 'oflo',
peni = 'peni',
pita = 'pita',
poly = 'poly',
qida = 'qida',
rifa = 'rifa',
roxi = 'roxi',
siso = 'siso',
teic = 'teic',
tetr = 'tetr',
tica = 'tica',
tige = 'tige',
tobr = 'tobr',
trim = 'trim',
trsu = 'trsu',
vanc = 'vanc') {
EUCAST_VERSION <- "3.1"
if (!col_bactid %in% colnames(tbl)) {
stop('Column ', col_bactid, ' not found.', call. = FALSE)
}
# check columns
col.list <- c(amcl, amik, amox, ampi, azit, aztr, cefa, cfra, cfep, cfot,
cfox, cfta, cftr, cfur, chlo, cipr, clar, clin, clox, coli,
czol, dapt, doxy, erta, eryt, fosf, fusi, gent, imip, kana,
levo, linc, line, mero, mino, moxi, nali, neom, neti, nitr,
novo, norf, oflo, peni, pita, poly, qida, rifa, roxi, siso,
teic, tetr, tica, tige, tobr, trim, trsu, vanc)
col.list <- check_available_columns(tbl = tbl, col.list = col.list, info = info)
amcl <- col.list[amcl]
amik <- col.list[amik]
amox <- col.list[amox]
ampi <- col.list[ampi]
azit <- col.list[azit]
aztr <- col.list[aztr]
cefa <- col.list[cefa]
cfra <- col.list[cfra]
cfep <- col.list[cfep]
cfot <- col.list[cfot]
cfox <- col.list[cfox]
cfta <- col.list[cfta]
cftr <- col.list[cftr]
cfur <- col.list[cfur]
chlo <- col.list[chlo]
cipr <- col.list[cipr]
clar <- col.list[clar]
clin <- col.list[clin]
clox <- col.list[clox]
coli <- col.list[coli]
czol <- col.list[czol]
dapt <- col.list[dapt]
doxy <- col.list[doxy]
erta <- col.list[erta]
eryt <- col.list[eryt]
fosf <- col.list[fosf]
fusi <- col.list[fusi]
gent <- col.list[gent]
imip <- col.list[imip]
kana <- col.list[kana]
levo <- col.list[levo]
linc <- col.list[linc]
line <- col.list[line]
mero <- col.list[mero]
mino <- col.list[mino]
moxi <- col.list[moxi]
nali <- col.list[nali]
neom <- col.list[neom]
neti <- col.list[neti]
nitr <- col.list[nitr]
novo <- col.list[novo]
norf <- col.list[norf]
oflo <- col.list[oflo]
peni <- col.list[peni]
pita <- col.list[pita]
poly <- col.list[poly]
qida <- col.list[qida]
rifa <- col.list[rifa]
roxi <- col.list[roxi]
siso <- col.list[siso]
teic <- col.list[teic]
tetr <- col.list[tetr]
tica <- col.list[tica]
tige <- col.list[tige]
tobr <- col.list[tobr]
trim <- col.list[trim]
trsu <- col.list[trsu]
vanc <- col.list[vanc]
total <- 0
total_rows <- integer(0)
# helper function for editing the table
edit_rsi <- function(to, rows, cols) {
cols <- cols[!is.na(cols)]
if (length(rows) > 0 & length(cols) > 0) {
tbl[rows, cols] <<- to
total <<- total + (length(rows) * length(cols))
total_rows <<- c(total_rows, rows)
}
}
# join to microorganisms table
joinby <- colnames(AMR::microorganisms)[1]
names(joinby) <- col_bactid
tbl <- tbl %>% left_join(y = AMR::microorganisms, by = joinby, suffix = c("_tempmicroorganisms", ""))
# antibiotic classes
aminoglycosides <- c(tobr, gent, kana, neom, neti, siso)
tetracyclines <- c(doxy, mino, tetr) # since EUCAST v3.1 tige(cycline) is set apart
polymyxins <- c(poly, coli)
macrolides <- c(eryt, azit, roxi, clar) # since EUCAST v3.1 clinda is set apart
glycopeptides <- c(vanc, teic)
streptogramins <- qida # should officially also be pristinamycin and quinupristin/dalfopristin
cephalosporins <- c(cfep, cfot, cfox, cfra, cfta, cftr, cfur, czol)
carbapenems <- c(erta, imip, mero)
aminopenicillins <- c(ampi, amox)
ureidopenicillins <- pita # should officially also be azlo and mezlo
fluoroquinolones <- c(oflo, cipr, norf, levo, moxi)
if (info == TRUE) {
cat(
paste0(
'\nApplying rules to ',
tbl[!is.na(tbl$genus),] %>% nrow() %>% format(big.mark = ","),
' rows according to "EUCAST Expert Rules Version ', EUCAST_VERSION, '"\n')
)
}
# Table 1: Intrinsic resistance in Enterobacteriaceae ----
if (info == TRUE) {
cat('...Table 1: Intrinsic resistance in Enterobacteriaceae\n')
}
# Intrisiek R for this group
edit_rsi(to = 'R',
rows = which(tbl$family == 'Enterobacteriaceae'),
cols = c(peni, glycopeptides, fusi, macrolides, linc, streptogramins, rifa, dapt, line))
# Citrobacter
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Citrobacter (koseri|amalonaticus|sedlakii|farmeri|rodentium)'),
cols = c(aminopenicillins, tica))
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Citrobacter (freundii|braakii|murliniae|werkmanii|youngae)'),
cols = c(aminopenicillins, amcl, czol, cfox))
# Enterobacter
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Enterobacter cloacae'),
cols = c(aminopenicillins, amcl, czol, cfox))
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Enterobacter aerogenes'),
cols = c(aminopenicillins, amcl, czol, cfox))
# Escherichia
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Escherichia hermanni'),
cols = c(aminopenicillins, tica))
# Hafnia
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Hafnia alvei'),
cols = c(aminopenicillins, amcl, czol, cfox))
# Klebsiella
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Klebsiella'),
cols = c(aminopenicillins, tica))
# Morganella / Proteus
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Morganella morganii'),
cols = c(aminopenicillins, amcl, czol, tetracyclines, polymyxins, nitr))
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Proteus mirabilis'),
cols = c(tetracyclines, tige, polymyxins, nitr))
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Proteus penneri'),
cols = c(aminopenicillins, czol, cfur, tetracyclines, tige, polymyxins, nitr))
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Proteus vulgaris'),
cols = c(aminopenicillins, czol, cfur, tetracyclines, tige, polymyxins, nitr))
# Providencia
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Providencia rettgeri'),
cols = c(aminopenicillins, amcl, czol, cfur, tetracyclines, tige, polymyxins, nitr))
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Providencia stuartii'),
cols = c(aminopenicillins, amcl, czol, cfur, tetracyclines, tige, polymyxins, nitr))
# Raoultella
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Raoultella'),
cols = c(aminopenicillins, tica))
# Serratia
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Serratia marcescens'),
cols = c(aminopenicillins, amcl, czol, cfox, cfur, tetracyclines[tetracyclines != 'mino'], polymyxins, nitr))
# Yersinia
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Yersinia enterocolitica'),
cols = c(aminopenicillins, amcl, tica, czol, cfox))
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Yersinia pseudotuberculosis'),
cols = c(poly, coli))
# Table 2: Intrinsic resistance in non-fermentative Gram-negative bacteria ----
if (info == TRUE) {
cat('...Table 2: Intrinsic resistance in non-fermentative Gram-negative bacteria\n')
}
# Intrisiek R for this group
edit_rsi(to = 'R',
rows = which(tbl$genus %in% c('Achromobacter',
'Acinetobacter',
'Alcaligenes',
'Bordatella',
'Burkholderia',
'Elizabethkingia',
'Flavobacterium',
'Ochrobactrum',
'Pseudomonas',
'Stenotrophomonas')),
cols = c(peni, cfox, cfur, glycopeptides, fusi, macrolides, linc, streptogramins, rifa, dapt, line))
# Acinetobacter
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Acinetobacter (baumannii|pittii|nosocomialis|calcoaceticus)'),
cols = c(aminopenicillins, amcl, czol, cfot, cftr, aztr, erta, trim, fosf, tetracyclines[tetracyclines != 'mino']))
# Achromobacter
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Achromobacter (xylosoxydans|xylosoxidans)'),
cols = c(aminopenicillins, czol, cfot, cftr, erta))
# Burkholderia
edit_rsi(to = 'R',
# onder 'Burkholderia cepacia complex' vallen deze species allemaal: PMID 16217180.
rows = which(tbl$fullname %like% '^Burkholderia (cepacia|multivorans|cenocepacia|stabilis|vietnamiensis|dolosa|ambifaria|anthina|pyrrocinia|ubonensis)'),
cols = c(aminopenicillins, amcl, tica, pita, czol, cfot, cftr, aztr, erta, cipr, chlo, aminoglycosides, trim, fosf, polymyxins))
# Elizabethkingia
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Elizabethkingia meningoseptic(a|um)'),
cols = c(aminopenicillins, amcl, tica, czol, cfot, cftr, cfta, cfep, aztr, erta, imip, mero, polymyxins))
# Ochrobactrum
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Ochrobactrum anthropi'),
cols = c(aminopenicillins, amcl, tica, pita, czol, cfot, cftr, cfta, cfep, aztr, erta))
# Pseudomonas
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Pseudomonas aeruginosa'),
cols = c(aminopenicillins, amcl, czol, cfot, cftr, erta, chlo, kana, neom, trim, trsu, tetracyclines, tige))
# Stenotrophomonas
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Stenotrophomonas maltophilia'),
cols = c(aminopenicillins, amcl, tica, pita, czol, cfot, cftr, cfta, aztr, erta, imip, mero, aminoglycosides, trim, fosf, tetr))
# Table 3: Intrinsic resistance in other Gram-negative bacteria ----
if (info == TRUE) {
cat('...Table 3: Intrinsic resistance in other Gram-negative bacteria\n')
}
# Intrisiek R for this group
edit_rsi(to = 'R',
rows = which(tbl$genus %in% c('Haemophilus',
'Moraxella',
'Neisseria',
'Campylobacter')),
cols = c(glycopeptides, linc, dapt, line))
# Haemophilus
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Haemophilus influenzae'),
cols = c(fusi, streptogramins))
# Moraxella
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Moraxella catarrhalis'),
cols = trim)
# Neisseria
edit_rsi(to = 'R',
rows = which(tbl$genus == 'Neisseria'),
cols = trim)
# Campylobacter
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Campylobacter fetus'),
cols = c(fusi, streptogramins, trim, nali))
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Campylobacter (jejuni|coli)'),
cols = c(fusi, streptogramins, trim))
# Table 4: Intrinsic resistance in Gram-positive bacteria ----
if (info == TRUE) {
cat('...Table 4: Intrinsic resistance in Gram-positive bacteria\n')
}
# Intrisiek R for this group
edit_rsi(to = 'R',
rows = which(tbl$gramstain %like% 'Positi(e|)(v|f)'),
cols = c(aztr, polymyxins, nali))
# Staphylococcus
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Staphylococcus saprophyticus'),
cols = c(fusi, cfta, fosf, novo))
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Staphylococcus (cohnii|xylosus)'),
cols = c(cfta, novo))
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Staphylococcus capitis'),
cols = c(cfta, fosf))
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Staphylococcus (aureus|epidermidis|coagulase negatief|hominis|haemolyticus|intermedius|pseudointermedius)'),
cols = cfta)
# Streptococcus
edit_rsi(to = 'R',
rows = which(tbl$genus == 'Streptococcus'),
cols = c(fusi, cfta, aminoglycosides))
# Enterococcus
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Enterococcus faecalis'),
cols = c(fusi, cfta, cephalosporins[cephalosporins != cfta], aminoglycosides, macrolides, clin, qida, trim, trsu))
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Enterococcus (gallinarum|casseliflavus)'),
cols = c(fusi, cfta, cephalosporins[cephalosporins != cfta], aminoglycosides, macrolides, clin, qida, vanc, trim, trsu))
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Enterococcus faecium'),
cols = c(fusi, cfta, cephalosporins[cephalosporins != cfta], aminoglycosides, macrolides, trim, trsu))
# Corynebacterium
edit_rsi(to = 'R',
rows = which(tbl$genus == 'Corynebacterium'),
cols = fosf)
# Listeria
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Listeria monocytogenes'),
cols = c(cfta, cephalosporins[cephalosporins != cfta]))
# overig
edit_rsi(to = 'R',
rows = which(tbl$genus %in% c('Leuconostoc', 'Pediococcus')),
cols = c(vanc, teic))
edit_rsi(to = 'R',
rows = which(tbl$genus == 'Lactobacillus'),
cols = c(vanc, teic))
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Clostridium (ramosum|innocuum)'),
cols = vanc)
# Table 8: Interpretive rules for B-lactam agents and Gram-positive cocci ----
if (info == TRUE) {
cat('...Table 8: Interpretive rules for B-lactam agents and Gram-positive cocci\n')
}
# rule 8.3
if (!is.na(peni)) {
edit_rsi(to = 'S',
rows = which(tbl$fullname %like% '^Streptococcus (pyogenes|agalactiae|dysgalactiae|groep A|groep B|groep C|groep G)'
& tbl[, peni] == 'S'),
cols = c(aminopenicillins, cephalosporins, carbapenems))
}
# rule 8.6
if (!is.na(ampi)) {
edit_rsi(to = 'R',
rows = which(tbl$genus == 'Enterococcus'
& tbl[, ampi] == 'R'),
cols = c(ureidopenicillins, carbapenems))
}
if (!is.na(amox)) {
edit_rsi(to = 'R',
rows = which(tbl$genus == 'Enterococcus'
& tbl[, amox] == 'R'),
cols = c(ureidopenicillins, carbapenems))
}
# Table 9: Interpretive rules for B-lactam agents and Gram-negative rods ----
if (info == TRUE) {
cat('...Table 9: Interpretive rules for B-lactam agents and Gram-negative rods\n')
}
# rule 9.3
if (!is.na(tica) & !is.na(pita)) {
edit_rsi(to = 'R',
rows = which(tbl$family == 'Enterobacteriaceae'
& tbl[, tica] == 'R'
& tbl[, pita] == 'S'),
cols = pita)
}
# Table 10: Interpretive rules for B-lactam agents and other Gram-negative bacteria ----
if (info == TRUE) {
cat('...Table 10: Interpretive rules for B-lactam agents and other Gram-negative bacteria\n')
}
# rule 10.2
if (!is.na(ampi)) {
# you should know first if the are B-lactamase positive, so do not run for now
# edit_rsi(to = 'R',
# rows = which(tbl$fullname %like% '^Haemophilus influenza'
# & tbl[, ampi] == 'R'),
# cols = c(ampi, amox, amcl, pita, cfur))
}
# Table 11: Interpretive rules for macrolides, lincosamides, and streptogramins ----
if (info == TRUE) {
cat('...Table 11: Interpretive rules for macrolides, lincosamides, and streptogramins\n')
}
# rule 11.1
if (!is.na(eryt)) {
if (!is.na(azit)) {
tbl[, azit] <- tbl[, eryt]
}
if (!is.na(clar)) {
tbl[, clar] <- tbl[, eryt]
}
}
# Table 12: Interpretive rules for aminoglycosides ----
if (info == TRUE) {
cat('...Table 12: Interpretive rules for aminoglycosides\n')
}
# rule 12.2
if (!is.na(tobr)) {
edit_rsi(to = 'R',
rows = which(tbl$genus == 'Staphylococcus'
& tbl[, tobr] == 'R'),
cols = c(kana, amik))
}
# rule 12.3
if (!is.na(gent)) {
edit_rsi(to = 'R',
rows = which(tbl$genus == 'Staphylococcus'
& tbl[, gent] == 'R'),
cols = aminoglycosides)
}
# rule 12.8
if (!is.na(gent) & !is.na(tobr)) {
edit_rsi(to = 'R',
rows = which(tbl$family == 'Enterobacteriaceae'
& tbl[, gent] == 'I'
& tbl[, tobr] == 'S'),
cols = gent)
}
# rule 12.9
if (!is.na(gent) & !is.na(tobr)) {
edit_rsi(to = 'R',
rows = which(tbl$family == 'Enterobacteriaceae'
& tbl[, tobr] == 'I'
& tbl[, gent] == 'R'),
cols = tobr)
}
# Table 13: Interpretive rules for quinolones ----
if (info == TRUE) {
cat('...Table 13: Interpretive rules for quinolones\n')
}
# rule 13.2
if (!is.na(moxi)) {
edit_rsi(to = 'R',
rows = which(tbl$genus == 'Staphylococcus'
& tbl[, moxi] == 'R'),
cols = fluoroquinolones)
}
# rule 13.4
if (!is.na(moxi)) {
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Streptococcus pneumoniae'
& tbl[, moxi] == 'R'),
cols = fluoroquinolones)
}
# rule 13.5
if (!is.na(cipr)) {
edit_rsi(to = 'R',
rows = which(tbl$family == 'Enterobacteriaceae'
& tbl[, cipr] == 'R'),
cols = fluoroquinolones)
}
# rule 13.8
if (!is.na(cipr)) {
edit_rsi(to = 'R',
rows = which(tbl$fullname %like% '^Neisseria gonorrhoeae'
& tbl[, cipr] == 'R'),
cols = fluoroquinolones)
}
# Other ----
if (info == TRUE) {
cat('...Non-EUCAST: trim = R where trsu = R and ampi = R where amcl = R\n')
}
if (!is.na(amcl)) {
edit_rsi(to = 'R',
rows = which(tbl[, amcl] == 'R'),
cols = ampi)
}
if (!is.na(trsu)) {
edit_rsi(to = 'R',
rows = which(tbl[, trsu] == 'R'),
cols = trim)
}
if (!is.na(ampi) & !is.na(amox)) {
tbl[, amox] <- tbl %>% pull(ampi)
}
# Remove added columns again
microorganisms.ncol <- ncol(AMR::microorganisms) - 2
tbl.ncol <- ncol(tbl)
tbl <- tbl %>% select(-c((tbl.ncol - microorganisms.ncol):tbl.ncol))
# and remove added suffices
colnames(tbl) <- gsub("_tempmicroorganisms", "", colnames(tbl))
if (info == TRUE) {
cat('Done.\n\nEUCAST Expert rules applied to',
total_rows %>% unique() %>% length() %>% format(big.mark = ","),
'different rows (isolates); edited a total of',
total %>% format(big.mark = ","), 'test results.\n\n')
}
tbl
}
#' @rdname EUCAST
#' @export
interpretive_reading <- function(...) {
EUCAST_rules(...)
}
#' Poperties of a microorganism
#'
#' @param bactid ID of a microorganisme, like \code{"STAAUR} and \code{"ESCCOL}
#' @param property One of the values \code{bactid}, \code{bactsys}, \code{family}, \code{genus}, \code{species}, \code{subspecies}, \code{fullname}, \code{type}, \code{gramstain}, \code{aerobic}
#' @export
#' @importFrom dplyr %>% filter select
#' @seealso \code{\link{microorganisms}}
mo_property <- function(bactid, property = 'fullname') {
mocode <- as.character(bactid)
for (i in 1:length(mocode)) {
bug <- mocode[i]
if (!is.na(bug)) {
result = tryCatch({
mocode[i] <-
AMR::microorganisms %>%
filter(bactid == bug) %>%
select(property) %>%
unlist() %>%
as.character()
}, error = function(error_condition) {
warning('Code ', bug, ' not found in bacteria list.')
}, finally = {
if (mocode[i] == bug & !property %in% c('bactid', 'bactsys')) {
mocode[i] <- NA
}
})
}
}
mocode
}
-598
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@@ -1,598 +0,0 @@
# ==================================================================== #
# TITLE #
# Antimicrobial Resistance (AMR) Analysis #
# #
# AUTHORS #
# Berends MS (m.s.berends@umcg.nl), Luz CF (c.f.luz@umcg.nl) #
# #
# LICENCE #
# This program is free software; you can redistribute it and/or modify #
# it under the terms of the GNU General Public License version 2.0, #
# as published by the Free Software Foundation. #
# #
# This program is distributed in the hope that it will be useful, #
# but WITHOUT ANY WARRANTY; without even the implied warranty of #
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the #
# GNU General Public License for more details. #
# ==================================================================== #
#' Determine first (weighted) isolates
#'
#' Determine first (weighted) isolates of all microorganisms of every patient per episode and (if needed) per specimen type.
#' @param tbl a \code{data.frame} containing isolates.
#' @param col_date column name of the result date (or date that is was received on the lab)
#' @param col_patient_id column name of the unique IDs of the patients
#' @param col_bactid column name of the unique IDs of the microorganisms (should occur in the \code{\link{microorganisms}} dataset)
#' @param col_testcode column name of the test codes. Use \code{col_testcode = NA} to \strong{not} exclude certain test codes (like test codes for screening). In that case \code{testcodes_exclude} will be ignored. Supports tidyverse-like quotation.
#' @param col_specimen column name of the specimen type or group
#' @param col_icu column name of the logicals (\code{TRUE}/\code{FALSE}) whether a ward or department is an Intensive Care Unit (ICU)
#' @param col_keyantibiotics column name of the key antibiotics to determine first \emph{weighted} isolates, see \code{\link{key_antibiotics}}. Supports tidyverse-like quotation.
#' @param episode_days episode in days after which a genus/species combination will be determined as 'first isolate' again
#' @param testcodes_exclude character vector with test codes that should be excluded (case-insensitive)
#' @param icu_exclude logical whether ICU isolates should be excluded
#' @param filter_specimen specimen group or type that should be excluded
#' @param output_logical return output as \code{logical} (will else be the values \code{0} or \code{1})
#' @param type type to determine weighed isolates; can be \code{"keyantibiotics"} or \code{"points"}, see Details
#' @param ignore_I logical to determine whether antibiotic interpretations with \code{"I"} will be ignored when \code{type = "keyantibiotics"}, see Details
#' @param points_threshold points until the comparison of key antibiotics will lead to inclusion of an isolate when \code{type = "points"}, see Details
#' @param info print progress
#' @param col_genus (deprecated, use \code{col_bactid} instead) column name of the genus of the microorganisms
#' @param col_species (deprecated, use \code{col_bactid} instead) column name of the species of the microorganisms
#' @details \strong{WHY THIS IS SO IMPORTANT} \cr
#' To conduct an analysis of antimicrobial resistance, you should only include the first isolate of every patient per episode \href{https://www.ncbi.nlm.nih.gov/pubmed/17304462}{[1]}. If you would not do this, you could easily get an overestimate or underestimate of the resistance of an antibiotic. Imagine that a patient was admitted with an MRSA and that it was found in 5 different blood cultures the following week. The resistance percentage of oxacillin of all \emph{S. aureus} isolates would be overestimated, because you included this MRSA more than once. It would be \href{https://en.wikipedia.org/wiki/Selection_bias}{selection bias}.
#'
#' \strong{DETERMINING WEIGHTED ISOLATES} \cr
#' \strong{1. Using} \code{type = "keyantibiotics"} \strong{and parameter} \code{ignore_I} \cr
#' To determine weighted isolates, the difference between key antibiotics will be checked. Any difference from S to R (or vice versa) will (re)select an isolate as a first weighted isolate. With \code{ignore_I = FALSE}, also differences from I to S|R (or vice versa) will lead to this. This is a reliable method and 30-35 times faster than method 2. \cr
#' \strong{2. Using} \code{type = "points"} \strong{and parameter} \code{points_threshold} \cr
#' To determine weighted isolates, difference between antimicrobial interpretations will be measured with points. A difference from I to S|R (or vice versa) means 0.5 points, a difference from S to R (or vice versa) means 1 point. When the sum of points exceeds \code{points_threshold}, an isolate will be (re)selected as a first weighted isolate. This method is being used by the Infection Prevention department (Dr M. Lokate) of the University Medical Center Groningen (UMCG).
#' @keywords isolate isolates first
#' @export
#' @importFrom dplyr arrange_at lag between row_number filter mutate arrange
#' @return A vector to add to table, see Examples.
#' @source Methodology of this function is based on: "M39 Analysis and Presentation of Cumulative Antimicrobial Susceptibility Test Data, 4th Edition", 2014, Clinical and Laboratory Standards Institute. \url{https://clsi.org/standards/products/microbiology/documents/m39/}.
