# ==================================================================== # # 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 16 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{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{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}} # 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 2500 microorganisms. MO codes of the UMCG can be looked up using \code{\link{microorganisms.umcg}}. #' @format A data.frame with 2507 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"