# ==================================================================== # # 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 <- 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" # support using columns as objects; the tidyverse way amcl <- quasiquotate(deparse(substitute(amcl)), amcl) amik <- quasiquotate(deparse(substitute(amik)), amik) amox <- quasiquotate(deparse(substitute(amox)), amox) ampi <- quasiquotate(deparse(substitute(ampi)), ampi) azit <- quasiquotate(deparse(substitute(azit)), azit) aztr <- quasiquotate(deparse(substitute(aztr)), aztr) cefa <- quasiquotate(deparse(substitute(cefa)), cefa) cfra <- quasiquotate(deparse(substitute(cfra)), cfra) cfep <- quasiquotate(deparse(substitute(cfep)), cfep) cfot <- quasiquotate(deparse(substitute(cfot)), cfot) cfox <- quasiquotate(deparse(substitute(cfox)), cfox) cfta <- quasiquotate(deparse(substitute(cfta)), cfta) cftr <- quasiquotate(deparse(substitute(cftr)), cftr) cfur <- quasiquotate(deparse(substitute(cfur)), cfur) chlo <- quasiquotate(deparse(substitute(chlo)), chlo) cipr <- quasiquotate(deparse(substitute(cipr)), cipr) clar <- quasiquotate(deparse(substitute(clar)), clar) clin <- quasiquotate(deparse(substitute(clin)), clin) clox <- quasiquotate(deparse(substitute(clox)), clox) coli <- quasiquotate(deparse(substitute(coli)), coli) czol <- quasiquotate(deparse(substitute(czol)), czol) dapt <- quasiquotate(deparse(substitute(dapt)), dapt) doxy <- quasiquotate(deparse(substitute(doxy)), doxy) erta <- quasiquotate(deparse(substitute(erta)), erta) eryt <- quasiquotate(deparse(substitute(eryt)), eryt) fosf <- quasiquotate(deparse(substitute(fosf)), fosf) fusi <- quasiquotate(deparse(substitute(fusi)), fusi) gent <- quasiquotate(deparse(substitute(gent)), gent) imip <- quasiquotate(deparse(substitute(imip)), imip) kana <- quasiquotate(deparse(substitute(kana)), kana) levo <- quasiquotate(deparse(substitute(levo)), levo) linc <- quasiquotate(deparse(substitute(linc)), linc) line <- quasiquotate(deparse(substitute(line)), line) mero <- quasiquotate(deparse(substitute(mero)), mero) mino <- quasiquotate(deparse(substitute(mino)), mino) moxi <- quasiquotate(deparse(substitute(moxi)), moxi) nali <- quasiquotate(deparse(substitute(nali)), nali) neom <- quasiquotate(deparse(substitute(neom)), neom) neti <- quasiquotate(deparse(substitute(neti)), neti) nitr <- quasiquotate(deparse(substitute(nitr)), nitr) novo <- quasiquotate(deparse(substitute(novo)), novo) norf <- quasiquotate(deparse(substitute(norf)), norf) oflo <- quasiquotate(deparse(substitute(oflo)), oflo) peni <- quasiquotate(deparse(substitute(peni)), peni) pita <- quasiquotate(deparse(substitute(pita)), pita) poly <- quasiquotate(deparse(substitute(poly)), poly) qida <- quasiquotate(deparse(substitute(qida)), qida) rifa <- quasiquotate(deparse(substitute(rifa)), rifa) roxi <- quasiquotate(deparse(substitute(roxi)), roxi) siso <- quasiquotate(deparse(substitute(siso)), siso) teic <- quasiquotate(deparse(substitute(teic)), teic) tetr <- quasiquotate(deparse(substitute(tetr)), tetr) tica <- quasiquotate(deparse(substitute(tica)), tica) tige <- quasiquotate(deparse(substitute(tige)), tige) tobr <- quasiquotate(deparse(substitute(tobr)), tobr) trim <- quasiquotate(deparse(substitute(trim)), trim) trsu <- quasiquotate(deparse(substitute(trsu)), trsu) vanc <- quasiquotate(deparse(substitute(vanc)), vanc) if (!col_bactid %in% colnames(tbl)) { stop('Column ', col_bactid, ' not found.') } # 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 <- col.list[!is.na(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) { cat('\n') } if (info == TRUE) { warning('These columns do not exist and will be ignored: ', col.list.bak[!(col.list %in% colnames(tbl))] %>% toString(), immediate. = TRUE, call. = FALSE) } } amcl <- col.list[1] amik <- col.list[2] amox <- col.list[3] ampi <- col.list[4] azit <- col.list[5] aztr <- col.list[6] cefa <- col.list[7] cfra <- col.list[8] cfep <- col.list[9] cfot <- col.list[10] cfox <- col.list[11] cfta <- col.list[12] cftr <- col.list[13] cfur <- col.list[14] chlo <- col.list[15] cipr <- col.list[16] clar <- col.list[17] clin <- col.list[18] clox <- col.list[19] coli <- col.list[20] czol <- col.list[21] dapt <- col.list[22] doxy <- col.list[23] erta <- col.list[24] eryt <- col.list[25] fosf <- col.list[26] fusi <- col.list[27] gent <- col.list[28] imip <- col.list[29] kana <- col.list[30] levo <- col.list[31] linc <- col.list[32] line <- col.list[33] mero <- col.list[34] mino <- col.list[35] moxi <- col.list[36] nali <- col.list[37] neom <- col.list[38] neti <- col.list[39] nitr <- col.list[40] novo <- col.list[41] norf <- col.list[42] oflo <- col.list[43] peni <- col.list[44] pita <- col.list[45] poly <- col.list[46] qida <- col.list[47] rifa <- col.list[48] roxi <- col.list[49] siso <- col.list[50] teic <- col.list[51] tetr <- col.list[52] tica <- col.list[53] tige <- col.list[54] tobr <- col.list[55] trim <- col.list[56] trsu <- col.list[57] vanc <- col.list[58] 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 }