#' @examples
#' # septic_patients is a dataset available in the AMR package
#' ?septic_patients
#' my_patients <- septic_patients
#'
#' library(dplyr)
#' my_patients$first_isolate <- my_patients %>%
#' first_isolate(col_date = "date",
#' col_patient_id = "patient_id",
#' col_bactid = "bactid")
#'
#' \dontrun{
#'
#' # set key antibiotics to a new variable
#' tbl$keyab <- key_antibiotics(tbl)
#'
#' tbl$first_isolate <-
#' first_isolate(tbl)
#'
#' tbl$first_isolate_weighed <-
#' first_isolate(tbl,
#' col_keyantibiotics = 'keyab')
#'
#' tbl$first_blood_isolate <-
#' first_isolate(tbl,
#' filter_specimen = 'Blood')
#'
#' tbl$first_blood_isolate_weighed <-
#' first_isolate(tbl,
#' filter_specimen = 'Blood',
#' col_keyantibiotics = 'keyab')
#'
#' tbl$first_urine_isolate <-
#' first_isolate(tbl,
#' filter_specimen = 'Urine')
#'
#' tbl$first_urine_isolate_weighed <-
#' first_isolate(tbl,
#' filter_specimen = 'Urine',
#' col_keyantibiotics = 'keyab')
#'
#' tbl$first_resp_isolate <-
#' first_isolate(tbl,
#' filter_specimen = 'Respiratory')
#'
#' tbl$first_resp_isolate_weighed <-
#' first_isolate(tbl,
#' filter_specimen = 'Respiratory',
#' col_keyantibiotics = 'keyab')
#' }
first_isolate <- function(tbl,
col_date,
col_patient_id,
col_bactid = NA,
col_testcode = NA,
col_specimen = NA,
col_icu = NA,
col_keyantibiotics = NA,
episode_days = 365,
testcodes_exclude = '',
icu_exclude = FALSE,
filter_specimen = NA,
output_logical = TRUE,
type = "keyantibiotics",
ignore_I = TRUE,
points_threshold = 2,
info = TRUE,
col_genus = NA,
col_species = NA) {
# bactid OR genus+species must be available
if (is.na(col_bactid) & (is.na(col_genus) | is.na(col_species))) {
stop('`col_bactid or both `col_genus` and `col_species` must be available.')
}
# check if columns exist
check_columns_existance <- function(column, tblname = tbl) {
if (NROW(tblname) <= 1 | NCOL(tblname) <= 1) {
stop('Please check tbl for existance.')
}
if (!is.na(column)) {
if (!(column %in% colnames(tblname))) {
stop('Column `', column, '` not found.')
}
}
}
check_columns_existance(col_date)
check_columns_existance(col_patient_id)
check_columns_existance(col_bactid)
check_columns_existance(col_genus)
check_columns_existance(col_species)
check_columns_existance(col_testcode)
check_columns_existance(col_icu)
check_columns_existance(col_keyantibiotics)
if (!is.na(col_bactid)) {
tbl <- tbl %>% left_join_microorganisms(by = col_bactid)
col_genus <- "genus"
col_species <- "species"
}
if (is.na(col_testcode)) {
testcodes_exclude <- NA
}
# remove testcodes
if (!is.na(testcodes_exclude[1]) & testcodes_exclude[1] != '' & info == TRUE) {
cat('Isolates from these test codes will be ignored:\n', toString(testcodes_exclude), '\n')
}
if (is.na(col_icu)) {
icu_exclude <- FALSE
} else {
tbl <- tbl %>%
mutate(col_icu = tbl %>% pull(col_icu) %>% as.logical())
}
if (is.na(col_specimen)) {
filter_specimen <- ''
}
specgroup.notice <- ''
weighted.notice <- ''
# filter on specimen group and keyantibiotics when they are filled in
if (!is.na(filter_specimen) & filter_specimen != '') {
check_columns_existance(col_specimen, tbl)
if (info == TRUE) {
cat('Isolates other than of specimen group \'', filter_specimen, '\' will be ignored. ', sep = '')
}
} else {
filter_specimen <- ''
}
if (col_keyantibiotics %in% c(NA, '')) {
col_keyantibiotics <- ''
} else {
tbl <- tbl %>% mutate(key_ab = tbl %>% pull(col_keyantibiotics))
}
if (is.na(testcodes_exclude[1])) {
testcodes_exclude <- ''
}
# create new dataframe with original row index and right sorting
tbl <- tbl %>%
mutate(first_isolate_row_index = 1:nrow(tbl),
eersteisolaatbepaling = 0,
date_lab = tbl %>% pull(col_date),
patient_id = tbl %>% pull(col_patient_id),
species = tbl %>% pull(col_species),
genus = tbl %>% pull(col_genus)) %>%
mutate(species = if_else(is.na(species), '', species),
genus = if_else(is.na(genus), '', genus))
if (filter_specimen == '') {
if (icu_exclude == FALSE) {
if (info == TRUE) {
cat('Isolates from ICU will *NOT* be ignored.\n')
}
tbl <- tbl %>%
arrange_at(c(col_patient_id,
col_genus,
col_species,
col_date))
row.start <- 1
row.end <- nrow(tbl)
} else {
if (info == TRUE) {
cat('Isolates from ICU will be ignored.\n')
}
tbl <- tbl %>%
arrange_at(c(col_icu,
col_patient_id,
col_genus,
col_species,
col_date))
suppressWarnings(
row.start <- which(tbl %>% pull(col_icu) == FALSE) %>% min(na.rm = TRUE)
)
suppressWarnings(
row.end <- which(tbl %>% pull(col_icu) == FALSE) %>% max(na.rm = TRUE)
)
}
} else {
# sort on specimen and only analyse these row to save time
if (icu_exclude == FALSE) {
if (info == TRUE) {
cat('Isolates from ICU will *NOT* be ignored.\n')
}
tbl <- tbl %>%
arrange_at(c(col_specimen,
col_patient_id,
col_genus,
col_species,
col_date))
suppressWarnings(
row.start <- which(tbl %>% pull(col_specimen) == filter_specimen) %>% min(na.rm = TRUE)
)
suppressWarnings(
row.end <- which(tbl %>% pull(col_specimen) == filter_specimen) %>% max(na.rm = TRUE)
)
} else {
if (info == TRUE) {
cat('Isolates from ICU will be ignored.\n')
}
tbl <- tbl %>%
arrange_at(c(col_icu,
col_specimen,
col_patient_id,
col_genus,
col_species,
col_date))
suppressWarnings(
row.start <- which(tbl %>% pull(col_specimen) == filter_specimen
& tbl %>% pull(col_icu) == FALSE) %>% min(na.rm = TRUE)
)
suppressWarnings(
row.end <- which(tbl %>% pull(col_specimen) == filter_specimen
& tbl %>% pull(col_icu) == FALSE) %>% max(na.rm = TRUE)
)
}
}
if (abs(row.start) == Inf | abs(row.end) == Inf) {
if (info == TRUE) {
cat('No isolates found.\n')
}
# NA's where genus is unavailable
tbl <- tbl %>%
mutate(real_first_isolate = if_else(genus == '', NA, FALSE))
if (output_logical == FALSE) {
tbl$real_first_isolate <- tbl %>% pull(real_first_isolate) %>% as.integer()
}
return(tbl %>% pull(real_first_isolate))
}
scope.size <- tbl %>%
filter(row_number() %>%
between(row.start,
row.end),
genus != '') %>%
nrow()
# Analysis of first isolate ----
all_first <- tbl %>%
mutate(other_pat_or_mo = if_else(patient_id == lag(patient_id)
& genus == lag(genus)
& species == lag(species),
FALSE,
TRUE),
days_diff = 0) %>%
mutate(days_diff = if_else(other_pat_or_mo == FALSE,
(date_lab - lag(date_lab)) + lag(days_diff),
0))
if (col_keyantibiotics != '') {
if (info == TRUE) {
if (type == 'keyantibiotics') {
cat('Comparing key antibiotics for first weighted isolates (')
if (ignore_I == FALSE) {
cat('NOT ')
}
cat('ignoring I)...\n')
}
if (type == 'points') {
cat(paste0('Comparing antibiotics for first weighted isolates (using points threshold of '
, points_threshold, ')...\n'))
}
}
type_param <- type
all_first <- all_first %>%
mutate(key_ab_lag = lag(key_ab)) %>%
mutate(key_ab_other = !key_antibiotics_equal(x = key_ab,
y = key_ab_lag,
type = type_param,
ignore_I = ignore_I,
points_threshold = points_threshold,
info = info)) %>%
mutate(
real_first_isolate =
if_else(
between(row_number(), row.start, row.end)
& genus != ''
& (other_pat_or_mo
| days_diff >= episode_days
| key_ab_other),
TRUE,
FALSE))
if (info == TRUE) {
cat('\n')
}
} else {
all_first <- all_first %>%
mutate(
real_first_isolate =
if_else(
between(row_number(), row.start, row.end)
& genus != ''
& (other_pat_or_mo
| days_diff >= episode_days),
TRUE,
FALSE))
}
# first one as TRUE
all_first[row.start, 'real_first_isolate'] <- TRUE
# no tests that should be included, or ICU
if (!is.na(col_testcode)) {
all_first[which(all_first[, col_testcode] %in% tolower(testcodes_exclude)), 'real_first_isolate'] <- FALSE
}
if (icu_exclude == TRUE) {
all_first[which(all_first[, col_icu] == TRUE), 'real_first_isolate'] <- FALSE
}
# NA's where genus is unavailable
all_first <- all_first %>%
mutate(real_first_isolate = if_else(genus == '', NA, real_first_isolate))
all_first <- all_first %>%
arrange(first_isolate_row_index) %>%
pull(real_first_isolate)
if (info == TRUE) {
cat(paste0('\nFound ',
all_first %>% sum(na.rm = TRUE),
' first ', weighted.notice, 'isolates (',
(all_first %>% sum(na.rm = TRUE) / scope.size) %>% percent(),
' of isolates in scope [where genus was not empty] and ',
(all_first %>% sum(na.rm = TRUE) / tbl %>% nrow()) %>% percent(),
' of total)\n'))
}
if (output_logical == FALSE) {
all_first <- all_first %>% as.integer()
}
all_first
}
#' Key antibiotics based on bacteria ID
#'
#' @param tbl table with antibiotics coloms, like \code{amox} and \code{amcl}.
#' @param col_bactid column of bacteria IDs in \code{tbl}; these should occur in \code{microorganisms$bactid}, see \code{\link{microorganisms}}
#' @param info print warnings
#' @param amcl,amox,cfot,cfta,cftr,cfur,cipr,clar,clin,clox,doxy,gent,line,mero,peni,pita,rifa,teic,trsu,vanc column names of antibiotics, case-insensitive
#' @export
#' @importFrom dplyr %>% mutate if_else
#' @return Character of length 1.
#' @seealso \code{\link{mo_property}} \code{\link{antibiotics}}
#' @examples
#' \donttest{
#' #' # set key antibiotics to a new variable
#' tbl$keyab <- key_antibiotics(tbl)
#' }
key_antibiotics <- function(tbl,
col_bactid = 'bactid',
info = TRUE,
amcl = 'amcl',
amox = 'amox',
cfot = 'cfot',
cfta = 'cfta',
cftr = 'cftr',
cfur = 'cfur',
cipr = 'cipr',
clar = 'clar',
clin = 'clin',
clox = 'clox',
doxy = 'doxy',
gent = 'gent',
line = 'line',
mero = 'mero',
peni = 'peni',
pita = 'pita',
rifa = 'rifa',
teic = 'teic',
trsu = 'trsu',
vanc = 'vanc') {
keylist <- character(length = nrow(tbl))
if (!col_bactid %in% colnames(tbl)) {
stop('Column ', col_bactid, ' not found.', call. = FALSE)
}
# check columns
col.list <- c(amox, cfot, cfta, cftr, cfur, cipr, clar,
clin, clox, doxy, gent, line, mero, peni,
pita, rifa, teic, trsu, vanc)
col.list <- check_available_columns(tbl = tbl, col.list = col.list, info = info)
amox <- col.list[amox]
cfot <- col.list[cfot]
cfta <- col.list[cfta]
cftr <- col.list[cftr]
cfur <- col.list[cfur]
cipr <- col.list[cipr]
clar <- col.list[clar]
clin <- col.list[clin]
clox <- col.list[clox]
doxy <- col.list[doxy]
gent <- col.list[gent]
line <- col.list[line]
mero <- col.list[mero]
peni <- col.list[peni]
pita <- col.list[pita]
rifa <- col.list[rifa]
teic <- col.list[teic]
trsu <- col.list[trsu]
vanc <- col.list[vanc]
# join microorganisms
tbl <- tbl %>% left_join_microorganisms(col_bactid)
tbl$key_ab <- NA_character_
# Staphylococcus
list_ab <- c(clox, trsu, teic, vanc, doxy, line, clar, rifa)
list_ab <- list_ab[list_ab %in% colnames(tbl)]
tbl <- tbl %>% mutate(key_ab =
if_else(genus == 'Staphylococcus',
apply(X = tbl[, list_ab],
MARGIN = 1,
FUN = function(x) paste(x, collapse = "")),
key_ab))
# Rest of Gram +
list_ab <- c(peni, amox, teic, vanc, clin, line, clar, trsu)
list_ab <- list_ab[list_ab %in% colnames(tbl)]
tbl <- tbl %>% mutate(key_ab =
if_else(gramstain %like% '^Positive ',
apply(X = tbl[, list_ab],
MARGIN = 1,
FUN = function(x) paste(x, collapse = "")),
key_ab))
# Gram -
list_ab <- c(amox, amcl, pita, cfur, cfot, cfta, cftr, mero, cipr, trsu, gent)
list_ab <- list_ab[list_ab %in% colnames(tbl)]
tbl <- tbl %>% mutate(key_ab =
if_else(gramstain %like% '^Negative ',
apply(X = tbl[, list_ab],
MARGIN = 1,
FUN = function(x) paste(x, collapse = "")),
key_ab))
# format
tbl <- tbl %>%
mutate(key_ab = gsub('(NA|NULL)', '-', key_ab) %>% toupper())
tbl$key_ab
}
#' @importFrom dplyr progress_estimated %>%
#' @noRd
key_antibiotics_equal <- function(x,
y,
type = c("keyantibiotics", "points"),
ignore_I = TRUE,
points_threshold = 2,
info = FALSE) {
# x is active row, y is lag
type <- type[1]
if (length(x) != length(y)) {
stop('Length of `x` and `y` must be equal.')
}
result <- logical(length(x))
if (info == TRUE) {
p <- dplyr::progress_estimated(length(x))
}
for (i in 1:length(x)) {
if (info == TRUE) {
p$tick()$print()
}
if (is.na(x[i])) {
x[i] <- ''
}
if (is.na(y[i])) {
y[i] <- ''
}
if (nchar(x[i]) != nchar(y[i])) {
result[i] <- FALSE
} else if (x[i] == '' & y[i] == '') {
result[i] <- TRUE
} else {
x2 <- strsplit(x[i], "")[[1]]
y2 <- strsplit(y[i], "")[[1]]
if (type == 'points') {
# count points for every single character:
# - no change is 0 points
# - I <-> S|R is 0.5 point
# - S|R <-> R|S is 1 point
# use the levels of as.rsi (S = 1, I = 2, R = 3)
suppressWarnings(x2 <- x2 %>% as.rsi() %>% as.double())
suppressWarnings(y2 <- y2 %>% as.rsi() %>% as.double())
points <- (x2 - y2) %>% abs() %>% sum(na.rm = TRUE)
result[i] <- ((points / 2) >= points_threshold)
} else if (type == 'keyantibiotics') {
# check if key antibiotics are exactly the same
# also possible to ignore I, so only S <-> R and S <-> R are counted
if (ignore_I == TRUE) {
valid_chars <- c('S', 's', 'R', 'r')
} else {
valid_chars <- c('S', 's', 'I', 'i', 'R', 'r')
}
# remove invalid values (like "-", NA) on both locations
x2[which(!x2 %in% valid_chars)] <- '?'
x2[which(!y2 %in% valid_chars)] <- '?'
y2[which(!x2 %in% valid_chars)] <- '?'
y2[which(!y2 %in% valid_chars)] <- '?'
result[i] <- all(x2 == y2)
} else {
stop('`', type, '` is not a valid value for type, must be "points" or "keyantibiotics". See ?first_isolate.')
}
}
}
if (info == TRUE) {
cat('\n')
}
result
}
-361
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@@ -1,361 +0,0 @@
# ==================================================================== #
# TITLE #
# Antimicrobial Resistance (AMR) Analysis #
# #
# AUTHORS #
# Berends MS (m.s.berends@umcg.nl), Luz CF (c.f.luz@umcg.nl) #
# #
# LICENCE #
# This program is free software; you can redistribute it and/or modify #
# it under the terms of the GNU General Public License version 2.0, #
# as published by the Free Software Foundation. #
# #
# This program is distributed in the hope that it will be useful, #
# but WITHOUT ANY WARRANTY; without even the implied warranty of #
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the #
# GNU General Public License for more details. #
# ==================================================================== #
#' Frequency table
#'
#' Create a frequency table of a vector of data, a single column or a maximum of 9 columns of a data frame. Supports markdown for reports.
#' @param x data
#' @param sort.count Sort on count. Use \code{FALSE} to sort alphabetically on item.
#' @param nmax number of row to print. Use \code{nmax = 0} or \code{nmax = NA} to print all rows.
#' @param na.rm a logical value indicating whether NA values should be removed from the frequency table. The header will always print the amount of\code{NA}s.
#' @param markdown print table in markdown format (this forces \code{nmax = NA})
#' @param toConsole Print table to the console. Use \code{FALSE} to assign the table to an object.
#' @param digits how many significant digits are to be used for numeric values (not for the items themselves, that depends on \code{\link{getOption}("digits")})
#' @param sep a character string to separate the terms when selecting multiple columns
#' @details For numeric values, the next values will be calculated and shown into the header:
#' \itemize{
#' \item{Mean, using \code{\link[base]{mean}}}
#' \item{Standard deviation, using \code{\link[stats]{sd}}}
#' \item{Five numbers of Tukey (min, Q1, median, Q3, max), using \code{\link[stats]{fivenum}}}
#' \item{Outliers (count and list), using \code{\link{boxplot.stats}}}
#' \item{Coefficient of variation (CV), the standard deviation divided by the mean}
#' \item{Coefficient of quartile variation (CQV, sometimes called coefficient of dispersion), calculated as \code{(Q3 - Q1) / (Q3 + Q1)} using \code{\link{quantile}} with \code{type = 6} as quantile algorithm to comply with SPSS standards}
#' }
#' @importFrom stats fivenum sd quantile
#' @importFrom grDevices boxplot.stats
#' @importFrom dplyr %>% select pull n_distinct group_by arrange desc mutate summarise
#' @keywords summary summarise frequency freq
#' @rdname freq
#' @export
#' @examples
#' library(dplyr)
#'
#' freq(septic_patients$hospital_id)
#'
#' septic_patients %>%
#' filter(hospital_id == "A") %>%
#' select(bactid) %>%
#' freq()
#'
#' # select multiple columns; they will be pasted together
#' septic_patients %>%
#' left_join_microorganisms %>%
#' filter(hospital_id == "A") %>%
#' select(genus, species) %>%
#' freq()
#'
#' # save frequency table to an object
#' years <- septic_patients %>%
#' mutate(year = format(date, "%Y")) %>%
#' select(year) %>%
#' freq(toConsole = FALSE)
freq <- function(x,
sort.count = TRUE,
nmax = 15,
na.rm = TRUE,
markdown = FALSE,
toConsole = TRUE,
digits = 2,
sep = " ") {
mult.columns <- 0
if (NROW(x) == 0) {
cat('\nNo observations.\n')
return(invisible())
}
if (!is.null(ncol(x))) {
if (ncol(x) == 1 & any(class(x) == 'data.frame')) {
x <- x %>% pull(1)
} else if (ncol(x) < 10) {
mult.columns <- ncol(x)
colnames(x) <- LETTERS[1:ncol(x)]
if (ncol(x) == 2) {
x$total <- paste(x$A %>% as.character(),
x$B %>% as.character(),
sep = sep)
} else if (ncol(x) == 3) {
x$total <- paste(x$A %>% as.character(),
x$B %>% as.character(),
x$C %>% as.character(),
sep = sep)
} else if (ncol(x) == 4) {
x$total <- paste(x$A %>% as.character(),
x$B %>% as.character(),
x$C %>% as.character(),
x$D %>% as.character(),
sep = sep)
} else if (ncol(x) == 5) {
x$total <- paste(x$A %>% as.character(),
x$B %>% as.character(),
x$C %>% as.character(),
x$D %>% as.character(),
x$E %>% as.character(),
sep = sep)
} else if (ncol(x) == 6) {
x$total <- paste(x$A %>% as.character(),
x$B %>% as.character(),
x$C %>% as.character(),
x$D %>% as.character(),
x$E %>% as.character(),
x$F %>% as.character(),
sep = sep)
} else if (ncol(x) == 7) {
x$total <- paste(x$A %>% as.character(),
x$B %>% as.character(),
x$C %>% as.character(),
x$D %>% as.character(),
x$E %>% as.character(),
x$F %>% as.character(),
x$G %>% as.character(),
sep = sep)
} else if (ncol(x) == 8) {
x$total <- paste(x$A %>% as.character(),
x$B %>% as.character(),
x$C %>% as.character(),
x$D %>% as.character(),
x$E %>% as.character(),
x$F %>% as.character(),
x$G %>% as.character(),
x$H %>% as.character(),
sep = sep)
} else if (ncol(x) == 9) {
x$total <- paste(x$A %>% as.character(),
x$B %>% as.character(),
x$C %>% as.character(),
x$D %>% as.character(),
x$E %>% as.character(),
x$F %>% as.character(),
x$G %>% as.character(),
x$H %>% as.character(),
x$I %>% as.character(),
sep = sep)
}
x <- x$total
} else {
stop('A maximum of 9 columns can be analysed at the same time.', call. = FALSE)
}
}
if (markdown == TRUE & toConsole == FALSE) {
warning('`toConsole = FALSE` will be ignored when `markdown = TRUE`.')
}
if (mult.columns > 1) {
NAs <- x[is.na(x) | x == trimws(strrep('NA ', mult.columns))]
} else {
NAs <- x[is.na(x)]
}
if (na.rm == TRUE) {
x <- x[!x %in% NAs]
}
if (missing(sort.count) & any(class(x) %in% c('double', 'integer', 'numeric', 'raw', 'single', 'factor'))) {
# sort on item/level at default when x is numeric or a factor and sort.count is not set
sort.count <- FALSE
}
header <- character(0)
markdown_line <- ''
if (markdown == TRUE) {
markdown_line <- '\n'
}
x_align <- 'l'
if (mult.columns > 0) {
header <- header %>% paste0(markdown_line, 'Columns: ', mult.columns)
} else {
header <- header %>% paste0(markdown_line, 'Class: ', class(x) %>% rev() %>% paste(collapse = " > "))
}
if (is.list(x) | is.matrix(x) | is.environment(x) | is.function(x)) {
cat(header, "\n")
stop('`freq()` does not support lists, matrices, environments or functions.', call. = FALSE)
}
header <- header %>% paste0(markdown_line, '\nLength: ', (NAs %>% length() + x %>% length()) %>% format(),
' (of which NA: ', NAs %>% length() %>% format(),
' = ', (NAs %>% length() / (NAs %>% length() + x %>% length())) %>% percent(force_zero = TRUE), ')')
header <- header %>% paste0(markdown_line, '\nUnique: ', x %>% n_distinct() %>% format())
header.numbers.done <- FALSE
if (any(class(x) %in% c('double', 'integer', 'numeric', 'raw', 'single'))) {
# right align number
x_align <- 'r'
header <- header %>% paste0('\n')
header <- header %>% paste(markdown_line, '\nMean: ', x %>% base::mean(na.rm = TRUE) %>% format(digits = digits))
header <- header %>% paste0(markdown_line, '\nStd. dev.: ', x %>% stats::sd(na.rm = TRUE) %>% format(digits = digits),
' (CV: ', x %>% cv(na.rm = TRUE) %>% format(digits = digits), ')')
header <- header %>% paste0(markdown_line, '\nFive-Num: ', x %>% stats::fivenum(na.rm = TRUE) %>% format(digits = digits) %>% trimws() %>% paste(collapse = ' | '),
' (CQV: ', x %>% cqv(na.rm = TRUE) %>% format(digits = digits), ')')
outlier_length <- length(boxplot.stats(x)$out)
header <- header %>% paste0(markdown_line, '\nOutliers: ', outlier_length)
if (outlier_length > 0) {
header <- header %>% paste0(' (unique: ', boxplot.stats(x)$out %>% unique() %>% length(), ')')
}
}
formatdates <- "%e %B %Y" # = d mmmm yyyy
if (any(class(x) == 'hms')) {
x <- x %>% as.POSIXlt()
formatdates <- "%H:%M:%S"
}
if (any(class(x) %in% c('Date', 'POSIXct', 'POSIXlt'))) {
header <- header %>% paste0('\n')
mindatum <- x %>% min()
maxdatum <- x %>% max()
header <- header %>% paste0(markdown_line, '\nOldest: ', mindatum %>% format(formatdates) %>% trimws())
header <- header %>% paste0(markdown_line, '\nNewest: ', maxdatum %>% format(formatdates) %>% trimws(),
' (+', difftime(maxdatum, mindatum, units = 'auto') %>% as.double() %>% format(), ')')
}
if (any(class(x) == 'POSIXlt')) {
x <- x %>% format(formatdates)
}
if (toConsole == TRUE) {
cat(header)
}
if (all(is.na(x))) {
cat('\n\nNo observations.\n')
return(invisible())
}
if (n_distinct(x) == length(x)) {
warning('All observations are unique.', call. = FALSE)
}
if (nmax == 0 | is.na(nmax)) {
nmax <- length(x)
}
nmax.1 <- min(length(x), nmax + 1)
# create table with counts and percentages
if (any(class(x) == 'factor')) {
df <- tibble::tibble(Item = x,
Fctlvl = x %>% as.integer()) %>%
group_by(Item, Fctlvl)
column_names <- c('Item', 'Count', 'Percent', 'Cum. Count', 'Cum. Percent', '(Factor Level)')
column_align <- c('l', 'r', 'r', 'r', 'r', 'r')
} else {
df <- tibble::tibble(Item = x) %>%
group_by(Item)
column_names <- c('Item', 'Count', 'Percent', 'Cum. Count', 'Cum. Percent')
column_align <- c(x_align, 'r', 'r', 'r', 'r')
}
df <- df %>%
summarise(Count = n(),
Percent = (n() / length(x)) %>% percent(force_zero = TRUE))
if (df$Item %>% paste(collapse = ',') %like% '\033') {
df <- df %>%
mutate(Item = Item %>%
# remove escape char
# see https://en.wikipedia.org/wiki/Escape_character#ASCII_escape_character
gsub('\033', ' ', ., fixed = TRUE))
}
# sort according to setting
if (sort.count == TRUE) {
df <- df %>% arrange(desc(Count))
} else {
if (any(class(x) == 'factor')) {
df <- df %>% arrange(Fctlvl)
} else {
df <- df %>% arrange(Item)
}
}
# add cumulative values
df$Cum <- cumsum(df$Count)
df$CumTot <- (df$Cum / sum(df$Count, na.rm = TRUE)) %>% percent(force_zero = TRUE)
df$Cum <- df$Cum %>% format()
if (any(class(x) == 'factor')) {
# put factor last
df <- df %>% select(Item, Count, Percent, Cum, CumTot, Fctlvl)
}
if (markdown == TRUE) {
tblformat <- 'markdown'
} else {
tblformat <- 'pandoc'
}
if (toConsole == FALSE) {
# assign to object
df[, 3] <- df[, 2] / sum(df[, 2], na.rm = TRUE)
df[, 4] <- cumsum(df[, 2])
df[, 5] <- df[, 4] / sum(df[, 2], na.rm = TRUE)
return(df)
} else {
# save old NA setting for kable
opt.old <- options()$knitr.kable.NA
options(knitr.kable.NA = "<NA>")
Count.rest <- sum(df[nmax.1:nrow(df), 'Count'], na.rm = TRUE)
if (any(class(x) %in% c('double', 'integer', 'numeric', 'raw', 'single'))) {
df <- df %>% mutate(Item = format(Item))
}
df <- df %>% mutate(Count = format(Count))
if (nrow(df) > nmax.1 & markdown == FALSE) {
df2 <- df[1:nmax,]
print(
knitr::kable(df2,
format = tblformat,
col.names = column_names,
align = column_align,
padding = 1)
)
cat('... and ',
format(nrow(df) - nmax),
' more ',
paste0('(n = ',
format(Count.rest),
'; ',
(Count.rest / length(x)) %>% percent(force_zero = TRUE),
')'),
'. Use `nmax` to show more rows.\n', sep = '')
} else {
print(
knitr::kable(df,
format = tblformat,
col.names = column_names,
align = column_align,
padding = 1)
)
}
cat('\n')
# reset old kable setting
options(knitr.kable.NA = opt.old)
return(invisible())
}
}
#' @rdname freq
#' @export
frequency_tbl <- freq
-49
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@@ -1,49 +0,0 @@
# ==================================================================== #
# TITLE #
# Antimicrobial Resistance (AMR) Analysis #
# #
# AUTHORS #
# Berends MS (m.s.berends@umcg.nl), Luz CF (c.f.luz@umcg.nl) #
# #
# LICENCE #
# This program is free software; you can redistribute it and/or modify #
# it under the terms of the GNU General Public License version 2.0, #
# as published by the Free Software Foundation. #
# #
# This program is distributed in the hope that it will be useful, #
# but WITHOUT ANY WARRANTY; without even the implied warranty of #
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the #
# GNU General Public License for more details. #
# ==================================================================== #
globalVariables(c('abname',
'atc',
'bactid',
'cnt',
'Count',
'Cum',
'CumTot',
'date_lab',
'days_diff',
'Fctlvl',
'first_isolate_row_index',
'fullname',
'genus',
'gramstain',
'Item',
'key_ab',
'key_ab_lag',
'key_ab_other',
'mic',
'mocode',
'molis',
'n',
'other_pat_or_mo',
'patient_id',
'Percent',
'quantile',
'real_first_isolate',
'species',
'umcg',
'y',
'.'))
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@@ -1,136 +0,0 @@
#' Join a table with \code{microorganisms}
#'
#' Join the dataset \code{\link{microorganisms}} easily to an existing table or character vector.
#' @rdname join
#' @name join
#' @aliases join inner_join
#' @param x existing table to join, also supports character vectors
#' @param by a variable to join by - could be a column name of \code{x} with values that exist in \code{microorganisms$bactid} (like \code{by = "bacteria_id"}), or another column in \code{\link{microorganisms}} (but then it should be named, like \code{by = c("my_genus_species" = "fullname")})
#' @param suffix if there are non-joined duplicate variables in \code{x} and \code{y}, these suffixes will be added to the output to disambiguate them. Should be a character vector of length 2.
#' @param ... other parameters to pass on to \code{dplyr::\link[dplyr]{join}}.
#' @details As opposed to the \code{\link[dplyr]{join}} functions of \code{dplyr}, characters vectors are supported and at default existing columns will get a suffix \code{"2"} and the newly joined columns will not get a suffix. See \code{\link[dplyr]{join}} for more information.
#' @export
#' @examples
#' left_join_microorganisms("STAAUR")
#'
#' library(dplyr)
#' septic_patients %>% left_join_microorganisms()
#'
#' df <- data.frame(date = seq(from = as.Date("2018-01-01"),
#' to = as.Date("2018-01-07"),
#' by = 1),
#' bacteria_id = c("STAAUR", "STAAUR", "STAAUR", "STAAUR",
#' "ESCCOL", "ESCCOL", "ESCCOL"),
#' stringsAsFactors = FALSE)
#' colnames(df)
#' df2 <- left_join_microorganisms(df, "bacteria_id")
#' colnames(df2)
inner_join_microorganisms <- function(x, by = 'bactid', suffix = c("2", ""), ...) {
if (any(class(x) %in% c('character', 'factor'))) {
x <- data.frame(bactid = x, stringsAsFactors = FALSE)
}
# no name set to `by` parameter
if (is.null(names(by))) {
joinby <- colnames(AMR::microorganisms)[1]
names(joinby) <- by
} else {
joinby <- by
}
join <- dplyr::inner_join(x = x, y = AMR::microorganisms, by = joinby, suffix = c("2", ""), ...)
if (nrow(join) > nrow(x)) {
warning('the newly joined tbl contains ', nrow(join) - nrow(x), ' rows more that its original')
}
join
}
#' @rdname join
#' @export
left_join_microorganisms <- function(x, by = 'bactid', suffix = c("2", ""), ...) {
if (any(class(x) %in% c('character', 'factor'))) {
x <- data.frame(bactid = x, stringsAsFactors = FALSE)
}
# no name set to `by` parameter
if (is.null(names(by))) {
joinby <- colnames(AMR::microorganisms)[1]
names(joinby) <- by
} else {
joinby <- by
}
join <- dplyr::left_join(x = x, y = AMR::microorganisms, by = joinby, suffix = c("2", ""), ...)
if (nrow(join) > nrow(x)) {
warning('the newly joined tbl contains ', nrow(join) - nrow(x), ' rows more that its original')
}
join
}
#' @rdname join
#' @export
right_join_microorganisms <- function(x, by = 'bactid', suffix = c("2", ""), ...) {
if (any(class(x) %in% c('character', 'factor'))) {
x <- data.frame(bactid = x, stringsAsFactors = FALSE)
}
# no name set to `by` parameter
if (is.null(names(by))) {
joinby <- colnames(AMR::microorganisms)[1]
names(joinby) <- by
} else {
joinby <- by
}
join <- dplyr::right_join(x = x, y = AMR::microorganisms, by = joinby, suffix = c("2", ""), ...)
if (nrow(join) > nrow(x)) {
warning('the newly joined tbl contains ', nrow(join) - nrow(x), ' rows more that its original')
}
join
}
#' @rdname join
#' @export
full_join_microorganisms <- function(x, by = 'bactid', suffix = c("2", ""), ...) {
if (any(class(x) %in% c('character', 'factor'))) {
x <- data.frame(bactid = x, stringsAsFactors = FALSE)
}
# no name set to `by` parameter
if (is.null(names(by))) {
joinby <- colnames(AMR::microorganisms)[1]
names(joinby) <- by
} else {
joinby <- by
}
join <- dplyr::full_join(x = x, y = AMR::microorganisms, by = joinby, suffix = c("2", ""), ...)
if (nrow(join) > nrow(x)) {
warning('the newly joined tbl contains ', nrow(join) - nrow(x), ' rows more that its original')
}
join
}
#' @rdname join
#' @export
semi_join_microorganisms <- function(x, by = 'bactid', ...) {
if (any(class(x) %in% c('character', 'factor'))) {
x <- data.frame(bactid = x, stringsAsFactors = FALSE)
}
# no name set to `by` parameter
if (is.null(names(by))) {
joinby <- colnames(AMR::microorganisms)[1]
names(joinby) <- by
} else {
joinby <- by
}
dplyr::semi_join(x = x, y = AMR::microorganisms, by = joinby, ...)
}
#' @rdname join
#' @export
anti_join_microorganisms <- function(x, by = 'bactid', ...) {
if (any(class(x) %in% c('character', 'factor'))) {
x <- data.frame(bactid = x, stringsAsFactors = FALSE)
}
# no name set to `by` parameter
if (is.null(names(by))) {
joinby <- colnames(AMR::microorganisms)[1]
names(joinby) <- by
} else {
joinby <- by
}
dplyr::anti_join(x = x, y = AMR::microorganisms, by = joinby, ...)
}
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@@ -1,422 +0,0 @@
# ==================================================================== #
# TITLE #
# Antimicrobial Resistance (AMR) Analysis #
# #
# AUTHORS #
# Berends MS (m.s.berends@umcg.nl), Luz CF (c.f.luz@umcg.nl) #
# #
# LICENCE #
# This program is free software; you can redistribute it and/or modify #
# it under the terms of the GNU General Public License version 2.0, #
# as published by the Free Software Foundation. #
# #
# This program is distributed in the hope that it will be useful, #
# but WITHOUT ANY WARRANTY; without even the implied warranty of #
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the #
# GNU General Public License for more details. #
# ==================================================================== #
#' Determine multidrug-resistant organisms (MDRO)
#'
#' Determine which isolates are multidrug-resistant organisms (MDRO) according to country-specific guidelines.
#' @param tbl table with antibiotic columns, like e.g. \code{amox} and \code{amcl}
#' @param country country code to determine guidelines. EUCAST rules will be used when left empty, see Details. Should be or a code from the \href{https://en.wikipedia.org/wiki/ISO_3166-1_alpha-2#Officially_assigned_code_elements}{list of ISO 3166-1 alpha-2 country codes}. Case-insensitive. Currently supported are \code{de} (Germany) and \code{nl} (the Netherlands).
#' @param col_bactid column name of the bacteria ID in \code{tbl} - values of this column should be present in \code{microorganisms$bactid}, see \code{\link{microorganisms}}
#' @param info print progress
#' @param amcl,amik,amox,ampi,azit,aztr,cefa,cfra,cfep,cfot,cfox,cfta,cftr,cfur,chlo,cipr,clar,clin,clox,coli,czol,dapt,doxy,erta,eryt,fosf,fusi,gent,imip,kana,levo,linc,line,mero,metr,mino,moxi,nali,neom,neti,nitr,novo,norf,oflo,peni,pita,poly,qida,rifa,roxi,siso,teic,tetr,tica,tige,tobr,trim,trsu,vanc column names of antibiotics. column names of antibiotics
#' @param ... parameters that are passed on to methods
#' @details When \code{country} will be left blank, guidelines will be taken from EUCAST Expert Rules Version 3.1 "Intrinsic Resistance and Exceptional Phenotypes Tables" (\url{http://www.eucast.org/fileadmin/src/media/PDFs/EUCAST_files/Expert_Rules/Expert_rules_intrinsic_exceptional_V3.1.pdf}).
#' @return Ordered factor with levels \code{Unknown < Negative < Unconfirmed < Positive}.
#' @rdname MDRO
#' @export
#' @examples
#' library(dplyr)
#'
#' septic_patients %>%
#' mutate(EUCAST = MDRO(.),
#' BRMO = MDRO(., "nl"))
MDRO <- function(tbl,
country = NULL,
col_bactid = 'bactid',
info = TRUE,
amcl = 'amcl',
amik = 'amik',
amox = 'amox',
ampi = 'ampi',
azit = 'azit',
aztr = 'aztr',
cefa = 'cefa',
cfra = 'cfra',
cfep = 'cfep',
cfot = 'cfot',
cfox = 'cfox',
cfta = 'cfta',
cftr = 'cftr',
cfur = 'cfur',
chlo = 'chlo',
cipr = 'cipr',
clar = 'clar',
clin = 'clin',
clox = 'clox',
coli = 'coli',
czol = 'czol',
dapt = 'dapt',
doxy = 'doxy',
erta = 'erta',
eryt = 'eryt',
fosf = 'fosf',
fusi = 'fusi',
gent = 'gent',
imip = 'imip',
kana = 'kana',
levo = 'levo',
linc = 'linc',
line = 'line',
mero = 'mero',
metr = 'metr',
mino = 'mino',
moxi = 'moxi',
nali = 'nali',
neom = 'neom',
neti = 'neti',
nitr = 'nitr',
novo = 'novo',
norf = 'norf',
oflo = 'oflo',
peni = 'peni',
pita = 'pita',
poly = 'poly',
qida = 'qida',
rifa = 'rifa',
roxi = 'roxi',
siso = 'siso',
teic = 'teic',
tetr = 'tetr',
tica = 'tica',
tige = 'tige',
tobr = 'tobr',
trim = 'trim',
trsu = 'trsu',
vanc = 'vanc') {
if (!col_bactid %in% colnames(tbl)) {
stop('Column ', col_bactid, ' not found.', call. = FALSE)
}
# strip whitespaces
if (length(country) > 1) {
stop('`country` must be a length one character string.', call. = FALSE)
}
if (is.null(country)) {
country <- 'EUCAST'
}
country <- trimws(country)
if (country != 'EUCAST' & !country %like% '^[a-z]{2}$') {
stop('This is not a valid ISO 3166-1 alpha-2 country code: "', country, '". Please see ?MDRO.', call. = FALSE)
}
# create list and make country code case-independent
guideline <- list(country = list(code = tolower(country)))
if (guideline$country$code == 'eucast') {
guideline$country$name <- '(European guidelines)'
guideline$name <- 'EUCAST Expert Rules, "Intrinsic Resistance and Exceptional Phenotypes Tables"'
guideline$version <- 'Version 3.1'
guideline$source <- 'http://www.eucast.org/fileadmin/src/media/PDFs/EUCAST_files/Expert_Rules/Expert_rules_intrinsic_exceptional_V3.1.pdf'
# support per country:
} else if (guideline$country$code == 'de') {
guideline$country$name <- 'Germany'
guideline$name <- ''
guideline$version <- ''
guideline$source <- ''
} else if (guideline$country$code == 'nl') {
guideline$country$name <- 'The Netherlands'
guideline$name <- 'WIP-Richtlijn BRMO'
guideline$version <- 'Revision of December 2017'
guideline$source <- 'https://www.rivm.nl/Documenten_en_publicaties/Professioneel_Praktisch/Richtlijnen/Infectieziekten/WIP_Richtlijnen/WIP_Richtlijnen/Ziekenhuizen/WIP_richtlijn_BRMO_Bijzonder_Resistente_Micro_Organismen_ZKH'
# add here more countries like this:
# } else if (country$code == 'AA') {
# country$name <- 'country name'
} else {
stop('This country code is currently unsupported: ', guideline$country$code, call. = FALSE)
}
# Console colours
# source: http://www.tldp.org/HOWTO/Bash-Prompt-HOWTO/x329.html
ANSI_red <- "\033[31m"
ANSI_blue <- "\033[34m"
ANSI_reset <- "\033[0m"
if (info == TRUE) {
cat("Determining multidrug-resistant organisms (MDRO), according to:\n",
"Guideline: ", ANSI_red, guideline$name, ", ", guideline$version, ANSI_reset, "\n",
"Country : ", ANSI_red, guideline$country$name, ANSI_reset, "\n",
"Source : ", ANSI_blue, guideline$source, ANSI_reset, "\n",
"\n", sep = "")
}
# check columns
col.list <- c(amcl, amik, amox, ampi, azit, aztr, cefa, cfra, cfep, cfot,
cfox, cfta, cftr, cfur, chlo, cipr, clar, clin, clox, coli,
czol, dapt, doxy, erta, eryt, fosf, fusi, gent, imip, kana,
levo, linc, line, mero, metr, mino, moxi, nali, neom, neti, nitr,
novo, norf, oflo, peni, pita, poly, qida, rifa, roxi, siso,
teic, tetr, tica, tige, tobr, trim, trsu, vanc)
col.list <- check_available_columns(tbl = tbl, col.list = col.list, info = info)
amcl <- col.list[amcl]
amik <- col.list[amik]
amox <- col.list[amox]
ampi <- col.list[ampi]
azit <- col.list[azit]
aztr <- col.list[aztr]
cefa <- col.list[cefa]
cfra <- col.list[cfra]
cfep <- col.list[cfep]
cfot <- col.list[cfot]
cfox <- col.list[cfox]
cfta <- col.list[cfta]
cftr <- col.list[cftr]
cfur <- col.list[cfur]
chlo <- col.list[chlo]
cipr <- col.list[cipr]
clar <- col.list[clar]
clin <- col.list[clin]
clox <- col.list[clox]
coli <- col.list[coli]
czol <- col.list[czol]
dapt <- col.list[dapt]
doxy <- col.list[doxy]
erta <- col.list[erta]
eryt <- col.list[eryt]
fosf <- col.list[fosf]
fusi <- col.list[fusi]
gent <- col.list[gent]
imip <- col.list[imip]
kana <- col.list[kana]
levo <- col.list[levo]
linc <- col.list[linc]
line <- col.list[line]
mero <- col.list[mero]
metr <- col.list[metr]
mino <- col.list[mino]
moxi <- col.list[moxi]
nali <- col.list[nali]
neom <- col.list[neom]
neti <- col.list[neti]
nitr <- col.list[nitr]
novo <- col.list[novo]
norf <- col.list[norf]
oflo <- col.list[oflo]
peni <- col.list[peni]
pita <- col.list[pita]
poly <- col.list[poly]
qida <- col.list[qida]
rifa <- col.list[rifa]
roxi <- col.list[roxi]
siso <- col.list[siso]
teic <- col.list[teic]
tetr <- col.list[tetr]
tica <- col.list[tica]
tige <- col.list[tige]
tobr <- col.list[tobr]
trim <- col.list[trim]
trsu <- col.list[trsu]
vanc <- col.list[vanc]
# antibiotic classes
aminoglycosides <- c(tobr, gent, kana, neom, neti, siso)
tetracyclines <- c(doxy, mino, tetr) # since EUCAST v3.1 tige(cycline) is set apart
polymyxins <- c(poly, coli)
macrolides <- c(eryt, azit, roxi, clar) # since EUCAST v3.1 clin(damycin) is set apart
glycopeptides <- c(vanc, teic)
streptogramins <- qida # should officially also be pristinamycin and quinupristin/dalfopristin
cephalosporins <- c(cfep, cfot, cfox, cfra, cfta, cftr, cfur, czol)
cephalosporins_3rd <- c(cfot, cftr, cfta)
carbapenems <- c(erta, imip, mero)
aminopenicillins <- c(ampi, amox)
ureidopenicillins <- pita # should officially also be azlo and mezlo
fluoroquinolones <- c(oflo, cipr, norf, levo, moxi)
# helper function for editing the table
trans_tbl <- function(to, rows, cols) {
cols <- cols[!is.na(cols)]
if (length(rows) > 0 & length(cols) > 0) {
col_filter <- which(tbl[, cols] == 'R')
rows <- rows[rows %in% col_filter]
tbl[rows, 'MDRO'] <<- to
}
}
# join microorganisms
tbl <- tbl %>% left_join_microorganisms(col_bactid)
tbl$MDRO <- NA_integer_
if (guideline$country$code == 'eucast') {
# EUCAST ------------------------------------------------------------------
# Table 5
trans_tbl(4,
which(tbl$family == 'Enterobacteriaceae'
| tbl$fullname %like% '^Pseudomonas aeruginosa'
| tbl$genus == 'Acinetobacter'),
coli)
trans_tbl(4,
which(tbl$fullname %like% '^Salmonella Typhi'),
c(carbapenems, fluoroquinolones))
trans_tbl(4,
which(tbl$fullname %like% '^Haemophilus influenzae'),
c(cephalosporins_3rd, carbapenems, fluoroquinolones))
trans_tbl(4,
which(tbl$fullname %like% '^Moraxella catarrhalis'),
c(cephalosporins_3rd, fluoroquinolones))
trans_tbl(4,
which(tbl$fullname %like% '^Neisseria meningitidis'),
c(cephalosporins_3rd, fluoroquinolones))
trans_tbl(4,
which(tbl$fullname %like% '^Neisseria gonorrhoeae'),
azit)
# Table 6
trans_tbl(4,
which(tbl$fullname %like% '^Staphylococcus (aureus|epidermidis|coagulase negatief|hominis|haemolyticus|intermedius|pseudointermedius)'),
c(vanc, teic, dapt, line, qida, tige))
trans_tbl(4,
which(tbl$genus == 'Corynebacterium'),
c(vanc, teic, dapt, line, qida, tige))
trans_tbl(4,
which(tbl$fullname %like% '^Streptococcus pneumoniae'),
c(carbapenems, vanc, teic, dapt, line, qida, tige, rifa))
trans_tbl(4, # Sr. groups A/B/C/G
which(tbl$fullname %like% '^Streptococcus (pyogenes|agalactiae|equisimilis|equi|zooepidemicus|dysgalactiae|anginosus)'),
c(peni, cephalosporins, vanc, teic, dapt, line, qida, tige))
trans_tbl(4,
which(tbl$genus == 'Enterococcus'),
c(dapt, line, tige, teic))
trans_tbl(4,
which(tbl$fullname %like% '^Enterococcus faecalis'),
c(ampi, amox))
# Table 7
trans_tbl(4,
which(tbl$genus == 'Bacteroides'),
metr)
trans_tbl(4,
which(tbl$fullname %like% '^Clostridium difficile'),
c(metr, vanc))
}
if (guideline$country$code == 'de') {
# Germany -----------------------------------------------------------------
stop("We are still working on German guidelines in this beta version.", call. = FALSE)
}
if (guideline$country$code == 'nl') {
# Netherlands -------------------------------------------------------------
aminoglycosides <- aminoglycosides[!is.na(aminoglycosides)]
fluoroquinolones <- fluoroquinolones[!is.na(fluoroquinolones)]
carbapenems <- carbapenems[!is.na(carbapenems)]
# Table 1
tbl[which(
tbl$family == 'Enterobacteriaceae'
& rowSums(tbl[, aminoglycosides] == 'R', na.rm = TRUE) >= 1
& rowSums(tbl[, fluoroquinolones] == 'R', na.rm = TRUE) >= 1
), 'MDRO'] <- 4
tbl[which(
tbl$family == 'Enterobacteriaceae'
& rowSums(tbl[, carbapenems] == 'R', na.rm = TRUE) >= 1
), 'MDRO'] <- 3
# rest is negative
tbl[which(
tbl$family == 'Enterobacteriaceae'
& tbl$MDRO == 1
), 'MDRO'] <- 2
# Table 2
tbl[which(
tbl$genus == 'Acinetobacter'
& rowSums(tbl[, carbapenems] == 'R', na.rm = TRUE) >= 1
), 'MDRO'] <- 3
tbl[which(
tbl$genus == 'Acinetobacter'
& rowSums(tbl[, aminoglycosides] == 'R', na.rm = TRUE) >= 1
& rowSums(tbl[, fluoroquinolones] == 'R', na.rm = TRUE) >= 1
), 'MDRO'] <- 4
# rest of Acinetobacter is negative
tbl[which(
tbl$genus == 'Acinetobacter'
& tbl$MDRO == 1
), 'MDRO'] <- 2
tbl[which(
tbl$fullname %like% 'Stenotrophomonas maltophilia'
& tbl[, trsu] == 'R'
), 'MDRO'] <- 4
# rest of Stenotrophomonas is negative
tbl[which(
tbl$fullname %like% 'Stenotrophomonas maltophilia'
& tbl$MDRO == 1
), 'MDRO'] <- 2
tbl[which(
tbl$fullname %like% 'Pseudomonas aeruginosa'
& sum(rowSums(tbl[, carbapenems] == 'R', na.rm = TRUE) >= 1,
rowSums(tbl[, aminoglycosides] == 'R', na.rm = TRUE) >= 1,
rowSums(tbl[, fluoroquinolones] == 'R', na.rm = TRUE) >= 1,
tbl[, cfta] == 'R',
tbl[, pita] == 'R') >= 3
), 'MDRO'] <- 4
# rest of Pseudomonas is negative
tbl[which(
tbl$fullname %like% 'Pseudomonas aeruginosa'
& tbl$MDRO == 1
), 'MDRO'] <- 2
# Table 3
tbl[which(
tbl$fullname %like% 'Streptococcus pneumoniae'
& tbl[, peni] == 'R'
), 'MDRO'] <- 4
tbl[which(
tbl$fullname %like% 'Streptococcus pneumoniae'
& tbl[, vanc] == 'R'
), 'MDRO'] <- 4
# rest of Streptococcus pneumoniae is negative
tbl[which(
tbl$fullname %like% 'Streptococcus pneumoniae'
& tbl$MDRO == 1
), 'MDRO'] <- 2
tbl[which(
tbl$fullname %like% 'Enterococcus faecium'
& rowSums(tbl[, c(peni, vanc)] == 'R', na.rm = TRUE) >= 1
), 'MDRO'] <- 4
# rest of Enterococcus faecium is negative
tbl[which(
tbl$fullname %like% 'Enterococcus faecium'
& tbl$MDRO == 1
), 'MDRO'] <- 2
}
factor(x = tbl$MDRO,
levels = c(1:4),
labels = c('Unknown', 'Negative', 'Unconfirmed', 'Positive'),
ordered = TRUE)
}
#' @rdname MDRO
#' @export
BRMO <- function(tbl, country = "nl", ...) {
MDRO(tbl = tbl, country = "nl", ...)
}
#' @rdname MDRO
#' @export
MRGN <- function(tbl, country = "de", ...) {
MDRO(tbl = tbl, country = "de", ...)
}
#' @rdname MDRO
#' @export
EUCAST_exceptional_phenotypes <- function(tbl, country = "EUCAST", ...) {
MDRO(tbl = tbl, country = "EUCAST", ...)
}
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@@ -1,116 +0,0 @@
# ==================================================================== #
# TITLE #
# Antimicrobial Resistance (AMR) Analysis #
# #
# AUTHORS #
# Berends MS (m.s.berends@umcg.nl), Luz CF (c.f.luz@umcg.nl) #
# #
# LICENCE #
# This program is free software; you can redistribute it and/or modify #
# it under the terms of the GNU General Public License version 2.0, #
# as published by the Free Software Foundation. #
# #
# This program is distributed in the hope that it will be useful, #
# but WITHOUT ANY WARRANTY; without even the implied warranty of #
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the #
# GNU General Public License for more details. #
# ==================================================================== #
#' Pattern Matching
#'
#' Convenience function to compare a vector with a pattern, like \code{\link[base]{grep}}. It always returns a \code{logical} vector and is always case-insensitive.
#' @inheritParams base::grep
#' @return A \code{logical} vector
#' @name like
#' @rdname like
#' @export
#' @source Inherited from the \href{https://github.com/Rdatatable/data.table/blob/master/R/like.R}{\code{like} function from the \code{data.table} package}, but made it case insensitive at default.
#' @examples
#' library(dplyr)
#' # get unique occurences of bacteria whose name start with 'Ent'
#' septic_patients %>%
#' left_join_microorganisms() %>%
#' filter(fullname %like% '^Ent') %>%
#' pull(fullname) %>%
#' unique()
"%like%" <- function(x, pattern) {
if (length(pattern) > 1) {
pattern <- pattern[1]
warning('only the first element of argument `pattern` used for `%like%`', call. = FALSE)
}
if (is.factor(x)) {
as.integer(x) %in% base::grep(pattern, levels(x), ignore.case = TRUE)
} else {
base::grepl(pattern, x, ignore.case = TRUE)
}
}
# No export, no Rd
percent <- function(x, round = 1, force_zero = FALSE, ...) {
val <- base::round(x * 100, digits = round)
if (force_zero == TRUE & any(val == as.integer(val) & !is.na(val))) {
val[val == as.integer(val)] <- paste0(val[val == as.integer(val)], ".", strrep(0, round))
}
pct <- base::paste0(val, "%")
pct[pct == "NA%"] <- NA_character_
pct
}
check_available_columns <- function(tbl, col.list, info = TRUE) {
# check columns
col.list <- col.list[!is.na(col.list)]
names(col.list) <- col.list
col.list.bak <- col.list
# are they available as upper case or lower case then?
for (i in 1:length(col.list)) {
if (toupper(col.list[i]) %in% colnames(tbl)) {
col.list[i] <- toupper(col.list[i])
} else if (tolower(col.list[i]) %in% colnames(tbl)) {
col.list[i] <- tolower(col.list[i])
} else if (!col.list[i] %in% colnames(tbl)) {
col.list[i] <- NA
}
}
if (!all(col.list %in% colnames(tbl))) {
if (info == TRUE) {
warning('These columns do not exist and will be ignored: ',
col.list.bak[!(col.list %in% colnames(tbl))] %>% toString(),
'.\nTHIS MAY STRONGLY INFLUENCE THE OUTCOME.',
immediate. = TRUE,
call. = FALSE)
}
}
col.list
}
# Coefficient of variation (CV)
cv <- function(x, na.rm = TRUE) {
cv.x <- sd(x, na.rm = na.rm) / abs(mean(x, na.rm = na.rm))
cv.x
}
# Coefficient of dispersion, or coefficient of quartile variation (CQV).
# (Bonett et al., 2006: Confidence interval for a coefficient of quartile variation).
cqv <- function(x, na.rm = TRUE) {
cqv.x <-
(quantile(x, 0.75, na.rm = na.rm, type = 6) - quantile(x, 0.25, na.rm = na.rm, type = 6)) /
(quantile(x, 0.75, na.rm = na.rm, type = 6) + quantile(x, 0.25, na.rm = na.rm, type = 6))
unname(cqv.x)
}
# show bytes as kB/MB/GB
# size_humanreadable(123456) # 121 kB
# size_humanreadable(12345678) # 11.8 MB
size_humanreadable <- function(bytes, decimals = 1) {
bytes <- bytes %>% as.double()
# Adapted from:
# http://jeffreysambells.com/2012/10/25/human-readable-filesize-php
size <- c('B','kB','MB','GB','TB','PB','EB','ZB','YB')
factor <- floor((nchar(bytes) - 1) / 3)
# added slight improvement; no decimals for B and kB:
decimals <- rep(decimals, length(bytes))
decimals[size[factor + 1] %in% c('B', 'kB')] <- 0
out <- paste(sprintf(paste0("%.", decimals, "f"), bytes / (1024 ^ factor)), size[factor + 1])
out
}
-347
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@@ -1,347 +0,0 @@
# ==================================================================== #
# TITLE #
# Antimicrobial Resistance (AMR) Analysis #
# #
# AUTHORS #
# Berends MS (m.s.berends@umcg.nl), Luz CF (c.f.luz@umcg.nl) #
# #
# LICENCE #
# This program is free software; you can redistribute it and/or modify #
# it under the terms of the GNU General Public License version 2.0, #
# as published by the Free Software Foundation. #
# #
# This program is distributed in the hope that it will be useful, #
# but WITHOUT ANY WARRANTY; without even the implied warranty of #
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the #
# GNU General Public License for more details. #
# ==================================================================== #
#' Printing Data Tables and Tibbles
#'
#' Print a data table or tibble. It prints: \cr- The \strong{first and last rows} like \code{data.table}s are printed by the \code{data.table} package,\cr- A \strong{header} and \strong{left aligned text} like \code{tibble}s are printed by the \code{tibble} package with info about grouped variables,\cr- \strong{Unchanged values} and \strong{support for row names} like \code{data.frame}s are printed by the \code{base} package.
#' @inheritParams base::print.data.frame
#' @param nmax amount of rows to print in total. When the total amount of rows exceeds this limit, the first and last \code{nmax / 2} rows will be printed. Use \code{nmax = NA} to print all rows.
#' @param header print header with information about data size and tibble grouping
#' @param print.keys print keys for \code{data.table}
#' @param na value to print instead of NA
#' @param width amount of white spaces to keep between columns, must be at least 1
#' @rdname print
#' @name print
#' @importFrom dplyr %>% n_groups group_vars group_size filter pull select
#' @importFrom data.table data.table
#' @importFrom utils object.size
#' @exportMethod print.tbl_df
#' @export
#' @examples
#' # more reliable data view:
#' library(dplyr)
#' starwars
#' print(starwars, width = 3)
#'
#' # This is how the tibble package prints since v1.4.0:
#' # (mind the quite unfamiliar underscores and ending dots)
#' tibble(now_what = c(1.2345, 2345.67, 321.456)) %>% tibble:::print.tbl_df()
#'
#' # This is how this AMR package prints:
#' # (every number shown as you would expect)
#' tibble(now_what = c(1.2345, 2345.67, 321.456))
#'
#' # also supports info about groups (look at header)
#' starwars %>% group_by(homeworld, gender)
print.tbl_df <- function(x,
nmax = 10,
header = TRUE,
row.names = TRUE,
right = FALSE,
width = 1,
na = "<NA>",
...) {
prettyprint_df(x = x,
nmax = nmax,
header = header,
row.names = row.names,
print.keys = FALSE,
right = right,
width = width,
na = na,
...)
}
#' @rdname print
#' @exportMethod print.tbl
#' @export
print.tbl <- function(x, ...) {
prettyprint_df(x, ...)
}
#' @rdname print
#' @exportMethod print.data.table
#' @export
print.data.table <- function(x,
print.keys = FALSE,
...) {
prettyprint_df(x = x,
print.keys = print.keys,
...)
}
printDT <- data.table:::print.data.table
prettyprint_df <- function(x,
nmax = 10,
header = TRUE,
row.names = TRUE,
print.keys = FALSE,
right = FALSE,
width = 1,
na = "<NA>",
...) {
ansi_reset <- "\u001B[0m"
ansi_black <- "\u001B[30m"
ansi_red <- "\u001B[31m"
ansi_green <- "\u001B[32m"
ansi_yellow <- "\u001B[33m"
ansi_blue <- "\u001B[34m"
ansi_purple <- "\u001B[35m"
ansi_cyan <- "\u001B[36m"
ansi_white <- "\u001B[37m"
ansi_gray <- "\u001B[38;5;246m"
if (width < 1) {
stop('`width` must be at least 1.', call. = FALSE)
}
if (is.na(nmax)) {
nmax <- NROW(x)
}
n <- nmax
if (n %% 2 == 1) {
# odd number; add 1
n <- n + 1
}
width <- width - 1
if ('tbl_df' %in% class(x)) {
type <- 'tibble'
} else if ('data.table' %in% class(x)) {
type <- 'data.table'
} else {
type <- 'data.frame'
}
if (header == TRUE) {
if (NCOL(x) == 1) {
vars <- 'variable'
} else {
vars <- 'variables'
}
size <- object.size(x) %>% as.double() %>% size_humanreadable()
cat(paste0("A ", type,": ",
format(NROW(x)),
" obs. of ",
format(NCOL(x)),
" ", vars,
ansi_gray, " (", size, ")\n", ansi_reset))
if ('grouped_df' %in% class(x) & n_groups(x) > 0) {
cat(paste0("Grouped by ",
x %>% group_vars() %>% paste0(ansi_red, ., ansi_reset) %>% paste0(collapse = " and "),
ansi_gray,
" (",
x %>% n_groups(),
" groups with sizes between ",
x %>% group_size() %>% min(),
" and ",
x %>% group_size() %>% max(),
")\n",
ansi_reset))
}
if (!is.null(attributes(x)$qry)) {
cat(paste0(ansi_gray, "This data contains a query. Use qry() to view it.\n", ansi_reset))
}
cat("\n")
}
# data.table where keys should be printed
if (print.keys == TRUE) {
printDT(x,
class = header,
row.names = row.names,
print.keys = TRUE,
right = right,
...
)
return(invisible())
}
# tibbles give warning when setting column names
x <- x %>% base::as.data.frame(stringsAsFactors = FALSE)
# extra space of 3 chars, right to row name or number
if (NROW(x) > 0) {
maxrowchars <- rownames(x) %>% nchar() %>% max() + 3
rownames(x) <- paste0(rownames(x), strrep(" ", maxrowchars - nchar(rownames(x))))
} else {
maxrowchars <- 0
}
x.bak <- x
if (n + 1 < nrow(x)) {
# remove in between part, 1 extra for ~~~~ between first and last part
rows_list <- c(1:(n / 2 + 1), (nrow(x) - (n / 2) + 1):nrow(x))
x <- as.data.frame(x.bak[rows_list,])
colnames(x) <- colnames(x.bak)
rownames(x) <- rownames(x.bak)[rows_list]
# set inbetweener between parts
rownames(x)[n / 2 + 1] <- strrep("~", maxrowchars)
}
if (header == TRUE) {
# add 1 row for classes
# class will be marked up per column
if (NROW(x.bak) > 0) {
rownames.x <- rownames(x)
x <- x %>% filter(row_number() == 1) %>% rbind(x, stringsAsFactors = FALSE)
rownames(x) <- c('*', rownames.x)
}
# select 1st class per column and abbreviate
classes <- x.bak %>%
sapply(class) %>%
lapply(
function(c) {
# do print all POSIX classes like "POSct/t"
if ('POSIXct' %in% c) {
paste0('POS',
c %>%
gsub('POSIX', '', .) %>%
paste0(collapse = '/'))
} else {
if (NCOL(.) > 1) {
.[1,]
} else {
c[[1]]
}
}
}) %>%
unlist() %>%
gsub("character", "chr", ., fixed = TRUE) %>%
gsub("complex", "cplx", ., fixed = TRUE) %>%
gsub("Date", "Date", ., fixed = TRUE) %>%
gsub("double", "dbl", ., fixed = TRUE) %>%
gsub("expression", "expr", ., fixed = TRUE) %>%
gsub("factor", "fct", ., fixed = TRUE) %>%
gsub("IDate", "IDat", ., fixed = TRUE) %>%
gsub("integer", "int", ., fixed = TRUE) %>%
gsub("integer64", "i64", ., fixed = TRUE) %>%
gsub("list", "list", ., fixed = TRUE) %>%
gsub("logical", "lgl", ., fixed = TRUE) %>%
gsub("numeric", "dbl", ., fixed = TRUE) %>%
gsub("ordered", "ord", ., fixed = TRUE) %>%
gsub("percent", "pct", ., fixed = TRUE) %>%
gsub("single", "sgl", ., fixed = TRUE) %>%
paste0("<", ., ">")
}
# markup cols
for (i in 1:ncol(x)) {
if (all(!class(x[, i]) %in% class(x.bak[, i]))) {
class(x[, i]) <- class(x.bak[, i])
}
try(x[, i] <- format(x %>% pull(i)), silent = TRUE)
# replace NAs
if (nchar(na) < 2) {
# make as long as the text "NA"
na <- paste0(na, strrep(" ", 2 - nchar(na)))
}
try(x[, i] <- gsub("^NA$", na, trimws(x[, i], 'both')), silent = TRUE)
# place class into 1st row
if (header == TRUE) {
x[1, i] <- classes[i]
}
# dashes between two parts when exceeding nmax
maxvalchars <- max(colnames(x)[i] %>% nchar(), x[, i] %>% nchar() %>% max())
if (n + 1 < nrow(x.bak)) {
x[n / 2 + if_else(header == TRUE, 2, 1), i] <- strrep("~", maxvalchars)
}
# align according to `right` parameter, but only factors, logicals text, but not MICs
if (any(x.bak %>% pull(i) %>% class() %in% c('factor', 'character', 'logical'))
& !("mic" %in% (x.bak %>% pull(i) %>% class()))) {
vals <- x %>% pull(i) %>% trimws('both')
colname <- colnames(x)[i] %>% trimws('both')
if (right == FALSE) {
vals <- paste0(vals, strrep(" ", maxvalchars - nchar(vals)))
colname <- paste0(colname, strrep(" ", maxvalchars - nchar(colname)))
} else {
vals <- paste0(strrep(" ", maxvalchars - nchar(vals)), vals)
colname <- paste0(strrep(" ", maxvalchars - nchar(colname)), colname)
}
x[, i] <- vals
colnames(x)[i] <- colname
}
# add left padding according to `width` parameter
# but not in 1st col when row names are off
if (row.names == TRUE | i > 1) {
x[, i] <- paste0(strrep(" ", width), x[, i])
colnames(x)[i] <- paste0(strrep(" ", width), colnames(x)[i])
}
# strip columns that do not fit (3 chars as margin)
width_console <- options()$width
width_until_col <- x %>%
select(1:i) %>%
apply(1, paste, collapse = strrep(" ", width + 1)) %>%
nchar() %>%
max()
width_until_col_before <- x %>%
select(1:(max(i, 2) - 1)) %>%
apply(1, paste, collapse = strrep(" ", width + 1)) %>%
nchar() %>%
max()
extraspace <- maxrowchars + nchar(rownames(x)[length(rownames(x))])
width_until_colnames <- colnames(x)[1:i] %>% paste0(collapse = strrep(" ", width + 1)) %>% nchar() + extraspace
width_until_colnames_before <- colnames(x)[1:(max(i, 2) - 1)] %>% paste0(collapse = strrep(" ", width + 1)) %>% nchar() + extraspace
if (i > 1 &
(width_until_col > width_console
| width_until_colnames > width_console)) {
if (width_until_col_before > width_console
| width_until_colnames_before > width_console) {
x <- x[, 1:(i - 2)]
} else {
x <- x[, 1:(i - 1)]
}
break
}
}
# empty table, row name of header should be "*"
if (NROW(x.bak) == 0) {
rownames(x) <- '* '
}
# and here it is...
suppressWarnings(
base::print.data.frame(x, row.names = row.names, ...)
)
# print rest of col names when they were stripped
if (ncol(x) < ncol(x.bak)) {
x.notshown <- x.bak %>% select((ncol(x) + 1):ncol(x.bak))
if (ncol(x.notshown) == 1) {
cat('...and 1 more column: ')
} else {
cat('...and', ncol(x.notshown), 'more columns: ')
}
cat(x.notshown %>%
colnames() %>%
paste0(' ', ansi_gray, classes[(ncol(x) + 1):ncol(x.bak)], ansi_reset) %>%
paste0(collapse = ", "), '\n')
}
}
-499
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@@ -1,499 +0,0 @@
# ==================================================================== #
# TITLE #
# Antimicrobial Resistance (AMR) Analysis #
# #
# AUTHORS #
# Berends MS (m.s.berends@umcg.nl), Luz CF (c.f.luz@umcg.nl) #
# #
# LICENCE #
# This program is free software; you can redistribute it and/or modify #
# it under the terms of the GNU General Public License version 2.0, #
# as published by the Free Software Foundation. #
# #
# This program is distributed in the hope that it will be useful, #
# but WITHOUT ANY WARRANTY; without even the implied warranty of #
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the #
# GNU General Public License for more details. #
# ==================================================================== #
#' Resistance of isolates
#'
#' This functions can be used to calculate the (co-)resistance of isolates (i.e. percentage S, SI, I, IR or R [of a vector] of isolates). The functions \code{rsi} and \code{n_rsi} can be used in \code{dplyr}s \code{\link[dplyr]{summarise}} and support grouped variables, see \emph{Examples}.
#' @param tbl \code{data.frame} containing columns with antibiotic interpretations.
#' @param ab character vector with 1, 2 or 3 antibiotics that occur as column names in \code{tbl}, like \code{ab = c("amox", "amcl")}
#' @param ab1,ab2 vector of antibiotic interpretations, they will be transformed internally with \code{\link{as.rsi}}
#' @param interpretation antimicrobial interpretation of which the portion must be calculated. Valid values are \code{"S"}, \code{"SI"}, \code{"I"}, \code{"IR"} or \code{"R"}.
#' @param minimum minimal amount of available isolates. Any number lower than \code{minimum} will return \code{NA} with a warning (when \code{warning = TRUE}).
#' @param as_percent return output as percent (text), will else (at default) be a double
#' @param info calculate the amount of available isolates and print it, like \code{n = 423}
#' @param warning show a warning when the available amount of isolates is below \code{minimum}
#' @details Remember that you should filter your table to let it contain \strong{only first isolates}!
#' \if{html}{
#' \cr \cr
#' To calculate the probability (\emph{p}) of susceptibility of one antibiotic, we use this formula:
#' \out{<div style="text-align: center">}\figure{mono_therapy.png}\out{</div>}
#' To calculate the probability (\emph{p}) of susceptibility of more antibiotics (i.e. combination therapy), we need to check whether one of them has a susceptible result (as numerator) and count all cases where all antibiotics were tested (as denominator). \cr
#' For two antibiotics:
#' \out{<div style="text-align: center">}\figure{combi_therapy_2.png}\out{</div>}
#' \cr
#' For three antibiotics:
#' \out{<div style="text-align: center">}\figure{combi_therapy_3.png}\out{</div>}
#' }
#' @keywords rsi antibiotics isolate isolates
#' @return Double or, when \code{as_percent = TRUE}, a character.
#' @rdname rsi
#' @export
#' @importFrom dplyr %>% n_distinct filter filter_at pull vars all_vars any_vars
#' @examples
#' library(dplyr)
#'
#' septic_patients %>%
#' group_by(hospital_id) %>%
#' summarise(cipro_susceptibility = rsi(cipr, interpretation = "S"),
#' n = n_rsi(cipr)) # n_rsi works like n_distinct in dplyr
#'
#' septic_patients %>%
#' group_by(hospital_id) %>%
#' summarise(cipro_S = rsi(cipr, interpretation = "S",
#' as_percent = TRUE, warning = FALSE),
#' cipro_n = n_rsi(cipr),
#' genta_S = rsi(gent, interpretation = "S",
#' as_percent = TRUE, warning = FALSE),
#' genta_n = n_rsi(gent),
#' combination_S = rsi(cipr, gent, interpretation = "S",
#' as_percent = TRUE, warning = FALSE),
#' combination_n = n_rsi(cipr, gent))
#'
#' # calculate resistance
#' rsi(septic_patients$amox)
#' # or susceptibility
#' rsi(septic_patients$amox, interpretation = "S")
#'
#' # calculate co-resistance between amoxicillin/clav acid and gentamicin,
#' # so we can review that combination therapy does a lot more than mono therapy:
#' septic_patients %>% rsi_df(ab = "amcl", interpretation = "S") # = 67.8%
#' septic_patients %>% rsi_df(ab = "gent", interpretation = "S") # = 69.1%
#' septic_patients %>% rsi_df(ab = c("amcl", "gent"), interpretation = "S") # = 90.6%
#'
#' \dontrun{
#' # calculate current empiric combination therapy of Helicobacter gastritis:
#' my_table %>%
#' filter(first_isolate == TRUE,
#' genus == "Helicobacter") %>%
#' rsi_df(ab = c("amox", "metr")) # amoxicillin with metronidazole
#' }
rsi <- function(ab1,
ab2 = NA,
interpretation = 'IR',
minimum = 30,
as_percent = FALSE,
info = FALSE,
warning = TRUE) {
ab1.name <- deparse(substitute(ab1))
if (ab1.name %like% '.[$].') {
ab1.name <- unlist(strsplit(ab1.name, "$", fixed = TRUE))
ab1.name <- ab1.name[length(ab1.name)]
}
if (!ab1.name %like% '^[a-z]{3,4}$') {
ab1.name <- 'rsi1'
}
if (length(ab1) == 1 & is.character(ab1)) {
stop('`ab1` must be a vector of antibiotic interpretations.',
'\n Try rsi(', ab1, ', ...) instead of rsi("', ab1, '", ...)', call. = FALSE)
}
ab2.name <- deparse(substitute(ab2))
if (ab2.name %like% '.[$].') {
ab2.name <- unlist(strsplit(ab2.name, "$", fixed = TRUE))
ab2.name <- ab2.name[length(ab2.name)]
}
if (!ab2.name %like% '^[a-z]{3,4}$') {
ab2.name <- 'rsi2'
}
if (length(ab2) == 1 & is.character(ab2)) {
stop('`ab2` must be a vector of antibiotic interpretations.',
'\n Try rsi(', ab2, ', ...) instead of rsi("', ab2, '", ...)', call. = FALSE)
}
interpretation <- paste(interpretation, collapse = "")
ab1 <- as.rsi(ab1)
ab2 <- as.rsi(ab2)
tbl <- tibble(rsi1 = ab1, rsi2 = ab2)
colnames(tbl) <- c(ab1.name, ab2.name)
if (length(ab2) == 1) {
r <- rsi_df(tbl = tbl,
ab = ab1.name,
interpretation = interpretation,
minimum = minimum,
as_percent = FALSE,
info = info,
warning = warning)
} else {
if (length(ab1) != length(ab2)) {
stop('`ab1` (n = ', length(ab1), ') and `ab2` (n = ', length(ab2), ') must be of same length.', call. = FALSE)
}
if (!interpretation %in% c('S', 'IS', 'SI')) {
warning('`interpretation` not set to S or I/S, albeit analysing a combination therapy.', call. = FALSE)
}
r <- rsi_df(tbl = tbl,
ab = c(ab1.name, ab2.name),
interpretation = interpretation,
minimum = minimum,
as_percent = FALSE,
info = info,
warning = warning)
}
if (as_percent == TRUE) {
percent(r, force_zero = TRUE)
} else {
r
}
}
#' @export
#' @rdname rsi
rsi_df <- function(tbl,
ab,
interpretation = 'IR',
minimum = 30,
as_percent = FALSE,
info = TRUE,
warning = TRUE) {
# in case tbl$interpretation already exists:
interpretations_to_check <- paste(interpretation, collapse = "")
# validate:
if (min(grepl('^[a-z]{3,4}$', ab)) == 0 &
min(grepl('^rsi[1-2]$', ab)) == 0) {
for (i in 1:length(ab)) {
ab[i] <- paste0('rsi', i)
}
}
if (!grepl('^(S|SI|IS|I|IR|RI|R){1}$', interpretations_to_check)) {
stop('Invalid `interpretation`; must be "S", "SI", "I", "IR", or "R".')
}
if ('is_ic' %in% colnames(tbl)) {
if (n_distinct(tbl$is_ic) > 1 & warning == TRUE) {
warning('Dataset contains isolates from the Intensive Care. Exclude them from proper epidemiological analysis.')
}
}
# transform when checking for different results
if (interpretations_to_check %in% c('SI', 'IS')) {
for (i in 1:length(ab)) {
lijst <- tbl[, ab[i]]
if ('I' %in% lijst) {
tbl[which(tbl[ab[i]] == 'I'), ][ab[i]] <- 'S'
}
}
interpretations_to_check <- 'S'
}
if (interpretations_to_check %in% c('RI', 'IR')) {
for (i in 1:length(ab)) {
lijst <- tbl[, ab[i]]
if ('I' %in% lijst) {
tbl[which(tbl[ab[i]] == 'I'), ][ab[i]] <- 'R'
}
}
interpretations_to_check <- 'R'
}
# get fraction
if (length(ab) == 1) {
numerator <- tbl %>%
filter(pull(., ab[1]) == interpretations_to_check) %>%
nrow()
denominator <- tbl %>%
filter(pull(., ab[1]) %in% c("S", "I", "R")) %>%
nrow()
} else if (length(ab) == 2) {
if (interpretations_to_check != 'S') {
warning('`interpretation` not set to S or I/S, albeit analysing a combination therapy.', call. = FALSE)
}
numerator <- tbl %>%
filter_at(vars(ab[1], ab[2]),
any_vars(. == interpretations_to_check)) %>%
filter_at(vars(ab[1], ab[2]),
all_vars(. %in% c("S", "R", "I"))) %>%
nrow()
denominator <- tbl %>%
filter_at(vars(ab[1], ab[2]),
all_vars(. %in% c("S", "R", "I"))) %>%
nrow()
} else if (length(ab) == 3) {
if (interpretations_to_check != 'S') {
warning('`interpretation` not set to S or I/S, albeit analysing a combination therapy.', call. = FALSE)
}
numerator <- tbl %>%
filter_at(vars(ab[1], ab[2], ab[3]),
any_vars(. == interpretations_to_check)) %>%
filter_at(vars(ab[1], ab[2], ab[3]),
all_vars(. %in% c("S", "R", "I"))) %>%
nrow()
denominator <- tbl %>%
filter_at(vars(ab[1], ab[2], ab[3]),
all_vars(. %in% c("S", "R", "I"))) %>%
nrow()
} else {
stop('Maximum of 3 drugs allowed.')
}
# build text part
if (info == TRUE) {
cat('n =', denominator)
info.txt1 <- percent(denominator / nrow(tbl))
if (denominator == 0) {
info.txt1 <- 'none'
}
info.txt2 <- gsub(',', ' and',
ab %>%
abname(tolower = TRUE) %>%
toString(), fixed = TRUE)
info.txt2 <- gsub('rsi1 and rsi2', 'these two drugs', info.txt2, fixed = TRUE)
info.txt2 <- gsub('rsi1', 'this drug', info.txt2, fixed = TRUE)
cat(paste0(' (of ', nrow(tbl), ' in total; ', info.txt1, ' tested on ', info.txt2, ')\n'))
}
# calculate and format
y <- numerator / denominator
if (as_percent == TRUE) {
y <- percent(y, force_zero = TRUE)
}
if (denominator < minimum) {
if (warning == TRUE) {
warning(paste0('TOO FEW ISOLATES OF ', toString(ab), ' (n = ', denominator, ', n < ', minimum, '); NO RESULT.'))
}
y <- NA
}
# output
y
}
#' @export
#' @rdname rsi
n_rsi <- function(ab1, ab2 = NA) {
if (length(ab1) == 1 & is.character(ab1)) {
stop('`ab1` must be a vector of antibiotic interpretations.',
'\n Try n_rsi(', ab1, ', ...) instead of n_rsi("', ab1, '", ...)', call. = FALSE)
}
ab1 <- as.rsi(ab1)
if (length(ab2) == 1 & all(is.na(ab2))) {
# only 1 antibiotic
length(ab1[!is.na(ab1)])
} else {
if (length(ab2) == 1 & is.character(ab2)) {
stop('`ab2` must be a vector of antibiotic interpretations.',
'\n Try n_rsi(', ab2, ', ...) instead of n_rsi("', ab2, '", ...)', call. = FALSE)
}
ab2 <- as.rsi(ab2)
tbl <- tibble(ab1, ab2)
tbl %>% filter(!is.na(ab1) & !is.na(ab2)) %>% nrow()
}
}
#' Predict antimicrobial resistance
#'
#' Create a prediction model to predict antimicrobial resistance for the next years on statistical solid ground. Standard errors (SE) will be returned as columns \code{se_min} and \code{se_max}. See Examples for a real live example.
#' @param tbl table that contains columns \code{col_ab} and \code{col_date}
#' @param col_ab column name of \code{tbl} with antimicrobial interpretations (\code{R}, \code{I} and \code{S}), supports tidyverse-like quotation
#' @param col_date column name of the date, will be used to calculate years if this column doesn't consist of years already, supports tidyverse-like quotation
#' @param year_max highest year to use in the prediction model, deafults to 15 years after today
#' @param year_every unit of sequence between lowest year found in the data and \code{year_max}
#' @param model the statistical model of choice. Valid values are \code{"binomial"} (or \code{"binom"} or \code{"logit"}) or \code{"loglin"} or \code{"linear"} (or \code{"lin"}).
#' @param I_as_R treat \code{I} as \code{R}
#' @param preserve_measurements overwrite predictions of years that are actually available in the data, with the original data. The standard errors of those years will be \code{NA}.
#' @param info print textual analysis with the name and \code{\link{summary}} of the model.
#' @return \code{data.frame} with columns \code{year}, \code{probR}, \code{se_min} and \code{se_max}.
#' @seealso \code{\link{lm}} \cr \code{\link{glm}}
#' @export
#' @importFrom dplyr %>% pull mutate group_by_at summarise filter
#' @importFrom reshape2 dcast
#' @examples
#' \dontrun{
#' # use it directly:
#' rsi_predict(tbl = tbl[which(first_isolate == TRUE & genus == "Haemophilus"),],
#' col_ab = "amcl", col_date = "date")
#'
#' # or with dplyr so you can actually read it:
#' library(dplyr)
#' tbl %>%
#' filter(first_isolate == TRUE,
#' genus == "Haemophilus") %>%
#' rsi_predict(amcl, date)
#' }
#'
#'
#' # real live example:
#' library(dplyr)
#' septic_patients %>%
#' # get bacteria properties like genus and species
#' left_join_microorganisms("bactid") %>%
#' # calculate first isolates
#' mutate(first_isolate =
#' first_isolate(.,
#' "date",
#' "patient_id",
#' "bactid",
#' col_specimen = NA,
#' col_icu = NA)) %>%
#' # filter on first E. coli isolates
#' filter(genus == "Escherichia",
#' species == "coli",
#' first_isolate == TRUE) %>%
#' # predict resistance of cefotaxime for next years
#' rsi_predict(col_ab = "cfot",
#' col_date = "date",
#' year_max = 2025,
#' preserve_measurements = FALSE)
#'
rsi_predict <- function(tbl,
col_ab,
col_date,
year_max = as.integer(format(as.Date(Sys.Date()), '%Y')) + 15,
year_every = 1,
model = 'binomial',
I_as_R = TRUE,
preserve_measurements = TRUE,
info = TRUE) {
if (nrow(tbl) == 0) {
stop('This table does not contain any observations.')
}
if (!col_ab %in% colnames(tbl)) {
stop('Column ', col_ab, ' not found.')
}
if (!col_date %in% colnames(tbl)) {
stop('Column ', col_date, ' not found.')
}
if ('grouped_df' %in% class(tbl)) {
# no grouped tibbles please, mutate will throw errors
tbl <- base::as.data.frame(tbl, stringsAsFactors = FALSE)
}
if (I_as_R == TRUE) {
tbl[, col_ab] <- gsub('I', 'R', tbl %>% pull(col_ab))
}
if (!all(tbl %>% pull(col_ab) %>% as.rsi() %in% c(NA, 'S', 'I', 'R'))) {
stop('Column ', col_ab, ' must contain antimicrobial interpretations (S, I, R).')
}
year <- function(x) {
if (all(grepl('^[0-9]{4}$', x))) {
x
} else {
as.integer(format(as.Date(x), '%Y'))
}
}
years_predict <- seq(from = min(year(tbl %>% pull(col_date))), to = year_max, by = year_every)
df <- tbl %>%
mutate(year = year(tbl %>% pull(col_date))) %>%
group_by_at(c('year', col_ab)) %>%
summarise(n())
colnames(df) <- c('year', 'antibiotic', 'count')
df <- df %>%
reshape2::dcast(year ~ antibiotic, value.var = 'count')
if (model %in% c('binomial', 'binom', 'logit')) {
logitmodel <- with(df, glm(cbind(R, S) ~ year, family = binomial))
if (info == TRUE) {
cat('\nLogistic regression model (logit) with binomial distribution')
cat('\n------------------------------------------------------------\n')
print(summary(logitmodel))
}
predictmodel <- stats::predict(logitmodel, newdata = with(df, list(year = years_predict)), type = "response", se.fit = TRUE)
prediction <- predictmodel$fit
se <- predictmodel$se.fit
} else if (model == 'loglin') {
loglinmodel <- with(df, glm(R ~ year, family = poisson))
if (info == TRUE) {
cat('\nLog-linear regression model (loglin) with poisson distribution')
cat('\n--------------------------------------------------------------\n')
print(summary(loglinmodel))
}
predictmodel <- stats::predict(loglinmodel, newdata = with(df, list(year = years_predict)), type = "response", se.fit = TRUE)
prediction <- predictmodel$fit
se <- predictmodel$se.fit
} else if (model %in% c('lin', 'linear')) {
linmodel <- with(df, lm((R / (R + S)) ~ year))
if (info == TRUE) {
cat('\nLinear regression model')
cat('\n-----------------------\n')
print(summary(linmodel))
}
predictmodel <- stats::predict(linmodel, newdata = with(df, list(year = years_predict)), se.fit = TRUE)
prediction <- predictmodel$fit
se <- predictmodel$se.fit
} else {
stop('No valid model selected.')
}
# prepare the output dataframe
prediction <- data.frame(year = years_predict, probR = prediction, stringsAsFactors = FALSE)
prediction$se_min <- prediction$probR - se
prediction$se_max <- prediction$probR + se
if (model == 'loglin') {
prediction$probR <- prediction$probR %>%
format(scientific = FALSE) %>%
as.integer()
prediction$se_min <- prediction$se_min %>% as.integer()
prediction$se_max <- prediction$se_max %>% as.integer()
colnames(prediction) <- c('year', 'amountR', 'se_max', 'se_min')
} else {
prediction$se_max[which(prediction$se_max > 1)] <- 1
}
prediction$se_min[which(prediction$se_min < 0)] <- 0
total <- prediction
if (preserve_measurements == TRUE) {
# geschatte data vervangen door gemeten data
if (I_as_R == TRUE) {
if (!'I' %in% colnames(df)) {
df$I <- 0
}
df$probR <- df$R / rowSums(df[, c('R', 'S', 'I')])
} else {
df$probR <- df$R / rowSums(df[, c('R', 'S')])
}
measurements <- data.frame(year = df$year,
probR = df$probR,
se_min = NA,
se_max = NA,
stringsAsFactors = FALSE)
colnames(measurements) <- colnames(prediction)
prediction <- prediction %>% filter(!year %in% df$year)
total <- rbind(measurements, prediction)
}
total
}
-3
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@@ -1,3 +0,0 @@
.onLoad <- function(libname, pkgname) {
backports::import(pkgname)
}
Regular → Executable
+180 -270
View File
@@ -1,316 +1,226 @@
# `AMR`
### An [R package](https://www.r-project.org) to simplify the analysis and prediction of Antimicrobial Resistance (AMR).
[![logo_rug](man/figures/logo_rug.png)](https://www.rug.nl)[![logo_umcg](man/figures/logo_umcg.png)](https://www.umcg.nl) The `AMR` package for R is a powerful tool for antimicrobial resistance (AMR) analysis. It provides extensive features for handling microbial and antimicrobial data. However, for those who work primarily in Python, we now have a more intuitive option available: the [`AMR` Python package](https://pypi.org/project/AMR/).
This R package was created for academic research by PhD students of the Faculty of Medical Sciences of the [University of Groningen)](https://www.rug.nl) and the Medical Microbiology & Infection Prevention (MMBI) department of the [University Medical Center Groningen (UMCG)](https://www.umcg.nl). See [Authors](#authors). This Python package is a wrapper around the `AMR` R package. It uses the `rpy2` package internally. Despite the need to have R installed, Python users can now easily work with AMR data directly through Python code.
## Why this package? # Prerequisites
This R package contains functions to make **microbiological, epidemiological data analysis easier**. It allows the use of some new classes to work with MIC values and antimicrobial interpretations (i.e. values S, I and R).
With `AMR` you can also: This package was only tested with a [virtual environment (venv)](https://docs.python.org/3/library/venv.html). You can set up such an environment by running:
* Create frequency tables with the `freq` function
* Conduct AMR analysis with the `rsi` function, that can also be used with the `dplyr` package (e.g. in conjunction with `summarise`) to calculate the resistance percentages (and even co-resistance) of different antibiotic columns of a table
* Predict antimicrobial resistance for the nextcoming years with the `rsi_predict` function
* Apply [EUCAST rules to isolates](http://www.eucast.org/expert_rules_and_intrinsic_resistance/) with the `EUCAST_rules` function
* Identify first isolates of every patient [using guidelines from the CLSI](https://clsi.org/standards/products/microbiology/documents/m39/) (Clinical and Laboratory Standards Institute) with the `first_isolate` function
* Translate antibiotic codes from the lab (like `"AMOX"`) or the [WHO](https://www.whocc.no/atc_ddd_index/?code=J01CA04&showdescription=no) (like `"J01CA04"`) to trivial names (like `"amoxicillin"`) with the `abname` function
With the `MDRO` function (abbreviation of Multi Drug Resistant Organisms), you can check your isolates for exceptional resistance with country-specific guidelines or EUCAST rules. Currently guidelines for Germany and the Netherlands are supported. Please suggest addition of your own country here: [https://github.com/msberends/AMR/issues/new](https://github.com/msberends/AMR/issues/new?title=New%20guideline%20for%20MDRO&body=%3C--%20Please%20add%20your%20country%20code,%20guideline%20name,%20version%20and%20source%20below%20and%20remove%20this%20line--%3E). ```python
# linux and macOS:
python -m venv /path/to/new/virtual/environment
This package contains an example data set `septic_patients`, consisting of 2000 isolates from anonymised septic patients between 2001 and 2017. # Windows:
python -m venv C:\path\to\new\virtual\environment
## How to get it?
This package is available on CRAN and also here on GitHub.
### From CRAN (recommended)
[![CRAN_Badge](https://img.shields.io/cran/v/AMR.svg?label=CRAN&colorB=3679BC)](http://cran.r-project.org/package=AMR)
[![CRAN_Downloads](https://cranlogs.r-pkg.org/badges/grand-total/AMR)](http://cran.r-project.org/package=AMR)
[![CRAN_Downloads](https://cranlogs.r-pkg.org/badges/AMR)](http://cran.r-project.org/package=AMR)
- <img src="http://www.rstudio.com/favicon.ico" alt="RStudio favicon" height="20px"> In [RStudio](http://www.rstudio.com) (recommended):
- Click on `Tools` and then `Install Packages...`
- Type in `AMR` and press <kbd>Install</kbd>
- <img src="https://cran.r-project.org/favicon.ico" alt="R favicon" height="20px"> In R directly:
- `install.packages("AMR")`
- <img src="https://exploratory.io/favicon.ico" alt="Exploratory favicon" height="20px"> In [Exploratory.io](https://exploratory.io):
- (Exploratory.io costs $40/month but the somewhat limited Community Plan is free for students and teachers, [click here to enroll](https://exploratory.io/plan?plan=Community))
- Start the software and log in
- Click on your username at the right hand side top
- Click on `R Packages`
- Click on the `Install` tab
- Type in `AMR` and press <kbd>Install</kbd>
- Once it’s installed it will show up in the `User Packages` section under the `Packages` tab.
### From GitHub (latest development version)
[![Travis_Build](https://travis-ci.org/msberends/AMR.svg?branch=master)](https://travis-ci.org/msberends/AMR)
[![Since_Release](https://img.shields.io/github/commits-since/msberends/AMR/latest.svg?colorB=3679BC)](https://github.com/msberends/AMR/commits/master)
[![Last_Commit](https://img.shields.io/github/last-commit/msberends/AMR.svg)](https://github.com/msberends/AMR/commits/master)
[![Code_Coverage](https://codecov.io/gh/msberends/AMR/branch/master/graph/badge.svg)](https://codecov.io/gh/msberends/AMR)
```r
install.packages("devtools")
devtools::install_github("msberends/AMR")
``` ```
## How to use it? Then you can [activate the environment](https://docs.python.org/3/library/venv.html#how-venvs-work), after which the venv is ready to work with.
```r
# Call it with:
library(AMR)
# For a list of functions: # Install AMR
help(package = "AMR")
```
### Overwrite/force resistance based on EUCAST rules
This is also called *interpretive reading*.
```r
before <- data.frame(bactid = c("STAAUR", # Staphylococcus aureus
"ENCFAE", # Enterococcus faecalis
"ESCCOL", # Escherichia coli
"KLEPNE", # Klebsiella pneumoniae
"PSEAER"), # Pseudomonas aeruginosa
vanc = "-", # Vancomycin
amox = "-", # Amoxicillin
coli = "-", # Colistin
cfta = "-", # Ceftazidime
cfur = "-", # Cefuroxime
stringsAsFactors = FALSE)
before
# bactid vanc amox coli cfta cfur
# 1 STAAUR - - - - -
# 2 ENCFAE - - - - -
# 3 ESCCOL - - - - -
# 4 KLEPNE - - - - -
# 5 PSEAER - - - - -
# Now apply those rules; just need a column with bacteria ID's and antibiotic results: 1. Since the Python package is available on the official [Python Package Index](https://pypi.org/project/AMR/), you can just run:
after <- EUCAST_rules(before)
after ```bash
# bactid vanc amox coli cfta cfur pip install AMR
# 1 STAAUR - - R R -
# 2 ENCFAE - - R R R
# 3 ESCCOL R - - - -
# 4 KLEPNE R R - - -
# 5 PSEAER R R - - R
``` ```
### Frequency tables 2. Make sure you have R installed. There is **no need to install the `AMR` R package**, as it will be installed automatically.
Base R lacks a simple function to create frequency tables. We created such a function that works with almost all data types: `freq` (or `frequency_tbl`).
```r
## Factors sort on item by default:
freq(septic_patients$hospital_id) For Linux:
# Class: factor
# Length: 2000 (of which NA: 0 = 0.0%)
# Unique: 5
#
# Item Count Percent Cum. Count Cum. Percent (Factor Level)
# ----- ------ -------- ----------- ------------- ---------------
# A 233 11.7% 233 11.7% 1
# B 583 29.1% 816 40.8% 2
# C 221 11.1% 1037 51.8% 3
# D 650 32.5% 1687 84.4% 4
# E 313 15.7% 2000 100.0% 5
```bash
## This can be changed with the `sort.count` parameter: # Ubuntu / Debian
sudo apt install r-base
freq(septic_patients$hospital_id, sort.count = TRUE) # Fedora:
# Class: factor sudo dnf install R
# Length: 2000 (of which NA: 0 = 0.0%) # CentOS/RHEL
# Unique: 5 sudo yum install R
#
# Item Count Percent Cum. Count Cum. Percent (Factor Level)
# ----- ------ -------- ----------- ------------- ---------------
# D 650 32.5% 650 32.5% 4
# B 583 29.1% 1233 61.7% 2
# E 313 15.7% 1546 77.3% 5
# A 233 11.7% 1779 88.9% 1
# C 221 11.1% 2000 100.0% 3
## Other types, like numbers or dates, sort on count by default:
> freq(septic_patients$date)
# Class: Date
# Length: 2000 (of which NA: 0 = 0.0%)
# Unique: 1662
#
# Oldest: 2 January 2001
# Newest: 18 October 2017 (+6133)
#
# Item Count Percent Cum. Count Cum. Percent
# ----------- ------ -------- ----------- -------------
# 2008-12-24 5 0.2% 5 0.2%
# 2010-12-10 4 0.2% 9 0.4%
# 2011-03-03 4 0.2% 13 0.6%
# 2013-06-24 4 0.2% 17 0.8%
# 2017-09-01 4 0.2% 21 1.1%
# 2002-09-02 3 0.2% 24 1.2%
# 2003-10-14 3 0.2% 27 1.4%
# 2004-06-25 3 0.2% 30 1.5%
# 2004-06-27 3 0.2% 33 1.7%
# 2004-10-29 3 0.2% 36 1.8%
# 2005-09-27 3 0.2% 39 2.0%
# 2006-08-01 3 0.2% 42 2.1%
# 2006-10-10 3 0.2% 45 2.2%
# 2007-11-16 3 0.2% 48 2.4%
# 2008-03-09 3 0.2% 51 2.5%
# ... and 1647 more (n = 1949; 97.5%). Use `nmax` to show more rows.
## For numeric values, some extra descriptive statistics will be calculated:
> freq(runif(n = 10, min = 1, max = 5))
# Class: numeric
# Length: 10 (of which NA: 0 = 0.0%)
# Unique: 10
#
# Mean: 3
# Std. dev.: 0.93 (CV: 0.31)
# Five-Num: 1.1 | 2.3 | 3.1 | 3.8 | 4.0 (CQV: 0.25)
# Outliers: 0
#
# Item Count Percent Cum. Count Cum. Percent
# --------- ------ -------- ----------- -------------
# 1.132033 1 10.0% 1 10.0%
# 2.226903 1 10.0% 2 20.0%
# 2.280779 1 10.0% 3 30.0%
# 2.640898 1 10.0% 4 40.0%
# 2.913462 1 10.0% 5 50.0%
# 3.364201 1 10.0% 6 60.0%
# 3.771975 1 10.0% 7 70.0%
# 3.802861 1 10.0% 8 80.0%
# 3.803547 1 10.0% 9 90.0%
# 3.985691 1 10.0% 10 100.0%
#
# Warning message:
# All observations are unique.
```
Learn more about this function with:
```r
?freq
``` ```
### New classes For macOS (using [Homebrew](https://brew.sh)):
This package contains two new S3 classes: `mic` for MIC values (e.g. from Vitek or Phoenix) and `rsi` for antimicrobial drug interpretations (i.e. S, I and R). Both are actually ordered factors under the hood (an MIC of `2` being higher than `<=1` but lower than `>=32`, and for class `rsi` factors are ordered as `S < I < R`).
Both classes have extensions for existing generic functions like `print`, `summary` and `plot`.
```r ```bash
# Transform values to new classes brew install r
mic_data <- as.mic(c(">=32", "1.0", "8", "<=0.128", "8", "16", "16"))
rsi_data <- as.rsi(c(rep("S", 474), rep("I", 36), rep("R", 370)))
```
These functions also try to coerce valid values.
Quick overviews when just printing objects:
```r
mic_data
# Class 'mic': 7 isolates
#
# <NA> 0
#
# <=0.128 1 8 16 >=32
# 1 1 2 2 1
rsi_data
# Class 'rsi': 880 isolates
#
# <NA>: 0
# Sum of S: 474
# Sum of IR: 406
# - Sum of R: 370
# - Sum of I: 36
#
# %S %IR %I %R
# 53.9 46.1 4.1 42.0
``` ```
A plot of `rsi_data`: For Windows, visit the [CRAN download page](https://cran.r-project.org) to download and install R.
```r
plot(rsi_data) # Examples of Usage
## Cleaning Taxonomy
Here’s an example that demonstrates how to clean microorganism and drug names using the `AMR` Python package:
```python
import pandas as pd
import AMR
# Sample data
data = {
"MOs": ['E. coli', 'ESCCOL', 'esco', 'Esche coli'],
"Drug": ['Cipro', 'CIP', 'J01MA02', 'Ciproxin']
}
df = pd.DataFrame(data)
# Use AMR functions to clean microorganism and drug names
df['MO_clean'] = AMR.mo_name(df['MOs'])
df['Drug_clean'] = AMR.ab_name(df['Drug'])
# Display the results
print(df)
``` ```
![example1](man/figures/rsi_example.png) | MOs | Drug | MO_clean | Drug_clean |
|-------------|-----------|--------------------|---------------|
| E. coli | Cipro | Escherichia coli | Ciprofloxacin |
| ESCCOL | CIP | Escherichia coli | Ciprofloxacin |
| esco | J01MA02 | Escherichia coli | Ciprofloxacin |
| Esche coli | Ciproxin | Escherichia coli | Ciprofloxacin |
A plot of `mic_data` (defaults to bar plot): ### Explanation
```r
plot(mic_data) * **mo_name:** This function standardises microorganism names. Here, different variations of *Escherichia coli* (such as "E. coli", "ESCCOL", "esco", and "Esche coli") are all converted into the correct, standardised form, "Escherichia coli".
* **ab_name**: Similarly, this function standardises antimicrobial names. The different representations of ciprofloxacin (e.g., "Cipro", "CIP", "J01MA02", and "Ciproxin") are all converted to the standard name, "Ciprofloxacin".
## Calculating AMR
```python
import AMR
import pandas as pd
df = AMR.example_isolates
result = AMR.resistance(df["AMX"])
print(result)
``` ```
![example2](man/figures/mic_example.png) ```
[0.59555556]
Other epidemiological functions:
```r
# Determine key antibiotic based on bacteria ID
key_antibiotics(...)
# Selection of first isolates of any patient
first_isolate(...)
# Calculate resistance levels of antibiotics, can be used with `summarise` (dplyr)
rsi(...)
# Predict resistance levels of antibiotics
rsi_predict(...)
# Get name of antibiotic by ATC code
abname(...)
abname("J01CR02", from = "atc", to = "umcg") # "AMCL"
``` ```
### Databases included in package ## Generating Antibiograms
Datasets to work with antibiotics and bacteria properties.
```r
# Dataset with 2000 random blood culture isolates from anonymised
# septic patients between 2001 and 2017 in 5 Dutch hospitals
septic_patients # A tibble: 4,000 x 47
# Dataset with ATC antibiotics codes, official names, trade names One of the core functions of the `AMR` package is generating an antibiogram, a table that summarises the antimicrobial susceptibility of bacterial isolates. Here’s how you can generate an antibiogram from Python:
# and DDD's (oral and parenteral)
antibiotics # A tibble: 420 x 18
# Dataset with bacteria codes and properties like gram stain and ```python
# aerobic/anaerobic result2a = AMR.antibiogram(df[["mo", "AMX", "CIP", "TZP"]])
microorganisms # A tibble: 2,453 x 12 print(result2a)
``` ```
| Pathogen | Amoxicillin | Ciprofloxacin | Piperacillin/tazobactam |
|-----------------|-----------------|-----------------|--------------------------|
| CoNS | 7% (10/142) | 73% (183/252) | 30% (10/33) |
| E. coli | 50% (196/392) | 88% (399/456) | 94% (393/416) |
| K. pneumoniae | 0% (0/58) | 96% (53/55) | 89% (47/53) |
| P. aeruginosa | 0% (0/30) | 100% (30/30) | None |
| P. mirabilis | None | 94% (34/36) | None |
| S. aureus | 6% (8/131) | 90% (171/191) | None |
| S. epidermidis | 1% (1/91) | 64% (87/136) | None |
| S. hominis | None | 80% (56/70) | None |
| S. pneumoniae | 100% (112/112) | None | 100% (112/112) |
## Authors
- [Berends MS](https://github.com/msberends)<sup>1,2</sup>, PhD Student ```python
- [Luz CF](https://github.com/ceefluz)<sup>1</sup>, PhD Student result2b = AMR.antibiogram(df[["mo", "AMX", "CIP", "TZP"]], mo_transform = "gramstain")
- [Hassing EEA](https://github.com/erwinhassing)<sup>2</sup>, Data Analyst (contributor) print(result2b)
```
<sup>1</sup> Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands | Pathogen | Amoxicillin | Ciprofloxacin | Piperacillin/tazobactam |
|----------------|-----------------|------------------|--------------------------|
| Gram-negative | 36% (226/631) | 91% (621/684) | 88% (565/641) |
| Gram-positive | 43% (305/703) | 77% (560/724) | 86% (296/345) |
<sup>2</sup> Certe Medical Diagnostics & Advice, Groningen, the Netherlands
[![logo_umcg](man/figures/logo_umcg.png)](https://www.umcg.nl)[![logo_certe](man/figures/logo_certe.png)](https://www.certe.nl)[![logo_eh1h](man/figures/logo_eh1h.png)](http://www.eurhealth-1health.eu)[![logo_interreg](man/figures/logo_interreg.png)](http://www.eurhealth-1health.eu) In this example, we generate an antibiogram by selecting various antibiotics.
## Copyright ## Taxonomic Data Sets Now in Python!
[![License](https://img.shields.io/github/license/msberends/AMR.svg?colorB=3679BC)](https://github.com/msberends/AMR/blob/master/LICENSE)
This R package is licensed under the [GNU General Public License (GPL) v2.0](https://github.com/msberends/AMR/blob/master/LICENSE). In a nutshell, this means that this package: As a Python user, you might like that the most important data sets of the `AMR` R package, `microorganisms`, `antimicrobials`, `clinical_breakpoints`, and `example_isolates`, are now available as regular Python data frames:
- May be used for commercial purposes ```python
AMR.microorganisms
```
- May be used for private purposes | mo | fullname | status | kingdom | gbif | gbif_parent | gbif_renamed_to | prevalence |
|--------------|------------------------------------|----------|----------|-----------|-------------|-----------------|------------|
| B_GRAMN | (unknown Gram-negatives) | unknown | Bacteria | None | None | None | 2.0 |
| B_GRAMP | (unknown Gram-positives) | unknown | Bacteria | None | None | None | 2.0 |
| B_ANAER-NEG | (unknown anaerobic Gram-negatives) | unknown | Bacteria | None | None | None | 2.0 |
| B_ANAER-POS | (unknown anaerobic Gram-positives) | unknown | Bacteria | None | None | None | 2.0 |
| B_ANAER | (unknown anaerobic bacteria) | unknown | Bacteria | None | None | None | 2.0 |
| ... | ... | ... | ... | ... | ... | ... | ... |
| B_ZYMMN_POMC | Zymomonas pomaceae | accepted | Bacteria | 10744418 | 3221412 | None | 2.0 |
| B_ZYMPH | Zymophilus | synonym | Bacteria | None | 9475166 | None | 2.0 |
| B_ZYMPH_PCVR | Zymophilus paucivorans | synonym | Bacteria | None | None | None | 2.0 |
| B_ZYMPH_RFFN | Zymophilus raffinosivorans | synonym | Bacteria | None | None | None | 2.0 |
| F_ZYZYG | Zyzygomyces | unknown | Fungi | None | 7581 | None | 2.0 |
- May **not** be used for patent purposes ```python
AMR.antimicrobials
```
- May be modified, although: | ab | cid | name | group | oral_ddd | oral_units | iv_ddd | iv_units |
|-----|-------------|----------------------|----------------------------|----------|------------|--------|----------|
| AMA | 4649.0 | 4-aminosalicylic acid| Antimycobacterials | 12.00 | g | NaN | None |
| ACM | 6450012.0 | Acetylmidecamycin | Macrolides/lincosamides | NaN | None | NaN | None |
| ASP | 49787020.0 | Acetylspiramycin | Macrolides/lincosamides | NaN | None | NaN | None |
| ALS | 8954.0 | Aldesulfone sodium | Other antibacterials | 0.33 | g | NaN | None |
| AMK | 37768.0 | Amikacin | Aminoglycosides | NaN | None | 1.0 | g |
| ... | ... | ... | ... | ... | ... | ... | ... |
| VIR | 11979535.0 | Virginiamycine | Other antibacterials | NaN | None | NaN | None |
| VOR | 71616.0 | Voriconazole | Antifungals/antimycotics | 0.40 | g | 0.4 | g |
| XBR | 72144.0 | Xibornol | Other antibacterials | NaN | None | NaN | None |
| ZID | 77846445.0 | Zidebactam | Other antibacterials | NaN | None | NaN | None |
| ZFD | NaN | Zoliflodacin | None | NaN | None | NaN | None |
- Modifications **must** be released under the same license when distributing the package
- Changes made to the code **must** be documented
- May be distributed, although: # Installation Channels
- Source code **must** be made available when the package is distributed ## Stable Release (CRAN)
- A copy of the license and copyright notice **must** be included with the package.
- Comes with a LIMITATION of liability The default `AMR` Python package uses the latest stable version of the `AMR` R package, published on CRAN. After running `pip install AMR`, import it as usual:
- Comes with NO warranty ```python
import AMR
AMR.example_isolates
```
## Development Version (GitHub)
To use the latest development version of the `AMR` R package (sourced directly from GitHub), import the `beta` sub-package and alias it as `AMR`:
```python
import AMR.beta as AMR
AMR.example_isolates
```
Aliasing with `as AMR` keeps all downstream code identical to the stable import. Switching between the stable release and the development version requires changing only the import line — nothing else in your script needs to change.
# SIR Classification with `as_sir()`
## Using `enforce_method`
The `as_sir()` function in R uses S3 method dispatch to select the correct calculation method based on the input class: `<mic>` for MIC values and `<disk>` for disk diffusion values. Because Python objects do not carry R class attributes through the `rpy2` bridge, this automatic dispatch may not resolve correctly.
To explicitly specify the input type, use the `enforce_method` argument:
```python
# Treat the column as MIC values — maps to R's as.sir.mic()
AMR.as_sir(df["MIC_col"], mo="E. coli", ab="AMX", guideline="EUCAST", enforce_method="mic")
# Treat the column as disk diffusion values — maps to R's as.sir.disk()
AMR.as_sir(df["disk_col"], mo="E. coli", ab="AMX", guideline="EUCAST", enforce_method="disk")
```
Without `enforce_method`, R falls back to class-based dispatch on the raw Python input, which may fail or return unexpected results. Always supply `enforce_method` when calling `as_sir()` from Python.
# Conclusion
With the `AMR` Python package, Python users can now effortlessly call R functions from the `AMR` R package. This eliminates the need for complex `rpy2` configurations and provides a clean, easy-to-use interface for antimicrobial resistance analysis. The examples provided above demonstrate how this can be applied to typical workflows, such as standardising microorganism and antimicrobial names or calculating resistance.
By just running `import AMR`, users can seamlessly integrate the robust features of the R `AMR` package into Python workflows.
Whether you're cleaning data or analysing resistance patterns, the `AMR` Python package makes it easy to work with AMR data in Python.
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/eucast.R
\name{EUCAST_rules}
\alias{EUCAST_rules}
\alias{interpretive_reading}
\title{EUCAST expert rules}
\source{
EUCAST Expert Rules Version 2.0: \cr
Leclercq et al. \strong{EUCAST expert rules in antimicrobial susceptibility testing.} \emph{Clin Microbiol Infect.} 2013;19(2):141-60. \cr
\url{https://doi.org/10.1111/j.1469-0691.2011.03703.x} \cr
\cr
EUCAST Expert Rules Version 3.1 (Intrinsic Resistance and Exceptional Phenotypes Tables): \cr
\url{http://www.eucast.org/fileadmin/src/media/PDFs/EUCAST_files/Expert_Rules/Expert_rules_intrinsic_exceptional_V3.1.pdf}
}
\usage{
EUCAST_rules(tbl, col_bactid = "bactid", info = TRUE, amcl = "amcl",
amik = "amik", amox = "amox", ampi = "ampi", azit = "azit",
aztr = "aztr", cefa = "cefa", cfra = "cfra", cfep = "cfep",
cfot = "cfot", cfox = "cfox", cfta = "cfta", cftr = "cftr",
cfur = "cfur", chlo = "chlo", cipr = "cipr", clar = "clar",
clin = "clin", clox = "clox", coli = "coli", czol = "czol",
dapt = "dapt", doxy = "doxy", erta = "erta", eryt = "eryt",
fosf = "fosf", fusi = "fusi", gent = "gent", imip = "imip",
kana = "kana", levo = "levo", linc = "linc", line = "line",
mero = "mero", mino = "mino", moxi = "moxi", nali = "nali",
neom = "neom", neti = "neti", nitr = "nitr", novo = "novo",
norf = "norf", oflo = "oflo", peni = "peni", pita = "pita",
poly = "poly", qida = "qida", rifa = "rifa", roxi = "roxi",
siso = "siso", teic = "teic", tetr = "tetr", tica = "tica",
tige = "tige", tobr = "tobr", trim = "trim", trsu = "trsu",
vanc = "vanc")
interpretive_reading(...)
}
\arguments{
\item{tbl}{table with antibiotic columns, like e.g. \code{amox} and \code{amcl}}
\item{col_bactid}{column name of the bacteria ID in \code{tbl} - values of this column should be present in \code{microorganisms$bactid}, see \code{\link{microorganisms}}}
\item{info}{print progress}
\item{amcl, amik, amox, ampi, azit, aztr, cefa, cfra, cfep, cfot, cfox, cfta, cftr, cfur, chlo, cipr, clar, clin, clox, coli, czol, dapt, doxy, erta, eryt, fosf, fusi, gent, imip, kana, levo, linc, line, mero, mino, moxi, nali, neom, neti, nitr, novo, norf, oflo, peni, pita, poly, qida, rifa, roxi, siso, teic, tetr, tica, tige, tobr, trim, trsu, vanc}{column names of antibiotics. Use \code{NA} to skip a column, like \code{tica = NA}. Non-existing column will be skipped.}
\item{...}{parameters that are passed on to \code{EUCAST_rules}}
}
\value{
table with edited variables of antibiotics.
}
\description{
Apply expert rules (like intrinsic resistance), as defined by the European Committee on Antimicrobial Susceptibility Testing (EUCAST, \url{http://eucast.org}), see \emph{Source}.
}
\examples{
a <- EUCAST_rules(septic_patients)
a <- data.frame(bactid = c("STAAUR", # Staphylococcus aureus
"ENCFAE", # Enterococcus faecalis
"ESCCOL", # Escherichia coli
"KLEPNE", # Klebsiella pneumoniae
"PSEAER"), # Pseudomonas aeruginosa
vanc = "-", # Vancomycin
amox = "-", # Amoxicillin
coli = "-", # Colistin
cfta = "-", # Ceftazidime
cfur = "-", # Cefuroxime
stringsAsFactors = FALSE)
a
b <- EUCAST_rules(a)
b
}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/mdro.R
\name{MDRO}
\alias{MDRO}
\alias{BRMO}
\alias{MRGN}
\alias{EUCAST_exceptional_phenotypes}
\title{Determine multidrug-resistant organisms (MDRO)}
\usage{
MDRO(tbl, country = NULL, col_bactid = "bactid", info = TRUE,
amcl = "amcl", amik = "amik", amox = "amox", ampi = "ampi",
azit = "azit", aztr = "aztr", cefa = "cefa", cfra = "cfra",
cfep = "cfep", cfot = "cfot", cfox = "cfox", cfta = "cfta",
cftr = "cftr", cfur = "cfur", chlo = "chlo", cipr = "cipr",
clar = "clar", clin = "clin", clox = "clox", coli = "coli",
czol = "czol", dapt = "dapt", doxy = "doxy", erta = "erta",
eryt = "eryt", fosf = "fosf", fusi = "fusi", gent = "gent",
imip = "imip", kana = "kana", levo = "levo", linc = "linc",
line = "line", mero = "mero", metr = "metr", mino = "mino",
moxi = "moxi", nali = "nali", neom = "neom", neti = "neti",
nitr = "nitr", novo = "novo", norf = "norf", oflo = "oflo",
peni = "peni", pita = "pita", poly = "poly", qida = "qida",
rifa = "rifa", roxi = "roxi", siso = "siso", teic = "teic",
tetr = "tetr", tica = "tica", tige = "tige", tobr = "tobr",
trim = "trim", trsu = "trsu", vanc = "vanc")
BRMO(tbl, country = "nl", ...)
MRGN(tbl, country = "de", ...)
EUCAST_exceptional_phenotypes(tbl, country = "EUCAST", ...)
}
\arguments{
\item{tbl}{table with antibiotic columns, like e.g. \code{amox} and \code{amcl}}
\item{country}{country code to determine guidelines. EUCAST rules will be used when left empty, see Details. Should be or a code from the \href{https://en.wikipedia.org/wiki/ISO_3166-1_alpha-2#Officially_assigned_code_elements}{list of ISO 3166-1 alpha-2 country codes}. Case-insensitive. Currently supported are \code{de} (Germany) and \code{nl} (the Netherlands).}
\item{col_bactid}{column name of the bacteria ID in \code{tbl} - values of this column should be present in \code{microorganisms$bactid}, see \code{\link{microorganisms}}}
\item{info}{print progress}
\item{amcl, amik, amox, ampi, azit, aztr, cefa, cfra, cfep, cfot, cfox, cfta, cftr, cfur, chlo, cipr, clar, clin, clox, coli, czol, dapt, doxy, erta, eryt, fosf, fusi, gent, imip, kana, levo, linc, line, mero, metr, mino, moxi, nali, neom, neti, nitr, novo, norf, oflo, peni, pita, poly, qida, rifa, roxi, siso, teic, tetr, tica, tige, tobr, trim, trsu, vanc}{column names of antibiotics. column names of antibiotics}
\item{...}{parameters that are passed on to methods}
}
\value{
Ordered factor with levels \code{Unknown < Negative < Unconfirmed < Positive}.
}
\description{
Determine which isolates are multidrug-resistant organisms (MDRO) according to country-specific guidelines.
}
\details{
When \code{country} will be left blank, guidelines will be taken from EUCAST Expert Rules Version 3.1 "Intrinsic Resistance and Exceptional Phenotypes Tables" (\url{http://www.eucast.org/fileadmin/src/media/PDFs/EUCAST_files/Expert_Rules/Expert_rules_intrinsic_exceptional_V3.1.pdf}).
}
\examples{
library(dplyr)
septic_patients \%>\%
mutate(EUCAST = MDRO(.),
BRMO = MDRO(., "nl"))
}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/atc.R
\name{abname}
\alias{abname}
\title{Name of an antibiotic}
\source{
\code{\link{antibiotics}}
}
\usage{
abname(abcode, from = c("guess", "atc", "molis", "umcg"), to = "official",
textbetween = " + ", tolower = FALSE)
}
\arguments{
\item{abcode}{a code or name, like \code{"AMOX"}, \code{"AMCL"} or \code{"J01CA04"}}
\item{from, to}{type to transform from and to. See \code{\link{antibiotics}} for its column names. WIth \code{from = "guess"} the from will be guessed from \code{"atc"}, \code{"molis"} and \code{"umcg"}.}
\item{textbetween}{text to put between multiple returned texts}
\item{tolower}{return output as lower case with function \code{\link{tolower}}.}
}
\description{
Convert antibiotic codes (from a laboratory information system like MOLIS or GLIMS) to a (trivial) antibiotic name or ATC code, or vice versa. This uses the data from \code{\link{antibiotics}}.
}
\examples{
abname("AMCL")
# "amoxicillin and enzyme inhibitor"
abname("AMCL+GENT")
# "amoxicillin and enzyme inhibitor + gentamicin"
abname(c("AMCL", "GENT"))
# "amoxicillin and enzyme inhibitor" "gentamicin"
abname("AMCL", to = "trivial_nl")
# "Amoxicilline/clavulaanzuur"
abname("AMCL", to = "atc")
# "J01CR02"
abname("J01CR02", from = "atc", to = "umcg")
# "AMCL"
}
\keyword{ab}
\keyword{antibiotics}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/data.R
\docType{data}
\name{antibiotics}
\alias{antibiotics}
\title{Dataset with 420 antibiotics}
\format{A data.frame with 420 observations and 18 variables:
\describe{
\item{\code{atc}}{ATC code, like \code{J01CR02}}
\item{\code{molis}}{MOLIS code, like \code{amcl}}
\item{\code{umcg}}{UMCG code, like \code{AMCL}}
\item{\code{abbr}}{Abbreviation as used by many countries, to be used for \code{\link{guess_atc}}}
\item{\code{official}}{Official name by the WHO, like \code{"Amoxicillin and enzyme inhibitor"}}
\item{\code{official_nl}}{Official name in the Netherlands, like \code{"Amoxicilline met enzymremmer"}}
\item{\code{trivial_nl}}{Trivial name in Dutch, like \code{"Amoxicilline/clavulaanzuur"}}
\item{\code{trade_name}}{Trade name as used by many countries, to be used for \code{\link{guess_atc}}}
\item{\code{oral_ddd}}{Defined Daily Dose (DDD), oral treatment}
\item{\code{oral_units}}{Units of \code{ddd_units}}
\item{\code{iv_ddd}}{Defined Daily Dose (DDD), parenteral treatment}
\item{\code{iv_units}}{Units of \code{iv_ddd}}
\item{\code{atc_group1}}{ATC group, like \code{"Macrolides, lincosamides and streptogramins"}}
\item{\code{atc_group2}}{Subgroup of \code{atc_group1}, like \code{"Macrolides"}}
\item{\code{atc_group1_nl}}{ATC group in Dutch, like \code{"Macroliden, lincosamiden en streptograminen"}}
\item{\code{atc_group2_nl}}{Subgroup of \code{atc_group1} in Dutch, like \code{"Macroliden"}}
\item{\code{useful_gramnegative}}{\code{FALSE} if not useful according to EUCAST, \code{NA} otherwise (see Source)}
\item{\code{useful_grampositive}}{\code{FALSE} if not useful according to EUCAST, \code{NA} otherwise (see Source)}
}}
\source{
- World Health Organization: \url{https://www.whocc.no/atc_ddd_index/} \cr - EUCAST - Expert rules intrinsic exceptional V3.1 \cr - MOLIS (LIS of Certe): \url{https://www.certe.nl} \cr - GLIMS (LIS of UMCG): \url{https://www.umcg.nl}
}
\usage{
antibiotics
}
\description{
A dataset containing all antibiotics with a J0 code, with their DDD's. Properties were downloaded from the WHO, see Source.
}
\seealso{
\code{\link{microorganisms}}
}
\keyword{datasets}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/classes.R
\name{as.mic}
\alias{as.mic}
\alias{is.mic}
\title{Class 'mic'}
\usage{
as.mic(x, na.rm = FALSE)
is.mic(x)
}
\arguments{
\item{x}{vector}
\item{na.rm}{a logical indicating whether missing values should be removed}
}
\value{
Ordered factor with new class \code{mic} and new attributes \code{package} and \code{package.version}
}
\description{
This transforms a vector to a new class\code{mic}, which is an ordered factor with valid MIC values as levels. Invalid MIC values will be translated as \code{NA} with a warning.
}
\examples{
mic_data <- as.mic(c(">=32", "1.0", "1", "1.00", 8, "<=0.128", "8", "16", "16"))
is.mic(mic_data)
plot(mic_data)
barplot(mic_data)
}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/classes.R
\name{as.rsi}
\alias{as.rsi}
\alias{is.rsi}
\title{Class 'rsi'}
\usage{
as.rsi(x)
is.rsi(x)
}
\arguments{
\item{x}{vector}
}
\value{
Ordered factor with new class \code{rsi} and new attributes \code{package} and \code{package.version}
}
\description{
This transforms a vector to a new class \code{rsi}, which is an ordered factor with levels \code{S < I < R}. Invalid antimicrobial interpretations will be translated as \code{NA} with a warning.
}
\examples{
rsi_data <- as.rsi(c(rep("S", 474), rep("I", 36), rep("R", 370)))
rsi_data <- as.rsi(c(rep("S", 474), rep("I", 36), rep("R", 370), "A", "B", "C"))
is.rsi(rsi_data)
plot(rsi_data) # for percentages
barplot(rsi_data) # for frequencies
}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/atc.R
\name{atc_property}
\alias{atc_property}
\title{Properties of an ATC code}
\source{
\url{https://www.whocc.no/atc_ddd_alterations__cumulative/ddd_alterations/abbrevations/}
}
\usage{
atc_property(atc_code, property, administration = "O",
url = "https://www.whocc.no/atc_ddd_index/?code=\%s&showdescription=no")
}
\arguments{
\item{atc_code}{a character or character vector with ATC code(s) of antibiotic(s)}
\item{property}{property of an ATC code. Valid values are \code{"ATC code"}, \code{"Name"}, \code{"DDD"}, \code{"U"} (\code{"unit"}), \code{"Adm.R"} en \code{"Note"}.}
\item{administration}{type of administration, see \emph{Details}}
\item{url}{url of website of the WHO. The sign \code{\%s} can be used as a placeholder for ATC codes.}
}
\description{
Gets data from the WHO to determine properties of an ATC (e.g. an antibiotic) like name, defined daily dose (DDD) or standard unit. \strong{This function requires an internet connection.}
}
\details{
Abbreviations for the property \code{"Adm.R"} (parameter \code{administration}):
\itemize{
\item{\code{"Implant"}}{ = Implant}
\item{\code{"Inhal"}}{ = Inhalation}
\item{\code{"Instill"}}{ = Instillation}
\item{\code{"N"}}{ = nasal}
\item{\code{"O"}}{ = oral}
\item{\code{"P"}}{ = parenteral}
\item{\code{"R"}}{ = rectal}
\item{\code{"SL"}}{ = sublingual/buccal}
\item{\code{"TD"}}{ = transdermal}
\item{\code{"V"}}{ = vaginal}
}
Abbreviations for the property \code{"U"} (unit):
\itemize{
\item{\code{"g"}}{ = gram}
\item{\code{"mg"}}{ = milligram}
\item{\code{"mcg"}}{ = microgram}
\item{\code{"U"}}{ = unit}
\item{\code{"TU"}}{ = thousand units}
\item{\code{"MU"}}{ = million units}
\item{\code{"mmol"}}{ = millimole}
\item{\code{"ml"}}{ = milliliter (e.g. eyedrops)}
}
}
\examples{
\donttest{
atc_property("J01CA04", "DDD", "O") # oral DDD (Defined Daily Dose) of amoxicillin
atc_property("J01CA04", "DDD", "P") # parenteral DDD (Defined Daily Dose) of amoxicillin
}
}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/first_isolates.R
\name{first_isolate}
\alias{first_isolate}
\title{Determine first (weighted) isolates}
\source{
Methodology of this function is based on: "M39 Analysis and Presentation of Cumulative Antimicrobial Susceptibility Test Data, 4th Edition", 2014, Clinical and Laboratory Standards Institute. \url{https://clsi.org/standards/products/microbiology/documents/m39/}.
}
\usage{
first_isolate(tbl, col_date, col_patient_id, col_bactid = NA,
col_testcode = NA, col_specimen = NA, col_icu = NA,
col_keyantibiotics = NA, episode_days = 365, testcodes_exclude = "",
icu_exclude = FALSE, filter_specimen = NA, output_logical = TRUE,
type = "keyantibiotics", ignore_I = TRUE, points_threshold = 2,
info = TRUE, col_genus = NA, col_species = NA)
}
\arguments{
\item{tbl}{a \code{data.frame} containing isolates.}
\item{col_date}{column name of the result date (or date that is was received on the lab)}
\item{col_patient_id}{column name of the unique IDs of the patients}
\item{col_bactid}{column name of the unique IDs of the microorganisms (should occur in the \code{\link{microorganisms}} dataset)}
\item{col_testcode}{column name of the test codes. Use \code{col_testcode = NA} to \strong{not} exclude certain test codes (like test codes for screening). In that case \code{testcodes_exclude} will be ignored. Supports tidyverse-like quotation.}
\item{col_specimen}{column name of the specimen type or group}
\item{col_icu}{column name of the logicals (\code{TRUE}/\code{FALSE}) whether a ward or department is an Intensive Care Unit (ICU)}
\item{col_keyantibiotics}{column name of the key antibiotics to determine first \emph{weighted} isolates, see \code{\link{key_antibiotics}}. Supports tidyverse-like quotation.}
\item{episode_days}{episode in days after which a genus/species combination will be determined as 'first isolate' again}
\item{testcodes_exclude}{character vector with test codes that should be excluded (case-insensitive)}
\item{icu_exclude}{logical whether ICU isolates should be excluded}
\item{filter_specimen}{specimen group or type that should be excluded}
\item{output_logical}{return output as \code{logical} (will else be the values \code{0} or \code{1})}
\item{type}{type to determine weighed isolates; can be \code{"keyantibiotics"} or \code{"points"}, see Details}
\item{ignore_I}{logical to determine whether antibiotic interpretations with \code{"I"} will be ignored when \code{type = "keyantibiotics"}, see Details}
\item{points_threshold}{points until the comparison of key antibiotics will lead to inclusion of an isolate when \code{type = "points"}, see Details}
\item{info}{print progress}
\item{col_genus}{(deprecated, use \code{col_bactid} instead) column name of the genus of the microorganisms}
\item{col_species}{(deprecated, use \code{col_bactid} instead) column name of the species of the microorganisms}
}
\value{
A vector to add to table, see Examples.
}
\description{
Determine first (weighted) isolates of all microorganisms of every patient per episode and (if needed) per specimen type.
}
\details{
\strong{WHY THIS IS SO IMPORTANT} \cr
To conduct an analysis of antimicrobial resistance, you should only include the first isolate of every patient per episode \href{https://www.ncbi.nlm.nih.gov/pubmed/17304462}{[1]}. If you would not do this, you could easily get an overestimate or underestimate of the resistance of an antibiotic. Imagine that a patient was admitted with an MRSA and that it was found in 5 different blood cultures the following week. The resistance percentage of oxacillin of all \emph{S. aureus} isolates would be overestimated, because you included this MRSA more than once. It would be \href{https://en.wikipedia.org/wiki/Selection_bias}{selection bias}.
\strong{DETERMINING WEIGHTED ISOLATES} \cr
\strong{1. Using} \code{type = "keyantibiotics"} \strong{and parameter} \code{ignore_I} \cr
To determine weighted isolates, the difference between key antibiotics will be checked. Any difference from S to R (or vice versa) will (re)select an isolate as a first weighted isolate. With \code{ignore_I = FALSE}, also differences from I to S|R (or vice versa) will lead to this. This is a reliable method and 30-35 times faster than method 2. \cr
\strong{2. Using} \code{type = "points"} \strong{and parameter} \code{points_threshold} \cr
To determine weighted isolates, difference between antimicrobial interpretations will be measured with points. A difference from I to S|R (or vice versa) means 0.5 points, a difference from S to R (or vice versa) means 1 point. When the sum of points exceeds \code{points_threshold}, an isolate will be (re)selected as a first weighted isolate. This method is being used by the Infection Prevention department (Dr M. Lokate) of the University Medical Center Groningen (UMCG).
}
\examples{
# septic_patients is a dataset available in the AMR package
?septic_patients
my_patients <- septic_patients
library(dplyr)
my_patients$first_isolate <- my_patients \%>\%
first_isolate(col_date = "date",
col_patient_id = "patient_id",
col_bactid = "bactid")
\dontrun{
# set key antibiotics to a new variable
tbl$keyab <- key_antibiotics(tbl)
tbl$first_isolate <-
first_isolate(tbl)
tbl$first_isolate_weighed <-
first_isolate(tbl,
col_keyantibiotics = 'keyab')
tbl$first_blood_isolate <-
first_isolate(tbl,
filter_specimen = 'Blood')
tbl$first_blood_isolate_weighed <-
first_isolate(tbl,
filter_specimen = 'Blood',
col_keyantibiotics = 'keyab')
tbl$first_urine_isolate <-
first_isolate(tbl,
filter_specimen = 'Urine')
tbl$first_urine_isolate_weighed <-
first_isolate(tbl,
filter_specimen = 'Urine',
col_keyantibiotics = 'keyab')
tbl$first_resp_isolate <-
first_isolate(tbl,
filter_specimen = 'Respiratory')
tbl$first_resp_isolate_weighed <-
first_isolate(tbl,
filter_specimen = 'Respiratory',
col_keyantibiotics = 'keyab')
}
}
\keyword{first}
\keyword{isolate}
\keyword{isolates}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/freq.R
\name{freq}
\alias{freq}
\alias{frequency_tbl}
\title{Frequency table}
\usage{
freq(x, sort.count = TRUE, nmax = 15, na.rm = TRUE, markdown = FALSE,
toConsole = TRUE, digits = 2, sep = " ")
frequency_tbl(x, sort.count = TRUE, nmax = 15, na.rm = TRUE,
markdown = FALSE, toConsole = TRUE, digits = 2, sep = " ")
}
\arguments{
\item{x}{data}
\item{sort.count}{Sort on count. Use \code{FALSE} to sort alphabetically on item.}
\item{nmax}{number of row to print. Use \code{nmax = 0} or \code{nmax = NA} to print all rows.}
\item{na.rm}{a logical value indicating whether NA values should be removed from the frequency table. The header will always print the amount of\code{NA}s.}
\item{markdown}{print table in markdown format (this forces \code{nmax = NA})}
\item{toConsole}{Print table to the console. Use \code{FALSE} to assign the table to an object.}
\item{digits}{how many significant digits are to be used for numeric values (not for the items themselves, that depends on \code{\link{getOption}("digits")})}
\item{sep}{a character string to separate the terms when selecting multiple columns}
}
\description{
Create a frequency table of a vector of data, a single column or a maximum of 9 columns of a data frame. Supports markdown for reports.
}
\details{
For numeric values, the next values will be calculated and shown into the header:
\itemize{
\item{Mean, using \code{\link[base]{mean}}}
\item{Standard deviation, using \code{\link[stats]{sd}}}
\item{Five numbers of Tukey (min, Q1, median, Q3, max), using \code{\link[stats]{fivenum}}}
\item{Outliers (count and list), using \code{\link{boxplot.stats}}}
\item{Coefficient of variation (CV), the standard deviation divided by the mean}
\item{Coefficient of quartile variation (CQV, sometimes called coefficient of dispersion), calculated as \code{(Q3 - Q1) / (Q3 + Q1)} using \code{\link{quantile}} with \code{type = 6} as quantile algorithm to comply with SPSS standards}
}
}
\examples{
library(dplyr)
freq(septic_patients$hospital_id)
septic_patients \%>\%
filter(hospital_id == "A") \%>\%
select(bactid) \%>\%
freq()
# select multiple columns; they will be pasted together
septic_patients \%>\%
left_join_microorganisms \%>\%
filter(hospital_id == "A") \%>\%
select(genus, species) \%>\%
freq()
# save frequency table to an object
years <- septic_patients \%>\%
mutate(year = format(date, "\%Y")) \%>\%
select(year) \%>\%
freq(toConsole = FALSE)
}
\keyword{freq}
\keyword{frequency}
\keyword{summarise}
\keyword{summary}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/atc.R
\name{guess_atc}
\alias{guess_atc}
\title{Find ATC code based on antibiotic property}
\usage{
guess_atc(x)
}
\arguments{
\item{x}{character vector to determine \code{ATC} code}
}
\value{
Character (vector).
}
\description{
Use this function to determine the ATC code of one or more antibiotics. The dataset \code{\link{antibiotics}} will be searched for abbreviations, official names and trade names.
}
\details{
In the ATC classification system, the active substances are classified in a hierarchy with five different levels. The system has fourteen main anatomical/pharmacological groups or 1st levels. Each ATC main group is divided into 2nd levels which could be either pharmacological or therapeutic groups. The 3rd and 4th levels are chemical, pharmacological or therapeutic subgroups and the 5th level is the chemical substance. The 2nd, 3rd and 4th levels are often used to identify pharmacological subgroups when that is considered more appropriate than therapeutic or chemical subgroups.
Source: \url{https://www.whocc.no/atc/structure_and_principles/}
}
\examples{
# These examples all return "J01FA01", the ATC code of Erythromycin:
guess_atc("J01FA01")
guess_atc("Erythromycin")
guess_atc("eryt")
guess_atc("ERYT")
guess_atc("ERY")
guess_atc("Erythrocin") # Trade name
guess_atc("Eryzole") # Trade name
guess_atc("Pediamycin") # Trade name
}
\seealso{
\code{\link{antibiotics}} for the dataframe that is being used to determine ATC's.
}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/atc.R
\name{guess_bactid}
\alias{guess_bactid}
\title{Find bacteria ID based on genus/species}
\usage{
guess_bactid(x)
}
\arguments{
\item{x}{character vector to determine \code{bactid}}
}
\value{
Character (vector).
}
\description{
Use this function to determine a valid ID based on a genus (and species). This input could be a full name (like \code{"Staphylococcus aureus"}), an abbreviated name (like \code{"S. aureus"}), or just a genus. You could also use a \code{\link{paste}} of a genus and species column to use the full name as input: \code{x = paste(df$genus, df$species)}, where \code{df} is your dataframe.
}
\examples{
# These examples all return "STAAUR", the ID of S. aureus:
guess_bactid("stau")
guess_bactid("STAU")
guess_bactid("staaur")
guess_bactid("S. aureus")
guess_bactid("S aureus")
guess_bactid("Staphylococcus aureus")
guess_bactid("MRSA") # Methicillin-resistant S. aureus
guess_bactid("VISA") # Vancomycin Intermediate S. aureus
}
\seealso{
\code{\link{microorganisms}} for the dataframe that is being used to determine ID's.
}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/join.R
\name{join}
\alias{join}
\alias{inner_join_microorganisms}
\alias{inner_join}
\alias{left_join_microorganisms}
\alias{right_join_microorganisms}
\alias{full_join_microorganisms}
\alias{semi_join_microorganisms}
\alias{anti_join_microorganisms}
\title{Join a table with \code{microorganisms}}
\usage{
inner_join_microorganisms(x, by = "bactid", suffix = c("2", ""), ...)
left_join_microorganisms(x, by = "bactid", suffix = c("2", ""), ...)
right_join_microorganisms(x, by = "bactid", suffix = c("2", ""), ...)
full_join_microorganisms(x, by = "bactid", suffix = c("2", ""), ...)
semi_join_microorganisms(x, by = "bactid", ...)
anti_join_microorganisms(x, by = "bactid", ...)
}
\arguments{
\item{x}{existing table to join, also supports character vectors}
\item{by}{a variable to join by - could be a column name of \code{x} with values that exist in \code{microorganisms$bactid} (like \code{by = "bacteria_id"}), or another column in \code{\link{microorganisms}} (but then it should be named, like \code{by = c("my_genus_species" = "fullname")})}
\item{suffix}{if there are non-joined duplicate variables in \code{x} and \code{y}, these suffixes will be added to the output to disambiguate them. Should be a character vector of length 2.}
\item{...}{other parameters to pass on to \code{dplyr::\link[dplyr]{join}}.}
}
\description{
Join the dataset \code{\link{microorganisms}} easily to an existing table or character vector.
}
\details{
As opposed to the \code{\link[dplyr]{join}} functions of \code{dplyr}, characters vectors are supported and at default existing columns will get a suffix \code{"2"} and the newly joined columns will not get a suffix. See \code{\link[dplyr]{join}} for more information.
}
\examples{
left_join_microorganisms("STAAUR")
library(dplyr)
septic_patients \%>\% left_join_microorganisms()
df <- data.frame(date = seq(from = as.Date("2018-01-01"),
to = as.Date("2018-01-07"),
by = 1),
bacteria_id = c("STAAUR", "STAAUR", "STAAUR", "STAAUR",
"ESCCOL", "ESCCOL", "ESCCOL"),
stringsAsFactors = FALSE)
colnames(df)
df2 <- left_join_microorganisms(df, "bacteria_id")
colnames(df2)
}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/first_isolates.R
\name{key_antibiotics}
\alias{key_antibiotics}
\title{Key antibiotics based on bacteria ID}
\usage{
key_antibiotics(tbl, col_bactid = "bactid", info = TRUE, amcl = "amcl",
amox = "amox", cfot = "cfot", cfta = "cfta", cftr = "cftr",
cfur = "cfur", cipr = "cipr", clar = "clar", clin = "clin",
clox = "clox", doxy = "doxy", gent = "gent", line = "line",
mero = "mero", peni = "peni", pita = "pita", rifa = "rifa",
teic = "teic", trsu = "trsu", vanc = "vanc")
}
\arguments{
\item{tbl}{table with antibiotics coloms, like \code{amox} and \code{amcl}.}
\item{col_bactid}{column of bacteria IDs in \code{tbl}; these should occur in \code{microorganisms$bactid}, see \code{\link{microorganisms}}}
\item{info}{print warnings}
\item{amcl, amox, cfot, cfta, cftr, cfur, cipr, clar, clin, clox, doxy, gent, line, mero, peni, pita, rifa, teic, trsu, vanc}{column names of antibiotics, case-insensitive}
}
\value{
Character of length 1.
}
\description{
Key antibiotics based on bacteria ID
}
\examples{
\donttest{
#' # set key antibiotics to a new variable
tbl$keyab <- key_antibiotics(tbl)
}
}
\seealso{
\code{\link{mo_property}} \code{\link{antibiotics}}
}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/misc.R
\name{like}
\alias{like}
\alias{\%like\%}
\title{Pattern Matching}
\source{
Inherited from the \href{https://github.com/Rdatatable/data.table/blob/master/R/like.R}{\code{like} function from the \code{data.table} package}, but made it case insensitive at default.
}
\usage{
x \%like\% pattern
}
\arguments{
\item{x}{a character vector where matches are sought, or an
object which can be coerced by \code{as.character} to a character
vector. \link{Long vectors} are supported.}
\item{pattern}{character string containing a \link{regular expression}
(or character string for \code{fixed = TRUE}) to be matched
in the given character vector. Coerced by
\code{\link{as.character}} to a character string if possible. If a
character vector of length 2 or more is supplied, the first element
is used with a warning. Missing values are allowed except for
\code{regexpr} and \code{gregexpr}.}
}
\value{
A \code{logical} vector
}
\description{
Convenience function to compare a vector with a pattern, like \code{\link[base]{grep}}. It always returns a \code{logical} vector and is always case-insensitive.
}
\examples{
library(dplyr)
# get unique occurences of bacteria whose name start with 'Ent'
septic_patients \%>\%
left_join_microorganisms() \%>\%
filter(fullname \%like\% '^Ent') \%>\%
pull(fullname) \%>\%
unique()
}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/data.R
\docType{data}
\name{microorganisms}
\alias{microorganisms}
\title{Dataset with ~2500 microorganisms}
\format{A data.frame with 2453 observations and 12 variables:
\describe{
\item{\code{bactid}}{ID of microorganism}
\item{\code{bactsys}}{Bactsyscode of microorganism}
\item{\code{family}}{Family name of microorganism}
\item{\code{genus}}{Genus name of microorganism, like \code{"Echerichia"}}
\item{\code{species}}{Species name of microorganism, like \code{"coli"}}
\item{\code{subspecies}}{Subspecies name of bio-/serovar of microorganism, like \code{"EHEC"}}
\item{\code{fullname}}{Full name, like \code{"Echerichia coli (EHEC)"}}
\item{\code{type}}{Type of microorganism, like \code{"Bacteria"} and \code{"Fungus/yeast"}}
\item{\code{gramstain}}{Gram of microorganism, like \code{"Negative rods"}}
\item{\code{aerobic}}{Logical whether bacteria is aerobic}
\item{\code{type_nl}}{Type of microorganism in Dutch, like \code{"Bacterie"} and \code{"Schimmel/gist"}}
\item{\code{gramstain_nl}}{Gram of microorganism in Dutch, like \code{"Negatieve staven"}}
}}
\source{
MOLIS (LIS of Certe) - \url{https://www.certe.nl}
}
\usage{
microorganisms
}
\description{
A dataset containing 2453 microorganisms. MO codes of the UMCG can be looked up using \code{\link{microorganisms.umcg}}.
}
\seealso{
\code{\link{guess_bactid}} \code{\link{antibiotics}} \code{\link{microorganisms.umcg}}
}
\keyword{datasets}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/data.R
\docType{data}
\name{microorganisms.umcg}
\alias{microorganisms.umcg}
\title{Translation table for UMCG with ~1100 microorganisms}
\format{A data.frame with 1090 observations and 2 variables:
\describe{
\item{\code{mocode}}{Code of microorganism according to UMCG MMB}
\item{\code{bactid}}{Code of microorganism in \code{\link{microorganisms}}}
}}
\source{
MOLIS (LIS of Certe) - \url{https://www.certe.nl} \cr \cr GLIMS (LIS of UMCG) - \url{https://www.umcg.nl}
}
\usage{
microorganisms.umcg
}
\description{
A dataset containing all bacteria codes of UMCG MMB. These codes can be joined to data with an ID from \code{\link{microorganisms}$bactid} (using \code{\link{left_join_microorganisms}}). GLIMS codes can also be translated to valid \code{bactid}'s with \code{\link{guess_bactid}}.
}
\seealso{
\code{\link{guess_bactid}} \code{\link{microorganisms}}
}
\keyword{datasets}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/eucast.R
\name{mo_property}
\alias{mo_property}
\title{Poperties of a microorganism}
\usage{
mo_property(bactid, property = "fullname")
}
\arguments{
\item{bactid}{ID of a microorganisme, like \code{"STAAUR} and \code{"ESCCOL}}
\item{property}{One of the values \code{bactid}, \code{bactsys}, \code{family}, \code{genus}, \code{species}, \code{subspecies}, \code{fullname}, \code{type}, \code{gramstain}, \code{aerobic}}
}
\description{
Poperties of a microorganism
}
\seealso{
\code{\link{microorganisms}}
}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/print.R
\name{print}
\alias{print}
\alias{print.tbl_df}
\alias{print.tbl}
\alias{print.data.table}
\title{Printing Data Tables and Tibbles}
\usage{
\method{print}{tbl_df}(x, nmax = 10, header = TRUE, row.names = TRUE,
right = FALSE, width = 1, na = "<NA>", ...)
\method{print}{tbl}(x, ...)
\method{print}{data.table}(x, print.keys = FALSE, ...)
}
\arguments{
\item{x}{object of class \code{data.frame}.}
\item{nmax}{amount of rows to print in total. When the total amount of rows exceeds this limit, the first and last \code{nmax / 2} rows will be printed. Use \code{nmax = NA} to print all rows.}
\item{header}{print header with information about data size and tibble grouping}
\item{row.names}{logical (or character vector), indicating whether (or
what) row names should be printed.}
\item{right}{logical, indicating whether or not strings should be
right-aligned. The default is right-alignment.}
\item{width}{amount of white spaces to keep between columns, must be at least 1}
\item{na}{value to print instead of NA}
\item{...}{optional arguments to \code{print} or \code{plot} methods.}
\item{print.keys}{print keys for \code{data.table}}
}
\description{
Print a data table or tibble. It prints: \cr- The \strong{first and last rows} like \code{data.table}s are printed by the \code{data.table} package,\cr- A \strong{header} and \strong{left aligned text} like \code{tibble}s are printed by the \code{tibble} package with info about grouped variables,\cr- \strong{Unchanged values} and \strong{support for row names} like \code{data.frame}s are printed by the \code{base} package.
}
\examples{
# more reliable data view:
library(dplyr)
starwars
print(starwars, width = 3)
# This is how the tibble package prints since v1.4.0:
# (mind the quite unfamiliar underscores and ending dots)
tibble(now_what = c(1.2345, 2345.67, 321.456)) \%>\% tibble:::print.tbl_df()
# This is how this AMR package prints:
# (every number shown as you would expect)
tibble(now_what = c(1.2345, 2345.67, 321.456))
# also supports info about groups (look at header)
starwars \%>\% group_by(homeworld, gender)
}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/rsi_analysis.R
\name{rsi}
\alias{rsi}
\alias{rsi_df}
\alias{n_rsi}
\title{Resistance of isolates}
\usage{
rsi(ab1, ab2 = NA, interpretation = "IR", minimum = 30,
as_percent = FALSE, info = FALSE, warning = TRUE)
rsi_df(tbl, ab, interpretation = "IR", minimum = 30, as_percent = FALSE,
info = TRUE, warning = TRUE)
n_rsi(ab1, ab2 = NA)
}
\arguments{
\item{ab1, ab2}{vector of antibiotic interpretations, they will be transformed internally with \code{\link{as.rsi}}}
\item{interpretation}{antimicrobial interpretation of which the portion must be calculated. Valid values are \code{"S"}, \code{"SI"}, \code{"I"}, \code{"IR"} or \code{"R"}.}
\item{minimum}{minimal amount of available isolates. Any number lower than \code{minimum} will return \code{NA} with a warning (when \code{warning = TRUE}).}
\item{as_percent}{return output as percent (text), will else (at default) be a double}
\item{info}{calculate the amount of available isolates and print it, like \code{n = 423}}
\item{warning}{show a warning when the available amount of isolates is below \code{minimum}}
\item{tbl}{\code{data.frame} containing columns with antibiotic interpretations.}
\item{ab}{character vector with 1, 2 or 3 antibiotics that occur as column names in \code{tbl}, like \code{ab = c("amox", "amcl")}}
}
\value{
Double or, when \code{as_percent = TRUE}, a character.
}
\description{
This functions can be used to calculate the (co-)resistance of isolates (i.e. percentage S, SI, I, IR or R [of a vector] of isolates). The functions \code{rsi} and \code{n_rsi} can be used in \code{dplyr}s \code{\link[dplyr]{summarise}} and support grouped variables, see \emph{Examples}.
}
\details{
Remember that you should filter your table to let it contain \strong{only first isolates}!
\if{html}{
\cr \cr
To calculate the probability (\emph{p}) of susceptibility of one antibiotic, we use this formula:
\out{<div style="text-align: center">}\figure{mono_therapy.png}\out{</div>}
To calculate the probability (\emph{p}) of susceptibility of more antibiotics (i.e. combination therapy), we need to check whether one of them has a susceptible result (as numerator) and count all cases where all antibiotics were tested (as denominator). \cr
For two antibiotics:
\out{<div style="text-align: center">}\figure{combi_therapy_2.png}\out{</div>}
\cr
For three antibiotics:
\out{<div style="text-align: center">}\figure{combi_therapy_3.png}\out{</div>}
}
}
\examples{
library(dplyr)
septic_patients \%>\%
group_by(hospital_id) \%>\%
summarise(cipro_susceptibility = rsi(cipr, interpretation = "S"),
n = n_rsi(cipr)) # n_rsi works like n_distinct in dplyr
septic_patients \%>\%
group_by(hospital_id) \%>\%
summarise(cipro_S = rsi(cipr, interpretation = "S",
as_percent = TRUE, warning = FALSE),
cipro_n = n_rsi(cipr),
genta_S = rsi(gent, interpretation = "S",
as_percent = TRUE, warning = FALSE),
genta_n = n_rsi(gent),
combination_S = rsi(cipr, gent, interpretation = "S",
as_percent = TRUE, warning = FALSE),
combination_n = n_rsi(cipr, gent))
# calculate resistance
rsi(septic_patients$amox)
# or susceptibility
rsi(septic_patients$amox, interpretation = "S")
# calculate co-resistance between amoxicillin/clav acid and gentamicin,
# so we can review that combination therapy does a lot more than mono therapy:
septic_patients \%>\% rsi_df(ab = "amcl", interpretation = "S") # = 67.8\%
septic_patients \%>\% rsi_df(ab = "gent", interpretation = "S") # = 69.1\%
septic_patients \%>\% rsi_df(ab = c("amcl", "gent"), interpretation = "S") # = 90.6\%
\dontrun{
# calculate current empiric combination therapy of Helicobacter gastritis:
my_table \%>\%
filter(first_isolate == TRUE,
genus == "Helicobacter") \%>\%
rsi_df(ab = c("amox", "metr")) # amoxicillin with metronidazole
}
}
\keyword{antibiotics}
\keyword{isolate}
\keyword{isolates}
\keyword{rsi}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/rsi_analysis.R
\name{rsi_predict}
\alias{rsi_predict}
\title{Predict antimicrobial resistance}
\usage{
rsi_predict(tbl, col_ab, col_date,
year_max = as.integer(format(as.Date(Sys.Date()), "\%Y")) + 15,
year_every = 1, model = "binomial", I_as_R = TRUE,
preserve_measurements = TRUE, info = TRUE)
}
\arguments{
\item{tbl}{table that contains columns \code{col_ab} and \code{col_date}}
\item{col_ab}{column name of \code{tbl} with antimicrobial interpretations (\code{R}, \code{I} and \code{S}), supports tidyverse-like quotation}
\item{col_date}{column name of the date, will be used to calculate years if this column doesn't consist of years already, supports tidyverse-like quotation}
\item{year_max}{highest year to use in the prediction model, deafults to 15 years after today}
\item{year_every}{unit of sequence between lowest year found in the data and \code{year_max}}
\item{model}{the statistical model of choice. Valid values are \code{"binomial"} (or \code{"binom"} or \code{"logit"}) or \code{"loglin"} or \code{"linear"} (or \code{"lin"}).}
\item{I_as_R}{treat \code{I} as \code{R}}
\item{preserve_measurements}{overwrite predictions of years that are actually available in the data, with the original data. The standard errors of those years will be \code{NA}.}
\item{info}{print textual analysis with the name and \code{\link{summary}} of the model.}
}
\value{
\code{data.frame} with columns \code{year}, \code{probR}, \code{se_min} and \code{se_max}.
}
\description{
Create a prediction model to predict antimicrobial resistance for the next years on statistical solid ground. Standard errors (SE) will be returned as columns \code{se_min} and \code{se_max}. See Examples for a real live example.
}
\examples{
\dontrun{
# use it directly:
rsi_predict(tbl = tbl[which(first_isolate == TRUE & genus == "Haemophilus"),],
col_ab = "amcl", col_date = "date")
# or with dplyr so you can actually read it:
library(dplyr)
tbl \%>\%
filter(first_isolate == TRUE,
genus == "Haemophilus") \%>\%
rsi_predict(amcl, date)
}
# real live example:
library(dplyr)
septic_patients \%>\%
# get bacteria properties like genus and species
left_join_microorganisms("bactid") \%>\%
# calculate first isolates
mutate(first_isolate =
first_isolate(.,
"date",
"patient_id",
"bactid",
col_specimen = NA,
col_icu = NA)) \%>\%
# filter on first E. coli isolates
filter(genus == "Escherichia",
species == "coli",
first_isolate == TRUE) \%>\%
# predict resistance of cefotaxime for next years
rsi_predict(col_ab = "cfot",
col_date = "date",
year_max = 2025,
preserve_measurements = FALSE)
}
\seealso{
\code{\link{lm}} \cr \code{\link{glm}}
}
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% Generated by roxygen2: do not edit by hand
% Please edit documentation in R/data.R
\docType{data}
\name{septic_patients}
\alias{septic_patients}
\title{Dataset with 2000 blood culture isolates of septic patients}
\format{A data.frame with 2000 observations and 47 variables:
\describe{
\item{\code{date}}{date of receipt at the laboratory}
\item{\code{hospital_id}}{ID of the hospital}
\item{\code{ward_icu}}{logical to determine if ward is an intensive care unit}
\item{\code{ward_clinical}}{logical to determine if ward is a regular clinical ward}
\item{\code{ward_outpatient}}{logical to determine if ward is an outpatient clinic}
\item{\code{age}}{age of the patient}
\item{\code{sex}}{sex of the patient}
\item{\code{patient_id}}{ID of the patient, first 10 characters of an SHA hash containing irretrievable information}
\item{\code{bactid}}{ID of microorganism, see \code{\link{microorganisms}}}
\item{\code{peni:mupi}}{38 different antibiotics with class \code{rsi} (see \code{\link{as.rsi}}); these column names occur in \code{\link{antibiotics}} and can be translated with \code{\link{abname}}}
}}
\source{
MOLIS (LIS of Certe) - \url{https://www.certe.nl}
}
\usage{
septic_patients
}
\description{
An anonymised dataset containing 2000 microbial blood culture isolates with their antibiogram of septic patients found in 5 different hospitals in the Netherlands, between 2001 and 2017. This data.frame can be used to practice AMR analysis. For examples, press F1.
}
\examples{
# ----------- #
# PREPARATION #
# ----------- #
# Save this example dataset to an object, so we can edit it:
my_data <- septic_patients
# load the dplyr package to make data science A LOT easier
library(dplyr)
# Add first isolates to our dataset:
my_data <- my_data \%>\%
mutate(first_isolates = first_isolate(my_data, "date", "patient_id", "bactid"))
# -------- #
# ANALYSIS #
# -------- #
# 1. Get the amoxicillin resistance percentages
# of E. coli, divided by hospital:
my_data \%>\%
filter(bactid == "ESCCOL",
first_isolates == TRUE) \%>\%
group_by(hospital_id) \%>\%
summarise(n = n(),
amoxicillin_resistance = rsi(amox))
# 2. Get the amoxicillin/clavulanic acid resistance
# percentages of E. coli, trend over the years:
my_data \%>\%
filter(bactid == guess_bactid("E. coli"),
first_isolates == TRUE) \%>\%
group_by(year = format(date, "\%Y")) \%>\%
summarise(n = n(),
amoxclav_resistance = rsi(amcl, minimum = 20))
}
\keyword{datasets}
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from setuptools import setup, find_packages
setup(
name='AMR',
version='3.0.1.9091',
packages=find_packages(),
install_requires=[
'rpy2',
'numpy',
'pandas',
],
author='Matthijs Berends',
author_email='m.s.berends@umcg.nl',
description='A Python wrapper for the AMR R package',
long_description=open('README.md').read(),
long_description_content_type='text/markdown',
url='https://github.com/msberends/AMR',
project_urls={
'Bug Tracker': 'https://github.com/msberends/AMR/issues',
},
license='GPL 2',
classifiers=[
'Programming Language :: Python :: 3',
'Operating System :: OS Independent',
],
python_requires='>=3.6',
)
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library(testthat)
library(AMR)
test_check("AMR")
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context("atc.R")
test_that("atc_property works", {
expect_equal(tolower(atc_property("J01CA04", property = "Name")), "amoxicillin")
expect_equivalent(atc_property("J01CA04", "DDD"), 1)
})
test_that("abname works", {
expect_equal(abname("AMOX"), "Amoxicillin")
expect_equal(abname(c("AMOX", "GENT")), c("Amoxicillin", "Gentamicin"))
expect_equal(abname(c("AMOX+GENT")), "Amoxicillin + gentamicin")
expect_equal(abname("AMOX", from = 'umcg'), "Amoxicillin")
expect_equal(abname("amox", from = 'molis'), "Amoxicillin")
expect_equal(abname("J01CA04", from = 'atc'), "Amoxicillin")
})
test_that("guess_bactid works", {
expect_identical(guess_bactid(c("E. coli", "H. influenzae")), c("ESCCOL", "HAEINF"))
expect_equal(guess_bactid("Escherichia coli"), "ESCCOL")
expect_equal(guess_bactid("Negative rods"), "GNR")
expect_equal(guess_bactid(c("stau",
"STAU",
"staaur",
"S. aureus",
"S aureus",
"Staphylococcus aureus",
"MRSA",
"VISA")),
rep("STAAUR", 8))
})
test_that("guess_atc works", {
expect_equal(guess_atc(c("J01FA01",
"Erythromycin",
"eryt",
"ERYT",
"ERY",
"Erythrocin",
"Eryzole",
"Pediamycin")),
rep("J01FA01", 8))
})
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context("classes.R")
test_that("rsi works", {
expect_true(as.rsi("S") < as.rsi("I"))
expect_true(as.rsi("I") < as.rsi("R"))
expect_true(as.rsi("R") > as.rsi("S"))
expect_true(is.rsi(as.rsi("S")))
# print plots, should not raise errors
barplot(as.rsi(c("S", "I", "R")))
plot(as.rsi(c("S", "I", "R")))
print(as.rsi(c("S", "I", "R")))
expect_equal(suppressWarnings(as.logical(as.rsi("INVALID VALUE"))), NA)
expect_equal(summary(as.rsi(c("S", "R"))), c("Mode" = 'rsi',
"<NA>" = "0",
"Sum S" = "1",
"Sum IR" = "1",
"Sum R" = "1",
"Sum I" = "0"))
})
test_that("mic works", {
expect_true(as.mic(8) == as.mic("8"))
expect_true(as.mic("1") > as.mic("<=0.0625"))
expect_true(as.mic("1") < as.mic(">=32"))
expect_true(is.mic(as.mic(8)))
expect_equal(as.double(as.mic(">=32")), 32)
expect_equal(as.integer(as.mic(">=32")), 32)
expect_equal(suppressWarnings(as.logical(as.mic("INVALID VALUE"))), NA)
# print plots, should not raise errors
barplot(as.mic(c(1, 2, 4, 8)))
plot(as.mic(c(1, 2, 4, 8)))
print(as.mic(c(1, 2, 4, 8)))
expect_equal(summary(as.mic(c(2, 8))), c("Mode" = 'mic',
"<NA>" = "0",
"Min." = "2",
"Max." = "8"))
})
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context("eucast.R")
test_that("EUCAST rules work", {
a <- EUCAST_rules(septic_patients)
a <- data.frame(bactid = c("KLEPNE", # Klebsiella pneumoniae
"PSEAER", # Pseudomonas aeruginosa
"ENTAER"), # Enterobacter aerogenes
amox = "-", # Amoxicillin
stringsAsFactors = FALSE)
b <- data.frame(bactid = c("KLEPNE", # Klebsiella pneumoniae
"PSEAER", # Pseudomonas aeruginosa
"ENTAER"), # Enterobacter aerogenes
amox = "R", # Amoxicillin
stringsAsFactors = FALSE)
expect_equal(EUCAST_rules(a, info = FALSE), b)
expect_equal(suppressWarnings(interpretive_reading(a, info = TRUE)), b)
a <- data.frame(bactid = c("STAAUR", # Staphylococcus aureus
"STCGRA"), # Streptococcus pyognenes (Lancefield Group A)
coli = "-", # Colistin
stringsAsFactors = FALSE)
b <- data.frame(bactid = c("STAAUR", # Staphylococcus aureus
"STCGRA"), # Streptococcus pyognenes (Lancefield Group A)
coli = "R", # Colistin
stringsAsFactors = FALSE)
expect_equal(EUCAST_rules(a, info = FALSE), b)
})
test_that("MO properties work", {
expect_equal(mo_property("ESCCOL"), "Escherichia coli")
expect_equal(mo_property("STAAUR"), "Staphylococcus aureus")
})
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context("first_isolates.R")
test_that("keyantibiotics work", {
expect_equal(length(key_antibiotics(septic_patients, info = FALSE)), nrow(septic_patients))
expect_true(key_antibiotics_equal("SSS", "SSS"))
expect_true(key_antibiotics_equal("SSS", "SIS", ignore_I = TRUE))
expect_false(key_antibiotics_equal("SSS", "SIS", ignore_I = FALSE))
})
test_that("first isolates work", {
# septic_patients contains 1960 out of 2000 first isolates
#septic_ptns <- septic_patients
expect_equal(sum(first_isolate(tbl = septic_patients,
col_date = "date",
col_patient_id = "patient_id",
col_bactid = "bactid",
info = FALSE)), 1960)
# septic_patients contains 1962 out of 2000 first *weighted* isolates
expect_equal(
suppressWarnings(sum(
first_isolate(tbl = septic_patients %>% mutate(keyab = key_antibiotics(.)),
col_date = "date",
col_patient_id = "patient_id",
col_bactid = "bactid",
col_keyantibiotics = "keyab",
type = "keyantibiotics",
info = TRUE))),
1962)
# septic_patients contains 1733 out of 2000 first non-ICU isolates
expect_equal(
sum(
first_isolate(septic_patients, col_bactid = "bactid", col_date = "date", col_patient_id = "patient_id", col_icu = "ward_icu", info = TRUE, icu_exclude = TRUE)),
1733
)
# set 1500 random observations to be of specimen type 'Urine'
random_rows <- sample(x = 1:2000, size = 1500, replace = FALSE)
expect_lt(sum(
first_isolate(tbl = mutate(septic_patients,
specimen = if_else(row_number() %in% random_rows,
"Urine",
"Unknown")),
col_date = "date",
col_patient_id = "patient_id",
col_bactid = "bactid",
col_specimen = "specimen",
filter_specimen = "Urine",
info = TRUE)),
1501)
})
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context("freq.R")
test_that("frequency table works", {
expect_equal(nrow(freq(c(1, 1, 2, 2, 3, 3, 4, 4, 5, 5), toConsole = FALSE)), 5)
expect_equal(nrow(frequency_tbl(c(1, 1, 2, 2, 3, 3, 4, 4, 5, 5), toConsole = FALSE)), 5)
# date column of septic_patients should contain 1662 unique dates
expect_equal(nrow(freq(septic_patients$date, toConsole = FALSE)), 1662)
expect_equal(nrow(freq(septic_patients$date, toConsole = FALSE)),
length(unique(septic_patients$date)))
expect_output(freq(septic_patients$age))
expect_output(freq(septic_patients$date))
expect_output(freq(septic_patients$hospital_id))
library(dplyr)
expect_output(septic_patients %>% select(1:2) %>% freq())
expect_output(septic_patients %>% select(1:3) %>% freq())
expect_output(septic_patients %>% select(1:4) %>% freq())
expect_output(septic_patients %>% select(1:5) %>% freq())
expect_output(septic_patients %>% select(1:6) %>% freq())
expect_output(septic_patients %>% select(1:7) %>% freq())
expect_output(septic_patients %>% select(1:8) %>% freq())
expect_output(septic_patients %>% select(1:9) %>% freq())
})
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context("joins.R")
test_that("joins work", {
unjoined <- septic_patients
inner <- septic_patients %>% inner_join_microorganisms()
left <- septic_patients %>% left_join_microorganisms()
semi <- septic_patients %>% semi_join_microorganisms()
anti <- septic_patients %>% anti_join_microorganisms()
suppressWarnings(right <- septic_patients %>% right_join_microorganisms())
suppressWarnings(full <- septic_patients %>% full_join_microorganisms())
expect_true(ncol(unjoined) < ncol(inner))
expect_true(nrow(unjoined) == nrow(inner))
expect_true(ncol(unjoined) < ncol(left))
expect_true(nrow(unjoined) == nrow(left))
expect_true(ncol(semi) == ncol(semi))
expect_true(nrow(semi) == nrow(semi))
expect_true(nrow(anti) == 0)
expect_true(nrow(unjoined) < nrow(right))
expect_true(nrow(unjoined) < nrow(full))
expect_equal(nrow(left_join_microorganisms("ESCCOL")), 1)
})
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context("mdro.R")
test_that("MDRO works", {
library(dplyr)
outcome <- MDRO(septic_patients, "EUCAST", info = FALSE)
# check class
expect_equal(outcome %>% class(), c('ordered', 'factor'))
outcome <- MDRO(septic_patients, "nl", info = FALSE)
# check class
expect_equal(outcome %>% class(), c('ordered', 'factor'))
# septic_patients should have these finding using Dutch guidelines
expect_equal(outcome %>% freq(toConsole = FALSE) %>% pull(Count), c(3, 21))
expect_equal(BRMO(septic_patients, info = FALSE), MDRO(septic_patients, "nl", info = FALSE))
})
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context("misc.R")
test_that("`like` works", {
expect_true(suppressWarnings("test" %like% c("^t", "^s")))
expect_true("test" %like% "test")
expect_true("test" %like% "TEST")
expect_true(as.factor("test") %like% "TEST")
})
test_that("percentages works", {
expect_equal(percent(0.25), "25%")
expect_equal(percent(0.5), "50%")
expect_equal(percent(0.500, force_zero = TRUE), "50.0%")
expect_equal(percent(0.1234), "12.3%")
})
test_that("size format works", {
expect_equal(size_humanreadable(123456), "121 kB")
})
test_that("functions missing in older R versions work", {
expect_equal(strrep("A", 5), "AAAAA")
expect_equal(strrep(c("A", "B"), c(5, 2)), c("AAAAA", "BB"))
expect_equal(trimws(" test "), "test")
expect_equal(trimws(" test ", "l"), "test ")
expect_equal(trimws(" test ", "r"), " test")
})
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context("print.R")
test_that("tibble printing works", {
library(dplyr)
library(data.table)
expect_output(print(starwars))
expect_output(print(starwars %>% group_by(homeworld, gender)))
expect_output(print(starwars %>% as.data.table(), print.keys = TRUE))
expect_output(print(septic_patients))
})
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context("rsi_analysis.R")
test_that("rsi works", {
# amox resistance in `septic_patients` should be around 53.86%
expect_equal(rsi(septic_patients$amox), 0.5386, tolerance = 0.0001)
expect_equal(rsi(septic_patients$amox), 0.5386, tolerance = 0.0001)
expect_equal(rsi_df(septic_patients,
ab = "amox",
info = FALSE),
0.5386,
tolerance = 0.0001)
# pita+genta susceptibility around 98.09%
expect_equal(rsi(septic_patients$pita,
septic_patients$gent,
interpretation = "S",
info = TRUE),
0.9809,
tolerance = 0.0001)
expect_equal(rsi_df(septic_patients,
ab = c("pita", "gent"),
interpretation = "S",
info = FALSE),
0.9809,
tolerance = 0.0001)
# mero+pita+genta susceptibility around 98.58%
expect_equal(rsi_df(septic_patients,
ab = c("mero", "pita", "gent"),
interpretation = "IS",
info = FALSE),
0.9858,
tolerance = 0.0001)
# count of cases
expect_equal(septic_patients %>%
group_by(hospital_id) %>%
summarise(cipro_S = rsi(cipr, interpretation = "S",
as_percent = TRUE, warning = FALSE),
cipro_n = n_rsi(cipr),
genta_S = rsi(gent, interpretation = "S",
as_percent = TRUE, warning = FALSE),
genta_n = n_rsi(gent),
combination_S = rsi(cipr, gent, interpretation = "S",
as_percent = TRUE, warning = FALSE),
combination_n = n_rsi(cipr, gent)) %>%
pull(combination_n),
c(138, 474, 170, 464, 183))
})
test_that("prediction of rsi works", {
amox_R <- septic_patients %>%
filter(bactid == "ESCCOL") %>%
rsi_predict(col_ab = "amox",
col_date = "date",
info = FALSE) %>%
pull("probR")
# amox resistance will decrease using dataset `septic_patients`
expect_true(amox_R[2] > amox_R[20])
expect_output(rsi_predict(tbl = filter(septic_patients, bactid == "ESCCOL"),
model = "binomial",
col_ab = "amox",
col_date = "date",
info = TRUE))
expect_output(rsi_predict(tbl = filter(septic_patients, bactid == "ESCCOL"),
model = "loglin",
col_ab = "amox",
col_date = "date",
info = TRUE))
expect_output(rsi_predict(tbl = filter(septic_patients, bactid == "ESCCOL"),
model = "lin",
col_ab = "amox",
col_date = "date",
info = TRUE))
expect_error(rsi_predict(tbl = filter(septic_patients, bactid == "ESCCOL"),
model = "INVALID MODEL",
col_ab = "amox",
col_date = "date",
info = FALSE))
expect_error(rsi_predict(tbl = filter(septic_patients, bactid == "ESCCOL"),
col_ab = "NOT EXISTING COLUMN",
col_date = "date",
info = FALSE))
expect_error(rsi_predict(tbl = filter(septic_patients, bactid == "ESCCOL"),
col_ab = "amox",
col_date = "NOT EXISTING COLUMN",
info = FALSE))
})